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Sample records for medicine london england

  1. London, England

    NASA Technical Reports Server (NTRS)

    2003-01-01

    For almost 2,000 years, the River Thames has served as the life force of London, capital of the United Kingdom and one of the world's most famous cities. In AD 43 the Romans established the trading settlement of Londinium at a favorable crossing point on the river. The Romans remained until the 5th century, when the city came under Saxon control. The early 17th century saw enormous growth, but the deadly plague of 1664 and 1665 ravaged the population, and in the following year the Great Fire, which burned for four days, destroyed most of the city. A public transportation system and other city services in the early 19th century eased many of the increasing urban problems of the burgeoning capital of the wealthy British Empire. After coping with the devastating effects of bombing during World War II and the gradual dismantling of the empire, London today thrives as a vital modern metropolis. London is one of 100 cities being studied using ASTER data to map and monitor urban use patterns and growth.

    This image was acquired on October 12, 2001 by the Advanced Spaceborne Thermal Emission and Reflection Radiometer (ASTER) on NASA's Terra satellite. With its 14 spectral bands from the visible to the thermal infrared wavelength region, and its high spatial resolution of 15 to 90 meters (about 50 to 300 feet), ASTER images Earth to map and monitor the changing surface of our planet.

    ASTER is one of five Earth-observing instruments launched December 18, 1999, on NASA's Terra satellite. The instrument was built by Japan's Ministry of Economy, Trade and Industry. A joint U.S./Japan science team is responsible for validation and calibration of the instrument and the data products.

    The broad spectral coverage and high spectral resolution of ASTER will provide scientists in numerous disciplines with critical information for surface mapping, and monitoring of dynamic conditions and temporal change. Example applications are: monitoring glacial advances and retreats

  2. Are the birch trees in Southern England a source of Betula pollen for North London?

    NASA Astrophysics Data System (ADS)

    Skjøth, C. A.; Smith, M.; Brandt, J.; Emberlin, J.

    2009-01-01

    Birch pollen is highly allergenic. Knowledge of daily variations, atmospheric transport and source areas of birch pollen is important for exposure studies and for warnings to the public, especially for large cities such as London. Our results show that broad-leaved forests with high birch tree densities are located to the south and west of London. Bi-hourly Betula pollen concentrations for all the days included in the study, and for all available days with high birch pollen counts (daily average birch pollen counts >80 grains/m3), show that, on average, there is a peak between 1400 hours and 1600 hours. Back-trajectory analysis showed that, on days with high birch pollen counts ( n = 60), 80% of air masses arriving at the time of peak diurnal birch pollen count approached North London from the south in a 180 degree arc from due east to due west. Detailed investigations of three Betula pollen episodes, with distinctly different diurnal patterns compared to the mean daily cycle, were used to illustrate how night-time maxima (2200-0400 hours) in Betula pollen counts could be the result of transport from distant sources or long transport times caused by slow moving air masses. We conclude that the Betula pollen recorded in North London could originate from sources found to the west and south of the city and not just trees within London itself. Possible sources outside the city include Continental Europe and the Betula trees within the broad-leaved forests of Southern England.

  3. REEXAMINATION OF LONDON, ENGLAND, MORTALITY IN RELATION TO EXPOSURE TO ACIDIC AEROSOLS DURING 1963-1972 WINTERS

    EPA Science Inventory

    Air pollution epidemiology since the 1950s has been able to demonstrate that increases in daily mortality in London, England, were associated with elevated concentrations of index air pollutants, i.e., British Smoke (BS) and sulfur dioxide (SO2). n this work, we reanalyze that po...

  4. Workloads in genitourinary medicine clinics in England.

    PubMed

    Thin, R N

    1989-12-01

    Work loads in venereal disease--sexually transmitted disease (STD)--genitourinary medicine (GUM) clinics have risen greatly in recent years. The increase in viral infections which are more difficult and time consuming to manage than those caused by bacteria and the higher expectations and demands of patients have combined to increase workloads more than the case figures indicate. This prompted the Department of Health and Social Security in 1988 to set up a survey of clinics in England with the following terms of reference: "To examine current and forecast workloads on GUM clinics, taking account of AIDS and other STDs, and to recommend any action which may need to be taken on manpower (including nursing manpower), training, resources and accommodation". The team concluded that the GUM service was ill equipped to meet the demands for its services, and made 36 recommendations. The priority recommendations included: the need to provide more resources; government ministers should give a lead in developing the service; all health districts should provide care for STD and HIV infection; all new patients should be seen on the day of presentation or failing that on the next occasion the clinic was open. Other recommendations included: location of all GUM clinics in the general outpatient department of general hospitals; accommodation of the same standard as other outpatient departments; review of the distribution of clinics; review of staffing levels and roles; and coordination of care of HIV infection. Many of these recommendations have already led to action including a lead from government ministers and provision of more funds. Many of the problems and recommendations will apply in other countries. PMID:2613217

  5. Importance of Thinking Locally for Mental Health: Data from Cross-Sectional Surveys Representing South East London and England

    PubMed Central

    Hatch, Stephani L.; Woodhead, Charlotte; Frissa, Souci; Fear, Nicola T.; Verdecchia, Maria; Stewart, Robert; Reichenberg, Abraham; Morgan, Craig; Bebbington, Paul; McManus, Sally; Brugha, Traolach; Kankulu, Bwalya; Clark, Jennifer L.; Gazard, Billy; Medcalf, Robert; Hotopf, Matthew

    2012-01-01

    Background Reliance on national figures may be underestimating the extent of mental ill health in urban communities. This study demonstrates the necessity for local information on common mental disorder (CMD) and substance use by comparing data from the South East London Community Health (SELCoH) study with those from a national study, the 2007 English Adult Psychiatric Morbidity Study (APMS). Methodology/Principal Findings Data were used from two cross-sectional surveys, 1698 men and women residing in south London and 7403 men and women in England. The main outcome, CMD, was indicated by a score of 12 or above on the Revised Clinical Interview Schedule. Secondary outcomes included hazardous alcohol use and illicit drug use. SELCoH sample prevalence estimates of CMD were nearly twice that of the APMS England sample estimates. There was a four-fold greater proportion of depressive episode in the SELCoH sample than the APMS sample. The prevalence of hazardous alcohol use was higher in the national sample. Illicit drug use in the past year was higher in the SELCoH sample, with cannabis and cocaine the illicit drugs reported most frequently in both samples. In comparisons of the SELCoH sample with the APMS England sample and the APMS sample from the Greater London area in combined datasets, these differences remained after adjusting for socio-demographic and socioeconomic indicators for all outcomes. Conclusions/Significance Local information for estimating the prevalence of CMD and substance use is essential for surveillance and service planning. There were similarities in the demographic and socioeconomic factors related to CMD and substance use across samples. PMID:23251330

  6. The Beginnings of Industrial Medicine in England*

    PubMed Central

    Buess, H.

    1962-01-01

    Industrial medicine saw its tentative beginnings among the inquiring minds of 16th century physicians such as Paracelsus. In the 17th century, reports of conditions in mines on the Continent prompted natural scientists at the Royal Society to initiate a research programme into what we now know as mercurial poisoning. The latter part of the eighteenth century witnessed the change from domestic to factory industry with its concomitant social, economic, and technological upheaval, resulting in great shifts of population away from the countryside to the towns. Men, women, and children were employed in the new factories in primitive, unhygienic conditions, and mill fever and illness generally were rife. It was against this background that Percival and Thackrah, prompted no doubt in large measure by the conditions of child labour, inquired into, and made recommendations for, the improvement of hygiene in the factories, thus laying the foundations of industrial medicine as we know it today.

  7. Seasonal influenza vaccination delivery through community pharmacists in England: evaluation of the London pilot

    PubMed Central

    Atkins, Katherine; van Hoek, Albert Jan; Watson, Conall; Baguelin, Marc; Choga, Lethiwe; Patel, Anika; Raj, Thara; Jit, Mark; Griffiths, Ulla

    2016-01-01

    Objective To evaluate the effectiveness and cost of the pan-London pharmacy initiative, a programme that allows administration of seasonal influenza vaccination to eligible patients at pharmacies. Design We analysed 2013–2015 data on vaccination uptake in pharmacies via the Sonar reporting system, and the total vaccination uptake via 2011–2015 ImmForm general practitioner (GP) reporting system data. We conducted an online survey of London pharmacists who participate in the programme to assess time use data, vaccine choice, investment costs and opinions about the programme. We conducted an online survey of London GPs to assess vaccine choice of vaccine and opinions about the pharmacy vaccine delivery programme. Setting All London boroughs. Participants London-based GPs, and pharmacies that currently offer seasonal flu vaccination. Interventions Not applicable. Main outcome measures Comparison of annual vaccine uptake in London across risk groups from years before pharmacy vaccination introduction to after pharmacy vaccination introduction. Completeness of vaccine uptake reporting data. Cost to the National Health Service (NHS) of flu vaccine delivery at pharmacies with that at GPs. Cost to pharmacists of flu delivery. Opinions of pharmacists and GPs regarding the flu vaccine pharmacy initiative. Results No significant change in the uptake of seasonal vaccination in any of the risk groups as a result of the pharmacy initiative. While on average a pharmacy-administered flu vaccine dose costs the NHS up to £2.35 less than a dose administered at a GP, a comparison of the 2 recording systems suggests there is substantial loss of data. Conclusions Flu vaccine delivery through pharmacies shows potential for improving convenience for vaccine recipients. However, there is no evidence that vaccination uptake increases and the use of 2 separate recording systems leads to time-consuming data entry and missing vaccine record data. PMID:26883237

  8. A Qualitative Study of the Impact of the London 2012 Olympics on Families in the East Midlands of England: Lessons for Sports Development Policy and Practice

    ERIC Educational Resources Information Center

    Mackintosh, Chris; Darko, Natalie; Rutherford, Zoe; Wilkins, Hetty-May

    2015-01-01

    The dynamics and culture of families are central to individual and community sport and physical activity participation. This research project examined the lived experiences and day-to-day realities of the London 2012 Olympics from the perspectives of five families in the East Midlands region of England. The aims of the project were to assess the…

  9. Scarlet Fever Upsurge in England and Molecular-Genetic Analysis in North-West London, 2014.

    PubMed

    Turner, Claire E; Pyzio, Marta; Song, Bonita; Lamagni, Theresa; Meltzer, Margie; Chow, J Yimmy; Efstratiou, Androulla; Curtis, Sally; Sriskandan, Shiranee

    2016-06-01

    Scarlet fever notifications surged across the United Kingdom in spring 2014. Molecular epidemiologic investigation of Streptococcus pyogenes infections in North-West London highlighted increased emm4 and emm3 infections coincident with the upsurge. Unlike outbreaks in other countries, antimicrobial resistance was uncommon, highlighting an urgent need to better understand the drivers of scarlet fever activity. PMID:27192393

  10. Scarlet Fever Upsurge in England and Molecular-Genetic Analysis in North-West London, 2014

    PubMed Central

    Turner, Claire E.; Pyzio, Marta; Song, Bonita; Lamagni, Theresa; Meltzer, Margie; Chow, J. Yimmy; Efstratiou, Androulla; Curtis, Sally

    2016-01-01

    Scarlet fever notifications surged across the United Kingdom in spring 2014. Molecular epidemiologic investigation of Streptococcus pyogenes infections in North-West London highlighted increased emm4 and emm3 infections coincident with the upsurge. Unlike outbreaks in other countries, antimicrobial resistance was uncommon, highlighting an urgent need to better understand the drivers of scarlet fever activity. PMID:27192393

  11. [Identification of ancient Chinese medicinal specimens preserved at Natural History Museum in London].

    PubMed

    Zhao, Zhong-zhen; Zhao, Kai-cun; Brand, Eric

    2015-12-01

    On-site field investigation was conducted to authenticate a batch of ancient Chinese medicinal decoction pieces that have been preserved in a rare collection at the Natural History Museum in London. These treasured artifacts comprise a portion of the Sloane Collection, and the nearly one hundred Chinese medicinal specimens examined within provide an objective record of the real situation regarding the Chinese medicinal materials in commercial circulation three hundred years ago. The precious data from this collection pro-vides an extremely valuable reference for the research into the history of medicinal exchange between China and the West during the Age of Exploration, shedding light on the evolution and historical changes in the species used in Chinese medicine, as well as the history of medicinal processing and decoction pieces. PMID:27245044

  12. Lumbar vertebral canal size in adults and children: observations from a skeletal sample from London, England.

    PubMed

    Watts, R

    2013-04-01

    The morphometry of the lumbar vertebral canal is of importance to clinical and bioarchaeological researchers, yet there are no growth standards for its diameters and there is a disagreement over the age at which its development is complete. Direct measurements of the midsagittal and interpedicular diameters of the lumbar vertebral canal (L1-L5) were taken from 65 children (3-17 years) and 120 adults (>17 years) from the East Smithfield Black Death cemetery, London (1348-1350 CE) to discover the age at which these diameters reached their final adult size in an historical population from later mediaeval London. Children were grouped into age categories: 3-5 years; 6-10 years; 11-14 years; 15-17 years, and the group means of each diameter were compared with the mean adult diameters using one-way ANOVAs. The child midsagittal diameters were not significantly different from adults in any age category, indicating that this diameter reached adult size by 3-5 years of age. However, interpedicular diameters increased with age until 15-17 years when they reached full adult size. Mean diameters and percentiles (10th and 90th) are provided for each age category. PMID:23415375

  13. Biosimilar Medicines Group - 14th Annual Medicines for Europe Conference (April 28-29, 2016 - London, UK).

    PubMed

    Hodgkinson, L

    2016-05-01

    Biotechnology has enabled the development of treatments for many diseases benefiting millions of people. Similar biologics or 'biosimilar' versions of originator biologic medicines are a relatively new category of biologics, usually developed when the originator is protected by patent exclusivity and introduced to healthcare systems as a cheaper option to treat disease. Biosimilars provide value and thus access for new groups of patients because they bring cost savings to the healthcare ecosystem. Generics achieved cost savings of EUR 100 billion in 2014, which allows the system to finance more innovative methods of bringing medicines to patients. The Medicines for Europe Biosimilars Medicines Group Conference in London is the main annual biosimilars gathering and attracts the world's experts. A recurring theme throughout this year's conference was the promotion of a multi-stakeholder approach; if stakeholders work together they will collectively give patients more opportunity to benefit from biologic medicines. In discussion were the latest developments in the biosimilars market, including the ongoing challenges against adoption of biosimilars. PMID:27376164

  14. The Need for a College of Veterinary Medicine to Serve New England and New Jersey.

    ERIC Educational Resources Information Center

    New England Board of Higher Education, Wellesley, MA. New England Library Information Network.

    This report documents the need for and presents well-founded recommendations for the establishment of a college of veterinary medicine to serve New England and New Jersey. The need for a veterinary medicine college is discussed in relation to today's veterinarians, and future shortage estimations. Major recommendations suggest that (1) a regional…

  15. Medicine, metals and empire: the survival of a chymical projector in early eighteenth-century London.

    PubMed

    Yamamoto, Koji

    2015-12-01

    It is well known that Newtonian philosophers such as Johan T. Desaguliers defined their authority in contradistinction to the 'projector', a promoter of allegedly impractical and fraudulent schemes. Partly due to the lack of evidence, however, we know relatively little about these eighteenth-century projectors, especially those operating outside learned networks without claims to gentility, disinterest or theoretical sophistication. This paper begins to remedy this lacuna through the case of a 'chymical' projector, Moses Stringer (fl. 1693-1714). Instead of aspiring to respectability, this London chymist survived by vigorously promoting new projects, thereby accelerating, rather than attenuating, the course of action that rendered him dubious in the first place. The article follows his (often abortive) exploitation of medicine, metals and empire, and thereby illuminates the shady end of the enlightened world of public science. PMID:26336059

  16. The effect of survey method on survey participation: Analysis of data from the Health Survey for England 2006 and the Boost Survey for London

    PubMed Central

    2010-01-01

    Background There is a need for local level health data for local government and health bodies, for health surveillance and planning and monitoring of policies and interventions. The Health Survey for England (HSE) is a nationally-representative survey of the English population living in private households, but sub-national analyses can be performed only at a regional level because of sample size. A boost of the HSE was commissioned to address the need for local level data in London but a different mode of data collection was used to maximise participant numbers for a given cost. This study examines the effects on survey and item response of the different survey modes. Methods Household and individual level data are collected in HSE primarily through interviews plus individual measures through a nurse visit. For the London Boost, brief household level data were collected through interviews and individual level data through a longer self-completion questionnaire left by the interviewer and collected later. Sampling and recruitment methods were identical, and both surveys were conducted by the same organisation. There was no nurse visit in the London Boost. Data were analysed to assess the effects of differential response rates, item non-response, and characteristics of respondents. Results Household response rates were higher in the 'Boost' (61%) than 'Core' (HSE participants in London) sample (58%), but the individual response rate was considerably higher in the Core (85%) than Boost (65%). There were few differences in participant characteristics between the Core and Boost samples, with the exception of ethnicity and educational qualifications. Item non-response was similar for both samples, except for educational level. Differences in ethnicity were corrected with non-response weights, but differences in educational qualifications persisted after non-response weights were applied. When item non-response was added to those reporting no qualification, participants

  17. Casebooks in early modern England: medicine, astrology, and written records.

    PubMed

    Kassell, Lauren

    2014-01-01

    Casebooks are the richest sources that we have for encounters between early modern medical practitioners and their patients. This article compares astrological and medical records across two centuries, focused on England, and charts developments in the ways in which practitioners kept records and reflected on their practices. Astrologers had a long history of working from particular moments, stellar configurations, and events to general rules. These practices required systematic notation. Physicians increasingly modeled themselves on Hippocrates, recording details of cases as the basis for reasoned expositions of the histories of disease. Medical records, as other scholars have demonstrated, shaped the production of medical knowledge. Instead, this article focuses on the nature of casebooks as artifacts of the medical encounter. It establishes that casebooks were serial records of practice, akin to diaries, testimonials, and registers; identifies extant English casebooks and the practices that led to their production and preservation; and concludes that the processes of writing, ordering, and preserving medical records are as important for understanding the medical encounter as the records themselves. PMID:25557513

  18. Improvement in Regional Air Quality in SE England as Shown by 1996-2011 CO Record at Royal Holloway, University of London

    NASA Astrophysics Data System (ADS)

    Fowler, C. M.; Lowry, D.; Fisher, R. E.; Lanoisellé, M.; Martin, M.; Nisbet, E. G.

    2011-12-01

    CO is a broad proxy of many gases contributing to air pollution in urban areas. Over the years 1996-2011 the long-term record of CO, measured at Royal Holloway, Egham, on the SW fringe of the London conurbation, shows a marked decline. The annual mean CO mixing ratio is now approximately one-third of values measured in 1996/7. Quasi-continuous (30 min interval) CO measurements have been made at Royal Holloway since Sept. 1996. The site is 30km WSW of central London, and SW of Heathrow airport. Initially, measurement was by a Trace Analytical Reduction Gas Detector (RGD-2). From July 2007, the same air has been measured at 5 minute intervals by a Peak Performer I (RCP detector) using 2 1/8 inch packed columns in series, Unibeads 1S and Molecular Sieve 5A. CO is calibrated fortnightly against NOAA standards (range 150-300 ppb). In polluted air, when CO is high, the RGD-2 instrument (pre-July 2007 data) is non-linear, as shown by inter-comparison with other EU labs. Over-estimation during extreme events (>1000ppb) may be as much as 30%. H2 is also measured, calibrated monthly against internal standards ranging from 526 to 799 ppb H2, measured during Eurohydros at MPI-Jena, and with daily target gas measurement. The Royal Holloway (RHUL) site is well located to measure both near-background Atlantic air (as indicated by parallel CH4 measurements) during strong SSW prevailing winds, urban air (during prolonged anticyclones) and regional continental air (in strong easterly conditions). High CO build-up occurs in the air masses over the London conurbation during long-lived anticyclones in both summer and winter, maximizing near dawn before the inversion breaks up. The RHUL CO data are thus a good proxy for regional pollution in SE England. In the late 1990s, dawn CO peaks were often very high in these conditions, occasionally up to 11 ppm CO. Since then there has been a marked decline. Currently, CO is frequently at near-background levels (~ 100 ppb), and even in prolonged

  19. Validation of primary metal-on-metal hip arthroplasties on the National Joint Registry for England, Wales and Northern Ireland using data from the London Implant Retrieval Centre

    PubMed Central

    Sabah, S. A.; Henckel, J.; Cook, E.; Whittaker, R.; Hothi, H.; Pappas, Y.; Blunn, G.; Skinner, J. A.; Hart, A. J.

    2015-01-01

    Arthroplasty registries are important for the surveillance of joint replacements and the evaluation of outcome. Independent validation of registry data ensures high quality. The ability for orthopaedic implant retrieval centres to validate registry data is not known. We analysed data from the National Joint Registry for England, Wales and Northern Ireland (NJR) for primary metal-on-metal hip arthroplasties performed between 2003 and 2013. Records were linked to the London Implant Retrieval Centre (RC) for validation. A total of 67 045 procedures on the NJR and 782 revised pairs of components from the RC were included. We were able to link 476 procedures (60.9%) recorded with the RC to the NJR successfully. However, 306 procedures (39.1%) could not be linked. The outcome recorded by the NJR (as either revised, unrevised or death) for a primary procedure was incorrect in 79 linked cases (16.6%). The rate of registry-retrieval linkage and correct assignment of outcome code improved over time. The rates of error for component reference numbers on the NJR were as follows: femoral head category number 14/229 (5.0%); femoral head batch number 13/232 (5.3%); acetabular component category number 2/293 (0.7%) and acetabular component batch number 24/347 (6.5%). Registry-retrieval linkage provided a novel means for the validation of data, particularly for component fields. This study suggests that NJR reports may underestimate rates of revision for many types of metal-on-metal hip replacement. This is topical given the increasing scope for NJR data. We recommend a system for continuous independent evaluation of the quality and validity of NJR data. Cite this article: Bone Joint J 2015;97-B:10–18. PMID:25568407

  20. Survey of women׳s experiences of care in a new freestanding midwifery unit in an inner city area of London, England: 2. Specific aspects of care

    PubMed Central

    Macfarlane, Alison J.; Rocca-Ihenacho, Lucia; Turner, Lyle R.

    2014-01-01

    Objective to describe and compare women׳s experiences of specific aspects of maternity care before and after the opening of the Barkantine Birth Centre, a new freestanding midwifery unit in an inner city area. Design telephone surveys undertaken in late pregnancy and about six weeks after birth. Two separate waves of interviews were conducted, Phase 1 before the birth centre opened and Phase 2 after it had opened. Setting Tower Hamlets, a deprived inner city borough in east London, 2007–2010. Participants 620 women who were resident in Tower Hamlets and who satisfied the Barts and the London Trust’s eligibility criteria for using the birth centre. Of these, 259 women were recruited to Phase 1 and 361 to Phase 2. Measurements and findings the replies women gave show marked differences between the model of care in the birth centre and that at the obstetric unit at the Royal London Hospital with respect to experiences of care and specific practices. Women who initially booked for birth centre care were more likely to attend antenatal classes and find them useful and were less likely to be induced. Women who started labour care at the birth centre in spontaneous labour were more likely to use non-pharmacological methods of pain relief, most notably water and less likely to use pethidine than women who started care at the hospital. They were more likely to be able to move around in labour and less likely to have their membranes ruptured or have continuous CTG. They were more likely to be told to push spontaneously when they needed to rather than under directed pushing and more likely to report that they had been able to choose their position for birth and deliver in places other than the bed, in contrast to the situation at the hospital. The majority of women who had a spontaneous onset of labour delivered vaginally, with 28.6 per cent of women at the birth centre but no one at the hospital delivering in water. Primiparous women who delivered at the birth centre

  1. Sports medicine across Missouri: interviews with Dr. Paul Meyer and Dr. Stanley London. Interview by Thomas D. Eppright, Shane Bradley, Maureen Alwood.

    PubMed

    Meyer, P; London, S

    1998-12-01

    Paul Meyer and Stanley London are two Missourians who have led the way for many in the field of Sports Medicine. The careers of many professional athletes have been extended due to the clinical expertise of these exemplary physicians who both began their medical careers in the 1940s. Through this interview, they offer a historical perspective of Sports Medicine and baseball. They also share their life experiences, as well as their formulas for successful careers and long-lasting marriages. PMID:9863341

  2. The sexual health of female sex workers compared with other women in England: analysis of cross-sectional data from genitourinary medicine clinics

    PubMed Central

    Mc Grath-Lone, Louise; Marsh, Kimberly; Hughes, Gwenda; Ward, Helen

    2014-01-01

    Background While female sex workers (FSWs) are assumed to be at increased risk of sexually transmitted infections (STIs), there are limited comparative data with other population groups available. Using routine STI surveillance data, we investigated differences in sexual health between FSWs and other female attendees at genitourinary medicine (GUM) clinics in England. Methods Demographic characteristics, STI prevalence and service usage among FSWs and other attendees in 2011 were compared using logistic regression. Results In 2011, 2704 FSWs made 8411 recorded visits to 131/208 GUM clinics, (primarily large, FSW-specialist centres in London). FSWs used a variety of services, however, 10% did not have an STI/HIV test at presentation. By comparison with other female attendees, FSWs travelled further for their care and had increased risk of certain STIs (eg, gonorrhoea ORadj: 2.76, 95% CI 2.16 to 3.54, p<0.001). Migrant FSWs had better sexual health outcomes than UK-born FSWs (eg, period prevalence of chlamydia among those tested: 8.5% vs 13.5%, p<0.001) but were more likely to experience non-STI outcomes (eg, pelvic inflammatory disease ORadj: 2.92, 95% CI 1.57 to 5.41, p<0.001). Conclusions FSWs in England have access to high-quality care through the GUM clinic network, but there is evidence of geographical inequality in access to these services. A minority do not appear to access STI/HIV testing through clinics, and some STIs are more prevalent among FSWs than other female attendees. Targeted interventions aimed at improving uptake of testing in FSWs should be developed, and need to be culturally sensitive to the needs of this predominantly migrant population. PMID:24493858

  3. Access to medicines by child refugees in the East Midlands region of England: a cross-sectional study

    PubMed Central

    Alkahtani, S; Cherrill, J; Millward, C; Grayson, K; Hilliam, R; Sammons, H; Choonara, I

    2014-01-01

    Objectives To explore access to primary healthcare and drug therapy by refugee children in the East Midlands region of England. Design Interviews with refugees with children and a control group of British parents with children. Setting East Midlands region of England. Participants 50 refugees with children and a control group of 50 parents with children. Main outcome measures Number of medicines used by children in the last month and the past 6 months. Health of parents and children. Registration with a general practitioner (GP). Results All families in both groups were registered with a GP. There was no difference in the number of children in the two groups experiencing illnesses .In the last month, 30 refugee children received 60 medicines and 31 control children 63 medicines. In the past 6 months, 48 refugee children received 108 medicines and 43 control children 96 medicines. There was no difference between the two groups of children in relation to the likelihood of receiving any medicines in either the last month (P=0.839) or the past 6 months (p=0.81). Children in the refugee group were more likely to receive prescribed medicines for the last month (p=0.008) and the past 6 months (p<0.001). They were also less likely to receive over the counter (OTC) medicines in the past 6 months (p=0.009). Conclusions The refugee children in this study in the East Midlands had access to primary healthcare, medicines and a family doctor. They were more likely to receive prescribed medicines and less likely to receive OTC medicines, especially paracetamol. PMID:25524546

  4. Population Genomics of Cardiometabolic Traits: Design of the University College London-London School of Hygiene and Tropical Medicine-Edinburgh-Bristol (UCLEB) Consortium

    PubMed Central

    Wong, Andrew; Amuzu, Antoinette; Ong, Ken; Gaunt, Tom; Holmes, Michael V.; Warren, Helen; Davies, Teri-Louise; Drenos, Fotios; Cooper, Jackie; Sofat, Reecha; Caulfield, Mark; Ebrahim, Shah; Lawlor, Debbie A.; Talmud, Philippa J.; Humphries, Steve E.; Power, Christine; Hypponen, Elina; Richards, Marcus; Hardy, Rebecca; Kuh, Diana; Wareham, Nicholas; Ben-Shlomo, Yoav; Day, Ian N.; Whincup, Peter; Morris, Richard; Strachan, Mark W. J.; Price, Jacqueline; Kumari, Meena; Kivimaki, Mika; Plagnol, Vincent; Dudbridge, Frank; Whittaker, John C.; Casas, Juan P.; Hingorani, Aroon D.

    2013-01-01

    Substantial advances have been made in identifying common genetic variants influencing cardiometabolic traits and disease outcomes through genome wide association studies. Nevertheless, gaps in knowledge remain and new questions have arisen regarding the population relevance, mechanisms, and applications for healthcare. Using a new high-resolution custom single nucleotide polymorphism (SNP) array (Metabochip) incorporating dense coverage of genomic regions linked to cardiometabolic disease, the University College-London School-Edinburgh-Bristol (UCLEB) consortium of highly-phenotyped population-based prospective studies, aims to: (1) fine map functionally relevant SNPs; (2) precisely estimate individual absolute and population attributable risks based on individual SNPs and their combination; (3) investigate mechanisms leading to altered risk factor profiles and CVD events; and (4) use Mendelian randomisation to undertake studies of the causal role in CVD of a range of cardiovascular biomarkers to inform public health policy and help develop new preventative therapies. PMID:23977022

  5. Population genomics of cardiometabolic traits: design of the University College London-London School of Hygiene and Tropical Medicine-Edinburgh-Bristol (UCLEB) Consortium.

    PubMed

    Shah, Tina; Engmann, Jorgen; Dale, Caroline; Shah, Sonia; White, Jon; Giambartolomei, Claudia; McLachlan, Stela; Zabaneh, Delilah; Cavadino, Alana; Finan, Chris; Wong, Andrew; Amuzu, Antoinette; Ong, Ken; Gaunt, Tom; Holmes, Michael V; Warren, Helen; Swerdlow, Daniel I; Davies, Teri-Louise; Drenos, Fotios; Cooper, Jackie; Sofat, Reecha; Caulfield, Mark; Ebrahim, Shah; Lawlor, Debbie A; Talmud, Philippa J; Humphries, Steve E; Power, Christine; Hypponen, Elina; Richards, Marcus; Hardy, Rebecca; Kuh, Diana; Wareham, Nicholas; Langenberg, Claudia; Ben-Shlomo, Yoav; Day, Ian N; Whincup, Peter; Morris, Richard; Strachan, Mark W J; Price, Jacqueline; Kumari, Meena; Kivimaki, Mika; Plagnol, Vincent; Dudbridge, Frank; Whittaker, John C; Casas, Juan P; Hingorani, Aroon D

    2013-01-01

    Substantial advances have been made in identifying common genetic variants influencing cardiometabolic traits and disease outcomes through genome wide association studies. Nevertheless, gaps in knowledge remain and new questions have arisen regarding the population relevance, mechanisms, and applications for healthcare. Using a new high-resolution custom single nucleotide polymorphism (SNP) array (Metabochip) incorporating dense coverage of genomic regions linked to cardiometabolic disease, the University College-London School-Edinburgh-Bristol (UCLEB) consortium of highly-phenotyped population-based prospective studies, aims to: (1) fine map functionally relevant SNPs; (2) precisely estimate individual absolute and population attributable risks based on individual SNPs and their combination; (3) investigate mechanisms leading to altered risk factor profiles and CVD events; and (4) use Mendelian randomisation to undertake studies of the causal role in CVD of a range of cardiovascular biomarkers to inform public health policy and help develop new preventative therapies. PMID:23977022

  6. Geography and Environmental Education: International Perspectives. Proceedings of the Annual Meeting of the IGU Commission on Geographical Education (London, England, April 11-13, 1999).

    ERIC Educational Resources Information Center

    International Geographical Union.

    This document contains the proceedings from the London conference on geography and environmental education sponsored by the International Geographical Union (IGU) Commission on Geographical Education. Papers include: (1) "The Ecocitizen: A Challenge to Environmental and Geographical Education" (Haubrich, Hartwig); (2) "Learning To Teach about…

  7. Factors associated with travel to non-local genitourinary medicine clinics for gonorrhoea: an analysis of patients diagnosed in London, 2009-10.

    PubMed

    Le Polain de Waroux, Olivier; Hughes, Gwenda; Maguire, Helen; Crook, Paul D

    2014-03-01

    We analysed factors associated with travelling to non-local genitourinary medicine clinics for gonorrhoea care in London. We used surveillance data on London residents attending genitourinary medicine clinics in 2009-10 and calculated distances between patients' areas of residence and both the nearest genitourinary medicine clinic and the clinic attended. Non-local clinics were attended by 5408 (46.7%) patients. Men having sex with men attended non-local services more than heterosexuals (OR 3.83, p < 0.001). Among heterosexual men, black Africans and black Caribbeans were more likely, and South Asians less likely, to attend non-local services compared to whites (OR [95%CI] 1.33 [1.04-1.72], 1.36 [1.11-1.67] and 0.46 [0.31-0.70] respectively). Similar associations, although not statistically significant, were found in women. People were more likely to attend local services if their local clinic provided walk-in and young people's services, weekend consultations and long opening hours. These findings could help design services meeting local population needs and facilitate prompt and equitable access to care. PMID:23970635

  8. A Report on the Need for a College of Veterinary Medicine in New England.

    ERIC Educational Resources Information Center

    New England Board of Higher Education, Winchester, MA.

    New England faces a critical shortage of over 1,200 veterinarians by 1980. In 1968 there were only 8.2 practicing veterinarians for every 100,000 New Englanders--5 fewer than the national average, and less than half as many as will be needed by the end of the present decade. The major problem arises from the fact that there has been no college of…

  9. The association between periodontal disease and periosteal lesions in the St. Mary Graces cemetery, London, England A.D. 1350-1538.

    PubMed

    Dewitte, Sharon N; Bekvalac, Jelena

    2011-12-01

    Numerous studies have demonstrated significant associations between periodontal disease and many other diseases in living populations, and some studies have shown that individuals with periodontal disease are at elevated risks of mortality. Recent analysis of a medieval skeletal sample from London has also shown that periodontal disease was associated with increased risks of mortality in the past. This study examines whether periodontal disease is associated with periosteal lesions in a skeletal sample from the urban St. Mary Graces cemetery (n = 265) from medieval London. The results reveal a significant association between periodontal disease and periosteal lesions in the St. Mary Graces sample (i.e., individuals with periodontal disease were also likely to have periosteal lesions), and the association between the two is independent of age. The association between the two pathological conditions might reflect underlying reduced immune competence and thus heightened susceptibility to pathogens that cause periodontal disease or periosteal lesions, exposure to an environmental factor, or underlying heightened inflammatory responses. PMID:21997205

  10. Assessment of the impact of the London Olympics 2012 on selected non-genitourinary medicine clinic sexual health services.

    PubMed

    Hartley, A; Foster, R; Brook, M G; Cassell, J A; Mercer, C H; Coyne, K; Hughes, G; Crook, P

    2015-04-01

    With minimal information on sexual health provision during mass-gathering events, our aim was to describe the use of sexual health, contraceptive, sex worker and sexual assault services during the London 2012 Olympics. We analysed data from five sources. One contraceptive service provider reported a 10% increase in attendance during the main Games, while emergency contraception prescriptions rose during the main Olympics, compared to the week before, but were similar or lower than at the beginning and end of the summer period. A health telephone advice line reported a 16% fall in sexual health-related calls during the main Olympics, but a 33% increase subsequently. London sexual assault referral centres reported that 1.8% of sexual assaults were Olympics-linked. A service for sex workers reported that 16% started working in the sex industry and 7% moved to London to work during the Olympics. Fifty-eight per cent and 45% of sex workers reported fewer clients and an increase in police crack-downs, respectively. Our results show a change in activity across these services during the 2012 summer, which may be associated with the Olympics. Our data are a guide to other services when anticipating changes in service activity and planning staffing for mass-gathering events. PMID:24894726

  11. Constructing access in predictive medicine. Comparing classification for hereditary breast cancer risks in England, Germany and the Netherlands.

    PubMed

    Aarden, Erik; Van Hoyweghen, Ine; Horstman, Klasien

    2011-02-01

    In the first decade of the twenty-first century, predictive forms of medicine, largely associated with genetics, have become increasingly prominent. This has given rise to questions about the social consequences of this development, for example with regard to the distribution of health care access. Drawing on qualitative interviews with clinic staff and public officials and on document analyses, we analyse how access to risk assessment and monitoring for hereditary breast cancer predispositions in Germany, the Netherlands and England is produced through the interaction of risk classification and health care organisation. For each of the three countries, we show how particular combinations of genetic testing and family history data, classification of risks and allocation of monitoring services in practice contribute to specific forms of inclusion and exclusion. Thus, we show how risk assessment and monitoring in Germany attributes a large role to genetic testing; how family history information plays a large role in the Netherlands; and how regional differences in health care have a significant influence in England. On the basis of our case study, we argue that health care organisation is an important facet of the allocation of health care access, as it plays an important role in mediating the influence of risk assessment technologies and risk categories in health care access. We conclude that the allocation of risk assessment and monitoring in predictive medicine deserve more extensive political attention. PMID:21208700

  12. Co-Production at the Strategic Level: Co-Designing an Integrated Care System with Lay Partners in North West London, England.

    PubMed

    Morton, Michael; Paice, Elisabeth

    2016-01-01

    In North West London, health and social care leaders decided to design a system of integrated care with the aim of improving the quality of care and supporting people to maintain independence and participation in their community. Patients and carers, known as 'lay partners,' were to be equal partners in co-production of the system. Lay partners were recruited by sending a role profile to health, social care and voluntary organisations and requesting nominations. They formed a Lay Partners Advisory Group from which pairs were allocated to system design workstreams, such as which population to focus on, financial flow, information technology and governance. A larger and more diverse Lay Partners Forum provided feedback on the emerging plans. A key outcome of this approach was the development of an integration toolkit co-designed with lay partners. Lay partners provided challenge, encouraged innovation, improved communication, and held the actions of other partners to account to ensure the vision and aims of the emerging integrated care system were met. Key lessons from the North West London experience for effective co-production include: recruiting patients and carers with experience of strategic work; commitment to the vision; willingness to challenge and to listen; strong connections within the community being served; and enough time to do the work. Including lay partners in co-design from the start, and at every level, was important. Agreeing the principles of working together, providing support and continuously recruiting lay representatives to represent their communities are keys to effective co-production. PMID:27616958

  13. Comparing TCM textbook descriptions of menopausal syndrome with the lived experience of London women at midlife and the implications for Chinese medicine research.

    PubMed

    Scheid, Volker; Ward, Trina; Tuffrey, Veronica

    2010-08-01

    Almost without exception clinical research seeking to evaluate the effectiveness of Chinese medicine relies on TCM textbook knowledge - accessed directly or via practitioners' clinical usage - in order to frame its hypotheses. Recent historical research shows that these textbooks, products of a politically directed process of modernisation, constitute complex hybrids of western and Chinese knowledge that are designed to facilitate the integration of Chinese medicine into biomedically dominated contexts of practice. As such they produce a number of unresolved and generally unacknowledged tensions, such as between the emphasis on local illness experience in the Chinese medical tradition and the universality aspired to by biomedical knowledge. To examine the effect of these tensions we have carried out a study that compares local symptom patterns experienced by post-menopausal women in London with the universal patterns described in TCM textbooks. The results of this study confirm our proposition, namely that the TCM textbook descriptions of disease are not always grounded in clinical experience even if that is what textbooks claim. This raises questions about the relation of textbooks to clinical practice, and about the validity of clinical research based on textbooks and textbook derived normative practice. We argue that only a multidisciplinary approach that includes an understanding of the historical construction of contemporary Chinese medical knowledge and its relation to clinical practice can overcome these problems and enable a meaningful evaluation and utilisation of Chinese medicine in the context of 21st century evidence-based healthcare. PMID:20444560

  14. Fritz London

    NASA Astrophysics Data System (ADS)

    Gavroglu, Kostas

    2005-11-01

    Preface; Acknowledgements; Part I. From Philosophy to Physics: The years that left nothing unaffected; 1. The appeal of ideas; 2. Goëthe as a scientist; 3. How absolute is our knowledge?; 4. How do we come to know things?; 5. London's teachers in philosophy; 6. Husserl's teachings; 7. Expectations of things to come; 8. The thesis in philosophy; 9. Tolman's principle of similitude; 10. The necessary clarifications; 11. Work on quantum theory; 12. Transformation theory; 13. Unsuccessful attempts at unification; Part II. The Years in Berlin and the Beginnings of Quantum Chemistry: The mysterious bond; 14. London in Zürich; 15. Binding forces; 16. The Pauli principle; 17. Reactions to the Heitler-London paper; 18. Polyelectronic molecules and the application of group theory to problems of chemical valence; 19. Chemists as physicists?; 20. London's first contacts in Berlin; 21. Marriage; 22. Job offers; 23. Intermolecular forces; 24. The book which could not be written; 25. Leningrad and Rome; 26. Difficulties with group theory; 27. Linus Pauling's resonance structures; 28. Robert Mulliken's molecular orbitals; Part III. Oxford and Superconductivity: The rise of the Nazis; 29. Going to Oxford; 30. Lindemann, Simon and Heinz London; 31. Electricity in the very cold; 32. The end of old certainties; 33. The thermodynamic treatment; 34. The theory of Fritz and Heinz London; 35. Initial reactions by von Laue; 36. The discussion at the Royal Society; 37. Termination of the ICI fellowship; Part IV. Paris and Superfluidity: The Front Populaire; 38. The article in Nature 1937 and 'Nouvelle Conception'; 39. Laue again; 40. The structure of solid helium; 41. The peculiar properties of helium; 42. Bose-Einstein condensation; 43. The note in Nature; 44. The two-fluid model; 45. The trip to Jerusalem; 46. Leaving again; 47. The observer in quantum mechanics; Part V. United States and the Typing up of Loose Ends: Duke University, North Carolina; 48. The Soviet Union, Kapitza and

  15. Medicine and management in a comparative perspective: the case of Denmark and England.

    PubMed

    Kirkpatrick, Ian; Jespersen, Peter Kragh; Dent, Mike; Neogy, Indareth

    2009-07-01

    In health systems around the world the current trend has been for doctors to increase their participation in management. This has been taken to imply a common process of re-stratification with new divisions emerging between medical elites and the rank and file. However, our understanding of this change remains limited and it is open to question just how far one can generalize. In this paper we investigate this matter drawing on path dependency theory and ideas from the sociology of professions. Focusing on public management reforms in the hospital sectors of two European countries - Denmark and England - we note similarities in the timing and objectives of reforms, but also differences in the response of the medical profession. While in both countries new hybrid clinical management roles have been created, this process has advanced much further and has been more strongly supported by the medical profession in Denmark than in England. These findings suggest that processes of re-stratification are more path dependent than is frequently acknowledged. They also highlight the importance of national institutions that have shaped professional development and differences in the way reforms have been implemented in each country for explaining variation. PMID:19392937

  16. Networking Hospital ePrescribing: A Systemic View of Digitalization of Medicines' Use in England.

    PubMed

    Lichtner, Valentina; Hibberd, Ralph; Cornford, Tony

    2016-01-01

    Medicine management is at the core of hospital care and digitalization of prescribing and administration of medicines is often the focus of attention of health IT programs. This may be conveyed to the public in terms of the elimination of paper-based drug charts and increased readability of doctors' prescriptions. Based on analysis of documents about hospital medicines supply and use (including systems' implementation) in the UK, in this conceptual paper electronic prescribing and administration are repositioned as only one aspect of an important wider transformation in medicine management in hospital settings, involving, for example, procurement, dispensing, auditing, waste management, research and safety vigilance. Approaching digitalization from a systemic perspective has the potential to uncover the wider implications of this transformation for patients, the organization and the wider health care system. PMID:27332165

  17. Pharmacovigilance Discussion Forum--The European Generic Medicines Association's 8th Annual Meeting (January 21, 2015--London, UK).

    PubMed

    Lam, S

    2015-01-01

    The practice and science of pharmacovigilance first emerged following the disaster caused by thalidomide in 1961, which led to the initiation of systemic international efforts to address drug safety issues spearheaded by the WHO. Systems were developed in member states of the WHO to analyze cases of adverse drug reactions (ADRs) and collate these data into a central database to aid national drug regulatory authorities in improving safety profiles of medicines. Pharmacovigilance is a key public health function for monitoring all medicinal products to assess their quality, efficacy and safety before and following authorization. These medicines are continually assessed to detect any aspect that could compromise their safety, and ensure that the necessary measures are taken. In July 2012, new legislation for pharmacovigilance in the E.U. came into effect as a result of the changes set out in the Directive 2010/84/EU and the European Commission (EC) implementing Regulation (EU) No 520/2012 to reduce the increasing number of ADRs. The latest developments in pharmacovigilance in Europe, including news on E.U. pharmacovigilance legislation, were discussed at the 8th European Generic Medicines Association (EGA) Pharmacovigilance Discussion Forum. The meeting facilitated constructive dialogue between regulators and industry on a range of topics including how to simplify pharmacovigilance activities and improve the processes of risk management plans, periodic safety update reports, signal detection, joint studies and inspections. PMID:25685861

  18. The need for innovative sexually transmitted infection screening initiatives for young men: evidence from genitourinary medicine clinics across England.

    PubMed

    Dave, S S; French, R S; Jungmann, E; Brook, G; Cassell, J A; Mercer, C H

    2011-10-01

    The study objectives were to ascertain behavioural, access-related, health-seeking factors and sexually transmitted infection (STI) prevalence in young men (<25 years) attending genitourinary (GU) medicine clinics and compare them with older men (≥ 25 years) and young women (<25 years). Between October 2004 and March 2005, 4600 new attendees at seven sociodemographically and geographically contrasting GU medicine clinics across England completed questionnaires, which were linked to routine clinical data. Young men waited significantly less time to be seen in clinic compared with older men and young women. They were less likely to report symptoms than older men (P = 0.021) yet more likely to be diagnosed with chlamydia (P = 0.001) and gonorrhoea (P = 0.007). They were also more likely to be diagnosed with an acute STI relative to young women (P = 0.007). Our data confirm the need to make comprehensive STI screening readily available for young men and to develop effective and innovative screening strategies in different settings. PMID:21998183

  19. Validation of primary metal-on-metal hip arthroplasties on the National Joint Registry for England, Wales and Northern Ireland using data from the London Implant Retrieval Centre: a study using the NJR dataset.

    PubMed

    Sabah, S A; Henckel, J; Cook, E; Whittaker, R; Hothi, H; Pappas, Y; Blunn, G; Skinner, J A; Hart, A J

    2015-01-01

    Arthroplasty registries are important for the surveillance of joint replacements and the evaluation of outcome. Independent validation of registry data ensures high quality. The ability for orthopaedic implant retrieval centres to validate registry data is not known. We analysed data from the National Joint Registry for England, Wales and Northern Ireland (NJR) for primary metal-on-metal hip arthroplasties performed between 2003 and 2013. Records were linked to the London Implant Retrieval Centre (RC) for validation. A total of 67,045 procedures on the NJR and 782 revised pairs of components from the RC were included. We were able to link 476 procedures (60.9%) recorded with the RC to the NJR successfully. However, 306 procedures (39.1%) could not be linked. The outcome recorded by the NJR (as either revised, unrevised or death) for a primary procedure was incorrect in 79 linked cases (16.6%). The rate of registry-retrieval linkage and correct assignment of outcome code improved over time. The rates of error for component reference numbers on the NJR were as follows: femoral head category number 14/229 (5.0%); femoral head batch number 13/232 (5.3%); acetabular component category number 2/293 (0.7%) and acetabular component batch number 24/347 (6.5%). Registry-retrieval linkage provided a novel means for the validation of data, particularly for component fields. This study suggests that NJR reports may underestimate rates of revision for many types of metal-on-metal hip replacement. This is topical given the increasing scope for NJR data. We recommend a system for continuous independent evaluation of the quality and validity of NJR data. PMID:25568407

  20. Travel in holography continued: from London to Gent to Point Reyes

    NASA Astrophysics Data System (ADS)

    Casdin-Silver, Harriet

    1995-02-01

    Since Lake Forest Symposium '91, when her paper recounted her holographic work in three locations, Kiev, Ukraine; Miami Beach, U.S.A.; and Paris, France; the author has worked in the laboratories of the Royal college of Art, London, England; Rijksuniversiteit, Gent, Belgium; Third Dimension, London, England; and in Point Reyes, California, U.S.A. A discussion of these ventures follows.

  1. ‘Herbals she peruseth’: reading medicine in early modern England

    PubMed Central

    Leong, Elaine

    2014-01-01

    In 1631, Richard Brathwaite penned a conduct manual for ‘English Gentlewomen’. In Brathwaite's mind, the ideal English gentlewoman was not only chaste, modest and honourable but also an avid reader. In fact, Brathwaite specifically recommends English gentlewomen to first peruse herbals and then to deepen their medical knowledge via conference. Centred on the manuscript notebooks of two late seventeenth-century women, Margaret Boscawen (d. 1688) and Elizabeth Freke (1642–1714), this article explores women and ‘medical reading’ in early modern England. It first demonstrates that whilst both women consulted herbals by contemporary authors such as John Gerard and Nicholas Culpeper, their modes of reading could not be more different. Where Freke ruminated, digested and abstracted from Gerard's large tome, Boscawen made practical lists from Culpeper's The English Physitian. Secondly, the article shows that both supplemented their herbal reading with a range of other vernacular medical texts including printed medical recipe books, contemporary pharmacopoeia and surgical handbooks. Early modern English women's medical reading, I argue, was nuanced, sophisticated and diverse. Furthermore, I contend that well-informed readers like Boscawen and Freke made smart medical consumers and formidable negotiators in their medical encounters. PMID:25821333

  2. Knives and Other Weapons in London Schools

    ERIC Educational Resources Information Center

    Neill, S. R. St. J.

    2005-01-01

    London schools operate in an area where crime rates, including violent crime, is statistically more frequent than the average for the whole of England and Wales (Moore and Yeo 2004). Violent crime in the capital increased (though not to a statistically significant extent) between 2002/3 and 2003/4 (Moore and Yeo 2004b). This has led to a…

  3. Dealing with uncertainty and high prices of new medicines: a comparative analysis of the use of managed entry agreements in Belgium, England, the Netherlands and Sweden.

    PubMed

    Ferrario, Alessandra; Kanavos, Panos

    2015-01-01

    Managed entry agreements are a set of instruments used to reduce the impact of uncertainty and high prices when introducing new medicines. This study develops a conceptual framework for these agreements and tests it by exploring variations in their implementation in Belgium, England, the Netherlands and Sweden and over time as well as their governance structures. Using publicly available data from HTA agencies and survey data from the European Medicines Information Network, a database of agreements implemented between 2003 and 2012 was developed. A review of governance structures was also undertaken. In December 2012 there were 133 active MEAs for different medicine-indications across the four countries. These corresponded to 110 unique medicine-indications. Over time there has been a steady growth in the number of agreements implemented, with the highest number in the Netherlands in 2012. The number of new agreements introduced each year followed a different pattern. In Belgium and England it increased over time, while it decreased in the Netherlands and fluctuated in Sweden. Only 18 (16%) of the unique medicine-indication pairs identified were part of an agreement in two or more countries. England uses mainly discounts and free doses to influence prices. The Netherlands and Sweden have focused more on addressing uncertainties through coverage with evidence development and, in Sweden, on monitoring use and compliance with restrictions through registries. Belgium uses a combination of the above. Despite similar reasons being cited for managed entry agreements implementation, only in a minority of cases have countries implemented an agreement for the same medicine-indication; when they do, a different agreement type is often implemented. Differences in governance across countries partly explain such variations. However, more research is needed to understand whether e.g. risk-perception and/or notion of what constitutes a high price differ between these countries

  4. Provision of services for the diagnosis and treatment of heart disease in England and Wales. Third report of a Joint Cardiology Committee. Royal College of Physicians of London and the Royal College of Surgeons of England.

    PubMed

    1985-05-01

    The principal conclusions of the report are as follows. Cardiology continues to change rapidly. In the five years since the issue of the Second Report of the Joint Cardiology Committee in 1980 the specialty has been affected principally by the increase in coronary artery surgery and the increasing importance of non-invasive techniques of diagnosis, particularly echocardiography. The burden of heart disease in Britain shows some decline recently, but this falls short of that which has occurred in other countries. The vital role of the initial assessment of patients to ensure the efficient use of limited resources falls upon physicians and paediatricians in district general hospitals. Each district general hospital should have at least one physician, practising general medicine but having a special expertise and training in cardiology. He should undertake echocardiography, stress testing, ambulatory monitoring, emergency pacing, rehabilitation, and cardiac intensive care, with the necessary facilities and staff. He will also play an important part in the follow up of patients assessed and treated at cardiac centres. Paediatricians should continue to evaluate children with heart disease and their training should include periods at cardiac centres. Cardiac centres currently undertaking invasive investigations and cardiac surgery need to expand to cope with demand. A target figure of 750-1000 coronary artery bypass operations annually is suggested. This implies three or four surgeons and six cardiologists per centre. Other staffing should be based on these figures. Smaller centres are not necessarily non-viable but should be encouraged to expand or merge. Funding should be clarified so that regional contributions to regional services are identified and not lost in district budgets. Expensive capital equipment should be regionally funded whether sited in cardiac centres of district general hospitals. (7) Supraregional centres for the cardiac problems of infants under the

  5. Learning 2010 (London, England, September 2000).

    ERIC Educational Resources Information Center

    Caseley, Clive

    The "Learning 2010" project began with the question of the implications of technology for teaching and learning in Great Britain. Participants at expert seminars narrowed the focus to identify scenarios for how teaching and learning will develop in the next 10 years. Six key themes emerged. The theme of multimedia highlighted computers and the…

  6. Randomized trial of epidural injections for spinal stenosis published in the New England Journal of Medicine: further confusion without clarification.

    PubMed

    Manchikanti, Laxmaiah; Candido, Kenneth D; Kaye, Alan D; Boswell, Mark V; Benyamin, Ramsin M; Falco, Frank J E; Gharibo, Christopher G; Hirsch, Joshua A

    2014-01-01

    Randomized controlled trials are considered the hallmark of evidence-based medicine. This conveys the idea that up-to-date evidence applied consistently in clinical practice, in combination with clinicians' individual expertise and patients own preference/expectations are enjoined to achieve the best possible outcome. Since its inception in 1990s, evidence-based medicine has evolved in conjunction with numerous changes in the healthcare environment. However, the benefits of evidence-based medicine have not materialized for spinal pain including surgical interventions. Consequently, the debate continues on the efficacy and medical necessity of multiple interventions provided in managing spinal pain. Friedly et al published a randomized controlled trial of epidural glucocorticoid injections for spinal stenosis in the July 2014 edition of the highly prestigious New England Journal of Medicine. This was accompanied by an editorial from Andersson. This manuscript provided significant sensationalism for the media and confusion for the spine community. This randomized trial of epidural glucocorticoid injections for spinal stenosis and accompanying editorial concluded that epidural injections of glucocorticoids plus lidocaine offered minimal or no short-term benefit as compared with epidural injections of lidocaine alone, with the editorial emphasizing proceeding directly to surgical intervention. In addition media statements by the authors also emphasized the idea that exercise or surgery might be better options for patients suffereing from narrowing of the spinal canal. The interventional pain management community believes that there are severe limitations to this study, manuscript, and accompanying editorial. The design, inclusion criteria, outcomes assessment, analysis of data and interpretation, and conclusions of this trial point to the fact that this highly sophisticated and much publicized randomized trial may not be appropriate and lead to misinformation. The

  7. Improving surveillance of sexually transmitted infections using mandatory electronic clinical reporting: the genitourinary medicine clinic activity dataset, England, 2009 to 2013.

    PubMed

    Savage, E J; Mohammed, H; Leong, G; Duffell, S; Hughes, G

    2014-01-01

    A new electronic surveillance system for sexually transmitted infections (STIs) was introduced in England in 2009. The genitourinary medicine clinic activity dataset (GUMCAD) is a mandatory, disaggregated, pseudo-anonymised data return submitted by all STI clinics across England. The dataset includes information on all STI diagnoses made and services provided alongside demographic characteristics for every patient attendance at a clinic. The new system enables the timely analysis and publication of routine STI data, detailed analyses of risk groups and longitudinal analyses of clinic attendees. The system offers flexibility so new codes can be introduced to help monitor outbreaks or unusual STI activity. From January 2009 to December 2013 inclusive, over twenty-five million records from a total of 6,668,648 patients of STI clinics have been submitted. This article describes the successful implementation of this new surveillance system and the types of epidemiological outputs and analyses that GUMCAD enables. The challenges faced are discussed and forthcoming developments in STI surveillance in England are described. PMID:25496573

  8. Teaching the History of Astronomy On Site in London

    NASA Astrophysics Data System (ADS)

    French, Linda M.

    2016-01-01

    In the autumn of 2014, the author had the opportunity to teach a class on the history of astronomy in England as part of a study abroad experience for students at Illinois Wesleyan University. The philosophy of the program is to use the rich cultural environment of London as a setting for active learning. In the classroom, students read and discussed selected works by Ptolemy, Copernicus, Kepler, Galileo, and Herschel. We visited Stonehenge, the Royal Greenwich Observatory, the London Science Museum, the London Monument, and the library of the Royal Astronomical Society. Lessons learned from the experience will be shared.

  9. Lidar Observations of Pollution Transport From London to Rural Areas

    NASA Astrophysics Data System (ADS)

    Ricketts, Hugo; Vaughan, Geraint; Wareing, David

    2016-06-01

    The Clean Air for London (ClearfLo) Project took place in and around London, United Kingdom. The aim of the project was to learn how both atmospheric dynamics and chemistry affect air pollution in the south east of England. During the winter and summer of 2012 many different types of instrument including lidars were deployed throughout London city centre, suburbs and into rural areas. Amongst these instruments was the Boundary Layer Aerosol/Ozone Lidar owned by the National Centre for Atmospheric Sciences (NCAS) in the United Kingdom. Ozone and aerosol data are presented from data collected during July and August 2012 and compared to back trajectories to identify their origins.

  10. Provision of services for the diagnosis and treatment of heart disease. Fourth report of a Joint Cardiology Committee of the Royal College of Physicians of London and the Royal College of Surgeons of England.

    PubMed Central

    1992-01-01

    The principal conclusions of the fourth report of the Joint Cardiology Committee are: 1 Cardiovascular disease remains a major cause of death and morbidity in the population and of utilisation of medical services. 2 Reduction in the risk of cardiovascular disease is feasible, and better co-ordination is required of strategies most likely to be effective. 3 Pre-hospital care of cardiac emergencies, in particular the provision of facilities for defibrillation, should continue to be developed. 4 There remains a large shortfall in provision of cardiological services with almost one in five district hospitals in England and Wales having no physician with the appropriate training. Few of the larger districts have two cardiologists to meet the recommendation for populations of over 250,000. One hundred and fifty extra consultant posts (in both district and regional centres) together with adequate supporting staff and facilities are urgently needed to provide modest cover for existing requirements. 5 The provision of coronary bypass grafting has expanded since 1985, but few regions have fulfilled the unambitious objectives stated in the Third Joint Cardiology Report. 6 The development of coronary angioplasty has been slow and haphazard. All regional centres should have at least two cardiologists trained in coronary angioplasty and there should be a designated budget. Surgical cover is still required for most procedures and is best provided on site. 7 Advances in the management of arrhythmias, including the use of specialised pacemakers, implantable defibrillators, and percutaneous or surgical ablation of parts of the cardiac conducting system have resulted in great benefit to patients. Planned development of the emerging sub-specialty of arrhythmology is required. 8 Strategies must be developed to limit the increased exposure of cardiologists to ionising radiation which will result from the expansion and increasing complexity of interventional procedures. 9 Supra

  11. The New Education and the Institute of Education, University of London, 1919-1945

    ERIC Educational Resources Information Center

    Aldrich, Richard

    2009-01-01

    The London Day Training College (LDTC), founded in 1902, soon became the leading institution for the study of education and for the training of teachers in England. In 1932 it was transmuted into the Institute of Education of the University of London. Its title and pre-eminence have continued to this day. In the period 1919-1945 it was closely,…

  12. International differences in sport medicine access and clinical management

    PubMed Central

    Heron, Neil; Malliaropoulos, Nikolaos G.

    2012-01-01

    Summary I undertook the 2012 ECOSEP travelling fellowship, sponsored by Bauerfeind, between May and August 2012, which involved visiting 5 European sport medicine centres and spending approximately one week in each centre. The 5 centres included: National Track and Field Centre, SEGAS, Thessaloniki, Greece; Professional School in Sport & Exercise Medicine, University of Barcelona, Spain; Sport Medicine Frankfurt Institute, Germany; Isokinetic Medical Group, FIFA Medical Centre of Excellence, Bologna, Italy, and Centre for Sports and Exercise Medicine, Barts and the London School of Medicine and Dentistry, Mile End Hospital, England. Throughout the fellowship, the clinical cases which were routinely encountered were documented. The following sections detail my experiences throughout the fellowship, the sports of the athletes and the injuries which were treated at each of the sport medicine centres during the fellowship visit and the different forms of management employed. PMID:23738305

  13. The doctor's medicine and the ambiguity of amulets: life and suffering among Bangladeshi psychiatric patients and their families in London – an interview study – 1

    PubMed Central

    Littlewood, Roland; Dein, Simon

    2013-01-01

    An interview study of 44 Bangladeshi patients and relatives in London demonstrated simultaneous trust in psychiatrists as well as in the widespread use of healing amulets. At the same time, local Islamic clerics and traditional healers were seen by many with some degree of suspicion. The authors offer an interpretation in which local healers and their methods are regarded ambivalently: the more distant biomedical framework fits with the newer modernising ‘High’ Islam (literate, scripturalist, puritanical, unitarian, urban, clerical, perhaps masculinist), as opposed to Hindu-inflected traditional Sufi Islam in Bangladesh (peasant, popular, syncretic, saintly, magical, ecstatic and possibly more sympathetic to women's experience). PMID:23998259

  14. The doctor's medicine and the ambiguity of amulets: life and suffering among Bangladeshi psychiatric patients and their families in London--an interview study--1.

    PubMed

    Littlewood, Roland; Dein, Simon

    2013-01-01

    An interview study of 44 Bangladeshi patients and relatives in London demonstrated simultaneous trust in psychiatrists as well as in the widespread use of healing amulets. At the same time, local Islamic clerics and traditional healers were seen by many with some degree of suspicion. The authors offer an interpretation in which local healers and their methods are regarded ambivalently: the more distant biomedical framework fits with the newer modernising 'High' Islam (literate, scripturalist, puritanical, unitarian, urban, clerical, perhaps masculinist), as opposed to Hindu-inflected traditional Sufi Islam in Bangladesh (peasant, popular, syncretic, saintly, magical, ecstatic and possibly more sympathetic to women's experience). PMID:23998259

  15. The ethics of dental practice in London in the sixteenth century. 1. Henry Chettle's Kind-Harts dreame of 1592. An important lay view.

    PubMed

    Bishop, M

    2012-07-01

    Kind-Harts dreame (Fig. 1) is one of the proto-novels which first appeared in the Elizabethan age of literary wonders. It recounts the dream of the hero - a tooth-drawer (Kind-Hart) - who encounters the shades of five recently deceased characters, each of whom had been a famous star of their day in the London scene. Although short, and with medicine and dentistry occupying only part of the tale, the story contains invaluable detailed information about dental care in late Tudor England as observed by a layman. It is also an amusing read. PMID:22790753

  16. Autistic Disorder in Nineteenth-Century London. Three Case Reports

    ERIC Educational Resources Information Center

    Waltz, Mitzi; Shattock, Paul

    2004-01-01

    This article examines the existence, description, perception, treatment, and outcome of symptoms consistent with autistic disorder in nineteenth-century London, England, based on case histories from the notes of Dr William Howship Dickinson at Great Ormond Street Hospital for Children. Three cases meeting the DSM-IV criteria for autistic disorder…

  17. Exploring the Impact of Aspects of the London Leadership Strategy

    ERIC Educational Resources Information Center

    Sammons, Pam; Matthews, Peter; Day, Christopher; Gu, Qing

    2007-01-01

    This article discusses the methodology adopted for the formative evaluation of aspects of the London Leadership Strategy (LLS). The LLS is an ambitious example of a program designed and supported by the National College of School Leadership in England (NCSL) to enhance leadership and management so as to improve the quality of education and raise…

  18. Materials modelling in London

    NASA Astrophysics Data System (ADS)

    Ciudad, David

    2016-04-01

    Angelos Michaelides, Professor in Theoretical Chemistry at University College London (UCL) and co-director of the Thomas Young Centre (TYC), explains to Nature Materials the challenges in materials modelling and the objectives of the TYC.

  19. Gonorrhoea in inner London: results of a cross sectional study.

    PubMed Central

    Low, N.; Daker-White, G.; Barlow, D.; Pozniak, A. L.

    1997-01-01

    OBJECTIVES: To estimate population based incidence rates of gonorrhoea in an inner London area and examine relations with age, ethnic group, and socioeconomic deprivation. DESIGN: Cross sectional study. SETTING: 11 departments of genitourinary medicine in south and central London. SUBJECTS: 1978 first episodes of gonorrhoea diagnosed in 1994 and 1995 in residents of 73 electoral wards in the boroughs of Lambeth, Southwark, and Lewisham who attended any of the departments of genitourinary medicine. MAIN OUTCOME MEASURES: Yearly age, sex, and ethnic group specific rates of gonorrhoea per 100,000 population aged 15-59 years; rate ratios for the effects of age and ethnic group on gonorrhoea rates in women and men before and after adjustment for confounding factors. RESULTS: Overall incidence rates of gonorrhoea in residents of Lambeth, Southwark, and Lewisham were 138.3 cases yearly per 100,000 women and 291.9 cases yearly per 100,000 men aged 15-59 years. At all ages gonorrhoea rates were higher in non-white minority ethnic groups. Rate ratios for the effect of age adjusted for ethnic group and underprivilege were 15.2 (95% confidence interval 11.6 to 19.7) for women and 2.0 (1.7 to 2.5) for men aged 15-19 years compared with those over 30. After deprivation score and age were taken into account, women from black minority groups were 10.5 (8.6 to 12.8) times as likely and men 11.0 (9.7 to 12.6) times as likely as white people to experience gonorrhoea. CONCLUSIONS: Gonorrhoea rates in Lambeth, Southwark, and Lewisham in 1994-5 were six to seven times higher than for England and Wales one year earlier. The presentation of national trends thus hides the disproportionate contribution of ongoing endemic transmission in the study area. Teenage women and young adult men, particularly those from black minority ethnic groups, are the most heavily affected, even when socioeconomic underprivilege is taken into account. There is urgent need for resources for culturally

  20. 119. Thames River Bridge. New London, New London Co., CT. ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    119. Thames River Bridge. New London, New London Co., CT. Sec. 4215, MP 124.09. - Northeast Railroad Corridor, Amtrak Route between New York/Connecticut & Connecticut/Rhode Island State Lines, New Haven, New Haven County, CT

  1. 118. Thames River Bridge. New London, New London Co., CT. ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    118. Thames River Bridge. New London, New London Co., CT. Sec. 4215, MP 124.09. - Northeast Railroad Corridor, Amtrak Route between New York/Connecticut & Connecticut/Rhode Island State Lines, New Haven, New Haven County, CT

  2. 120. Thames River Bridge draw span. New London, New London ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    120. Thames River Bridge draw span. New London, New London Co., CT. Sec. 4215, MP 124.09. - Northeast Railroad Corridor, Amtrak Route between New York/Connecticut & Connecticut/Rhode Island State Lines, New Haven, New Haven County, CT

  3. 117. Thames River Bridge. New London, New London Co., CT. ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    117. Thames River Bridge. New London, New London Co., CT. Sec. 4215, MP 124.09. - Northeast Railroad Corridor, Amtrak Route between New York/Connecticut & Connecticut/Rhode Island State Lines, New Haven, New Haven County, CT

  4. 116. Thames River Bridge. New London, New London Co., CT. ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    116. Thames River Bridge. New London, New London Co., CT. Sec. 4215, MP 124.09. - Northeast Railroad Corridor, Amtrak Route between New York/Connecticut & Connecticut/Rhode Island State Lines, New Haven, New Haven County, CT

  5. 111. Shaws Cove Bridge. New London, New London Co., CT. ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    111. Shaws Cove Bridge. New London, New London Co., CT. Sec. 4209, MP 122.65. - Northeast Railroad Corridor, Amtrak Route between New York/Connecticut & Connecticut/Rhode Island State Lines, New Haven, New Haven County, CT

  6. The sexual health of male sex workers in England: analysis of cross-sectional data from genitourinary medicine clinics

    PubMed Central

    Mc Grath-Lone, Louise; Marsh, Kimberly; Hughes, Gwenda; Ward, Helen

    2014-01-01

    Objectives Male sex workers (MSW) are thought to be at increased risk of sexually transmitted infections (STI), however, limited comparative data with other groups are available. Disparities among MSWs by migrant status may also exist. Using newly available, cross-sectional surveillance data, the characteristics of MSWs and other male genitourinary medicine (GUM) clinic attendees can be investigated. Methods Demographic characteristics, STI prevalence and service usage among MSWs and other male attendees between 1 January and 31 December 2011 were compared using logistic regression. Results In 2011, 627 780 men attended GUM clinics; 488 (0.08%) were identified as MSWs. MSWs used a variety of services, however, one in seven had no HIV test at presentation. Adjusting for demographic factors and self-reported sexual orientation, MSWs had increased risk of some STIs and reinfection compared to other male attendees (eg, ORadj of gonorrhoea infection: 2.21, 95% CI 1.61 to 3.01, p<0.001, 14.1% vs 4.8% reinfected in 2011, p=0.005). Service usage did not vary between migrant and UK-born MSWs, but migrant MSWs were twice as likely to be diagnosed with chlamydia. Conclusions Some STIs are more prevalent and some reinfections more common among MSWs than other male attendees. A minority of MSWs do not appear to access STI/HIV testing through GUM clinics, and targeted interventions to improve uptake of testing in MSWs should be developed. Service usage and sexual health of MSWs does not appear to vary greatly by migrant status, though the increased risk of chlamydia infection among migrant MSWs should be investigated further. PMID:24273126

  7. Cecilia John: An Australian Heads the London School of Dalcroze Eurhythmics, 1932-1955

    ERIC Educational Resources Information Center

    Pope, Joan

    2014-01-01

    The London School of Dalcroze Eurhythmics (LSDE) was established in 1913, and a significant figure in its history was the remarkable Cecilia John, one of seven Australians to complete the three-year course between 1917 and 1927. Apart from two short visits to Australia, John lived and taught in England for the remainder of her life. Following the…

  8. From Apprentice to Master: Social Disciplining and Surgical Education in Early Modern London, 1570-1640

    ERIC Educational Resources Information Center

    Chamberland, Celeste

    2013-01-01

    Due to its ascendancy as the administrative and commercial center of early modern England, London experienced sustained growth in the latter half of the sixteenth century, as waves of rural immigrants sought to enhance their material conditions by tapping into the city's bustling occupational and civic networks. The resultant crowded urban…

  9. The worshipful Society of Apothecaries of London.

    PubMed

    Hunting, P

    2004-01-01

    The Society of Apothecaries is both a City livery company and an examining authority for the medical profession. Founded in 1617 by the royal apothecary Gideon de Laune leading a breakaway group from the Grocers' Company, the Society was instrumental in raising the status of apothecaries as general practitioners. Under the Apothecaries' Act (1815) the Society examined for the LSA and it now awards the LMSSA (Licence in Medicine and Surgery of the Society of Apothecaries) and postgraduate diplomas, while maintaining the civic, charitable, and ceremonial traditions of a livery company of the City of London. PMID:14760181

  10. Medicines

    MedlinePlus

    ... better. In the United States, the Food and Drug Administration is in charge of assuring the safety ... prescription and over-the-counter medicines. Even safe drugs can cause unwanted side effects or interactions with ...

  11. Medicines

    MedlinePlus

    ... you get better. In the United States, the Food and Drug Administration is in charge of assuring ... can cause unwanted side effects or interactions with food or other medicines you may be taking. They ...

  12. London: An Art Teacher's Inspiration

    ERIC Educational Resources Information Center

    Guhin, Paula

    2012-01-01

    Often overshadowed in people's minds by Paris, London is truly an artist's jewel. The art and architecture, history, gardens and museums are inspiring, yes, but there's so much more to this ancient city. The performances, attractions and markets are a boon to the creative soul. London can be surprisingly inexpensive to visit. Gazing at statues,…

  13. London International Youth Science Forum

    ERIC Educational Resources Information Center

    Auty, Geoff

    2010-01-01

    In this article, the author discusses the 2010 London International Youth Science Forum (LIYSF) and shares his experience in attending the forum. Unlike the Harry Messel event in Sydney, which takes place every two years, LIYSF is an annual event. Before moving to Imperial College London, LIYSF was held at the Institute of Electrical Engineers and…

  14. Prosecuting attempted suicides in London: 1891-1913.

    PubMed

    Lester, David

    2009-12-01

    A study of 30 cases of attempted suicide tried at the Old Bailey criminal court in London (England) from 1891 to 1913 indicated that having made prior attempts was the only predictor of the severity of the sentence. 22 individuals were tried for murdering or attempting to murder their child and also attempting suicide. None of the murderers but half of the attempted murderers were found not guilty, or guilty then released. Mothers used drowning more than did fathers and were more likely to be found not guilty. PMID:20099544

  15. Banding and Ballots: Secondary School Admissions in England: Admissions in 2012/13 and the Impact of Growth of Academies

    ERIC Educational Resources Information Center

    Noden, Philip; West, Anne; Hind, Audrey

    2014-01-01

    This report provides key findings from a two part research project funded by the Sutton Trust and the London School of Economics & Political Science, (LSE) focusing on secondary school admissions in England. The research analyses secondary schools' admissions criteria and practices in England in 2012/13 and illustrative examples of how some…

  16. Looking into 'London'

    NASA Technical Reports Server (NTRS)

    2004-01-01

    This mosaic image from the microscopic imager on the Mars Exploration Rover Opportunity shows the rock abrasion tool target, 'London.' The image was taken by the Mars Exploration Rover Opportunity on its 149th sol on Mars (June 24, 2004). Scientists 'read' the geology of the image from bottom to top, with the youngest material pictured at the bottom of the image and the oldest material in the layers pictured at the top. Millimeter-scale layers run horizontally across the exposed surface, with two sliced sphere-like objects, or 'blueberries' on the upper left and upper right sides of the impression. This material is similar to the evaporative material found in 'Eagle Crater.' However, the intense review of these layers in Endurance Crater is, in essence, deepening the water story authored by ancient Mars.

    In Eagle Crater, the effects of water were traced down a matter of centimeters. Endurance Crater's depth has allowed the tracing of water's telltale marks up to meters. Another process that significantly affects martian terrain is muddying the water story a bit. Although it is clear that the layers in Endurance were affected by water, it is also evident that Aeolian, or wind, processes have contributed to the makeup of the crater.

  17. Nicholas Culpeper (1616-1654): London's first general practitioner?

    PubMed

    Farthing, Michael J G

    2015-08-01

    Nicholas Culpeper is often regarded as an ill-disciplined, maverick, mid-17th century herbalist and the father of contemporary alternative medicine. There are elements of this statement that have some truth but to dismiss his contribution to the development of health provision in London at the time would be a great injustice. Culpeper did not complete his apprenticeship as an apothecary and was not a formally trained physician, but he developed a clinical practice for the poor of London, indistinguishable from the role of the present day general practitioner. Observers at the time recognised his concern and compassion and his commitment to treat the whole patient and not just the disease. His enduring contribution was his translation from Latin of the physicians' Pharmacopoeia Londinensis which could be regarded as the first major step towards the demystification of medicine. Culpeper's London Dispensatory and the many other medical treatises that followed were affordable and widely available to the common man. Culpeper antagonised both apothecaries and physicians because he breached the regulations of the day by accepting patients directly. So perhaps Culpeper was, de facto, London's first general practitioner, at least 150 years before the role was formally recognised in the Apothecaries Act 1815. PMID:24585603

  18. Bullying, "Cussing" and "Mucking About": Complexities in Tackling Homophobia in Three Secondary Schools in South London, UK

    ERIC Educational Resources Information Center

    Warwick, Ian; Aggleton, Peter

    2014-01-01

    In countries such as the UK, schools have a responsibility to prevent all forms of bullying, including those related to sexual orientation. However, relatively little is known about how schools go about this work successfully. This study aimed to identify how three secondary schools in south London, England, were addressing homophobia. Three…

  19. Eye casualty services in London

    PubMed Central

    Smith, H B; Daniel, C S; Verma, S

    2013-01-01

    The combined pressures of the European Working Time Directive, 4 h waiting time target, and growing rates of unplanned hospital attendances have forced a major consolidation of eye casualty departments across the country, with the remaining units seeing a rapid increase in demand. We examine the effect of these changes on the provision of emergency eye care in Central London, and see what wider lessons can be learned. We surveyed the managers responsible for each of London's 8 out-of-hours eye casualty services, analysed data on attendance numbers, and conducted detailed interviews with lead clinicians. At London's two largest units, Moorfields Eye Hospital and the Western Eye Hospital, annual attendance numbers have been rising at 7.9% per year (to 76 034 patients in 2010/11) and 9.6% per year (to 31 128 patients in 2010/11), respectively. Using Moorfields as a case study, we discuss methods to increase capacity and efficiency in response to this demand, and also examine some of the unintended consequences of service consolidation including patients travelling long distances to geographically inappropriate units, and confusion over responsibility for out-of-hours inpatient cover. We describe a novel ‘referral pathway' developed to minimise unnecessary travelling and delay for patients, and propose a forum for the strategic planning of London's eye casualty services in the future. PMID:23370420

  20. Editorial on the original article entitled “Changes in diabetes-related complications in the United States, 1990-2010” published in the New England Journal of Medicine on April 17, 2014

    PubMed Central

    2014-01-01

    The paper entitled “Changes in diabetes-related complications in the United States, 1990-2010” published recently in the New England Journal of Medicine examined the spectrum of diabetes complications over the past 20 years based on a unique, nationally representative database in the Unites States. It was noted that although adults with diagnosis of diabetes have more than tripled between the years 1990 and 2010, the rates of all five major complications of diabetes have declined significantly with the greatest absolute declines being noted for acute myocardial infarction followed by stroke, lower-extremity amputation, end-stage renal disease and finally the death from hyperglycemic crisis. The greatest declines in most of the diabetes-related complications were observed among elderly persons who are above the age of 75 years with the exception of end stage renal disease which declined only in younger people but not among elderly. These findings could be due to the fact that over the past years there have been great advancements with regards to creating diabetes education programs especially after the publication of many trials that looked at the importance of intensive versus conventional glucose control, along with the enhanced management of other associated risk factors such as blood pressure, lipid levels, and smoking cessation. PMID:25568871

  1. An analysis of population and social change in London wards in the 1980s.

    PubMed

    Congdon, P

    1989-01-01

    "This paper discusses the estimation and projection of small area populations in London, [England] and considers trends in intercensal social and demographic indices which can be calculated using these estimates. Information available annually on vital statistics and electorates is combined with detailed data from the Census Small Area Statistics to derive demographic component based population estimates for London's electoral wards over five year periods. The availability of age disaggregated population estimates permits derivation of small area social indicators for intercensal years, for example, of unemployment and mortality. Trends in spatial inequality of such indicators during the 1980s are analysed and point to continuing wide differentials. A typology of population and social indicators gives an indication of the small area distribution of the recent population turnaround in inner London, and of its association with other social processes such as gentrification and ethnic concentration." PMID:12282380

  2. Global update: England and Wales.

    PubMed

    Ilic, Dusko

    2011-11-01

    As Ben Sykes, an Executive Director of the UK National Stem Cell Network (UKNSCN), highlighted in his Brief History of Stem Cell Research, Funding and Regulation in the UK in last year's World Stem Cell Report, the UK ranks very high among the world leaders in stem cell research and regenerative medicine. Science funding has not been immune to the budget cuts and tough austerity measures that the British government implemented recently and deep cuts may force the country to lose its competitive edge in a number of research areas. However, in spite of such an environment, stem cell research and regenerative medicine has continued to thrive and have a strong impact worldwide. While one would expect to find stem cell research concentrated to key centers in Cambridge, London and Edinburgh, in fact there is exciting research going on across the country, as this report highlights. PMID:21999278

  3. Medical Practice, Urban Politics and Patronage: The London ‘Commonalty’ of Physicians and Surgeons of the 1420s *

    PubMed Central

    Ralley, Robert

    2015-01-01

    Medical practice in fifteenth-century England is often seen as suffering from the low status and unregulated practice of which Thomas Linacre later complained. Unlike in many European cities, the provision of physic was uncontrolled, and while urban guilds oversaw surgery as a manual art, no comprehensive system of medical organisation or regulation existed. However, in a remarkable episode of the 1420s, a group of university-trained physicians and elite surgeons associated with Humphrey, Duke of Gloucester, briefly established just such a system. While their efforts initially secured approval for a national scheme, it was only in the City of London that they succeeded in implementing their plans. The detailed ordinances of the collegiate ‘commonalty’ they founded provide a unique insight into their attitudes. Drawing on continental models, they attempted to control all medicine within the city by establishing a hierarchy of practitioners, preventing illicit and incompetent practice, and offering treatment to even the poorest Londoners. Yet they failed to appreciate the vested interests of civic politics: achieving these aims meant curtailing the rights of the powerful Grocers and the Barbers, a fact made clear by their adjudication of a case involving two members of the Barbers’ Company, and the Barbers’ subsequent riposte—a mayoral petition that heralded the commonalty’s end. Its founder surgeons went on to revitalise their Surgeons’ Fellowship, which continued independently of the Barbers until a merger in 1540; in contrast, the physicians withdrew from civic affairs, and physic remained entirely unregulated until episcopal licensing was instituted in 1511. PMID:27019518

  4. Lessons from London Schools: Investigating the Success

    ERIC Educational Resources Information Center

    Baars, Sam; Bernardes, Eleanor; Elwick, Alex; Malortie, Abigail; McAleavy, Tony; McInerney, Laura; Menzies, Loic; Riggall, Anna

    2014-01-01

    This research seeks to investigate the claim that London schools have improved dramatically since 2000. The authors have reviewed the evidence of transformational change and explored possible reasons for the development in London's schools. The project was guided by three questions: (1) Is the success of London's schools as real as has…

  5. Local Authorities and the Education of Young People with Sickle Cell Disorders in England

    ERIC Educational Resources Information Center

    Dyson, S. M.; Abuateya, H.; Atkin, K.; Culley, L. A.; Dyson, S. E.; Rowley, D. T.

    2008-01-01

    The successful inclusion of minority ethnic pupils with sickle cell disorders (SCD) raises a number of challenges for educational systems. In England, local education authorities were important drivers for innovative responses to complex needs and the former Inner London Education Authority produced guidance in 1989 on SCD in schools. Local…

  6. Developing School Leaders: What the U.S. Can Learn from England's Model

    ERIC Educational Resources Information Center

    Toner, Mark

    2015-01-01

    The myriad challenges facing school principals in the United States have been well documented, including limited opportunities for distributed leadership, inadequate training, and a lackluster pipeline for new leaders. Recently, the Fordham Institute teamed up with the London-based Education Foundation to seek a better understanding of England's…

  7. Perspectives on Pupil Creativity in Design and Technology in the Lower Secondary Curriculum in England

    ERIC Educational Resources Information Center

    Rutland, Marion; Barlex, David

    2008-01-01

    This paper is based on work carried out as part of a research study into the professional practices of secondary design and technology teachers in England. It focused on fostering creativity or teaching for creativity as defined by the Robinson Report (1999, All our futures: creativity, culture and education. London: Department for Education and…

  8. The Value of Play: Constructions of Play in Government Policy in England

    ERIC Educational Resources Information Center

    Powell, Sacha

    2009-01-01

    This article reports one aspect of the findings from an assessment of the impact of national policies on children's opportunities for play in England, which was commissioned and funded by the Children's Play Council, London. Systematic analysis of policy documents and interviews with participants from local authorities and the voluntary sector…

  9. [Historical evidence of the beginning of modern medicine in the holy land: "list of medicinal preparations found in stores and dispensary on july 21st 1857"].

    PubMed

    Lev, E; Peri, Y

    2001-11-01

    The London Society for Promoting Christianity Amongst the Jews established the first Western hospital in Jerusalem in the middle of 19th century. It was built for the benefit of the Jewish population of the city, and it transposed the Holy Land, from a medical point of view, to the modern era. The huge archives of the London Society in England contain many documents dealing with its activity. One document, revealed here for the first time, describes the content of the medicinal preparations held in the stores of the British hospital and dispensary in Jerusalem on July 21 1857. The list, presented here in full, is impressive in its length, containing hundreds of medicinal substances originating from plants, minerals, and animals that were used in the Western world at the time. Most of the chemicals in the list had never previously appeared in any published historical source concerning Palestine. The list is thus one of the first pieces of evidence of modern medical and pharmacological activities in the Holy Land. A comparison of the list with several other 19th century lists of medicinal substances found in professional literature revealed that it contains most of the known medicinal substances of that time. Compared with medieval documents, or lists of traditional substances compiled a few years earlier, the 1857 list is richer and contains new substances and preparations originating in the New World (America) and chemicals unknown in the region before. It is evidence of the change that occurred in the field of pharmacology owing to the penetration of the modern medicine into the Holy Land. The 1857 list contains 268 substances: 147 medicinal preparations of plant origin, 117 preparations of chemical and mineral origin, and only four of animal origin. PMID:11759393

  10. Beyond Higher Education. A Survey and Analysis of the Experience of Access Students Proceeding through the Polytechnic of North London and into Employment.

    ERIC Educational Resources Information Center

    Rosen, Verna

    Access to Learning for Adults (ALFA) links education providers and organizations in collaborative work to extend and improve access to education opportunities for adults underrepresented in the system. A survey followed the progress, performance, and experiences of 86 former ALFA students, aged 25 to 49, in London, England, in their seeking of…

  11. A Comparison of Different Policies: Equal Opportunities in Education in the Netherlands and the Policy of the Inner London Education Authority.

    ERIC Educational Resources Information Center

    Arends, Janny; Volman, Monique

    1992-01-01

    The Dutch government's national policy on equal educational opportunities combines equal opportunities and difference/equivalence approaches and overlooks necessary changes to the gender inequality-producing educational system. The Inner London (England) Education Authority's (ILEA's) local policy combines egalitarian and radical terminologies,…

  12. Low on the London Scale

    NASA Astrophysics Data System (ADS)

    Webb, S.

    2013-09-01

    Until relatively recently, many authors have assumed that if extraterrestrial life is discovered it will be via the discovery of extraterrestrial intelligence: we can best try to detect life by adopting the SETI approach of trying to detect beacons or artefacts. The Rio Scale, proposed by Almár and Tarter in 2000, is a tool for quantifying the potential significance for society of any such reported detection. However, improvements in technology and advances in astrobiology raise the possibility that the discovery of extraterrestrial life will instead be via the detection of atmospheric biosignatures. The London Scale, proposed by Almár in 2010, attempts to quantify the potential significance of the discovery of extraterrestrial life rather than extraterrestrial intelligence. What might be the consequences of the announcement of a discovery that ranks low on the London Scale? In other words, what might be society's reaction if 'first contact' is via the remote sensing of the byproducts of unicellular organisms rather than with the products of high intelligence? Here, I examine some possible reactions to that question; in particular, I discuss how such an announcement might affect our views of life here on Earth and of humanity's place in the universe.

  13. Franz Xaver von Zach in England

    NASA Astrophysics Data System (ADS)

    McConnell, Anita

    F.X. von Zach arrived in London in November 1783, and was employed as tutor to George, son of Count von Brühl, the Saxonian commercial diplomat. Von Zach became a part of von Brühl's household, and was thus in close contact with the leading astronomers, horologists, and scientific instrument makers. Before he departed to Gotha in 1788, he was awarded an honorary degree by Oxford University under false pretences, he upset the Astronomer Royal, and was twice rejected by the Royal Society. At von Brühl's country house he was shown the manuscripts of the mathematician Thomas Harriot (d. 1621); but his attempts to publicise them were hampered by his misreadings, and his treatment of the documents caused confusion in England's scientific community, which lasted throughout his lifetime.

  14. London's Jewish Communities and State Education

    ERIC Educational Resources Information Center

    Martin, Jane

    2012-01-01

    The Inner London education authority was a notable example of a radical and powerful local government body from which the fight for the comprehensive principle in English secondary education emerged. Building on previous work of women's contribution to state education in London, this articles focuses on Anglo-Jewish educator activists who helped…

  15. School Improvement in London: A Global Perspective

    ERIC Educational Resources Information Center

    McAleavy, Tony; Elwick, Alex

    2016-01-01

    This report considers how successful London's schools have been over the past decade and identifies potentially transferable components of the success story. There is much to be learned from the transformation undergone in London that is relevant to policymakers and educationalists worldwide, working in both high-income and low-income countries.…

  16. Jack London: The Paradox of Individualism.

    ERIC Educational Resources Information Center

    Deane, Paul

    1968-01-01

    Because of their interest in naturalism and socialism, critics often overlook the major intellectual conflict in Jack London's work: the paradox of individualism. London regards society as affecting the individual in two ways: it either promotes individuality or it demands a conformity that undermines individualism. When society fails Buck in "The…

  17. New England: Hudson River

    Atmospheric Science Data Center

    2014-05-15

    article title:  New York and Southern New England     View Larger Image ... Imaging SpectroRadiometer (MISR) nadir-camera image includes New York City, site of the Yankees and the National League's Mets. The Yankees ...

  18. Renaissance plays as a useful source for the comparison between English and Croatian early modern medicine.

    PubMed

    Atalic, Bruno

    2012-01-01

    This paper evaluates the differences between English and Croatian views of early modern medicine through the respective Renaissance plays. As Renaissance made no particular distinction between arts and sciences, plays of that time provide a very common source of medical narrative. During Renaissance both languages produced high literary achievements, which makes them exemplars among their Germanic and Slavic counterparts, and justifies this comparison, regardless of their significant differences. One should bear in mind that while England was a unified kingdom, with London as the major cultural centre, Croatia's division among the neighbouring powers produced several prominent cultural centres such as Zadar, Šibenik, Split, Hvar, Korčula, and the most important one, Dubrovnik. One should also bear in mind that the golden age of Croatian Renaissance plays had finished as early as 1567 with the death of Marin DrŽić, before it even started in England with the foundation of the first permanent theatrical companies in 1576. Along these lines, this paper compares their early modern attitudes toward medicine in general and men and women practitioners in particular. In this respect, it evaluates the influences of the origin, patronage, and religion of their authors. Special attention is given to William Shakespeare (1564-1616) and Marin DrŽić (1508-1567) as the exemplars of English and Croatian Renaissance literature. PMID:23094840

  19. Sex Differentials in Frailty in Medieval England

    PubMed Central

    DeWitte, Sharon N.

    2011-01-01

    In most modern populations, there are sex differentials in morbidity and mortality that favor women. This study addresses whether such female advantages existed to any appreciable degree in medieval Europe. The analyses presented here examine whether men and women with osteological stress markers faced the same risks of death in medieval London. The sample used for this study comes from the East Smithfield Black Death cemetery in London. The benefit of using this cemetery is that most, if not all, individuals interred in East Smithfield died from the same cause within a very short period of time. This allows for the analysis of the differences between men and women in the risks of mortality associated with osteological stress markers without the potential confounding effects of different causes of death. A sample of 299 adults (173 males, 126 females) from the East Smithfield cemetery was analyzed. The results indicate that the excess mortality associated with several osteological stress markers was higher for men than for women. This suggests that in this medieval population, previous physiological stress increased the risk of death for men during the Black Death to a greater extent than was true for women. Alternatively, the results might indicate that the Black Death discriminated less strongly between women with and without pre-existing health conditions than was true for men. These results are examined in light of previous analyses of East Smithfield and what is known about diet and sexually-mediated access to resources in medieval England. PMID:20853482

  20. A New Kind of English: Cultural Variance, Citizenship and DiY Politics amongst the Exodus Collective in England

    ERIC Educational Resources Information Center

    Blackstone, Lee Robert

    2005-01-01

    This article addresses the construction of citizenship in contemporary England as a boundary between "proper" and "improper" English behavior. Through an ethnographic study of the Exodus Collective, a Rastafarian-anarchist community that was located north of London, I show that constructing citizenship also constructs criminality by indicating…

  1. The End of Testing and Future Possibilities: An Examination of the Demise of SATs in England and Possible Alternative Assessments

    ERIC Educational Resources Information Center

    Marshall, Bethan

    2008-01-01

    This article looks at the controversial starting of testing, its boycott, the subsequent years of protest and, in October 2008, the apparent end of key stage examining in England. It considers a possible alternative to the tests based on a project carried out at King's College London based on portfolio assessment.

  2. Provision for the Development of the Linguistic Proficiency of Young Immigrants in England and Wales and France: A Comparative Study.

    ERIC Educational Resources Information Center

    Loewenberg, Monica; Wass, Bob

    1997-01-01

    Compares educational policies and practices related to developing the linguistic competence of young immigrants in France and England, with particular reference to Toulouse and the London borough of Brent. Discusses segregationist versus integrationist approaches, effectiveness of second-language instruction, and provision of mother-tongue…

  3. Ethnopharmacy of Turkish-speaking Cypriots in Greater London.

    PubMed

    Yöney, Ahmet; Prieto, José M; Lardos, Andreas; Heinrich, Michael

    2010-05-01

    For centuries, in the Eastern Mediterranean region, medicinal plant use has been widely accepted as a treatment method for both minor and major diseases. Although some knowledge exists on the use of such medicinal plants within the Greek Cypriot culture and considerable information is available on various regions in Turkey, no detailed ethnopharmaceutical or ethnobotanical studies exist on Turkish-speaking Cypriots (TSC) both in Cyprus and within one of the largest TSC migrant communities in London, UK. Semi-structured interviews with members of the TSC community in London were conducted by using a questionnaire consisting both of open and closed questions. Open questions were aimed at identifying herbs, spices, medicinal plants and their uses. Also, graded questions were used to define informants' opinions as a quantitative parameter, constructing a statistical basis. A wide range of therapeutic claims were recorded, including 13 chronic illnesses within 85 different plant species, of which 18 were cited more than 10 times. The most frequently mentioned species were Mentha spicata, Salvia fruticosa and Pimpinella anisum. The plants recorded are frequently based on knowledge derived from Turkish-Cypriot traditions, but many examples of medicinal plants with a use based on UK or general western herbal medical traditions were also recorded. Informants highlighted the risk of knowledge loss in younger generations and thus this study serves as a repository of knowledge for use in the future. Due to a lack of knowledge about such usages in the healthcare professions, our study also highlights the need to develop information sources for use by healthcare practitioners in order to raise awareness about benefits and risks of such medical and health food products. PMID:19827023

  4. 12. Photo copy of drawing, May 21, 1963. NEW LONDON ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    12. Photo copy of drawing, May 21, 1963. NEW LONDON LEDGE LIGHT STATION LIGHTING. Drawing no. 03-2730, U.S. Coast Guard Civil Engineering Unit, Warwick, Rhode Island. - New London Ledge Lighthouse, Long Island Sound, East of main harbor channel, New London, New London County, CT

  5. New England Lakes & Ponds Project

    EPA Science Inventory

    The New England Lakes and Ponds Project provides a consistent and first time comprehensive assessment of the ecological and water quality condition of lakes and ponds across the New England region. The project is being conducted by EPA along with the New England Interstate Water...

  6. Melmark New England

    ERIC Educational Resources Information Center

    Cancro, Lorraine

    2009-01-01

    This article features Melmark New England, a private, nonprofit, community based organization dedicated to serving children and adolescents with autism spectrum disorders, acquired brain injury, neurological diseases and disorders, and severe challenging behaviors. The Melmark parent corporation, a Pennsylvania based provider of services for those…

  7. New Developments in England

    ERIC Educational Resources Information Center

    Smith, Nicola

    2012-01-01

    Early years education in England has undergone a number of radical changes in the last decade. More recently, a change in government after the 2010 UK general election has meant that early years practitioners have experienced a period of uncertainty and change in policy in line with the ambitions and philosophy of the new Conservative/Liberal…

  8. Educational Assessment in England

    ERIC Educational Resources Information Center

    Isaacs, Tina

    2010-01-01

    This profile explains the assessment system in England, concentrating on those aspects that are related to government policy. It begins by putting the system in context; it then describes the national educational structure, curriculum and assessment arrangements. The government agencies responsible for carrying out education policies are…

  9. Geomorphology of New England

    USGS Publications Warehouse

    Denny, C.S.

    1982-01-01

    Widely scattered terrestrial deposits of Cretaceous or Tertiary age and extensive nearshore and fluvial Coastal Plain deposits now largely beneath the sea indicate that the New England region has been above sea level during and since the Late Cretaceous. Estimates of rates of erosion based on sediment load in rivers and on volume of sediments in the Coastal Plain suggest that if the New England highlands had not been uplifted in the Miocene, the area would now be largely a lowland. If the estimated rates of erosion and uplift are of the right order of magnitude, then it is extremely unlikely that any part of the present landscape dates back before Miocene time. The only exception would be lowlands eroded in the early Mesozoic, later buried beneath Mesozoic and Cenozoic deposits, and exhumed by stream and glacial erosion during the later Cenozoic. Many of the rocks in the New England highlands are similar to those that underlie the Piedmont province in the central and southern Appalachians, where the relief over large areas is much less than in the highlands of New England. These comparisons suggest that the New England highlands have been upwarped in late Cenozoic time. The uplift took place in the Miocene and may have continued into the Quaternary. The New England landscape is primarily controlled by the underlying bedrock. Erosion and deposition during the Quaternary, related in large part to glaciation, have produced only minor changes in drainage and in topography. Shale and graywacke of Ordovician, Cambrian, and Proterozoic age forming the Taconic highlands, and akalic plutonic rocks of Mesozoic age are all highland makers. Sandstone and shale of Jurassic and Triassic age, similar rocks of Carboniferous age, and dolomite, limestone, and shale of Ordovician and Cambrian age commonly underlie lowlands. High-grade metapelites are more resistant than similar schists of low metamorphic grade and form the highest mountains in New England. Feldspathic rocks tend to

  10. Fritz London's Legacy at Duke University

    NASA Astrophysics Data System (ADS)

    Meyer, Horst

    2006-03-01

    When 3He became available in small quantities after WWII Fritz London, Professor at Duke University since 1939, became very interested in its properties in the liquid and solid phases, as contrasted with those of 4He. His influence and that of his colleague Walter Gordy led to the appointment of William Fairbank in 1952, who was able to verify experimentally the prediction on the Fermi degeneracy of liquid 3He below 1K, a few weeks before London's death in 1954. With his students and associates, Fairbank carried out a number of important experiments which became classics, several of which will be described. At Duke he also started planning other experiments inspired by London's predictions. After W. Fairbank's departure for Stanford in 1959, further research on liquid and solid 3He and 3He-4He mixtures was carried out by his successors at Duke University and some of the results in the sixties will be briefly described.

  11. Suicide on the London Underground System.

    PubMed

    Farmer, R; O'Donnell, I; Tranah, T

    1991-09-01

    Over the past 50 years there has been an increase in the numbers of people jumping/falling in front of trains on the London Underground system. Case-fatality rates have fallen from 70% in the 1950s to 55% today. The proportion certified as suicide has fallen while the proportions certified as accidents or open verdicts have risen. There is unusual clustering of events at some stations which are adjacent to psychiatric units. The hypothesis that ease of access to London Underground stations may sometimes be a determinant of suicide is investigated. PMID:1955255

  12. Two Years on: Koha 3.0 in Use at the CAMLIS Library, Royal London Homoeopathic Hospital

    ERIC Educational Resources Information Center

    Bissels, Gerhard; Chandler, Andrea

    2010-01-01

    Purpose: The purpose of this paper is to describe the further development of the Koha 3.0 library management system (LMS) and the involvement of external software consultants at the Complementary and Alternative Medicine Library and Information Service (CAMLIS), Royal London Homoeopathic Hospital. Design/methodology/approach: The paper takes the…

  13. Implementation of an Open Source Library Management System: Experiences with Koha 3.0 at the Royal London Homoeopathic Hospital

    ERIC Educational Resources Information Center

    Bissels, Gerhard

    2008-01-01

    Purpose: The purpose of this paper is to describe the selection process and criteria that led to the implementation of the Koha 3.0 library management system (LMS) at the Complementary and Alternative Medicine Library and Information Service (CAMLIS), Royal London Homoeopathic Hospital. Design/methodology/approach: The paper is a report based on…

  14. Irish women who seek abortions in England.

    PubMed

    Francome, C

    1992-01-01

    In 1991, 4158 women from Ireland and 1766 from Northern Ireland traveled to England for abortions. This situation has been ignored by Irish authorities. The 1992 case of the 14-year old seeking an abortion in England finally caught legal attention. This study attempts to help define who these abortion seekers are. Questionnaires from 200 Irish abortion seeking women attending private Marie Stopes clinics in London and the British Pregnancy Advisory Services clinic in Liverpool between September 1988 and December 1990 were analyzed. Findings pertain to demographic characteristics, characteristics of first intercourse, family discussion of sexual activity, and contraceptive use. From this limited sample, it appears that Irish women are sexually reserved and without access to modern methods of birth control and abortion. Sex is associated with shame and guilt. 23% had intercourse before the age of 18 years and 42% after the age of 20. 76% were single and 16% were currently married. 95% were Catholic; 33% had been to church the preceding Sunday and 68% within the past month. Basic information about menstruation is also limited and procedures such as dilatation and curettage may be performed selectively. 28% of married women were uninformed about menstruation prior to its onset. Only 24% had been using birth control around the time of pregnancy. The reason for nonuse was frequently the unexpectedness of intercourse. 62% of adults and 66% of women believe in legalizing abortion in Ireland. British groups have tried to break through the abortion information ban by sending telephone numbers of abortion clinics to Irish firms for distribution to employees. On November 25, 1992, in the general election, there was approval of constitutional amendments guaranteeing the right to travel for abortions and to receive information on abortion access. The amendment to allow abortion to save the life of the mother was not accepted. PMID:1483530

  15. Educator Perceptions of Children Who Present with Social, Emotional and Behavioural Difficulties: A Literature Review with Implications for Recent Educational Policy in England and Internationally

    ERIC Educational Resources Information Center

    Armstrong, David

    2014-01-01

    In support of their recommendations, recent policy pronouncements in England on behaviour (DFE (Department for Education). 2010. "The Importance of Teaching-The Schools White Paper". London: TSO) and on reform of special educational needs and disabilities make reference, respectively, to educator perceptions of poor behaviour by children…

  16. Patterns of early transmission of pandemic influenza in London – link with deprivation

    PubMed Central

    Balasegaram, Sooria; Ogilvie, Flora; Glasswell, Amy; Anderson, Charlotte; Cleary, Vivien; Turbitt, Deborah; McCloskey, Brian

    2012-01-01

    Please cite this paper as: Balasegaram et al. (2012) Patterns of early transmission of pandemic influenza in London – link with deprivation. Influenza and Other Respiratory Viruses 6(3), e35–e41. Background  During the early containment phase in England from April to June 2009, the national strategy for H1N1 pandemic influenza involved case investigation and treatment, and tracing and prophylaxis of contacts. Objective  To describe the relationship between early transmission of H1N1 pandemic influenza in London and age and socio‐economic status. Methods  Epidemiological data on cases of pandemic flu in London reported to the London Flu Response Centre were analysed to determine patterns of transmission. Results  There were 3487 reported cases (2202 confirmed, 1272 presumed and 14 probable) from 20 April to 28 June 2009, during the ‘containment’ period. The highest report rate of 206 per 100 000 (95% CI 195–218) was seen in primary school–age children (5−11 years) followed by 129 (95% CI 119–139) in secondary school–age children (12–18 years). Reports of cases were initially concentrated in affluent areas but overall showed a clear trend with deprivation and risk ratio of 2·32 (95% CI 1·94–2·78) between the most deprived and the least deprived. Conclusion  Early transmissions were highest amongst school‐aged children but linked with socio‐economic deprivation across all age groups. PMID:22236079

  17. Movement and Character. Lecture, London, 1946

    ERIC Educational Resources Information Center

    Montesorri, Maria

    2013-01-01

    Dr. Montessori's words from the 1946 London Lectures describe principles of intelligence and character, the work of the hand, and movement with a purpose as being integral to self-construction. The perfection of movement is spiritual, says Dr. Montessori. Repetition of practical life exercises are exercises in movement with the dignity of human…

  18. Stage Voice Training in the London Schools.

    ERIC Educational Resources Information Center

    Rubin, Lucille S.

    This report is the result of a six-week study in which the voice training offerings at four schools of drama in London were examined using interviews of teachers and directors, observation of voice classes, and attendance at studio presentations and public performances. The report covers such topics as: textbooks and references being used; courses…

  19. The Compact Route from Boston to London.

    ERIC Educational Resources Information Center

    Wright, Brian

    1988-01-01

    The author describes the development and implementation of a business/secondary school compact in East London, based on the original Boston Compact. This cooperative relationship helps disadvantaged students attain employability skills and work experience, while employers gain a trained labor force for their entry-level jobs. (CH)

  20. Jack London and the San Francisco earthquake

    USGS Publications Warehouse

    Sachs, J.S.

    1982-01-01

    After it was over, it seemed to many, and especially to eyewitnesses like Jack London, that the earthquake and fire had devastated San Francisco. However people were confident that, like the phoeniz, San Francisco would rise from the ashes and regain her palce as the "Imperial City of the West." 

  1. Preventing suicide on the London Underground.

    PubMed

    Clarke, R V; Poyner, B

    1994-02-01

    A field study was carried out to investigate the possibility of preventing suicide on the London Underground. Four groups of potentially valuable measures were identified with the objectives of: (i) reducing public access to the tracks; (ii) improving surveillance by station staff; (iii) facilitating emergency stops; and (iv) reducing injury. These strategies are discussed. PMID:8153749

  2. Ensuring equine biosecurity at London 2012.

    PubMed

    Slater, Josh

    2013-02-01

    The London 2012 Olympic and Paralympic Equestrian Games were the highest profile event in the 2012 equestrian calendar and were the culmination of four years of detailed and meticulous biosecurity planning to ensure that all horses arrived, competed and returned home safely and in good health. Josh Slater, Anthony Greenleaves and Andy Paterson describe how this was achieved. PMID:23378308

  3. Health effects of the London bicycle sharing system: health impact modelling study

    PubMed Central

    Tainio, Marko; Cheshire, James; O’Brien, Oliver; Goodman, Anna

    2014-01-01

    Objective To model the impacts of the bicycle sharing system in London on the health of its users. Design Health impact modelling and evaluation, using a stochastic simulation model. Setting Central and inner London, England. Data sources Total population operational registration and usage data for the London cycle hire scheme (collected April 2011-March 2012), surveys of cycle hire users (collected 2011), and London data on travel, physical activity, road traffic collisions, and particulate air pollution (PM2.5, (collected 2005-12). Participants 578 607 users of the London cycle hire scheme, aged 14 years and over, with an estimated 78% of travel time accounted for by users younger than 45 years. Main outcome measures Change in lifelong disability adjusted life years (DALYs) based on one year impacts on incidence of disease and injury, modelled through medium term changes in physical activity, road traffic injuries, and exposure to air pollution. Results Over the year examined the users made 7.4 million cycle hire trips (estimated 71% of cycling time by men). These trips would mostly otherwise have been made on foot (31%) or by public transport (47%). To date there has been a trend towards fewer fatalities and injuries than expected on cycle hire bicycles. Using these observed injury rates, the population benefits from the cycle hire scheme substantially outweighed harms (net change −72 DALYs (95% credible interval −110 to −43) among men using cycle hire per accounting year; −15 (−42 to −6) among women; note that negative DALYs represent a health benefit). When we modelled cycle hire injury rates as being equal to background rates for all cycling in central London, these benefits were smaller and there was no evidence of a benefit among women (change −49 DALYs (−88 to −17) among men; −1 DALY (−27 to 12) among women). This sex difference largely reflected higher road collision fatality rates for female cyclists. At older ages the modelled

  4. Lessons for Control of Heroin-Associated Anthrax in Europe from 2009–2010 Outbreak Case Studies, London, UK

    PubMed Central

    Abbara, Aula; Brooks, Tim; Taylor, Graham P.; Nolan, Marianne; Donaldson, Hugo; Manikon, Maribel

    2014-01-01

    Outbreaks of serious infections associated with heroin use in persons who inject drugs (PWIDs) occur intermittently and require vigilance and rapid reporting of individual cases. Here, we give a firsthand account of the cases in London during an outbreak of heroin-associated anthrax during 2009–2010 in the United Kingdom. This new manifestation of anthrax has resulted in a clinical manifestation distinct from already recognized forms. During 2012–13, additional cases of heroin-associated anthrax among PWIDs in England and other European countries were reported, suggesting that anthrax-contaminated heroin remains in circulation. Antibacterial drugs used for serious soft tissue infection are effective against anthrax, which may lead to substantial underrecognition of this novel illness. The outbreak in London provides a strong case for ongoing vigilance and the use of serologic testing in diagnosis and serologic surveillance schemes to determine and monitor the prevalence of anthrax exposure in the PWID community. PMID:24959910

  5. 114. New York, New Haven & Hartford Railroad: New London ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    114. New York, New Haven & Hartford Railroad: New London Station. New London, New London Co., CT. Sec. 4209, MP 123.00. - Northeast Railroad Corridor, Amtrak Route between New York/Connecticut & Connecticut/Rhode Island State Lines, New Haven, New Haven County, CT

  6. 113. New York, New Haven & Hartford Railroad: New London ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    113. New York, New Haven & Hartford Railroad: New London Station. New London, New London Co., CT. Sec. 4209, MP 123.00. - Northeast Railroad Corridor, Amtrak Route between New York/Connecticut & Connecticut/Rhode Island State Lines, New Haven, New Haven County, CT

  7. 112. New York, New Haven & Hartford Railroad: New London ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    112. New York, New Haven & Hartford Railroad: New London Station. New London, New London Co., CT. Sec. 4209, MP 123.00. - Northeast Railroad Corridor, Amtrak Route between New York/Connecticut & Connecticut/Rhode Island State Lines, New Haven, New Haven County, CT

  8. 33 CFR 110.52 - Thames River, New London, Conn.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 33 Navigation and Navigable Waters 1 2011-07-01 2011-07-01 false Thames River, New London, Conn... ANCHORAGES ANCHORAGE REGULATIONS Special Anchorage Areas § 110.52 Thames River, New London, Conn. (a) Area No... Academy, New London, Connecticut....

  9. 33 CFR 110.147 - New London Harbor, Conn.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 33 Navigation and Navigable Waters 1 2011-07-01 2011-07-01 false New London Harbor, Conn. 110.147... ANCHORAGE REGULATIONS Anchorage Grounds § 110.147 New London Harbor, Conn. (a) The anchorage grounds—(1... Thames River southward of New London, bounded by lines connecting points which are the following...

  10. Recognising and Developing Urban Teachers: Chartered London Teacher Status

    ERIC Educational Resources Information Center

    Bubb, Sara; Porritt, Vivienne

    2008-01-01

    Chartered London Teacher (CLT) status is a unique scheme designed by London Challenge to recognise and reward teachers' achievements and provide a framework for professional development. As well as having the prestige of being a Chartered London Teacher for life, educators receive a one-time payment of 1,000 British pounds from the school budget…

  11. 33 CFR 110.147 - New London Harbor, Conn.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 33 Navigation and Navigable Waters 1 2013-07-01 2013-07-01 false New London Harbor, Conn. 110.147... ANCHORAGE REGULATIONS Anchorage Grounds § 110.147 New London Harbor, Conn. (a) The anchorage grounds—(1... Thames River southward of New London, bounded by lines connecting points which are the following...

  12. 33 CFR 110.147 - New London Harbor, Conn.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 33 Navigation and Navigable Waters 1 2012-07-01 2012-07-01 false New London Harbor, Conn. 110.147... ANCHORAGE REGULATIONS Anchorage Grounds § 110.147 New London Harbor, Conn. (a) The anchorage grounds—(1... Thames River southward of New London, bounded by lines connecting points which are the following...

  13. 33 CFR 110.147 - New London Harbor, Conn.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 33 Navigation and Navigable Waters 1 2014-07-01 2014-07-01 false New London Harbor, Conn. 110.147... ANCHORAGE REGULATIONS Anchorage Grounds § 110.147 New London Harbor, Conn. (a) The anchorage grounds—(1... Thames River southward of New London, bounded by lines connecting points which are the following...

  14. 33 CFR 110.52 - Thames River, New London, Conn.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 33 Navigation and Navigable Waters 1 2013-07-01 2013-07-01 false Thames River, New London, Conn... ANCHORAGES ANCHORAGE REGULATIONS Special Anchorage Areas § 110.52 Thames River, New London, Conn. (a) Area No... Academy, New London, Connecticut....

  15. 33 CFR 110.52 - Thames River, New London, Conn.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 33 Navigation and Navigable Waters 1 2014-07-01 2014-07-01 false Thames River, New London, Conn... ANCHORAGES ANCHORAGE REGULATIONS Special Anchorage Areas § 110.52 Thames River, New London, Conn. (a) Area No... Academy, New London, Connecticut....

  16. 32. VIEW OF PHOTO CAPTIONED 'SUBMARINE BASE, NEW LONDON, CONN. ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    32. VIEW OF PHOTO CAPTIONED 'SUBMARINE BASE, NEW LONDON, CONN. OCTOBER 3, 1932. COMPLETION OF ERECTION OF STEELWORK FOR ELEVATOR. LOOKING NORTH. CONTRACT NO. Y-1539-ELEVATOR, SUBMARINE ESCAPE TANK.' - U.S. Naval Submarine Base, New London Submarine Escape Training Tank, Albacore & Darter Roads, Groton, New London County, CT

  17. 30. VIEW OF PHOTO CAPTIONED 'SUBMARINE BASE, NEW LONDON, CONNECTICUT. ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    30. VIEW OF PHOTO CAPTIONED 'SUBMARINE BASE, NEW LONDON, CONNECTICUT. 2 JUNE 1930. SUBMARINE TRAINING TANK - STEELWORK 98% COMPLETE; BRICKWORK 95% COMPLETE, PIPING 10% IN PLACE. LOOKING NORTH. CONTRACT NO. Y-1539-ELEVATOR, SUBMARINE ESCAPE TANK.' - U.S. Naval Submarine Base, New London Submarine Escape Training Tank, Albacore & Darter Roads, Groton, New London County, CT

  18. Earthquakes in New England

    USGS Publications Warehouse

    Fratto, E. S.; Ebel, J.E.; Kadinsky-Cade, K.

    1990-01-01

    New England has a long history of earthquakes. Some of the first explorers were startled when they experienced strong shaking and rumbling of the earth below their feet. they soon learned from the Indians that this was not an uncommon occurrence in the New World. the Plymouth Pilgrims felt their first earthquake in 1638. that first shock rattled dishes, doors, and buildings. The shaking so frightened those working in the fields that they threw down their tools and ran panic-stricken through the countryside. 

  19. Infrared systems - Design and testing; Proceedings of the Meeting, London, England, June 9, 10, 1988

    SciTech Connect

    Hall, P.R.; Seeley, J.

    1988-01-01

    Topics discussed include design and devices, thermography and imaging, quality assurance aspects, and infrared modeling. Particular papers are presented on improvements in the design and manufacture of IR optical systems, IR linescanners for tactical reconnaissance, the optical testing of IR materials and components, the IR modeling for air targets.

  20. Royal Society, Discussion on Prospects for Industrial Electrochemistry, London, England, December 10, 11, 1980

    NASA Astrophysics Data System (ADS)

    1981-09-01

    Among the topics dicussed are electrode kinetics, organic reactions via electrochemically generated intermediaries, speculations on industrial electrochemistry, classically modified electrodes for electrocatalysis, and bioelectrocatalysis. Also covered are industrially useful electrochemical cell designs and meaningful optimization procedures, the industrialization of electrochemical reations, electrochemistry in the service of engineering, pulse voltametric methods of analysis, and on-line sensors in industrial water analysis. Attention is in addition given to sodium-sulphur batteries, the nickel-zinc battery for electric vehicles, and novel materials for advanced batteries.

  1. Proceedings of the International Conference on Sensory Devices for the Blind (London, England, June, 1966).

    ERIC Educational Resources Information Center

    Dufton, Richard, Ed.

    The conference proceedings include papers on sensory aids for visually handicapped mobility and reading. Two papers each treat mobility as a general problem, sociocultural surveys on mobility and reading, and echolocation in man and bats. Five papers concern reports and evaluations of practical trials of the sonic monaural aid; one deals with…

  2. Direct broadcasting by satellite in Europe; Proceedings of the Symposium, London, England, January 13, 1982

    NASA Astrophysics Data System (ADS)

    1982-04-01

    The system characteristics of direct broadcasting are discussed, as are the costs and economics of broadcast satellite systems. Attention is also given to other services that may be associated with direct broadcasting, to L-SAT direct broadcast applications, and to the effects of impairments. Other topics discussed are reception problems and options, the ground station market, and the business opportunities presented by direct broadcasting.

  3. Satellite communications and broadcasting; Proceedings of the International Conference, London, England, Dec. 2-4, 1986

    NASA Astrophysics Data System (ADS)

    Papers are presented on private satellite networks in the U.S.; the competitive market for international satellite services; private satellite networks in Europe; and various applications for satellites, in particular data broadcasting and business communications. Topics discussed include the worldwide regulation of satellite broadcasting and communications; the capabilities of Eutelsat II; trends in satellite technology; and the role of insurance in space industries. Consideration is given to the use of the ASTRA satellite for TV broadcasting; the services provided by Intelsat; the evolution of American television due to satellites; consumer satellite Television Receive Only marketing in Europe; and satellite programming.

  4. Royal Society, Discussion on Molecules in Interstellar Space, London, England, May 20, 21, 1981

    NASA Astrophysics Data System (ADS)

    1981-12-01

    Aspects of interstellar chemistry are investigated, taking into account the nature of the carrier of the diffuse interstellar bands, chemical processes in the shocked interstellar gas, interstellar deuterium chemistry, and the interstellar implications of laboratory studies of isotope exchange in ion-neutral reactions. The possible impact of cosmochemistry on terrestrial biology is investigated, giving attention to organic matter in meteorites and Precambrian rocks as clues about the origin and development of living systems, problems in the rate of evolution in biological systems, and questions of terrestrial epidemiology. Microwave and infrared observations are also discussed. Radio observations of molecules in the interstellar gas are considered along with near infrared spectroscopy of protostars, and the IRC+10216 circumstellar shell. A description of laboratory observations and interstellar processes is also provided.

  5. Infrared technology and applications; Proceedings of the Meeting, London, England, June 26-28, 1990

    SciTech Connect

    Lettington, A.H.

    1990-01-01

    Industrial infrared spectroscopy, detectors, applied thermography, optical manufacturing techniques, and optical design and testing are covered. Papers on various aspects of ductile grinding and diamond machining are presented, and focus is placed on thermal signature applications of a high-speed spectroradiometer, and industrial applications of the photothermal effect. Uncooled infrared thermal detector arrays are covered as well as submicron thin-film MOM diodes for the detection of 10-micron infrared laser radiation. Infrared thermal-imaging construction-fault location, industrial and research applications of thermography, and the control of materials by infrared thermography are considered. The optical design of a dual-magnification infrared telescope is presented, and image restoration in thermo-dynamic applications of infrared digital imagery is investigated along with a measurement method for wide-angle afocal telescopes.

  6. Conference on Satellite Meteorology and Oceanography, 5th, London, England, Sept. 3-7, 1990, Preprints

    SciTech Connect

    Not Available

    1990-01-01

    The present conference on satellite meteorology and oceanography discusses climate and clouds, retrieval algorithms, air-sea phenomenology, oceanographic applications, SSM/I, mesoscale, synoptic, and NWP applications, and future satellites and systems. Attention is given to the properties of cirrus clouds measured by satellites and lidars, the geographical variation of the diurnal cycle of clouds from ISCCP, the susceptibility of cloud reflectance to pollution, and a global analysis of aerosol-cloud interactions. Topics addressed include precision intercomparisons between MSU channel 2 and radiosonde data over the U.S., humidity estimates from Meteosat observations, the assimilation of altimeter observations into a global wave model, and atmospheric stratification effects on scatterometer model functions. Also discussed are observations of Indian Ocean eddy variability, the deconvolution of GOES infrared data, short-range variations in total cloud cover in the tropics, and rainfall monitoring by the SSM/I in middle latitudes.

  7. Quasi-Regulation and Principal-Agent Relationships: Secondary School Admissions in London, England

    ERIC Educational Resources Information Center

    West, Anne; Pennell, Hazel; Hind, Audrey

    2009-01-01

    Market-oriented reforms and school choice policies have had a high political profile in a number of developed countries. This article examines the issue of school choice through the lens of the English market-oriented reforms; it focuses on the quasi-regulation and regulation of admissions to publicly funded secondary schools. It examines…

  8. Stress analysis by thermoelastic techniques; Proceedings of the Meeting, London, England, Feb. 17, 18, 1987

    SciTech Connect

    Gasper, B.C.

    1987-01-01

    The conference presents papers on the assessment and development of the thermoelastic technique for engineering applications, the thermoelastic constant, the theoretical basis of the use of random excitation signals for thermoelastic stress analysis, and the surface temperature response to cyclic thermoelastic heat generation. Other topics include a spectral analyzer for the thermoelastic and thermoplastic response to low frequency dynamic loads, and the application of the thermoelastic effect to typical aerospace composite materials. Consideration is also given to stress analysis in laminated fiber composites by thermoelastic emission, the application of stress pattern analysis by thermoelastic emission (SPATE) to high-frequency vibration measurement of aeroengine components, and SPATE applications in North America.

  9. Are Londoners Prepared for an Emergency? A Longitudinal Study Following the London Bombings

    PubMed Central

    Rubin, James; Amlôt, Richard; Simpson, John; Wessely, Simon

    2008-01-01

    The UK government sees increasing individual preparedness as a priority, but the level of preparedness of people in the UK for a large-scale emergency is not known. The London bombings of July 7, 2005, affected many Londoners and may have altered their sense of vulnerability to a future terrorist attack. We used a longitudinal study design to assess individual preparedness within the same sample of Londoners at 2 points in time: immediately after the bombings (T1) and 7 to 8 months later (T2). A demographically representative sample of 1,010 Londoners participated in a phone interview at T1. Subsequently, at T2, 574 of the same people participated in a follow-up phone interview. At T1 51% of Londoners had made 4 or more relevant emergency plans; 48% had gathered 4 or more relevant supplies in case of emergency. There was evidence of increased preparedness at T2, by which time 90% had made 4 or more emergency plans. Ethnicity, low social status, and having felt a sense of threat during the bombings predicted increased preparedness between T1 and T2. Women in general, and women of low social status in particular, perceived themselves to be unprepared in the event of a future terrorist attack. In summary, Londoners show moderate levels of emergency preparedness, which increased following the London bombings. Although we cannot know whether this association is causal, the prospective nature of the study increases the likelihood that it is. However, preparedness is still patchy, and there are important demographic associations with levels of preparedness and perception of vulnerability. These findings have implications for future development of individual and community emergency preparedness policy. PMID:19117430

  10. Sir James Edward Smith (1759-1828) MD FRS, botanist, co-founder of the Linnean Society of London.

    PubMed

    Hawgood, Barbara J

    2009-05-01

    James Edward Smith's interest in botany led him to enter medicine at Edinburgh in 1781. Smith was continuing his medical studies in London when Sir Joseph Banks (1743-1820) suggested to him that he should purchase the collection of the famous Swedish naturalist Carl Linnaeus that had just been offered to Banks. Smith bought the Linnean Collection and Library in 1784. In 1786 he was awarded the degree of Doctor of Medicine from Leiden. In 1788 Smith, with two associates, founded the Linnean Society of London and became President for life. Smith turned from medicine to natural history as a lecturer and writer. During his lifetime he produced numerous botanical works of high value, including The English Flora (1824-28), and he did much to popularize botany. PMID:19401517

  11. The 2015 Pregnancy Summit, London, UK.

    PubMed

    Johansson, Cherynne

    2016-03-01

    Pregnancy Summit, Cineworld, The O2, London, UK, 29 September to 1 October 2015 The 2015 Pregnancy Summit was held over 3 days from 29 September to 1 October at Cineworld, The O2, London, UK. The event brings together a multidisciplinary faculty of international researchers and clinicians to discuss both scientific and clinical aspects of pregnancy-related issues in an informal setting. The goal of the meeting was to provide delegates with an update of recent advances in management of pregnancy-related conditions, to present research data and to discuss the current attitudes and practices in relevant topics. An extensive range of topics were discussed, from preeclampsia and treatment of hypertension, to the psychological impact of termination of pregnancy and feticide. This report will summarize a selection of the lectures presented. PMID:26900652

  12. The First Sports Medicine Books in English.

    ERIC Educational Resources Information Center

    Ryan, Allan J.

    The modern history of sports medicine is chronicled in a discussion of the first writings in English on sports medicine. What may have been the first writing in English is a section on first aid in the ENCYCLOPEDIA OF SPORT, published in England in 1898. It describes injuries commonly sustained in angling, boxing, cricket, cycling, football,…

  13. Assessing the sources and bioaccessibility of Lead in Soils from London

    NASA Astrophysics Data System (ADS)

    Cave, Mark R.; Wragg, Joanna; Chenery, Simon

    2013-04-01

    The lead content of soil is important since it is toxic to humans and particularly because children tend to more readily absorb lead than do adults: children absorb up to 40% into the bloodstream from ingested or inhaled lead, versus 5-15% in adults. Studies have shown that relatively low concentrations of lead in blood can lead to significant decrease in IQ of children (e.g. Jakubowski, 2011) leading to neuropathy and hypertension in adults. The British Geological Survey has recently completed a systematic high-density geochemical soil survey of the Greater London Area (GLA) in which over 6000 surface soil samples were collected and analysed for 50 elements. The Pb content of the soils range from 11 mg/kg to greater than 10000 mg/kg with mean and median values of 301 and 185 mg/kg, respectively. The ingestion bioaccessible fraction of Pb was measured using an in-vitro bioaccessibility test showing that 68% of the total Pb in London soils is bioaccessible. Measurement of Pb isotopic ratios in selected soils matched with those found in London air particulates and, to a lesser extent, with petrol lead. Self modelling mixture resolution of the 50 element geochemical data set was used to identify geochemically distinct components in the data with Pb being associated with 11 of the components which were of both natural and anthropogenic origin. Relationships between the soil components, the bioaccessible fraction and the Pb isotope ratios provided an indication of the sources of mobile lead in the London soils. References JAKUBOWSKI, M. 2011. Low-level environmental lead exposure and intellectual impairment in children - the current concepts of risk assessment. International Journal of Occupational Medicine and Environmental Health, Vol. 24, 1-7. APPLETON, J D, CAVE, M R, and WRAGG, J. 2012. Modelling lead bioaccessibility in urban topsoils based on data from Glasgow, London, Northampton and Swansea, UK. Environmental Pollution, Vol. 171, 265-272.

  14. School Choice in London and Paris – A Comparison of Middle-class Strategies

    PubMed Central

    Benson, Michaela; Bridge, Gary; Wilson, Deborah

    2015-01-01

    Education is one major public service in which quasi-markets and other choice-based mechanisms are now established methods of delivery. The types of school people choose, and the extent to which their choices are realized, have a fundamental impact on the outcomes of any mechanism of school choice. In this article, we provide a comparative analysis of the school choice strategies of middle-class families in London and Paris. We draw on approximately 200 in-depth interviews carried out across the two cities. This enables us to investigate the extent to which middle-class school choice strategies transcend the institutional context provided by both the local (state and private) schools market and national education policy in England and France. We discuss these findings in the context of current school choice policy and consider their implications for future policy design. PMID:25750467

  15. Effects of Centralizing Acute Stroke Services on Stroke Care Provision in Two Large Metropolitan Areas in England

    PubMed Central

    Morris, Stephen; Hoffman, Alex; Hunter, Rachael M.; Boaden, Ruth; McKevitt, Christopher; Perry, Catherine; Pursani, Nanik; Rudd, Anthony G.; Turner, Simon J.; Tyrrell, Pippa J.; Wolfe, Charles D.A.; Fulop, Naomi J.

    2015-01-01

    Background and Purpose— In 2010, Greater Manchester and London centralized acute stroke care into hyperacute units (Greater Manchester=3, London=8), with additional units providing ongoing specialist stroke care nearer patients’ homes. Greater Manchester patients presenting within 4 hours of symptom onset were eligible for hyperacute unit admission; all London patients were eligible. Research indicates that postcentralization, only London’s stroke mortality fell significantly more than elsewhere in England. This article attempts to explain this difference by analyzing how centralization affects provision of evidence-based clinical interventions. Methods— Controlled before and after analysis was conducted, using national audit data covering Greater Manchester, London, and a noncentralized urban comparator (38 623 adult stroke patients, April 2008 to December 2012). Likelihood of receiving all interventions measured reliably in pre- and postcentralization audits (brain scan; stroke unit admission; receiving antiplatelet; physiotherapist, nutrition, and swallow assessments) was calculated, adjusting for age, sex, stroke-type, consciousness, and whether stroke occurred in-hospital. Results— Postcentralization, likelihood of receiving interventions increased in all areas. London patients were overall significantly more likely to receive interventions, for example, brain scan within 3 hours: Greater Manchester=65.2% (95% confidence interval=64.3–66.2); London=72.1% (71.4–72.8); comparator=55.5% (54.8–56.3). Hyperacute units were significantly more likely to provide interventions, but fewer Greater Manchester patients were admitted to these (Greater Manchester=39%; London=93%). Differences resulted from contrasting hyperacute unit referral criteria and how reliably they were followed. Conclusions— Centralized systems admitting all stroke patients to hyperacute units, as in London, are significantly more likely to provide evidence-based clinical

  16. Diabetes, hyperinsulinaemia, and coronary risk factors in Bangladeshis in east London.

    PubMed

    McKeigue, P M; Marmot, M G; Syndercombe Court, Y D; Cottier, D E; Rahman, S; Riemersma, R A

    1988-11-01

    Immigrants from the Indian subcontinent (South Asians) in England and Wales have higher morbidity and mortality from coronary heart disease than the general population; this seems to apply to both Hindus and Muslims. Studies in north west London and Trinidad found that the increased risk of coronary heart disease in Indians was not explained by dietary fat intakes, smoking, blood pressure, or plasma lipids. In the present study the distribution of coronary risk factors was measured in an East London borough where the mortality and attack rate from coronary heart disease are higher in the Asian population, predominantly Muslims from Bangladesh, than in the rest of the population. In a sample of 253 men and women aged 35-69 from general practice, mean plasma cholesterol concentrations were lower in Bangladeshi than in European men and women. Mean systolic blood pressures were 10 mm Hg lower in Bangladeshis. Plasma fibrinogen concentrations were similar in Bangladeshis and Europeans and factor VII coagulant activity was lower in Bangladeshi than in European men. In contrast with the findings in Hindus in north west London, smoking rates were high in Bangladeshi men and the ratio of polyunsaturated fatty acids to saturated fatty acids in plasma lipids was lower in Bangladeshis than in Europeans. Diabetes was three times more common in Bangladeshis than in Europeans and serum insulin concentrations measured after a glucose load were twice as high in Bangladeshis. High insulin concentrations in Bangladeshis were associated with high plasma triglyceride and low high-density lipoprotein cholesterol concentrations. Insulin resistance, leading to diabetes, hyperinsulinaemia, and secondary lipoprotein disturbances, is a possible mechanism for the high rates of coronary heart disease in South Asians in Britain and overseas. PMID:3060188

  17. Royden McIntosh Muir and His Anesthetic Links Between South Africa, London, and the United States.

    PubMed

    Gordon, Peter Crichton

    2016-07-01

    New Zealand born, Dr. Royden McIntosh Muir, MBChB(Edin), DA(RCS&RCP), emigrated to Cape Town in 1921 having specialized in anesthesia in London after World War 1 and became one of South Africa's earliest and leading anesthesiologists. He was appointed honorary anesthetist and clinical teacher by the University of Cape Town at South Africa's first medical school in 1922, and lecturer in 1927. Aware of Cape Town's isolation at the southern tip of Africa, he undertook extensive tours studying anesthetic practice at major hospitals in London, the United States and Canada in 1933 and 1938. He became a lifelong friend of Ralph Waters in Madison, who coached him in the use of cyclopropane, and he subsequently introduced cyclopropane into England and South Africa. In the United States, he met Richard von Foregger, founder of the New York based Foregger Company, from whom he later commissioned a purpose-built anesthetic machine marketed by Foregger as "The Muir Midget." Muir was a founder member of the South African Society of Anaesthetists in 1943 and was elected as its second president the following year. Based on what he had seen in academic hospitals in the United States and England, he fought until his retirement for the improved recognition of the specialty in South Africa and the establishment of adequately staffed departments of anesthesia at teaching hospitals in that country. PMID:27480475

  18. Presence of Legionella in London's water supplies.

    PubMed

    Colbourne, J S; Trew, R M

    1986-09-01

    Legionella occurs frequently (52 to 54%) in domestic water and cooling water inside commercial, industrial and health care buildings, and these types of water systems are now regarded as a normal habitat for Legionella. The factors that predispose a particular water system to colonization by these organisms are ill-defined, although it is fairly certain that biological and physicochemical environmental factors play an important role in allowing Legionella to multiply in the circulating water. It has been postulated that the organism may gain access to water systems inside buildings by one of three routes: contact with air through open points such as uncovered storage tanks or vents, ingress of soil or surface water during construction or repair, or intermittent seeding with organisms present in low numbers in the public water supply. Three studies in the USA have found Legionella in 0.4 to 8.8% of drinking-water samples, but these were not representative of the public supply network as a whole. The aim of this study was to determine, over a period of 1 year, the frequency of Legionella in London's drinking water--from the treatment plant through to the consumer's tap. To date, Legionella has not been isolated from raw river water entering London's treatment works or from treated water entering the distribution network. Sixty-two monitoring taps in buildings located in 21 supply areas have been sampled twice for Legionella; only 2 (2.4%) have proved positive during the autumn and winter of 1985/86. The strain found was L. pneumophila serotype 1, subgroup Olda, and the numbers ranged from 10(2) to 10(4)/l. Although the survey is incomplete, it is already clear that the public water supplies in London are not a source of strains of Legionella associated with disease. PMID:3793445

  19. Experiential Approaches to the Global City: London as Social Laboratory

    ERIC Educational Resources Information Center

    Gristwood, Anthony; Woolf, Michael

    2011-01-01

    London is the paramount example of a city that is not bounded by its geography and cannot be grasped in isolation. The U.K.'s national capital and the prime focus for business, finance and creative industries, London also transcends the U.K.'s borders as a hub of the world economy. This paper argues that London, a city riddled by the socioeconomic…

  20. A new surveillance system for undiagnosed serious infectious illness for the London 2012 Olympic and Paralympic Games.

    PubMed

    Heinsbroek, E; Said, B; Kirkbride, H

    2012-01-01

    A new surveillance system was developed to detect possible new or emerging infections presenting as undiagnosed serious infectious illness (USII) for use during the London 2012 Olympic and Paralympic Games. Designated clinicians in sentinel adult and paediatric intensive care units (ICU/ PICUs) reported USII using an online reporting tool or provided a weekly nil notification. Reported cases were investigated for epidemiological links. A pilot study was undertaken for six months between January and July 2011 to evaluate the feasibility and acceptability of the system. In this six-month period, 5 adults and 13 children were reported by six participating units (3 ICUs, 3 PICUs). Of these 18 patients, 12 were reported within four days after admission to an ICU/PICU. Nine patients were subsequently diagnosed and were thus excluded from the surveillance. Therefore, only nine cases of USII were reported. No clustering was identified.On the basis of the pilot study, we conclude that the system is able to detect cases of USII and is feasible and acceptable to users. USII surveillance has been extended to a total of 19 sentinel units in London and the south-east of England during the London 2012 Olympic and Paralympic Games. PMID:22874459

  1. Healthcare Planning for the Olympics in London: A Qualitative Evaluation

    PubMed Central

    Black, Georgia; Kononovas, Kostas; Taylor, Jayne; Raine, Rosalind

    2014-01-01

    Background Mass gatherings, such as the Olympic and Paralympic Games, represent an enormous logistical challenge for the host city. Health service planners must deliver routine and emergency services and, in recent Games, health legacy initiatives, for the local and visiting population. However there is little evidence to support their planning decisions. We therefore evaluated the strategic health planning programme for the London 2012 Olympic and Paralympic Games to identify generalisable information for future Games. Methods We thematically analysed data from stakeholder interviews and documents. The data were prospectively collected in three phases, before, during and after the Games. Findings We identified five key themes: (1) Systemic Improvement for example in communications, (2) Effective relationships led to efficiencies and permanent gains, such as new relationships with the private sector (3) Difficult relationships led to inefficiencies, for instance, duplication in testing and exercising emergency scenarios, (4) Tendency to over-estimate demand for care, particularly emergency medicine, and (5) Difficulties establishing a health legacy due to its deprioritisation and lack of vision by the programme team. Interpretation Enduring improvements which are sustained after the Games are possible, such as the establishment of new and productive partnerships. Relationships must be established early on to avoid duplication, delay and unnecessary expense. There should be greater critical evaluation of the likely demand for health services to reduce the wasting of resources. Finally, if a health legacy is planned, then clear definitions and commitment to its measurement is essential. PMID:24647613

  2. Evaluation of the measles, mumps and rubella vaccination catch-up campaign in England in 2013.

    PubMed

    Simone, Benedetto; Balasegaram, Sooria; Gobin, Maya; Anderson, Charlotte; Charlett, André; Coole, Louise; Maguire, Helen; Nichols, Tom; Rawlings, Chas; Ramsay, Mary; Oliver, Isabel

    2014-08-01

    In January-March 2013 in England, confirmed measles cases increased in children aged 10-16 years. In April-September 2013, the National Health System and Public Health England launched a national measles-mumps-rubella (MMR) campaign based on data from Child Health Information Systems (CHIS) estimating that approximately 8% in this age group were unvaccinated. We estimated coverage at baseline, and, of those unvaccinated (target), the proportion vaccinated up to 20/08/2013 (mid-point) to inform further public health action. We selected a sample of 6644 children aged 10-16 years using multistage sampling from those reported unvaccinated in CHIS at baseline and validated their records against GP records. We adjusted the CHIS MMR vaccine coverage estimates correcting by the proportion of vaccinated children obtained through sample validation. We validated 5179/6644 (78%) of the sample records. Coverage at baseline was estimated as 94.7% (95% confidence intervals, CI: 93.5-96.0%), lower in London (86.9%, 95%CI: 83.0-90.9%) than outside (96.1%, 95%CI 95.5-96.8%). The campaign reached 10.8% (95%CI: 7.0-14.6%) of the target population, lower in London (7.1%, 95%CI: 4.9-9.3) than in the rest of England (11.4%, 95%CI: 7.0-15.9%). Coverage increased by 0.5% up to 95.3% (95% CI: 94.1-96.4%) but an estimated 210,000 10-16 year old children remained unvaccinated nationally. Baseline MMR coverage was higher than previously reported and was estimated to have reached the 95% campaign objective at midpoint. Eleven per cent of the target population were vaccinated during the campaign, and may be underestimated, especially in London. No further national campaigns are needed but targeted local vaccination activities should be considered. PMID:24996125

  3. East London Experience with Enteric Fever 2007-2012

    PubMed Central

    Dave, Jayshree; Millar, Michael; Maxeiner, Horst; Freedman, Joanne; Meade, Rachel; Rosmarin, Caryn; Jordan, Matthew; Andrews, Nick; Holliman, Richard; Sefton, Armine

    2015-01-01

    Purpose The clinical presentation and epidemiology for patients with enteric fever at two hospitals in East London during 2007–2012 is described with the aim to identify preventive opportunities and to reduce the cost of treatment. Methods A retrospective analysis of case notes from patients admitted with enteric fever during 2007 to 2012 with a microbiologically confirmed diagnosis was undertaken. Details on clinical presentation, travel history, demographic data, laboratory parameters, treatment, patient outcome and vaccination status were collected. Results Clinical case notes were available for 98/129 (76%) patients including 69 Salmonella enterica serovar Typhi (S. Typhi) and 29 Salmonella enterica serovar Paratyphi (S. Paratyphi). Thirty-four patients (35%) were discharged from emergency medicine without a diagnosis of enteric fever and then readmitted after positive blood cultures. Seventy-one of the 98 patients (72%) were UK residents who had travelled abroad, 23 (23%) were foreign visitors/new entrants to the UK and four (4%) had not travelled abroad. Enteric fever was not considered in the initial differential diagnosis for 48/98 (49%) cases. The median length of hospital stay was 7 days (range 0–57 days). The total cost of bed days for managing enteric fever was £454,000 in the two hospitals (mean £75,666/year). Median time to clinical resolution was five days (range 1–20). Seven of 98 (7%) patients were readmitted with relapsed or continued infection. Six of the 71 (8%) patients had received typhoid vaccination, 34 (48%) patients had not received vaccination, and for 31 cases (44%) vaccination status was unknown. Conclusions Further interventions regarding education and vaccination of travellers and recognition of the condition by emergency medicine clinicians in travellers to South Asia is required. PMID:25790017

  4. Constraining the history of vertical surface motions in SE England.

    NASA Astrophysics Data System (ADS)

    Smith, Philip; England, Richard; Zalasiewicz, Jan

    2015-04-01

    Constraining the history of vertical surface motions in SE England. While there is considerable focus on the effects of rising sea level what is often not considered are ongoing long term changes in surface topography driven by regional tectonics. The London basin is an area at risk from global sea level rise which has a significant long term history of vertical surface motions. Outcrop and borehole sections taken from the onshore and offshore Cenozoic geological record of the UK are used to plot these regional tectonic vertical motions through time. The Cenozoic geological formations useful to the research are dominantly shallow marine sediments and the successions are thickest in the axial regions of the London and Hampshire basins found in the South East of England. Each successive geological formation through time records a component of the tectonic uplift/subsidence history that spans from the end of the Cretaceous, 65Ma through to the present day. Once this history is better understood it can be used to make predictions of the possible vertical tectonic motion in the future. In order to isolate the tectonic uplift or subsidence in a basin and the magnitude of the basement movement, the water depth at the time of deposition, the relative sea-level and the compaction history for the sediments of each formation needs to be constrained. Water depth has been determined so far using a variety of sedimentological, palaeontological and sequence stratigraphic evidence. Palaeo-bathymetry maps have then be contoured from the point data providing the relative palaeo-coastline for each geological formation. The relative sea-level curve will be used from previous work. The third parameter is the decompaction of a formation from its preserved thickness at the present day, to its water saturated and unconsolidated state at the time of deposition. Resolving these parameters and producing a comprehensive burial history for each geological formation in the UK will allow the

  5. RADIOLOGICAL SURVEY AT THE NEW LONDON HARBOR FACILITIES

    EPA Science Inventory

    A radiological survey done to assess levels of environmental radioactivity in and around navy harbor facilities located on the Thames River near New London, Connecticut. These facilities include the New London Submarine Base at Groton, the Electric Boat Company at Groton, Sound ...

  6. Alternative Spaces of Learning in East London: Opportunities and Challenges

    ERIC Educational Resources Information Center

    Sneddon, Raymonde; Martin, Peter

    2012-01-01

    This article emerges from an ongoing exploration into how British minority ethnic communities in the London area create spaces in community-based programs to maintain or develop their languages and literacies. In London, more than one-third of the 850,000 school children speak a language other than English at home (Baker & Eversley, 2000). This…

  7. Education in a Global City: Essays from London

    ERIC Educational Resources Information Center

    Brighouse, Tim, Ed.; Fullick, Leisha, Ed.

    2007-01-01

    This collection of essays by academic and policy experts brings together a wide range of data to offer a clear picture of London's changing education scene. Its mapping of new and developing strategies for successful urban education will be useful to educators and policymakers not only in London but also in other cities operating in similar…

  8. Changing the Subject: English in London, 1945-1967

    ERIC Educational Resources Information Center

    Yandell, John

    2014-01-01

    Two recent books, "English Teachers in a Postwar Democracy: Emerging Choice in London Schools, 1945-1965" and "The London Association for the Teaching of English, 1947-67: A History," explore an important period in the development of English as a school subject and in the remaking of the professional identity of English…

  9. Practicing Reflexivity in the Study of Italian Migrants in London

    ERIC Educational Resources Information Center

    Seganti, Francesca Romana

    2010-01-01

    This article discusses the centrality of reflexivity in qualitative research through examples from my study on the role new media play in the lives of Italians in London. My hypothesis was that Italians were "in transit" in London and they were using new media to build "temporary" communities. I conducted in-depth interviews with members of the…

  10. London in Space and Time: Peter Ackroyd and Will Self

    ERIC Educational Resources Information Center

    Green, Andrew

    2013-01-01

    This paper explores the treatment of London by two authors who are profoundly influenced by the concept of the power of place and the nature of urban space. The works of Peter Ackroyd, whose writings embody, according to Onega (1997, p. 208) "[a] yearning for mythical closure" where London is "a mystic centre of…

  11. Advances in sports nutrition, exercise and medicine: Olympic issues, the legacy and beyond

    PubMed Central

    2012-01-01

    In the run up to the London 2012 Olympics, this editorial introduces the cross-journal article collection Advances in Sports Nutrition, Exercise and Medicine http://www.biomedcentral.com/series/asnem PMID:22812481

  12. The prevalence of comorbidities among people living with HIV in Brent: a diverse London Borough.

    PubMed

    Lorenc, Ava; Ananthavarathan, Piriyankan; Lorigan, James; Jowata, Mohamade; Brook, Gary; Banarsee, Ricky

    2014-01-01

    Background HIV has changed from a rapidly deteriorating illness to a complex chronic disease, with increasing incidences of comorbidity, including cancer, and liver, lung and cardiovascular diseases. North West London has 6719 individuals living with the human immunodeficiency virus (HIV), 873 of whom reside in the London Borough of Brent. Traditionally, commissioning services have focused on HIV therapy alone without considering how comorbidity affects treatment outcome and total service costs. Setting The setting for the study was NHS Brent Primary Care Trust, London UK. Question What associated comorbidities are present in people in Brent (London, UK) living with HIV, and how common are they? Methods A point-prevalence audit of retrospective data was conducted on all HIV-positive patients in Brent (financial year 2011/12). Data were collected from genito-urinary medicine (GUM) services, community services and general practitioners (GPs) on HIV diagnosis, patient demographics and past/current comorbidities: hepatitis B and C, cardiovascular disease, diabetes and mental health disorders. Results This study identified that 29% of people living with HIV/AIDS (PLWHA) in Brent have at least one comorbidity. The most common was hepatitis, followed by mental health disorders and cardiovascular disease (CVD). Comorbidity was more likely in older male patients (in particular CVD and diabetes) and White patients (except for diabetes which was more common in Asian groups). Discussion/Conclusion Many PLWHA in Brent suffer from a number of other conditions, which appear largely independent of HIV. Findings confirm the need to treat HIV as a long-term condition, including patient education, empowerment and encouraging self-management. The multi-morbidity of many PLWHA suggests a role for both primary care and collaborative, holistic, patient-centred and individualised healthcare. Service providers and commissioners need to consider comorbidities in their treatment of and

  13. The prevalence of comorbidities among people living with HIV in Brent: a diverse London Borough

    PubMed Central

    Lorenc, Ava; Lorigan, James; Jowata, Mohamade; Brook, Gary; Banarsee, Ricky

    2014-01-01

    Background HIV has changed from a rapidly deteriorating illness to a complex chronic disease, with increasing incidences of comorbidity, including cancer, and liver, lung and cardiovascular diseases. North West London has 6719 individuals living with the human immunodeficiency virus (HIV), 873 of whom reside in the London Borough of Brent. Traditionally, commissioning services have focused on HIV therapy alone without considering how comorbidity affects treatment outcome and total service costs. Setting The setting for the study was NHS Brent Primary Care Trust, London UK. Question What associated comorbidities are present in people in Brent (London, UK) living with HIV, and how common are they? Methods A point-prevalence audit of retrospective data was conducted on all HIV-positive patients in Brent (financial year 2011/12). Data were collected from genito-urinary medicine (GUM) services, community services and general practitioners (GPs) on HIV diagnosis, patient demographics and past/current comorbidities: hepatitis B and C, cardiovascular disease, diabetes and mental health disorders. Results This study identified that 29% of people living with HIV/AIDS (PLWHA) in Brent have at least one comorbidity. The most common was hepatitis, followed by mental health disorders and cardiovascular disease (CVD). Comorbidity was more likely in older male patients (in particular CVD and diabetes) and White patients (except for diabetes which was more common in Asian groups). Discussion/Conclusion Many PLWHA in Brent suffer from a number of other conditions, which appear largely independent of HIV. Findings confirm the need to treat HIV as a long-term condition, including patient education, empowerment and encouraging self-management. The multi-morbidity of many PLWHA suggests a role for both primary care and collaborative, holistic, patient-centred and individualised healthcare. Service providers and commissioners need to consider comorbidities in their treatment of and

  14. The Well London program - a cluster randomized trial of community engagement for improving health behaviors and mental wellbeing: baseline survey results

    PubMed Central

    2012-01-01

    Background The Well London program used community engagement, complemented by changes to the physical and social neighborhood environment, to improve physical activity levels, healthy eating, and mental wellbeing in the most deprived communities in London. The effectiveness of Well London is being evaluated in a pair-matched cluster randomized trial (CRT). The baseline survey data are reported here. Methods The CRT involved 20 matched pairs of intervention and control communities (defined as UK census lower super output areas (LSOAs); ranked in the 11% most deprived LSOAs in London by the English Indices of Multiple Deprivation) across 20 London boroughs. The primary trial outcomes, sociodemographic information, and environmental neighbourhood characteristics were assessed in three quantitative components within the Well London CRT at baseline: a cross-sectional, interviewer-administered adult household survey; a self-completed, school-based adolescent questionnaire; a fieldworker completed neighborhood environmental audit. Baseline data collection occurred in 2008. Physical activity, healthy eating, and mental wellbeing were assessed using standardized, validated questionnaire tools. Multiple imputation was used to account for missing data in the outcomes and other variables in the adult and adolescent surveys. Results There were 4,107 adults and 1,214 adolescent respondents in the baseline surveys. The intervention and control areas were broadly comparable with respect to the primary outcomes and key sociodemographic characteristics. The environmental characteristics of the intervention and control neighborhoods were broadly similar. There was greater between-cluster variation in the primary outcomes in the adult population compared to the adolescent population. Levels of healthy eating, smoking, and self-reported anxiety/depression were similar in the Well London adult population and the national Health Survey for England. Levels of physical activity were higher

  15. The London low emission zone baseline study.

    PubMed

    Kelly, Frank; Armstrong, Ben; Atkinson, Richard; Anderson, H Ross; Barratt, Ben; Beevers, Sean; Cook, Derek; Green, Dave; Derwent, Dick; Mudway, Ian; Wilkinson, Paul

    2011-11-01

    On February 4, 2008, the world's largest low emission zone (LEZ) was established. At 2644 km2, the zone encompasses most of Greater London. It restricts the entry of the oldest and most polluting diesel vehicles, including heavy-goods vehicles (haulage trucks), buses and coaches, larger vans, and minibuses. It does not apply to cars or motorcycles. The LEZ scheme will introduce increasingly stringent Euro emissions standards over time. The creation of this zone presented a unique opportunity to estimate the effects of a stepwise reduction in vehicle emissions on air quality and health. Before undertaking such an investigation, robust baseline data were gathered on air quality and the oxidative activity and metal content of particulate matter (PM) from air pollution monitors located in Greater London. In addition, methods were developed for using databases of electronic primary-care records in order to evaluate the zone's health effects. Our study began in 2007, using information about the planned restrictions in an agreed-upon LEZ scenario and year-on-year changes in the vehicle fleet in models to predict air pollution concentrations in London for the years 2005, 2008, and 2010. Based on this detailed emissions and air pollution modeling, the areas in London were then identified that were expected to show the greatest changes in air pollution concentrations and population exposures after the implementation of the LEZ. Using these predictions, the best placement of a pollution monitoring network was determined and the feasibility of evaluating the health effects using electronic primary-care records was assessed. To measure baseline pollutant concentrations before the implementation of the LEZ, a comprehensive monitoring network was established close to major roadways and intersections. Output-difference plots from statistical modeling for 2010 indicated seven key areas likely to experience the greatest change in concentrations of nitrogen dioxide (NO2) (at least 3

  16. Nuclear Medicine

    MedlinePlus

    ... Parents/Teachers Resource Links for Students Glossary Nuclear Medicine What is nuclear medicine? What are radioactive tracers? ... funded researchers advancing nuclear medicine? What is nuclear medicine? Nuclear medicine is a medical specialty that uses ...

  17. International Instructional Systems: How England Measures Up

    ERIC Educational Resources Information Center

    Creese, Brian; Isaacs, Tina

    2016-01-01

    Although England was not included in the International Instructional Systems Study because it was not a high-performing jurisdiction by the Study's definition, contributors largely were England-based. Analysing the Study's nine overall aspects of instructional systems, this paper finds that England is out of step with many of the high-performing…

  18. New England After 3 PM

    ERIC Educational Resources Information Center

    Afterschool Alliance, 2007

    2007-01-01

    Some 20 percent of children in New England have no safe, supervised activities after the school day ends each afternoon. These children are in self-care, missing out on opportunities to learn and explore new interests, and at risk for any number of risky behaviors including substance abuse, crime and teen pregnancy. Policy makers, parents and many…

  19. Apprenticeships in England: What Next?

    ERIC Educational Resources Information Center

    Hogarth, Terence; Gambin, Lynn; Hasluck, Chris

    2012-01-01

    This paper examines recent development in Apprenticeship training in England. Since the introduction of Modern Apprenticeships in the mid-1990s this form of training has been subject to much analysis and reform. This paper summarises the current situation and highlights some of the challenges and opportunities which face Apprenticeship over the…

  20. Promoting Community Cohesion in England

    ERIC Educational Resources Information Center

    Morris, Andrew B.; McDaid, Maggie; Potter, Hugh

    2011-01-01

    Following serious disturbances in some northern cities in England in 2001, concerns about possible rising inter-communal tension have led to a statutory duty to promote community cohesion being placed on schools. Inspectors from the Office for Standards in Education (Ofsted) are required to make judgements in the leadership and management section…

  1. HYDROLOGIC FEATURES OF NEW ENGLAND

    EPA Science Inventory

    The data set portrays the polygon and line water features of New England. The file was produced by joining the individual State hydrography layers from the 1:2,000,000-scale Digital Line Graph (DLG) data produced by the USGS. This is a revised version of the March 1999 data set...

  2. Mapping School Types in England

    ERIC Educational Resources Information Center

    Courtney, Steven J.

    2015-01-01

    The number and range of school types in England is increasing rapidly in response to a neoliberal policy agenda aiming to expand choice of provision as a mechanism for raising educational standards. In this paper, I seek to undertake a mapping of these school types in order to describe and explain what is happening. I capture this busy terrain…

  3. The Centre for History in Public Health at the London School of Hygiene and Tropical Medicine, University of London (LSHTM)

    ERIC Educational Resources Information Center

    Berridge, Virginia

    2008-01-01

    This article describes the origin of the Centre for History in Public Health and the significance of its location in a leading school of public health. It is in three parts: (1) A brief history of how the AIDS programme became the History Centre; (2) The distinctive approach of the Centre's staff as historians: their contribution and its…

  4. Prostitution and risk of HIV: female prostitutes in London.

    PubMed Central

    Ward, H; Day, S; Mezzone, J; Dunlop, L; Donegan, C; Farrar, S; Whitaker, L; Harris, J R; Miller, D L

    1993-01-01

    OBJECTIVE--To measure the prevalence of HIV and to describe established risk factors in female prostitutes. DESIGN--A cross sectional survey. SETTING--A genitourinary medicine clinic, streets, and magistrates' courts in London. SUBJECTS--280 female prostitutes recruited between April 1989 and August 1991. MAIN OUTCOME MEASURES--Infection with HIV-1, reported risk behaviours, and prevalence of sexually transmitted infections. RESULTS--228 of the women had HIV tests, and two (0.9% (95% confidence interval 0% to 2.1%)) were infected with HIV-1. Reported use of condoms was high for commercial clients and low for non-paying partners: 98% (251/255) of women used condoms with all clients and 12% (25/207) with non-paying partners for vaginal intercourse. Twenty two women were current or past injecting drug users. Of the 193 women examined for sexually transmitted infections, 27 had an acute infection (gonorrhoea, chlamydia, trichomonas, or primary genital herpes) at the time of interview. Infection was associated with younger age and increasing numbers of non-paying sexual partners, but not with duration of prostitution, numbers of clients, or reports of condom failures. When age and numbers of non-paying partners were analysed by logistic regression they remained significantly associated with sexually transmitted infections. CONCLUSIONS--A large and diverse sample of prostitutes had a low prevalence of infection with HIV and high levels of use of condoms in commercial sex. There was a significant risk of other sexually transmitted infections associated with prostitutes' non-commercial sexual relationships, in which unprotected sex is common. Interventions to reduce the risk of sexually transmitted infections in prostitutes should address both commercial and non-commercial sexual partnerships. PMID:8374417

  5. The promotion of children's health and wellbeing: the contributions of England's charity sector

    PubMed Central

    2010-01-01

    Background Sports and arts based services for children have positive impacts on their mental and physical health. The charity sector provides such services, often set up in response to local communities expressing a need. The present study maps resilience promoting services provided by children's charities in England. Specifically, the prominence of sports and arts activities, and types of mental health provisions including telephone help-lines, are investigated. Findings The study was a cross-sectional web-based survey of chief executives, senior mangers, directors and chairs of charities providing services for children under the age of 16. The aims, objectives and activities of participating children's charities and those providing mental health services were described overall. In total 167 chief executives, senior managers, directors and chairs of charities in England agreed to complete the survey. From our sample of charities, arts activities were the most frequently provided services (58/167, 35%), followed by counselling (55/167, 33%) and sports activities (36/167, 22%). Only 13% (22/167) of charities expected their work to contribute to the health legacy of the 2012 London Olympics. Telephone help lines were provided by 16% of the charities that promote mental health. Conclusions Counselling and arts activities were relatively common. Sports activities were limited despite the evidence base that sport and physical activity are effective interventions for well-being and health gain. Few of the charities we surveyed expected a health legacy from the 2012 London Olympics. PMID:20626843

  6. London 2012: prescribing for athletes in ophthalmology

    PubMed Central

    Nicholson, R G H; Thomas, G P L; Potter, M J; Norris, J H

    2012-01-01

    Aims Prescribing for athletes requires an up-to-date knowledge of the World Anti-Doping Agency's list of prohibited substances. As the London 2012 Olympic Games attract athletes from around the world, we review the current guidelines with respect to all medications licensed for ophthalmic use in the United Kingdom. We describe the process that an ophthalmologist can use to check for permissible medications and also highlight treatments that are contraindicated. Methods We systematically reviewed all 77 drugs listed in Section 11 of the British National Formulary (Issue 63) for use in the treatment of ophthalmic conditions, and referenced these against the 2012 Prohibited List published by the World Anti-Doping Agency. Results The majority of ophthalmic preparations are suitable for use in- and out-of-competition. Some preparations, such as glucocorticoids, are prohibited when administered systemically but permitted for topical administration. Beta-blockers are prohibited in-competition and oral carbonic anhydrase inhibitors are prohibited in- and out-of competition. Conclusion The 2012 Prohibited List has important implications for the pharmacological treatment of ophthalmic conditions in athletes. Clinicians prescribing for athletes have a duty to familiarise themselves with the list in order to avoid causing significant damage to their patient's career and reputation. PMID:22744394

  7. 122. Four Blade Semaphore Tower. Groton, New London Co., CT. ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    122. Four Blade Semaphore Tower. Groton, New London Co., CT. Sec. 4215, MP 124.60. - Northeast Railroad Corridor, Amtrak Route between New York/Connecticut & Connecticut/Rhode Island State Lines, New Haven, New Haven County, CT

  8. Infant mortality in London, 1538-1850: a methodological study.

    PubMed

    Razzell, Peter

    2011-01-01

    A review of evidence on infant mortality derived from the London bills of mortality and parish registers indicates that there were major registration problems throughout the whole of the parish register period. One way of addressing these problems is to carry out reconstitution studies of individual London parishes, but there are a number of problems with reconstitution methodology, including the traffic in corpses between parishes both inside and outside of London and the negligence of clergymen in registering both baptisms and burials. In this paper the triangulation of sources has been employed to measure the adequacy of burial registration, including the comparison of data from bills of mortality, parish registers and probate returns, as well as the use of the same-name technique. This research indicates that between 20 and 40 per cent of burials went unregistered in London during the parish register period. PMID:22397160

  9. 124. Mystic River Bridge. Mystic, New London Co., CT. Sec. ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    124. Mystic River Bridge. Mystic, New London Co., CT. Sec. 4215, MP 132.16. - Northeast Railroad Corridor, Amtrak Route between New York/Connecticut & Connecticut/Rhode Island State Lines, New Haven, New Haven County, CT

  10. 123. Mystic River Bridge. Mystic, New London Co., CT. Sec. ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    123. Mystic River Bridge. Mystic, New London Co., CT. Sec. 4215, MP 132.16. - Northeast Railroad Corridor, Amtrak Route between New York/Connecticut & Connecticut/Rhode Island State Lines, New Haven, New Haven County, CT

  11. Diabetes Medicines

    MedlinePlus

    ... Financial Help for Diabetes Care Diabetes Statistics Diabetes Medicines What do diabetes medicines do? Over time, high levels of blood glucose, ... your diabetes medicines, food choices, and physical activity. Medicines for My Diabetes Ask your doctor what type ...

  12. Lessons for major system change: centralization of stroke services in two metropolitan areas of England

    PubMed Central

    Ramsay, Angus; Perry, Catherine; Boaden, Ruth; McKevitt, Christopher; Morris, Stephen; Pursani, Nanik; Rudd, Anthony; Tyrrell, Pippa; Wolfe, Charles; Fulop, Naomi

    2016-01-01

    Objectives Our aim was to identify the factors influencing the selection of a model of acute stroke service centralization to create fewer high-volume specialist units in two metropolitan areas of England (London and Greater Manchester). It considers the reasons why services were more fully centralized in London than in Greater Manchester. Methods In both areas, we analysed 316 documents and conducted 45 interviews with people leading transformation, service user organizations, providers and commissioners. Inductive and deductive analyses were used to compare the processes underpinning change in each area, with reference to propositions for achieving major system change taken from a realist review of the existing literature (the Best framework), which we critique and develop further. Results In London, system leadership was used to overcome resistance to centralization and align stakeholders to implement a centralized service model. In Greater Manchester, programme leaders relied on achieving change by consensus and, lacking decision-making authority over providers, accommodated rather than challenged resistance by implementing a less radical transformation of services. Conclusions A combination of system (top-down) and distributed (bottom-up) leadership is important in enabling change. System leadership provides the political authority required to coordinate stakeholders and to capitalize on clinical leadership by aligning it with transformation goals. Policy makers should examine how the structures of system authority, with performance management and financial levers, can be employed to coordinate transformation by aligning the disparate interests of providers and commissioners. PMID:26811375

  13. 19th century London dust-yards: A case study in closed-loop resource efficiency

    SciTech Connect

    Velis, Costas A.; Wilson, David C.; Cheeseman, Christopher R.

    2009-04-15

    The material recovery methods used by dust-yards in early 19th century London, England and the conditions that led to their development, success and decline are reported. The overall system developed in response to the market value of constituents of municipal waste, and particularly the high coal ash content of household 'dust'. The emergence of lucrative markets for 'soil' and 'breeze' products encouraged dust-contractors to recover effectively 100% of the residual wastes remaining after readily saleable items and materials had been removed by the thriving informal sector. Contracting dust collection to the private sector allowed parishes to keep the streets relatively clean, without the need to develop institutional capacity, and for a period this also generated useful income. The dust-yard system is, therefore, an early example of organised, municipal-wide solid waste management, and also of public-private sector participation. The dust-yard system had been working successfully for more than 50 years before the Public Health Acts of 1848 and 1875, and was thus important in facilitating a relatively smooth transition to an institutionalised, municipally-run solid waste management system in England. The dust-yards can be seen as early precursors of modern materials recycling facilities (MRFs) and mechanical-biological treatment (MBT) plants; however, it must be emphasised that dust-yards operated without any of the environmental and occupational health considerations that are indispensable today. In addition, there are analogies between dust-yards and informal sector recycling systems currently operating in many developing countries.

  14. 19th century London dust-yards: a case study in closed-loop resource efficiency.

    PubMed

    Velis, Costas A; Wilson, David C; Cheeseman, Christopher R

    2009-04-01

    The material recovery methods used by dust-yards in early 19th century London, England and the conditions that led to their development, success and decline are reported. The overall system developed in response to the market value of constituents of municipal waste, and particularly the high coal ash content of household 'dust'. The emergence of lucrative markets for 'soil' and 'breeze' products encouraged dust-contractors to recover effectively 100% of the residual wastes remaining after readily saleable items and materials had been removed by the thriving informal sector. Contracting dust collection to the private sector allowed parishes to keep the streets relatively clean, without the need to develop institutional capacity, and for a period this also generated useful income. The dust-yard system is, therefore, an early example of organised, municipal-wide solid waste management, and also of public-private sector participation. The dust-yard system had been working successfully for more than 50 years before the Public Health Acts of 1848 and 1875, and was thus important in facilitating a relatively smooth transition to an institutionalised, municipally-run solid waste management system in England. The dust-yards can be seen as early precursors of modern materials recycling facilities (MRFs) and mechanical-biological treatment (MBT) plants; however, it must be emphasised that dust-yards operated without any of the environmental and occupational health considerations that are indispensable today. In addition, there are analogies between dust-yards and informal sector recycling systems currently operating in many developing countries. PMID:19121575

  15. Psychiatric morbidity of overseas patients in inner London: A hospital based study

    PubMed Central

    Carranza, Fredy J; Parshall, Alice M

    2005-01-01

    Background Evaluation of the referral, admission, treatment, and outcome of overseas patients admitted to a psychiatric hospital in central London. Ethical, legal and economic implications, and the involvement of consulates in the admission process, are discussed. Method Assessment and review of overseas patients admitted between 1 January 1999 and 31 December 1999. Non-parametric statistical tests were used, and relevant outcomes described. Results 19% of admissions were overseas patients. Mean age was 38 years. 90% were unattached; 84% were white, 71% from European countries. 45% spoke fluent English. Differences in socio-economic status between home country and England were found. 74% were unwell on arrival; 65% travelled to England as tourists. 65% of admissions came via the police. 32% had been ill for more than one year before admission; 68% had psychiatric history. 77% were admitted and 48% discharged under section of the Mental Health Act. 74% had psychotic disorders, all of them with positive symptoms. 55% showed little to moderate improvement in mental state; 10% were on Enhanced Care Programme Approach. Relatives of 48% of patients were contacted. The Hospital repatriated 52% of patients; the Mental Health Team followed up 13% of those discharged. The average length of admission was 43.4 days (range 1–365). Total cost of admissions was GBP350, 600 ($577, 490); average individual cost was GBP11, 116 (range GBP200-81, 000). Conclusions Mentally ill overseas individuals are a vulnerable group that need recognition by health organisations to adapt current practice to better serve their needs. The involvement of consulates needs further evaluation. PMID:15845140

  16. New England Compounding Center Indictment.

    PubMed

    Cabaleiro, Joe

    2015-01-01

    This article is a review of the lapses in compliance with United States Pharmacopeia standards and pharmacy law as alleged by the New England Compounding Center indictment. This indictment was a result of an outbreak of fungal meningitis traced to fungal contamination of compounded methylprednisolone suspension for epidural steroid injections. This article is also intended as a gap analysis for compounders to review compliance at their own facility, and, if necessary, take the appropriate steps to implement best practices. PMID:26685489

  17. London Tideway Tunnels: tackling London's Victorian legacy of combined sewer overflows.

    PubMed

    Thomas, G B; Crawford, D

    2011-01-01

    It takes a few millimetres of rainfall to cause the 34 most polluting combined sewer overflows (CSOs) to discharge into the River Thames. Currently, in a typical year, spillages to the tidal reaches of the River Thames occur about 60 times, with an estimated spill volume of 39 million cubic metres. Both the UK Government and the European Union have determined that the CSO discharges have an adverse environmental impact on fish species, introduce unacceptable aesthetics and elevate the health risks for recreational users of the Thames, with a frequency of discharge which is in breach of the Urban Wastewater Treatment Directive. Studies have established that the environmental objectives can be fully met on the most cost-effective basis by completing both quality improvements to treatment works and by the provision of a storage and transfer tunnel to intercept unsatisfactory CSOs. Extensive modelling has been undertaken to develop an optimised solution. In parallel with the design development a rigorous and comprehensive site selection methodology has been established to select sites and consult stakeholders and the public on the preferred sites and scheme, with the first stage of public consultation planned for later in 2010. The London Tideway Tunnels are an essential part of the delivery of improvements to the water quality of the tidal River Thames, and this ambitious, historic scheme represents a vital strategic investment in London's infrastructure. PMID:21245557

  18. 75 FR 16096 - New England Power Generators Association Inc., Complainant v. ISO New England Inc., Respondent...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-31

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF ENERGY Federal Energy Regulatory Commission New England Power Generators Association Inc., Complainant v. ISO New... Generators Association Inc. (Complainant) filed a formal complaint against ISO New England Inc....

  19. Character change of New England snow

    USGS Publications Warehouse

    Huntington, T.G.; Hodgkins, G.A.; Keim, B.D.; Dudley, R.W.

    2004-01-01

    The annual ratio of snow to total precipitation (S/P) for 11 out of 21 US Historical Climatology Network (USHCN) sites in New England decreased significantly from 1949 through 2000. One possible explanation for the observed decrease in S/P ratio is that their temperature increased in New England during the 20th century. The results are consistent with published reports indicating lengthening of the growing season in New England.

  20. 78 FR 32384 - New England Power Generators Association v. ISO New England Inc.; Notice of Complaint

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-30

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF ENERGY Federal Energy Regulatory Commission New England Power Generators Association v. ISO New England Inc.; Notice of... Federal Power Act (FPA), 16 U.S.C. 824(e), the New England Power Generators Association...

  1. Initiatives to identify and mitigate medication errors in England.

    PubMed

    Cousins, David; Gerrett, David; Richards, Natalie; Jadeja, Mitulsinh M

    2015-04-01

    In response to the EU Directive on Pharmacovigilance, the National Health Service (NHS) in England and the Medicines and Healthcare Products Regulatory Agency (MHRA) in the UK have formed a partnership to work together to simplify and increase medication error reporting, improve data report quality, maximise learning and guide practice to minimise harm from medication errors by sharing incident data. This initiative will facilitate implementation of new requirements for medication error reporting and reduce the need for duplicate data entry by frontline staff. The initiative is also intended to provide new types of feedback from the National Reporting and Learning System run by the NHS England and from the Yellow Card Scheme run by the MHRA and to improve learning at the local level by clarifying medication safety roles and identifying key safety contacts to allow better communication between local and national levels. Finally, the partnership has established a new National Medication Safety Network to provide a forum for discussing potential and recognised safety issues, and for identifying trends and actions to improve the safe use of medicines. This article describes the initiative, the structure of which may act as a template for other countries. PMID:25735854

  2. 76 FR 9756 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-02-22

    ... National Oceanic and Atmospheric Administration RIN 0648-XA236 New England Fishery Management Council... Administration (NOAA), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery Management..., 2011 to consider actions affecting New England fisheries in the exclusive economic zone...

  3. 76 FR 52640 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-23

    ... National Oceanic and Atmospheric Administration RIN 0648-XA653 New England Fishery Management Council... Administration (NOAA), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery Management... to consider actions affecting New England fisheries in the exclusive economic zone...

  4. 75 FR 62507 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-12

    ... National Oceanic and Atmospheric Administration RIN 0648-XZ55 New England Fishery Management Council... Administration (NOAA), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery Management Council's (Council) Groundfish Committee will meet to consider actions affecting New England fisheries...

  5. 76 FR 78905 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-20

    ... National Oceanic and Atmospheric Administration RIN 0648-XA876 New England Fishery Management Council... Administration (NOAA), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery Management... consider actions affecting New England fisheries in the exclusive economic zone (EEZ). Recommendations...

  6. 77 FR 27440 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-10

    ... National Oceanic and Atmospheric Administration New England Fishery Management Council; Public Meeting...), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery Management Council (Council) is... New England fisheries in the exclusive economic zone (EEZ). Recommendations from this group will...

  7. 76 FR 7548 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-02-10

    ... National Oceanic and Atmospheric Administration RIN 0648-XA205 New England Fishery Management Council... Administration (NOAA), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery Management... actions affecting New England fisheries in the exclusive economic zone (EEZ). Recommendations from...

  8. 76 FR 30306 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-25

    ... National Oceanic and Atmospheric Administration RIN 0648-XA454 New England Fishery Management Council... Administration (NOAA), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery Management..., 2011 to consider actions affecting New England fisheries in the exclusive economic zone...

  9. 76 FR 17381 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-29

    ... National Oceanic and Atmospheric Administration RIN 0648-XA325 New England Fishery Management Council... Administration (NOAA), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery Management..., 2011, to consider actions affecting New England fisheries in the exclusive economic zone...

  10. 76 FR 9755 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-02-22

    ... National Oceanic and Atmospheric Administration RIN: 0648-XA233 New England Fishery Management Council... Administration (NOAA), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery Management... to consider actions affecting New England fisheries in the exclusive economic zone...

  11. 75 FR 41818 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-19

    ... National Oceanic and Atmospheric Administration RIN: 0648-XX63 New England Fishery Management Council... Administration (NOAA), Commerce ACTION: Notice; public meeting. SUMMARY: The New England Fishery Management... actions affecting New England fisheries in the exclusive economic zone (EEZ). Recommendations from...

  12. 76 FR 9756 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-02-22

    ... National Oceanic and Atmospheric Administration RIN 0648-XA234 New England Fishery Management Council... Administration (NOAA), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery Management... consider actions affecting New England fisheries in the exclusive economic zone (EEZ). Recommendations...

  13. 75 FR 31424 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-03

    ... National Oceanic and Atmospheric Administration RIN 0648-XW78 New England Fishery Management Council... Administration (NOAA), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery Management..., 2010 to consider actions affecting New England fisheries in the exclusive economic zone...

  14. 77 FR 5774 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-06

    ... National Oceanic and Atmospheric Administration RIN 0648-XA980 New England Fishery Management Council... Administration (NOAA), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery Management..., to consider actions affecting New England fisheries in the exclusive economic zone...

  15. 76 FR 50183 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-12

    ... National Oceanic and Atmospheric Administration RIN 0648-XA635 New England Fishery Management Council... Administration (NOAA), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery Management... consider actions affecting New England fisheries in the exclusive economic zone (EEZ). Recommendations...

  16. 75 FR 49466 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-13

    ... National Oceanic and Atmospheric Administration RIN 0648-XY16 New England Fishery Management Council... Administration (NOAA), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery Management Council's (Council) Groundfish Committee will meet to consider actions affecting New England fisheries...

  17. 77 FR 17459 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-26

    ... National Oceanic and Atmospheric Administration RIN 0648-XB106 New England Fishery Management Council... Administration (NOAA), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery Management... consider actions affecting New England fisheries in the exclusive economic zone (EEZ). Recommendations...

  18. 76 FR 16619 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-24

    ... National Oeanic and Atmospheric Administration RIN 0648-XA318 New England Fishery Management Council... Administration (NOAA), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery Management... England Fishery Management Council, 50 Water Street, Mill 2, Newburyport, MA 01950. FOR...

  19. 78 FR 30869 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-23

    ... National Oceanic and Atmospheric Administration RIN 0648-XC693 New England Fishery Management Council... Administration (NOAA), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery Management... England Fishery Management Council, 50 Water Street, Mill 2, Newburyport, MA 01950. FOR...

  20. 77 FR 58982 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-25

    ... National Oceanic and Atmospheric Administration RIN 0648-XC256 New England Fishery Management Council... Administration (NOAA), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery Management... England Fishery Management Council, 50 Water Street, Mill 2, Newburyport, MA 01950. FOR...

  1. 76 FR 64073 - New England Fishery Management Council; Public Meetings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-17

    ... National Oceanic and Atmospheric Administration RIN 0648-XA763 New England Fishery Management Council... Administration (NOAA), Commerce. ACTION: Notice; public meetings. SUMMARY: The New England Fishery Management... locations, see SUPPLEMENTARY INFORMATION. Council address: New England Fishery Management Council, 50...

  2. A rivalry of foulness: official and unofficial investigations of the London cholera epidemic of 1854.

    PubMed Central

    Paneth, N; Vinten-Johansen, P; Brody, H; Rip, M

    1998-01-01

    Contemporaneous with John Snow's famous study of the 1854 London cholera epidemic were 2 other investigations: a local study of the Broad Street outbreak and an investigation of the entire epidemic, undertaken by England's General Board of Health. More than a quarter-century prior to Koch's description of Vibrio comma, a Board of Health investigator saw microscopic "vibriones" in the rice-water stools of cholera patients that, in his later life, he concluded had been cholera bacilli. Although this finding was potential evidence for Snow's view that cholera was due to a contagious and probably live agent transmitted in the water supply, the Board of Health rejected Snow's conclusions. The Board of Health amassed a huge amount of information which it interpreted as supportive of its conclusion that the epidemic was attributable not so much to water as to air. Snow, by contrast, systematically tested his hypothesis that cholera was water-borne by exploring evidence that at first glance ran contrary to his expectations. Snow's success provides support for using a hypothetico-deductive approach in epidemiology, based on tightly focused hypotheses strongly grounded in pathophysiology. Images FIGURE 1 FIGURE 2 FIGURE 3 FIGURE 4 FIGURE 5 PMID:9772861

  3. Evaluation of the Health Protection Event-Based Surveillance for the London 2012 Olympic and Paralympic Games.

    PubMed

    Severi, E; Kitching, A; Crook, P

    2014-01-01

    The Health Protection Agency (HPA) (currently Public Health England) implemented the Health Protection Event-Based Surveillance (EBS) to provide additional national epidemic intelligence for the 2012 London Olympic and Paralympic Games (the Games). We describe EBS and evaluate the system attributes. EBS aimed at identifying, assessing and reporting to the HPA Olympic Coordination Centre (OCC) possible national infectious disease threats that may significantly impact the Games. EBS reported events in England from 2 July to 12 September 2012. EBS sourced events from reports from local health protection units and from screening an electronic application 'HPZone Dashboard' (DB). During this period, 147 new events were reported to EBS, mostly food-borne and vaccine-preventable diseases: 79 from regional units, 144 from DB (76 from both). EBS reported 61 events to the OCC: 21 of these were reported onwards. EBS sensitivity was 95.2%; positive predictive value was 32.8%; reports were timely (median one day; 10th percentile: 0 days - same day; 90th percentile: 3.6 days); completeness was 99.7%; stability was 100%; EBS simplicity was assessed as good; the daily time per regional or national unit dedicated to EBS was approximately 4 hours (weekdays) and 3 hours (weekends). OCC directors judged EBS as efficient, fast and responsive. EBS provided reliable, reassuring, timely, simple and stable national epidemic intelligence for the Games. PMID:24970374

  4. Does accountability for reasonableness work? A protocol for a mixed methods study using an audit tool to evaluate the decision-making of clinical commissioning groups in England

    PubMed Central

    Kieslich, Katharina; Littlejohns, Peter

    2015-01-01

    Introduction Clinical commissioning groups (CCGs) in England are tasked with making difficult decisions on which healthcare services to provide against the background of limited budgets. The question is how to ensure that these decisions are fair and legitimate. Accounts of what constitutes fair and legitimate priority setting in healthcare include Daniels’ and Sabin's accountability for reasonableness (A4R) and Clark's and Weale's framework for the identification of social values. This study combines these accounts and asks whether the decisions of those CCGs that adhere to elements of such accounts are perceived as fairer and more legitimate by key stakeholders. The study addresses the empirical gap arising from a lack of research on whether frameworks such as A4R hold what they promise. It aims to understand the criteria that feature in CCG decision-making. Finally, it examines the usefulness of a decision-making audit tool (DMAT) in identifying the process and content criteria that CCGs apply when making decisions. Methods and analysis The adherence of a sample of CCGs to criteria emerging from theories of fair priority setting will be examined using the DMAT developed by PL. The results will be triangulated with data from semistructured interviews with key stakeholders in the CCG sample to ascertain whether there is a correlation between those CCGs that performed well in the DMAT exercise and those whose decisions are perceived positively by interviewees. Descriptive statistical methods will be used to analyse the DMAT data. A combination of quantitative and qualitative content analysis methods will be used to analyse the interview transcripts. Ethics and dissemination Full ethics approval was received by the King's College London Biomedical Sciences, Dentistry, Medicine and Natural and Mathematical Sciences Research Ethics Subcommittee. The results of the study will be disseminated through publications in peer review journals. PMID:26163034

  5. Rapid estimation of excess mortality: nowcasting during the heatwave alert in England and Wales in June 2011

    PubMed Central

    Green, Helen K; Andrews, Nick J; Bickler, Graham

    2012-01-01

    Background A Heat-Health Watch system has been established in England and Wales since 2004 as part of the national heatwave plan following the 2003 European-wide heatwave. One important element of this plan has been the development of a timely mortality surveillance system. This article reports the findings and timeliness of a daily mortality model used to ‘nowcast’ excess mortality (utilising incomplete surveillance data to estimate the number of deaths in near-real time) during a heatwave alert issued by the Met Office for regions in South and East England on 24 June 2011. Methods Daily death registrations were corrected for reporting delays with historical data supplied by the General Registry Office. These corrected counts were compared with expected counts from an age-specific linear regression model to ascertain if any excess had occurred during the heatwave. Results Excess mortality of 367 deaths was detected across England and Wales in ≥85-year-olds on 26 and 27 June 2011, coinciding with the period of elevated temperature. This excess was localised to the east of England and London. It was detected 3 days after the heatwave. Conclusion A daily mortality model was sensitive and timely enough to rapidly detect a small excess, both, at national and regional levels. This tool will be useful when future events of public health significance occur. PMID:22766783

  6. New England Takes Stock of Midterm Elections

    ERIC Educational Resources Information Center

    Harney, John O.; Morwick, Carolyn

    2014-01-01

    The recent midterm elections brought New England two new governors. Rhode Island elected its first woman chief executive in Gina Raimondo (D). Massachusetts elected Charlie Baker (R), a former Harvard Pilgrim CEO and official in the Weld and Cellucci administrations. Otherwise, the New England corner offices cautiously welcomed back incumbents:…

  7. Leading Indicator: New England's Higher Education Economy

    ERIC Educational Resources Information Center

    Mortenson, Thomas G.

    2003-01-01

    In few places is higher education so ingrained in a region's economic vitality as in New England. Students from all over the world enroll in New England's institutions of learning and research, bringing resources to finance their education and living expenses that reverberate throughout local and state economies. Human capital-based industries…

  8. New England's Vital Resource: The Labor Force.

    ERIC Educational Resources Information Center

    Hoy, John C., Ed.; Bernstein, Melvin H., Ed.

    A collection of analyses and projections is presented that explores the challenges posed by a rapidly evolving economy and the critical issue of manpower policy facing New England and the nation. New England was able to move from traditional industry to high technology because its colleges and universities supplied basic research and trained…

  9. Studying policy implementation using a macro, meso and micro frame analysis: the case of the Collaboration for Leadership in Applied Health Research & Care (CLAHRC) programme nationally and in North West London

    PubMed Central

    2012-01-01

    Background The publication of Best research for best health in 2006 and the “ring-fencing” of health research funding in England marked the start of a period of change for health research governance and the structure of research funding in England. One response to bridging the ‘second translational gap’ between research knowledge and clinical practice was the establishment of nine Collaborations for Leadership in Applied Health Research and Care (CLAHRCs). The goal of this paper is to assess how national-level understanding of the aims and objectives of the CLAHRCs translated into local implementation and practice in North West London. Methods This study uses a variation of Goffman’s frame analysis to trace the development of the initial national CLAHRC policy to its implementation at three levels. Data collection and analysis were qualitative through interviews, document analysis and embedded research. Results Analysis at the macro (national policy), meso (national programme) and micro (North West London) levels shows a significant common understanding of the aims and objectives of the policy and programme. Local level implementation in North West London was also consistent with these. Conclusions The macro-meso-micro frame analysis is a useful way of studying the transition of a policy from high-level idea to programme in action. It could be used to identify differences at a local (micro) level in the implementation of multi-site programmes that would help understand differences in programme effectiveness. PMID:23067208

  10. Multifractal to monofractal evolution of the London street network.

    PubMed

    Murcio, Roberto; Masucci, A Paolo; Arcaute, Elsa; Batty, Michael

    2015-12-01

    We perform a multifractal analysis of the evolution of London's street network from 1786 to 2010. First, we show that a single fractal dimension, commonly associated with the morphological description of cities, does not suffice to capture the dynamics of the system. Instead, for a proper characterization of such a dynamics, the multifractal spectrum needs to be considered. Our analysis reveals that London evolves from an inhomogeneous fractal structure, which can be described in terms of a multifractal, to a homogeneous one, which converges to monofractality. We argue that London's multifractal to monofractal evolution might be a special outcome of the constraint imposed on its growth by a green belt. Through a series of simulations, we show that multifractal objects, constructed through diffusion limited aggregation, evolve toward monofractality if their growth is constrained by a nonpermeable boundary. PMID:26764655

  11. Multifractal to monofractal evolution of the London street network

    NASA Astrophysics Data System (ADS)

    Murcio, Roberto; Masucci, A. Paolo; Arcaute, Elsa; Batty, Michael

    2015-12-01

    We perform a multifractal analysis of the evolution of London's street network from 1786 to 2010. First, we show that a single fractal dimension, commonly associated with the morphological description of cities, does not suffice to capture the dynamics of the system. Instead, for a proper characterization of such a dynamics, the multifractal spectrum needs to be considered. Our analysis reveals that London evolves from an inhomogeneous fractal structure, which can be described in terms of a multifractal, to a homogeneous one, which converges to monofractality. We argue that London's multifractal to monofractal evolution might be a special outcome of the constraint imposed on its growth by a green belt. Through a series of simulations, we show that multifractal objects, constructed through diffusion limited aggregation, evolve toward monofractality if their growth is constrained by a nonpermeable boundary.

  12. The epidemiology of suicide on the London Underground.

    PubMed

    O'Donnell, I; Farmer, R D

    1994-02-01

    A database containing details of every incident of suicidal behaviour on the London Underground railway system between 1940 and 1990 was assembled from the records of London Underground Ltd and the British Transport Police. The total number of cases was 3240. The mean annual number of suicidal acts on the London Underground system increased from 36.1 (1940-1949) to 94.1 (1980-1989). There were significantly fewer incidents on Sundays than on the other days of the week and the daily rate was highest in the spring. 64% of incidents involved males and the peak age group for both sexes was 25-34 yr. Suicide verdicts were returned for a greater proportion of women than men. Overall case fatality was 55%. However, case fatality rates differed between stations, environmental factors appearing to influence survival. Possible strategies to prevent railway suicides and reduce the lethality of this method are discussed. PMID:8153744

  13. Diabetes Medicines

    MedlinePlus

    ... choices and physical activity, you may need diabetes medicines. The kind of medicine you take depends on your type of diabetes, ... pills. Combination pills contain two kinds of diabetes medicine in one tablet. Some people take pills and ...

  14. Nuclear Medicine.

    ERIC Educational Resources Information Center

    Badawi, Ramsey D.

    2001-01-01

    Describes the use of nuclear medicine techniques in diagnosis and therapy. Describes instrumentation in diagnostic nuclear medicine and predicts future trends in nuclear medicine imaging technology. (Author/MM)

  15. Aerospace Medicine

    NASA Technical Reports Server (NTRS)

    Michaud, Vince

    2015-01-01

    NASA Aerospace Medicine overview - Aerospace Medicine is that specialty area of medicine concerned with the determination and maintenance of the health, safety, and performance of those who fly in the air or in space.

  16. "Persons That Live Remote from London": Apothecaries and the Medical Marketplace in Seventeenth-and Eighteenth-Century Wales

    PubMed Central

    Withey, Alun

    2011-01-01

    Summary This article uses evidence from Welsh apothecary shops as a means to access the mechanisms of the "medical marketplace" in seventeenth- and eighteenth-century Wales. As a country physically remote from large urban medical centers, and with few large towns, Wales has often been overlooked in terms of medical commerce. Nevertheless, evidence suggests that Welsh apothecaries participated in broad and sophisticated networks of trade with London suppliers. Moreover, their shops contained a wide range of medicines from herbal simples to exotic ingredients and chemical preparations, highlighting the availability of such goods far from large urban centers. PMID:21804184

  17. "Persons that live remote from London": apothecaries and the medical marketplace in seventeenth-and eighteenth-century Wales.

    PubMed

    Withey, Alun

    2011-01-01

    This article uses evidence from Welsh apothecary shops as a means to access the mechanisms of the "medical marketplace" in seventeenth- and eighteenth-century Wales. As a country physically remote from large urban medical centers, and with few large towns, Wales has often been overlooked in terms of medical commerce. Nevertheless, evidence suggests that Welsh apothecaries participated in broad and sophisticated networks of trade with London suppliers. Moreover, their shops contained a wide range of medicines from herbal simples to exotic ingredients and chemical preparations, highlighting the availability of such goods far from large urban centers. PMID:21804184

  18. Health economic evaluation in England.

    PubMed

    Raftery, James

    2014-01-01

    The 2010 National Health Service Constitution for England specified rights and responsibilities, including health economic evaluation for the National Institute for Health and Care Excellence (NICE) and the Joint Committee on Vaccinations and Immunisations. The National Screening Committee and the Health Protection Agency also provide advice to the Government based on health economic evaluation. Each agency largely follows the methods specified by NICE. To distinguish the methods from neoclassical economics they have been termed "extra-welfarist". Key differences include measurement and valuation of both benefits (QALYs) and costs (healthcare related). Policy on discounting has also changed over time and by agency. The debate over having NICE's methods align more closely with neoclassical economics has been prominent in the ongoing development of "value based pricing". The political unacceptability of some decisions has led to special funding for technologies not recommended by NICE. These include the 2002 Multiple Sclerosis Risk Sharing Scheme and the 2010 Cancer Drugs Fund as well as special arrangements for technologies linked to the end of life and for innovation. Since 2009 Patient Access Schemes have made price reductions possible which sometimes enables drugs to meet NICE's cost-effectiveness thresholds. As a result, the National Health Service in England has denied few technologies on grounds of cost-effectiveness. PMID:25444294

  19. Sources and contributions of wood smoke during winter in London

    NASA Astrophysics Data System (ADS)

    Crilley, Leigh; Bloss, William; Yin, Jianxin; Beddows, David; Harrison, Roy; Zotter, Peter; Prevot, Andre; Green, David

    2014-05-01

    Determining the contribution of wood smoke in large urban centres such as London is becoming increasingly important with the changing nature of domestic heating partly due to the installation of biomass burning heaters to meet renewable energy targets imposed by the EU and also a rise in so-called recreational burning for aesthetic reasons (Fuller et al., 2013). Recent work in large urban centres (London, Paris and Berlin) has demonstrated an increase in the contribution of wood smoke to ambient particles during winter that can at times exceed traffic emissions. In Europe, biomass burning has been identified as a major cause of exceedances of European air quality limits during winter (Fuller et al., 2013). In light of the changing nature of emissions in urban areas there is a need for on-going measurements to assess the impact of biomass burning in cities like London. Therefore we aimed to determine quantitatively the contribution of biomass burning in London and surrounding rural areas. We also aimed to determine whether local emissions or regional sources were the main source of biomass burning in London. Sources of wood smoke during winter in London were investigated at an urban background site (North Kensington) and two surrounding rural sites (Harwell and Detling) by analysing selected wood smoke chemical tracers. Concentrations of levoglucosan, elemental carbon (EC), organic carbon (OC) and K+ were generally well correlated, indicating a similar source of these species at the three sites. Based on the conversion factor for levoglucosan, mean wood smoke mass at Detling, North Kensington and Harwell was 0.78, 0.87 and 1.0 µg m-3, respectively. At all the sites, biomass burning was found to be a source of OC and EC, with the largest source of OC and EC found to be secondary organic aerosols and traffic emissions, respectively. Peaks in levoglucosan concentrations at the sites were observed to coincide with low ambient temperature, suggesting domestic heating as

  20. Parish apprenticeship and the old poor law in London1

    PubMed Central

    Levene, Alysa

    2010-01-01

    This article offers an examination of the patterns and motivations behind parish apprenticeship in late eighteenth- and early nineteenth-century London. It stresses continuity in outlook from parish officials binding children, which involved placements in both the traditional and industrializing sectors of the economy. Evidence on the ages, employment types, and locations of 3,285 pauper apprentices bound from different parts of London between 1767 and 1833 indicates a variety of local patterns. The analysis reveals a pattern of youthful age at binding, a range of employment experiences, and parish-specific links to particular trades and manufactures. PMID:20939134

  1. Biomedical practices from a patient perspective. Experiences of Polish female migrants in Barcelona, Berlin and London.

    PubMed

    Main, Izabella

    2016-08-01

    This paper focuses on the diversity in patients' experience of bio-medicine and contrasts it with the normative view characteristic of health professionals. Ethnographic fieldwork among Polish migrant women in London, Barcelona and Berlin included interviews about their experiences with local healthcare and health professionals. Themes drawn from the narratives are differences between the cities in terms of communication between patients and health professionals, respect for patients' choices and dignity, attitudes to pregnancy and birth (different levels of medicalization), and paediatric care. It is argued that patients continuously negotiate among their own views and expectations based on previous experiences and knowledge from personal communication; internet forums and publications; and the offer of medical services in the countries of their settlement. Patients experience pluralism of therapeutic traditions within and outside bio-medicine. In turn, representatives of bio-medicine are rarely aware of other medical practices and beliefs and this leads to various misunderstandings. By highlighting the pluralism of medical practices in European countries and the increasing mobility of patients, this case study has useful implications for medical anthropologists and health professionals in a broader Western context, such as raising sensitivity to different communication strategies and a diversity of curing traditions and expectations. PMID:27258327

  2. Heart failure - medicines

    MedlinePlus

    CHF - medicines; Congestive heart failure - medicines; Cardiomyopathy - medicines; HF - medicines ... You will need to take most of your heart failure medicines every day. Some medicines are taken ...

  3. In London, a Working-Class University Wrestles with Change

    ERIC Educational Resources Information Center

    Labi, Aisha

    2012-01-01

    Patrick McGhee, vice chancellor of the University of East London, has a lot in common with many of the 28,000 students at the large urban institution he leads. He was the first in his family to attend university. And he dislikes much about the government's higher-education reform efforts, which he has deemed "misguided, premature, unproven and…

  4. Battersea: Education in a London Parish since 1750

    ERIC Educational Resources Information Center

    Saint, Andrew

    2010-01-01

    This paper examines the development of educational institutions and buildings in one slice of a big city over a long timescale. The city is London and the slice Battersea, an inner suburb of mixed character and volatile fortunes. The narrative explores the shifts and interactions between state and voluntary provision, local community needs and…

  5. Connecting Londoners with Their City through Digital Technologies

    ERIC Educational Resources Information Center

    Swift, Frazer

    2013-01-01

    London is one of the most complex, dynamic and diverse cities in the world, with 8 million residents, over 300 languages spoken in its schools, and some 30 million overseas visitors every year. Reaching out to and connecting all these people with the city's heritage while catering to their many interests, motivations and learning needs is a huge…

  6. Case Study: North Laurel High School, London, Kentucky.

    ERIC Educational Resources Information Center

    Southern Regional Education Board, Atlanta, GA.

    When North Laurel High School, London, Kentucky, opened in Fall 1992, students and teachers entered a new facility and a new era of commitment to excellence for all students. In Spring 1993, North Laurel joined the Southern Regional Education Board's High Schools That Work initiative. The new school replaced the general track and raised graduation…

  7. The University College London Archive of Stuttered Speech (UCLASS)

    ERIC Educational Resources Information Center

    Howell, Peter; Davis, Stephen; Bartrip, Jon

    2009-01-01

    Purpose: This research note gives details of 2 releases of audio recordings available from speakers who stutter that can be accessed on the Web. Method: Most of the recordings are from school-age children. These are available on the University College London Archive of Stuttered Speech (UCLASS) Web site, and information is provided about how to…

  8. Microform Applications Within the City of London Polytechnic.

    ERIC Educational Resources Information Center

    Pritchard, Alan

    A review is made of the possible applications within the libraries of the City of London Polytechnic of the three basic types of microforms--microfilm, microfiche, and microopaques. Major uses outlined involve: 1) the exploitation of existing data bases; 2) the storage of back issues of periodicals; 3) the presentation of programed instruction; 4)…

  9. Intergenerational Learning between Children and Grandparents in East London

    ERIC Educational Resources Information Center

    Kenner, Charmian; Ruby, Mahera; Jessel, John; Gregory, Eve; Arju, Tahera

    2007-01-01

    This study investigates the learning exchange between three- to six-year-old children and their grandparents, in Sylheti/Bengali-speaking families of Bangladeshi origin and monolingual English-speaking families living in east London. The following concepts from sociocultural theory are applied to this new area of intergenerational learning:…

  10. Gender Politics and Privatization in the London Borough of Camden.

    ERIC Educational Resources Information Center

    Brush, Lisa D.

    1986-01-01

    This article examines the differential impact of the privatization of social services on women in the London borough of Camden. Concludes that women will suffer greater decline than men in employment, wages, and status as a result of the privatization taking place in Great Britain. (JDH)

  11. Developing an Integrated Institutional Repository at Imperial College London

    ERIC Educational Resources Information Center

    Afshari, Fereshteh; Jones, Richard

    2007-01-01

    Purpose: This paper aims to demonstrate how a highly integrated approach to repository development and deployment can be beneficial in producing a successful archive. Design/methodology/approach: Imperial College London undertook a significant specifications process to gather and formalise requirements for its repository system. This was done…

  12. Amputations at the London Hospital 1852-1857

    PubMed Central

    Chaloner, E J; Flora, H S; Ham, R J

    2001-01-01

    Between 1852 and 1857 at the London Hospital, 142 amputations were performed in 136 patients. The most common indication was an injury sustained at work. Overall mortality was 46% and the death rate was especially high for lower-limb amputations. Most deaths were due to postoperative sepsis. Those who received chloroform anaesthesia did worse than those who received ether. PMID:11461989

  13. Martha Whiteley of Imperial College, London: A Pioneering Woman Chemist

    ERIC Educational Resources Information Center

    Nicholson, Rafaelle M.; Nicholson, John W.

    2012-01-01

    Martha Whiteley (1866-1956) was one of the most important women chemists in the United Kingdom in the first half of the 20th century. In a male-dominated field, she was an academic on the staff of a co-educational university, Imperial College, London, where she carried out research of her own choosing, rather than assisting a male professor. She…

  14. A fatal case of Lassa fever in London, January 2009.

    PubMed

    Kitching, A; Addiman, S; Cathcart, S; Bischop, L; Krahé, D; Nicholas, M; Coakley, J; Lloyd, G; Brooks, T; Morgan, D; Turbitt, D

    2009-02-12

    In January 2009, the eleventh [corrected] case of Lassa fever imported to the United Kingdom was diagnosed in London. Risk assessment of 328 healthcare contacts with potential direct exposure to Lassa virus - through contact with the case or exposure to bodily fluids - was undertaken. No contacts were assessed to be at high risk of infection and no secondary clinical cases identified. PMID:19215723

  15. New England style passive solar

    SciTech Connect

    Kriescher, P.

    2000-06-01

    There are homeowners throughout New England who planned for and built homes that allow them to avoid the sting of winter's high heating bills. These climate-responsive homes rely on passive solar heating, cooling and lighting. An example of such a climate-responsive/passive solar house is the home that Arthur and Terry Becker build on 6 beautiful acres (2.4 hectares) of rolling farm and woodland southeast of Andover, Connecticut, in 1981. They worked very closely with their designer, Al Eggan of K.T. Lear and Associates, to ensure that they would never have to pay for home heating oil, and that they would enjoy a level of year-round comfort that they had not experienced in conventionally built homes.

  16. Exporting Poor Health: The Irish in England

    PubMed Central

    Delaney, Liam; Fernihough, Alan; Smith, James P

    2013-01-01

    The Irish-born population in England typically were in worse health than both the native population and the Irish population in Ireland, a reversal of the commonly observed healthy migrant effect (HIE). Recent birth-cohorts living in England and born in Ireland, however, are healthier than the English population. The substantial Irish migrant health penalty arises principally for cohorts born between 1920 and 1960. This paper attempts to understand the processes that generated these changing migrant health patterns for Irish migrants to England. Our results suggest a strong role for economic selection in driving the dynamics of health differences between the Irish-born migrants and White English populations. PMID:24014181

  17. Proceedings of the World Summit on Television for Children. Final Report. (2nd, London, England, March 9-13, 1998).

    ERIC Educational Resources Information Center

    Clarke, Genevieve, Ed.

    This report summarizes the presentations and events of the Second World Summit on Television for Children, to which over 180 speakers from 50 countries contributed, with additional delegates speaking in conference sessions and social events. The report includes the following sections: (1) production, including presentations on the child audience,…

  18. Online Information 96. Proceedings of the International Online Information Meeting (20th, London, England, UK, December 3-5, 1996).

    ERIC Educational Resources Information Center

    Raitt, David I., Ed.; Jeapes, Ben, Ed.

    This proceedings volume contains 68 papers. Subjects addressed include: access to information; the future of information managers/librarians; intelligent agents; changing roles of library users; disintermediation; Internet review sites; World Wide Web (WWW) search engines; Java; online searching; future of online education; integrated information…

  19. Elementary Education in England with Special Reference to London, Liverpool, and Manchester. Bulletin, 1913, No. 57. Whole Number 568

    ERIC Educational Resources Information Center

    Kandel, I. L.

    1914-01-01

    With the rapid growth of American cities and the large increase in their industrial population, the problems of the city school administration are becoming more complex and difficult. These problems are different for different cities and can seldom if ever be solved by imitation. Yet a knowledge of the administration of the schools of one large…

  20. International Conference on Small and Special Electrical Machines, 2nd, London, England, September 22-24, 1981, Proceedings

    NASA Astrophysics Data System (ADS)

    Papers are presented on recent research concerning small and special electrical machines, including machine selection and environmental aspects; induction motors; stepping motors and drives; actuators, torque motors, and couplers; hysteresis and reluctance motors; synchronous motors and generators (including permanent magnet); control schemes and servo machines; and dc motors (including permanent magnet and brushless). Topics examined include the reliability of small ironless rotor dc motors, a new form of induction motor for fan drives, a study of the components of interbar voltage and magnetic field at the surface of small skewed diecast aluminum rotors, the microprocessor control of a step motor with various inertia loads, the synchronization of reluctance motor without pole-slipping, and the normal force in linear stepping motors. Also discussed are a direct simulation method using magnetic equivalent circuits for converter-fed reluctance machines, the synchronous performance of a single-phase machine with induced excitation, the application of design and analysis in small machines for aircraft, the microprocessor control of an inverter-driven reluctance motor, an electric main propulsion drive for a remotely piloted vehicle, and small dc motors with controllable electronic commutators. No individual items are abstracted in this volume

  1. Education in the attic: an insight into the educational services of the Old Operating Theatre Museum and Herb Garret, London Bridge.

    PubMed

    Edge, Stevie

    2009-01-01

    Hidden for almost a century in the attic of St Thomas' Church the oldest operating theatre in Britain is now part of a museum. This precious building now houses a collection of pre-anaesthetic tools, items relating to medicine in the home and various Apothecary displays. The museum aims to preserve the theatre and items relating to medicine, in order to contribute to the understanding of the development of medical knowledge, with particular reference to St Thomas' hospital. An independent museum with a long history of educational provision: this article explores some of the education services of The Old Operating Theatre Museum and Herb Garret at London Bridge. PMID:20481364

  2. Deaths of cyclists in london: trends from 1992 to 2006

    PubMed Central

    2010-01-01

    Background Cycling is an increasingly important mode of transport for environmental and health reasons. Cycling fatalities in London were previously investigated in 1994 using routinely collected data. Since then, there have been shifts in the modes of transport used, and in transport policies. We sought to replicate the previous work using data on cyclist deaths in London between 1992 and 2006, specifically investigating whether heavy goods vehicles continued to pose a threat. Methods Observational study based on analysis of time series of police road casualties data, 1992 to 2006, in London, UK. The main outcome measures were cyclists killed in road traffic collisions. Poisson regression and chi-squared test for homogeneity were used to assess time effects. Travel flow data was then used to estimate annual fatality rates per 100,000 cyclists per kilometre. Results From 1992 to 2006 there was a mean of 16 cycling fatalities per year (range 8-21). 146 deaths (60%) were in inner London and 96 in outer London. There was no evidence for a decline over time (p = 0.7) other than a pronounced dip in 2004 when there were 8 fatalities. Freight vehicles were involved in 103 of 242 (43%) of all incidents and the vehicle was making a left turn in over half of these (53%). The fatality rate ranged from 20.5 deaths in 1992 to 11.1 deaths in 2006 per 100,000 estimated cyclists per kilometre (rate ratio 0.54, 95% confidence interval 0.28 to 1.03). Conclusions There is little evidence fatality rates have fallen. Freight vehicles over 3.5 tonnes continue to present a disproportionate threat; they should be removed from urban roads and more appropriate means of delivery of essential goods found. PMID:21078190

  3. London Challenge: Surveys of Pupils and Teachers, 2005. Research Report RR718

    ERIC Educational Resources Information Center

    Ridley, Kate; Knight, Sarah; Scott, Emma; Benton, Tom; Woodthorpe, Adrian

    2006-01-01

    The London Challenge is a Department for Education and Skills (DfES) initiative, which aims to raise levels of attainment in London secondary schools and to create a world class education system in the capital. In 2005, London Challenge commissioned the National Foundation for Educational Research (NFER) to carry out a survey of Year 7 pupils,…

  4. 33 CFR 165.140 - New London Harbor, Connecticut-security zone.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 33 Navigation and Navigable Waters 2 2011-07-01 2011-07-01 false New London Harbor, Connecticut... London Harbor, Connecticut—security zone. (a) Security zones—(1) Security Zone A. The waters of the..., west of the Naval Submarine Base, New London, CT, enclosed by a line beginning at a point on...

  5. 33 CFR 165.140 - New London Harbor, Connecticut-security zone.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 33 Navigation and Navigable Waters 2 2010-07-01 2010-07-01 false New London Harbor, Connecticut... London Harbor, Connecticut—security zone. (a) Security zones—(1) Security Zone A. The waters of the..., west of the Naval Submarine Base, New London, CT, enclosed by a line beginning at a point on...

  6. Inner London's Education Authority: Reflections on ILEA Twenty-Five Years after Closure

    ERIC Educational Resources Information Center

    Mitchell, Peter

    2015-01-01

    It is 25 years since the Inner London Education Authority (ILEA) was abolished and management of education in central London transferred to 13 London boroughs. The author reflects on the experience of being an ex-ILEA head teacher, and of managing one of the new local education authorities in the immediate post-ILEA period. He begins by commenting…

  7. Building a Hypertextual Digital Library in the Humanities: A Case Study on London.

    ERIC Educational Resources Information Center

    Crane, Gregory; Smith, David A.; Wulfman, Clifford E.

    This paper describes the creation of a new humanities digital library collection: 11,000,000 words and 10,000 images representing books, images, and maps on pre-twentieth century London and its environs. The London collection contained far more dense and precise information than the materials from the Greco-Roman world. The London collection thus…

  8. London through Rose-Colored Graphics: Visual Rhetoric and Information Graphic Design in Charles Booth's Maps of London Poverty

    ERIC Educational Resources Information Center

    Kimball, Miles A.

    2006-01-01

    In this article, I examine a historical information graphic--Charles Booth's maps of London poverty (1889-1902)--to analyze the cultural basis of ideas of transparency and clarity in information graphics. I argue that Booth's maps derive their rhetorical power from contemporary visual culture as much as from their scientific authority. The visual…

  9. Jeremy Bentham and Church of England Education.

    ERIC Educational Resources Information Center

    Taylor, Brian

    1979-01-01

    The author traces Jeremy Bentham's attacks, in 1815 and 1816, on the Church of England's role in the provision of schooling in Britain, particularly his objections to Church policies excluding non-adherents from instruction. (SJL)

  10. Public health in interwar England and Wales: did it fail?

    PubMed Central

    Gorsky, Martin

    2008-01-01

    British historians initially saw the interwar period as a «golden age» for public health in local government, with unprecedented preventive and curative powers wielded by Medical Officers of Health (MOsH). In the 1980s Lewis and Webster challenged this reading, arguing that MOsH were overstretched, neglectful of their «watchdog» role and incapable of formulating a new philosophy of preventive medicine. The article first details this critique, then reappraises it in the light of recent demographic work. It then provides a case study of public health administration in South-West England. Its conclusion is that some elements of the Lewis/Webster case now deserve to be revised. PMID:19230339

  11. Public health in interwar England and Wales: did it fail?

    PubMed

    Gorsky, Martin

    2008-01-01

    British historians initially saw the interwar period as a "golden age" for public health in local government, with unprecedented preventive and curative powers wielded by Medical Officers of Health (MOsH). In the 1980s Lewis and Webster challenged this reading, arguing that MOsH were overstretched, neglectful of their "watchdog" role and incapable of formulating a new philosophy of preventive medicine. The article first details this critique, then reappraises it in the light of recent demographic work. It then provides a case study of public health administration in South-West England. Its conclusion is that some elements of the Lewis/Webster case now deserve to be revised. PMID:19230339

  12. Bath Stone - a Possible Global Heritage Stone from England

    NASA Astrophysics Data System (ADS)

    Marker, Brian

    2014-05-01

    The Middle Jurassic strata of England have several horizons of oolitic and bioclastic limestones that provide high quality dimension stone. One of the most important is found in and near the City of Bath. The Great Oolite Group (Upper Bathonian) contains the Combe Down and Bath Oolites, consisting of current bedded oolites and shelly oolites, that have been used extensively as freestones for construction nearby, for prestigious buildings through much of southern England and more widely. The stone has been used to some extent since Roman times when the city, then known as Aquae Sulis, was an important hot spa. The stone was used to a limited extent through medieval times but from the early 18th century onwards was exploited on a large scale through surface quarrying and underground mining. The City was extensively redeveloped in the 18th to early 19th century, mostly using Bath Stone, when the spas made it a fashionable resort. Buildings from that period include architectural "gems" such as the Royal Crescent and Pulteney Bridge, as well as the renovated Roman Baths. Many buildings were designed by some of the foremost British architects of the time. The consistent use of this stone gives the City an architectural integrity throughout. These features led to the designation of the City as a World Heritage Site. It is a requirement in current City planning policy documents that Bath Stone should be used for new building to preserve the appearance of the City. More widely the stone was used in major houses (e.g. Buckingham Palace and Apsley House in London; King's Pavilion in Brighton); civic buildings (e.g. Bristol Guildhall; Dartmouth Naval College in Devon); churches and cathedrals (e.g. Truro Cathedral in Cornwall); and engineered structures (e.g. the large Dundas Aqueduct on the Kennet and Avon Canal). More widely, Bath Stone has been used in Union Station in Washington DC; Toronto Bible College and the Town Hall at Cape Town, South Africa. Extraction declined in

  13. Variability in carbon dioxide fluxes for dense urban, suburban and woodland environments in southern England

    NASA Astrophysics Data System (ADS)

    Ward, Helen; Kotthaus, Simone; Grimmond, C. Sue; Bjorkegren, Alex; Wilkinson, Matt; Morrison, Will; Evans, Jon; Morison, James; Christen, Andreas

    2014-05-01

    The net exchange of carbon dioxide between the surface and atmosphere can be measured using the eddy covariance technique. Fluxes from a dense urban environment (central London), a suburban landscape (Swindon) and a woodland ecosystem (Alice Holt) are compared. All sites are located in southern England and experience similar climatic and meteorological conditions, yet have very different land cover. The signatures of anthropogenic and biogenic processes are explored at various (daily, seasonal and annual) timescales. Particular emphasis is placed on identifying the mixture of controls that determine the flux. In summer, there are clear similarities between the suburban and woodland sites, as the diurnal behaviour is dominated by photosynthetic uptake. In winter, however, vegetation is largely dormant and human activity determines the pattern of fluxes at the urban and suburban sites. Emissions from building heating augment the net release of carbon dioxide in cold months. Road use is a major contributor to the total emissions, and the diurnal cycle in the observed fluxes reflects this: in central London roads are busy throughout the day, whereas in Swindon a double-peaked rush-hour signal is evident. The net exchange of carbon dioxide is estimated for each site and set in context with other studies around the world. Central London has the smallest proportion of vegetation and largest emissions amongst study sites in the literature to date. Although Swindon's appreciable vegetation fraction helps to offset the anthropogenic emissions, even in summertime the 24h total flux is usually positive, indicating carbon release. Comparison of these three sites in a similar region demonstrates the effects of increasing urban density and changing land use on the atmosphere. Findings are relevant in terms of characterising the behaviour of urban surfaces and for quantifying the impact of anthropogenic activities.

  14. Use of contraception in women who present for termination of pregnancy in inner London.

    PubMed

    Price, S J; Barrett, G; Smith, C; Paterson, C

    1997-11-01

    To assess the contraceptive needs of induced abortion patients, a 3-month (1992-93) prospective study was conducted of 269 women presenting to a National Health Service clinic in London, England, for pregnancy termination. 163 women (62.6%) had been using contraception--primarily condoms--around the time they became pregnant, but 86 failed to use the method correctly. Another 81 women (31.2%) had used contraceptives in the past, but not at the time of the index conception. 73 of these women were former pill users and 39 had used condoms. 39.5% of these women had discontinued use because of contraceptive side effects, particularly nausea. Finally, 16 women (6.2%) had never used a contraceptive method. 15 of these women were from outside the UK and had difficulties speaking English. When asked what form of contraception they would like to use in the future, 48.8% of abortion patients identified the pill, 11.9% wanted Depo-Provera, 7.3% chose condoms, and 6.5% wanted the IUD. Chemists were a major source of contraceptive supplies for women in this study, and this trend may represent a way of avoiding discussions of sexual activity with health professionals. Among the recommendations emerging from this study are more widespread education about and availability of emergency contraception, health promotion education in pharmacies, enhanced training of general practitioners in pill prescribing criteria and counseling, efforts to prevent repeat unwanted pregnancies, and the preparation of educational materials for non-English speaking family planning clients. PMID:9392968

  15. Herbal Medicine

    MedlinePlus

    ... for its scent, flavor, or therapeutic properties. Herbal medicines are one type of dietary supplement. They are ... and fresh or dried plants. People use herbal medicines to try to maintain or improve their health. ...

  16. Diabetes Medicines

    MedlinePlus

    Diabetes means your blood glucose, or blood sugar, levels are too high. If you can't control your diabetes with wise food choices and physical activity, you may need diabetes medicines. The kind of medicine you take depends ...

  17. A mathematical model of the London riots and their policing

    PubMed Central

    Davies, Toby P.; Fry, Hannah M.; Wilson, Alan G.; Bishop, Steven R.

    2013-01-01

    In August 2011, several areas of London experienced episodes of large-scale disorder, comprising looting, rioting and violence. Much subsequent discourse has questioned the adequacy of the police response, in terms of the resources available and strategies used. In this article, we present a mathematical model of the spatial development of the disorder, which can be used to examine the effect of varying policing arrangements. The model is capable of simulating the general emergent patterns of the events and focusses on three fundamental aspects: the apparently-contagious nature of participation; the distances travelled to riot locations; and the deterrent effect of policing. We demonstrate that the spatial configuration of London places some areas at naturally higher risk than others, highlighting the importance of spatial considerations when planning for such events. We also investigate the consequences of varying police numbers and reaction time, which has the potential to guide policy in this area. PMID:23425781

  18. Rock and mineral physics at University College London

    NASA Astrophysics Data System (ADS)

    Dennis, Paul; Meredith, Philip; Price, David

    The Department of Geological Sciences at University College London (UCL), has undergone a period of major expansion and growth as a result of the restructuring of geology departments within the University of London that was carried out in 1982. This exercise produced the amalgamation of selected parts of the Department of Geological Sciences of Queen Mary College and the Department of Geology, UCL, on the UCL site. The creation of this strengthened grouping has been successful in attracting a significant number of active researchers in the field of rock and mineral physics (RMP) to the new UCL department. As a result, the academic staff has more than douhled since 1982 and now stands at 31.

  19. Casebooks in Early Modern England:

    PubMed Central

    Kassell, Lauren

    2014-01-01

    summary Casebooks are the richest sources that we have for encounters between early modern medical practitioners and their patients. This article compares astrological and medical records across two centuries, focused on England, and charts developments in the ways in which practitioners kept records and reflected on their practices. Astrologers had a long history of working from particular moments, stellar configurations, and events to general rules. These practices required systematic notation. Physicians increasingly modeled themselves on Hippocrates, recording details of cases as the basis for reasoned expositions of the histories of disease. Medical records, as other scholars have demonstrated, shaped the production of medical knowledge. Instead, this article focuses on the nature of casebooks as artifacts of the medical encounter. It establishes that casebooks were serial records of practice, akin to diaries, testimonials, and registers; identifies extant English casebooks and the practices that led to their production and preservation; and concludes that the processes of writing, ordering, and preserving medical records are as important for understanding the medical encounter as the records themselves. PMID:25557513

  20. 33 CFR 110.147 - New London Harbor, Conn.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ...°, 1,400 yards; 246°, 925 yards; 217°, 1,380 yards; and 235°, 1,450 yards. (2) Anchorage B. In the...,460 yards; 009°, 2,480 yards; 026°, 1,175 yards; and 008°, 1,075 yards. (3) Anchorage C. In the Thames River southward of New London Harbor, bounded by lines connecting a point bearing 100°, 450 yards...

  1. New series for agricultural prices in London, 1770–1914.

    PubMed

    Solar, Peter M; Klovland, Jan Tore

    2011-01-01

    New annual series for the prices of major agricultural commodities sold in London markets between 1770 and 1914 are presented. These series are based on bimonthly observations drawn from newspaper market reports. The products covered are wheat, barley (grinding and malting), oats, potatoes, hay, butter, beef, mutton, and pork. Annual prices are calculated for both calendar and production years. The new series are compared to existing series. PMID:21328804

  2. Modelling of hydrogen infrastructure for vehicle refuelling in London

    NASA Astrophysics Data System (ADS)

    Joffe, D.; Hart, D.; Bauen, A.

    One of the principal barriers to the widespread use of hydrogen as a road transport fuel is the need for a refuelling infrastructure to be established. The lack of an adequate refuelling infrastructure would severely inhibit an uptake of hydrogen vehicles. On the other hand, without significant penetration of these vehicles, the demand for hydrogen would be insufficient to make a widespread conventional refuelling infrastructure economic. The infrastructure is likely to develop initially in cities, due to the high concentration of vehicles and the anticipated air quality benefits of a switch to hydrogen as a road transport fuel. While trial schemes such as the Clean Urban Transport for Europe (CUTE) bus project will establish initial hydrogen refuelling sites, it is not clear how a transition to a widespread refuelling infrastructure will occur. Indeed, the number of possible different ways and scales of producing and distributing hydrogen means that the possible configurations for such an infrastructure are almost endless. Imperial College London is examining transition strategies for a hydrogen infrastructure for vehicle refuelling in London under a project funded by the UK Engineering and Physical Sciences Research Council (EPSRC). Imperial has five project partners from industry and local government to assist in this study: the Greater London Authority (GLA), BP, BOC, BMW and Air Products. This paper presents initial results from technical modelling of hydrogen infrastructure technologies and how they could be deployed to provide an initial facility for the refuelling of hydrogen fuel-cell buses in London. The results suggest that the choice of H 2 production technology can have significant effects on when the infrastructure would be installed, and the timing of hydrogen production, and bus refuelling.

  3. Vulnerability to the mortality effects of warm temperature in the districts of England and Wales

    NASA Astrophysics Data System (ADS)

    Bennett, James E.; Blangiardo, Marta; Fecht, Daniela; Elliott, Paul; Ezzati, Majid

    2014-04-01

    Warm temperatures adversely affect disease occurrence and death, in extreme conditions as well as when the temperature changes are more modest. Therefore climate change, which is expected to affect both average temperatures and temperature variability, is likely to impact health even in temperate climates. Climate change risk assessment is enriched if there is information on vulnerability and resilience to effects of temperature. Some studies have analysed socio-demographic characteristics that make individuals vulnerable to adverse effects of temperature. Less is known about community-level vulnerability. We used geo-coded mortality and environmental data and Bayesian spatial methods to conduct a national small-area analysis of the mortality effects of warm temperature for all 376 districts in England and Wales. In the most vulnerable districts, those in London and south/southeast England, odds of dying from cardiorespiratory causes increased by more than 10% for 1 °C warmer temperature, compared with virtually no effect in the most resilient districts, which were in the far north. A 2 °C warmer summer may result in 1,552 (95% credible interval 1,307-1,762) additional deaths, about one-half of which would occur in 95 districts. The findings enable risk and adaptation analyses to incorporate local vulnerability to warm temperature and to quantify inequality in its effects.

  4. Venereology at the Polyclinic: Postgraduate Medical Education Among General Practitioners in England, 1899–1914

    PubMed Central

    Hanley, Anne

    2015-01-01

    In 1899 the British Medical Journal enthusiastically announced that a new postgraduate teaching college was to open in London. The aim of the Medical Graduates’ College and Polyclinic (MGC) was to provide continuing education to general practitioners. It drew upon emerging specialisms and in so doing built upon the generalist training received at an undergraduate level. Courses were intended to refresh knowledge and to introduce general practitioners to new knowledge claims and clinical practices. The establishment of postgraduate institutions such as the MGC marked an important stage in the development of medical education in England. Yet these institutions, and the emergence of postgraduate medical education more broadly, have been largely overlooked by historians. Moreover the history of venereological training among medical undergraduates and postgraduates alike has been overlooked. The study of such special subjects characterised postgraduate study. This article examines the dissemination of venereological knowledge among subscribers to MGC as an important case study for the development of institutionalised postgraduate medical education in England at the turn of the twentieth century. PMID:25766540

  5. Medicine Women.

    ERIC Educational Resources Information Center

    Beiswenger, James N., Ed.; Jeanotte, Holly, Ed.

    Described as a survival manual for Indian women in medicine, this collected work contains diverse pieces offering inspiration and practical advice for Indian women pursuing or considering careers in medicine. Introductory material includes two legends symbolizing the Medicine or Spirit Woman's role in Indian culture and an overview of Indians Into…

  6. Using population segmentation to inform local obesity strategy in England.

    PubMed

    Wills, Jane; Crichton, Nicola; Lorenc, Ava; Kelly, Muireann

    2015-09-01

    Little is known about the views of obese people and how best to meet their needs. Amongst London boroughs Barking and Dagenham has the highest prevalence of adult obesity at 28.7%; the lowest level of healthy eating and of physical activity; and is the 22nd most deprived area of England. The study aimed to gain insight into the attitudes, motivations and priorities of people who are obese or overweight to inform the social marketing of an obesity strategy. Two hundred and ten obese or overweight adults were recruited through visual identification in public thoroughfares to attempt to recruit those seldom seen in primary care. One hundred and eighty-one street-intercept and 52 in-depth interviews were conducted. Thematic analysis was followed by psychographic segmentation. Eleven population segments were identified based on their readiness to change, the value accorded to tackling obesity, identified enabling factors and barriers to weight management and perceived self-efficacy. This population showed considerable variation in its readiness to change and perceived control over obesity but considerable similarity in the exchange value they attributed to tackling their obesity. Even within a relatively homogenous socio-demographic community, there needs to be a range of interventions and messages tailored for different population segments that vary in their readiness to change and confidence about tackling obesity. The dominant emphasis of policy and practice on the health consequences of obesity does not reflect the priorities of this obese population for whom the exchange value of addressing obesity was daily functioning especially in relation to family life. PMID:24504360

  7. Dilemmas in Medicine, 2nd Edition 1977. CEM Probe.

    ERIC Educational Resources Information Center

    Undy, Harry, Ed.

    Published for secondary school youth in England, the PROBE series presents provocative information and discussion questions on topical themes. The focus of this issue is on aspects of medicine which raise moral dilemmas for doctors, patients, and society in general. This issue contains case studies which illustrate ethical questions raised by the…

  8. Popular culture and sporting life in the rural margins of late eighteenth-century England: the world of Robert Anderson, "The Cumberland Bard".

    PubMed

    Huggins, Mike

    2012-01-01

    This study sets out to extend and challenge existing historiography on late eighteenth century British popular culture, customary sports, class and cultural identity, focusing upon the rural geo-political borderland of England. It suggests that prevailing class-based and more London-biased studies need to be balanced with more regionalist-based work, and shows the importance of northern regional leisure variants. The textual and historical analysis draws largely on the published works of a neglected working-class dialect poet, Robert Anderson, living and working in Cumberland, arguing that he represented a strain of ''bardic regionalism,'' a variant of Katie Trumpener’s ''bardic nationalism.'' PMID:22400156

  9. Nuclear energy is necessary in New England

    SciTech Connect

    Kline, R.V.

    1981-01-01

    In New England, in the early 1970's, nuclear power was selected by the utilities as the most-economical method of power generation for the region, and detailed plans were developed, including plant sites and an industrial infrastructure. In 1970 it was expected that, by 1980, 45.5% of electrical-generating capacity in New England would be nuclear. In 1980, only 20% of electrical generating capacity and 35% of electrical production are nuclear. In 1980, New England used oil for 60% of its electricity generation: 80% of that oil (48% of the electricity generated) is foreign oil, and none of the oil is indigenous to New England. New England would therefore have to use 48% less electricity if a serious oil embargo were imposed and no other adjustments were made. The cost figures for one company, Boston Edison, illustrate the cost of oil-generated electricity. Pilgrim I, a nuclear power plant completed 12/72, with a nameplate capacity of 670 MWe, now supplies about 38% of the needs of the customers of Boston Edison. The busbar costs (the cost of power at the point of production, before it is distributed) from this plant quoted to the Public Utility Commission are currently (1980) 1.7 cents per kWh and constant. The rest of Boston Edison's power is derived from oil-fired plants at a busbar cost of 3.7 cents per kWh and is rising rapidly.

  10. NASA New England Outreach Center

    NASA Technical Reports Server (NTRS)

    2002-01-01

    The NASA New England Outreach Center in Nashua, New Hampshire was established to serve as a catalyst for heightening regional business awareness of NASA procurement, technology and commercialization opportunities. Emphasis is placed on small business participation, with the highest priority given to small disadvantaged businesses, women-owned businesses, HUBZone businesses, service disabled veteran owned businesses, and historically black colleges and universities and minority institutions. The Center assists firms and organizations to understand NASA requirements and to develop strategies to capture NASA related procurement and technology opportunities. The establishment of the NASA Outreach Center serves to stimulate business in a historically underserved area. NASA direct business awards have traditionally been highly present in the West, Midwest, South, and Southeast areas of the United States. The Center guides and assists businesses and organizations in the northeast to target opportunities within NASA and its prime contractors and capture business and technology opportunities. The Center employs an array of technology access, one-on-one meetings, seminars, site visits, and targeted conferences to acquaint Northeast firms and organizations with representatives from NASA and its prime contractors to learn about and discuss opportunities to do business and access the inventory of NASA technology. This stimulus of interaction also provides firms and organizations the opportunity to propose the use of their developed technology and ideas for current and future requirements at NASA. The Center provides a complement to the NASA Northeast Regional Technology Transfer Center in developing prospects for commercialization of NASA technology. In addition, the Center responds to local requests for assistance and NASA material and documents, and is available to address immediate concerns and needs in assessing opportunities, timely support to interact with NASA Centers on

  11. The Paediatric Board of the Royal College of Physicians of London: its role in the college.

    PubMed

    Chambers, T

    1992-01-01

    Conscious of its responsibilities to its Fellows and Members who are paediatricians, the Royal College of Physicians (RCP) is anxious to play its part, along with others, in maintaining and improving standards in paediatrics. Recognising the importance and prominence of the specialty within the generality of specialist medicine, and alongside general internal medicine, it has established a Paediatric Board, reporting directly to Council, which will deal with and advise on all matters concerning paediatrics and child health, and thus enhance the autonomy and influence of the specialty both within the College and on medical affairs in general. It will do this in close association with the British Paediatric Association (BPA) which will nominate members of the Board. In particular the RCP will continue to set standards in paediatrics through examinations, accreditation, representatives on consultant advisory appointment committees, and its membership of the GMC and the Conference of Medical Royal Colleges and their Faculties, to which the Paediatric Board will make a substantial contribution. The network of regional paediatric advisers to the RCP will ensure that the Board is kept in touch with paediatric opinion throughout England, Wales and Northern Ireland. Relationships with Scottish paediatrics and paediatricians will be important, for example, in the organisation and development of the MRCP(UK) examination and its paediatric Part II. Links with paediatricians in the Irish Republic exist through the Joint Committee on Higher Medical Training. PMID:1573597

  12. 77 FR 27717 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-11

    ... National Oceanic and Atmospheric Administration New England Fishery Management Council; Public Meeting AGENCY: National Marine Fisheries Service (NMFS), National Oceanic and Atmospheric Administration (NOAA), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery Management Council's...

  13. 77 FR 27716 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-11

    ... National Oceanic and Atmospheric Administration New England Fishery Management Council; Public Meeting AGENCY: National Marine Fisheries Service (NMFS), National Oceanic and Atmospheric Administration (NOAA), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery Management Council's...

  14. 78 FR 79402 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-30

    ...The New England Fishery Management Council's (Council) Joint VMS/Enforcement Committee and Advisory Panel will meet to consider actions affecting New England fisheries in the exclusive economic zone...

  15. 77 FR 29315 - New England Fishery Management Council; Public Meeting;

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-17

    ... National Oceanic and Atmospheric Administration RIN 0648-XC015 New England Fishery Management Council; Public Meeting; Correction AGENCY: National Marine Fisheries Service (NMFS), National Oceanic and Atmospheric Administration (NOAA), Commerce. ACTION: Notice; correction. SUMMARY: The New England...

  16. 75 FR 29989 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-28

    ... National Oceanic and Atmospheric Administration RIN 0648-XW66 New England Fishery Management Council... Administration (NOAA), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery Management Council's (Council) VMS/ Enforcement Committee will meet to consider actions affecting New...

  17. 77 FR 35359 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-13

    ... National Oceanic and Atmospheric Administration New England Fishery Management Council; Public Meeting...), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery Management Council's (Council) VMS/ Enforcement Committee and Advisory Panel will meet to consider actions affecting New...

  18. 78 FR 18963 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-28

    ... National Oceanic and Atmospheric Administration RIN 0648-XC594 New England Fishery Management Council... Administration (NOAA), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery Management Council's (Council) Recreational Advisory Panel will meet to consider actions affecting New...

  19. 75 FR 49466 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-13

    ... National Oceanic and Atmospheric Administration RIN 0648-XY17 New England Fishery Management Council... Administration (NOAA), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery Management Council's (Council) VMS/ Enforcement Committee will meet to consider actions affecting New...

  20. 75 FR 31425 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-03

    ... National Oceanic and Atmospheric Administration RIN 0648-XW76 New England Fishery Management Council... Administration (NOAA), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery Management Council's (Council) VMS/ Enforcement Committee will meet to consider actions affecting New...

  1. 76 FR 31304 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-31

    ... National Oceanic and Atmospheric Administration RIN: 0648-XA462 New England Fishery Management Council; Public Meeting AGENCY: National Marine Fisheries Service (NMFS), National Oceanic and Atmospheric Administration (NOAA), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery...

  2. 76 FR 48806 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-09

    ... the small mesh fishery. These alternatives will include Annual Catch Limit (ACL) measures (allocations... National Oceanic and Atmospheric Administration RIN 0648-XA621 New England Fishery Management Council... Administration (NOAA), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery...

  3. 77 FR 57076 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-17

    ... National Oceanic and Atmospheric Administration RIN 0648-XC237 New England Fishery Management Council; Public Meeting AGENCY: National Marine Fisheries Service (NMFS), National Oceanic and Atmospheric Administration (NOAA), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery...

  4. 75 FR 47268 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-05

    ... National Oceanic and Atmospheric Administration RIN: 0648-XY00 New England Fishery Management Council... Administration (NOAA), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery Management... Fishery Management Council, 50 Water Street, Mill 2, Newburyport, MA 01950. FOR FURTHER...

  5. 78 FR 20618 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-05

    ... National Oceanic and Atmospheric Administration RIN 0649-XC608 New England Fishery Management Council; Public Meeting AGENCY: National Marine Fisheries Service (NMFS), National Oceanic and Atmospheric Administration (NOAA), Commerce. ACTION: Notice of a public meeting. SUMMARY: The New England Fishery...

  6. 77 FR 71786 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-12-04

    ... National Oceanic and Atmospheric Administration RIN 0648-XC375 New England Fishery Management Council; Public Meeting AGENCY: National Marine Fisheries Service (NMFS), National Oceanic and Atmospheric Administration (NOAA), Commerce. ACTION: Notice of a public meeting. SUMMARY: The New England Fishery...

  7. 77 FR 53868 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-04

    ... National Oceanic and Atmospheric Administration RIN 0648-XC212 New England Fishery Management Council; Public Meeting AGENCY: National Marine Fisheries Service (NMFS), National Oceanic and Atmospheric Administration (NOAA), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery...

  8. 77 FR 70737 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-27

    ...; ] DEPARTMENT OF COMMERCE National Oceanic and Atmospheric Administration RIN 0648-XC366 New England Fishery Management Council; Public Meeting AGENCY: National Marine Fisheries Service (NMFS), National Oceanic and Atmospheric Administration (NOAA), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England...

  9. 78 FR 44929 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-25

    ... National Oceanic and Atmospheric Administration RIN 0648-XC778 New England Fishery Management Council; Public Meeting AGENCY: National Marine Fisheries Service (NMFS), National Oceanic and Atmospheric Administration (NOAA), Commerce. ACTION: Notice; public meeting. ] SUMMARY: The New England Fishery...

  10. 78 FR 28578 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-15

    ... National Oceanic and Atmospheric Administration RIN 0648-XC685 New England Fishery Management Council; Public Meeting AGENCY: National Marine Fisheries Service (NMFS), National Oceanic and Atmospheric Administration (NOAA), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery...

  11. 78 FR 54239 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-03

    ... National Oceanic and Atmospheric Administration RIN 0648-XC847 New England Fishery Management Council; Public Meeting AGENCY: National Marine Fisheries Service (NMFS), National Oceanic and Atmospheric Administration (NOAA), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery...

  12. 78 FR 54240 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-03

    ... National Oceanic and Atmospheric Administration RIN 0648-XC841 New England Fishery Management Council; Public Meeting AGENCY: National Marine Fisheries Service (NMFS), National Oceanic and Atmospheric Administration (NOAA), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery...

  13. 77 FR 29595 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-18

    ... National Oceanic and Atmospheric Administration New England Fishery Management Council; Public Meeting...), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery Management Council (Council) is... Fishery Management Council, 50 Water Street, Mill 2, Newburyport, MA 01950. FOR FURTHER...

  14. 76 FR 31304 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-31

    ... National Oceanic and Atmospheric Administration RIN 0658-XA461 New England Fishery Management Council; Public Meeting AGENCY: National Marine Fisheries Service (NMFS), National Oceanic and Atmospheric Administration (NOAA), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery...

  15. 77 FR 2038 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-01-13

    ...The New England Fishery Management Council (Council) will hold a three-day meeting from January 31, 2012, through February 2, 2012 to consider actions affecting New England fisheries in the exclusive economic zone...

  16. Would you get your Gonorrhoea treated in the north of England?

    PubMed

    Elawad, B B; White, C

    2001-02-01

    The management outcome of gonorrhoea in the northern region of England was assessed and compared with the recently published national guidelines. An audit questionnaire was completed by all genitourinary medicine (GUM) clinics in the region. Information with regard to demographic data, microscopy, culture results, test of cure, antibiotic use and sensitivity and contact tracing were recorded. A total of 420 cases of gonorrhoea were diagnosed in 1998. The ratio of males to females with gonorrhoea was 2.1:1. Half were heterosexual males and one-third females. Direct microscopy was positive in 85% of heterosexual males but in less than one-third of females. Ciprofloxacin was the most commonly used antibiotic. One-third of the isolates were resistant or partially resistant to penicillin. Health advisors saw 85% of patients and 41-68% of 'potential' contacts were seen. The management of gonorrhoea in the northern region of England complies with the national guideline recommendations. PMID:11236101

  17. Paleozoic orogens in New England, USA

    USGS Publications Warehouse

    Robinson, P.; Tucker, R.D.; Bradley, D.; Berry, H.N., IV; Osberg, P.H.

    1998-01-01

    Stratigraphy and isotope geochronology in the crystalline core of the Appalachians suggest revised interpretations of the extent, nature and timing of Paleozoic orogens in New England. Five major episodes of magmatism, deformation, and high-grade regional metamorphism are recognized: Taconian (455-442 Ma), Acadian (423-385 Ma), Neo-Acadian (366-350 Ma), Late Pennsylvanian (300-290 Ma) and Alleghanian (280-260 Ma). In the Taconian, the passive margin of Laurentia was subducted below a complex magmatic arc lasting from 480 to 442 Ma, founded in part on continental crust of a Medial New England terrane with possible affinities with Amazonia. Questions about Medial New England involve its coherence as a single plate, and the nature of its underlying crust. The Acadian began in Late Silurian as a collision between the amalgamated Laurentia-Medial New England and outer belts of Composite Avalon along a cryptic suture in coastal Maine, and progressed northwestward to the Connecticut Valley basin by mid-Devonian. Tonalitic-granitic magmatism and up to granulite-facies metamorphism culminated in Early Devonian, possibly tied to lithospheric detachment below the subducting northwestern plate and consequent asthenosphere upwelling. Newly discovered Neo-Acadian Late Devonian to Early Mississippian tonalitic-granitic magmatism, up to granulite-facies metamorphism, and severe deformation in central Massachusetts took place in a plate context poorly understood. Late Pennsylvanian effects include magmatism, metamorphism, and deformation near south New England gneiss domes and the Sebago batholith, and development of the right-lateral Norumbega fault system. Permian Alleghanian effects include penetrative deformation, granitic intrusions and up to sillimanite-grade metamorphism of Pennsylvanian beds in southeastern New England. These last two episodes relate to the arrival of Africa.

  18. [SPORT MEDICINE].

    PubMed

    Constantini, Naama; Mann, Gideon

    2016-06-01

    Sports Medicine is a relatively new subject in medicine and includes a variety of medical and paramedical fields. Although sports medicine is mistakenly thought to be mainly for sports professionals/athletes, it actually encompasses the entire population, including the active and non-active healthy populations, as well as the sick. Sports medicine also engages amateur sportsmen and strives to promote physical activity and quality of life in the general population. Hence, the field involves all ages from childhood to old age, aiming to preserve and support every person at every age. Sports medicine, which started developing in the 19th century, is today a specialty, primary or secondary, in many countries, while in others it is a fellowship or under the jurisdiction of local or sports authorities. In Israel, the field exists since the 1950's and is advanced. The Sports Medicine Society founded a 3-year course of continued education in sport medicine as part of the Tel-Aviv University Faculty of Medicine. Later on, a fellowship in general Sports Medicine and in Orthopedic Sports Medicine were developed within the Israel Medical Association. A year ago, Israel formally became a member of the global "Exercise is Medicine" foundation, and under this title promotes education for health care providers on exercise prescription. The understanding of the importance of physical activity and fitness as part of a healthy lifestyle is increasing in Israel, as well as the number of amateur athletes, and the profession of sports medicine takes a big part in this process. PMID:27544982

  19. Annual Directory of New England Colleges and Universities 2007

    ERIC Educational Resources Information Center

    Connection: The Journal of the New England Board of Higher Education, 2007

    2007-01-01

    "Connection" presents its "Annual Directory of New England Colleges and Universities," providing a wealth of information on New England higher education. For more than a quarter of a century, this college and university directory has been the publication of record for those seeking important information about New England colleges and universities.…

  20. Annual Directory of New England Colleges and Universities 2006

    ERIC Educational Resources Information Center

    Connection: The Journal of the New England Board of Higher Education, 2006

    2006-01-01

    "Connection" presents its "Annual Directory of New England Colleges and Universities," providing a wealth of information on New England higher education. For more than a quarter of a century, this college and university directory has been the publication of record for those seeking important information about New England colleges and universities.…

  1. Annual Directory of New England Colleges and Universities 2008

    ERIC Educational Resources Information Center

    New England Journal of Higher Education, 2008

    2008-01-01

    "The New England Journal of Higher Education" (formerly "Connection") presents its "Annual Directory of New England Colleges and Universities," providing a wealth of information on New England higher education. For more than a quarter of a century, this college and university directory has been the publication of record for those seeking important…

  2. Annual Directory of New England Colleges and Universities 2009

    ERIC Educational Resources Information Center

    New England Journal of Higher Education, 2009

    2009-01-01

    "The New England Journal of Higher Education" (formerly "Connection") presents its "Annual Directory of New England Colleges and Universities," providing a wealth of information on New England higher education. For more than a quarter of a century, this college and university directory has been the publication of record for those seeking important…

  3. Annual Directory of New England Colleges and Universities 2005

    ERIC Educational Resources Information Center

    Connection: The Journal of the New England Board of Higher Education, 2005

    2005-01-01

    "Connection" presents its "Annual Directory of New England Colleges and Universities," providing a wealth of information on New England higher education. For more than a quarter of a century, this college and university directory has been the publication of record for those seeking important information about New England colleges and universities.…

  4. Ezekiel Cheever (1614-1708), New England Colonial Teacher.

    ERIC Educational Resources Information Center

    Parker, Franklin; Parker, Betty J.

    This paper narrates the life of Ezekiel Cheever, the most famous colonial New England Latin grammar teacher of his time. Cheever came from middle class Puritan roots in England, receiving a classical education before emigrating to Boston (Massachusetts). His remarkably long teaching career of 70 years in four New England towns and the esteem shown…

  5. Gauging the Health of New England's Lakes and Ponds

    EPA Science Inventory

    The New England Lakes and Ponds Project provides a consistent and first time comprehensive assessment of the ecological and water quality condition of lakes and ponds across the New England region. The project is being conducted by EPA along with the New England Interstate Water...

  6. 75 FR 23244 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-03

    ... National Oceanic and Atmospheric Administration RIN 0648-XW16 New England Fishery Management Council... Administration (NOAA), Commerce. ACTION: Notice of a public meeting. SUMMARY: The New England Fishery Management..., 2010, to consider actions affecting New England fisheries in the exclusive economic zone...

  7. 77 FR 47373 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-08-08

    ... National Oceanic and Atmospheric Administration RIN 0648-XC151 New England Fishery Management Council... Administration (NOAA), Commerce. ACTION: Notice of public meeting. SUMMARY: The New England Fishery Management... actions affecting New England fisheries in the exclusive economic zone (EEZ). Recommendations from...

  8. 76 FR 44577 - New England Fishery Management Council; Public meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-26

    ... National Oceanic and Atmospheric Administration RIN 0648-XA598 New England Fishery Management Council... Administration (NOAA), Commerce. ACTION: Notice; Public meeting. ] SUMMARY: The New England Fishery Management... consider actions affecting New England fisheries in the exclusive economic zone (EEZ). DATES: The...

  9. 77 FR 14004 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-08

    ... National Oceanic and Atmospheric Administration RIN 0648-XB064 New England Fishery Management Council... Administration (NOAA), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery Management... New England fisheries in the exclusive economic zone (EEZ). DATES: The meeting will be held...

  10. 76 FR 26706 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-09

    ... National Oceanic and Atmospheric Administration RIN 0648-XA418 New England Fishery Management Council... Administration (NOAA), Commerce. ACTION: Notice of a public meeting. SUMMARY: The New England Fishery Management Council's (Council) Groundfish Committee will meet to consider actions affecting New England fisheries...

  11. 76 FR 53415 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-26

    ... National Oceanic and Atmospheric Administration RIN 0648-XA664 New England Fishery Management Council... Administration (NOAA), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery Management... September 14-15, 2011, to consider actions affecting New England fisheries in the exclusive economic...

  12. 78 FR 4391 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-01-22

    ... National Oceanic and Atmospheric Administration RIN 0648-XC454 New England Fishery Management Council... Administration (NOAA), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery Management... New England fisheries in the exclusive economic zone (EEZ). Recommendations from this group will...

  13. 77 FR 56813 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-14

    ... National Oceanic and Atmospheric Administration RIN 0648-XC234 New England Fishery Management Council... Administration (NOAA), Commerce. ACTION: Notice of a public meeting. SUMMARY: The New England Fishery Management... affecting New England fisheries in the exclusive economic zone (EEZ). Recommendations from this group...

  14. 75 FR 66072 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-27

    ... National Oceanic and Atmospheric Administration RIN 0648-XA004 New England Fishery Management Council... Administration (NOAA), Commerce. ACTION: Notice of a public meeting. SUMMARY: The New England Fishery Management... November, 2010, to consider actions affecting New England fisheries in the exclusive economic zone...

  15. 75 FR 23243 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-03

    ... National Oceanic and Atmospheric Administration RIN 0648-XW19 New England Fishery Management Council... Administration (NOAA), Commerce. ACTION: Notice of a public meeting. SUMMARY: The New England Fishery Management... actions affecting New England fisheries in the exclusive economic zone (EEZ). Recommendations from...

  16. 76 FR 26253 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-06

    ... National Oceanic and Atmospheric Administration RIN 0648-XA417 New England Fishery Management Council... Administration (NOAA), Commerce. ACTION: Notice of a public meeting. SUMMARY: The New England Fishery Management... consider actions affecting New England fisheries in the exclusive economic zone (EEZ). Recommendations...

  17. 75 FR 55306 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-10

    ... National Oceanic and Atmospheric Administration RIN 0648-XY86 New England Fishery Management Council... Administration (NOAA), Commerce ACTION: Notice of a public meeting. SUMMARY: The New England Fishery Management..., 2010, to consider actions affecting New England fisheries in the exclusive economic zone...

  18. 75 FR 11135 - New England Fishery Management Council; Public Meetings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-10

    ... National Oceanic and Atmospheric Administration RIN 0648-XU97 New England Fishery Management Council... Administration (NOAA), Commerce. ACTION: Notice of public meetings. SUMMARY: The New England Fishery Management... on March 24, 2010 and March 25, 2010 to consider actions affecting New England fisheries in...

  19. 75 FR 62507 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-12

    ... National Oceanic and Atmospheric Administration RIN 0648-XZ56 New England Fishery Management Council... Administration (NOAA), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery Management... Development Team in October 2010 to consider actions affecting New England fisheries in the exclusive...

  20. 77 FR 66072 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-01

    ... National Oceanic and Atmospheric Administration RIN 0648-XC330 New England Fishery Management Council... Administration (NOAA), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery Management... 19, 2012 to consider actions affecting New England fisheries in the exclusive economic zone...

  1. 75 FR 29989 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-28

    ... National Oceanic and Atmospheric Administration RIN 0648-XW65 New England Fishery Management Council... Administration (NOAA), Commerce. ACTION: Notice of a public meeting. SUMMARY: The New England Fishery Management Council's (Council) Groundfish Committee will meet to consider actions affecting New England fisheries...

  2. 75 FR 12505 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-16

    ... National Oceanic and Atmospheric Administration RIN 0648-XV22 New England Fishery Management Council... Administration (NOAA), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery Management... Development Team in April, 2010 to consider actions affecting New England fisheries in the exclusive...

  3. 78 FR 71565 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-29

    ... National Oceanic and Atmospheric Administration RIN 0648-XD006 New England Fishery Management Council... Administration (NOAA), Commerce. ACTION: Notice of public meeting. SUMMARY: The New England Fishery Management... . ] Council address: New England Fishery Management Council, 50 Water Street, Mill 2, Newburyport, MA...

  4. 77 FR 42699 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-07-20

    ... National Oceanic and Atmospheric Administration RIN 0648-XC116 New England Fishery Management Council... Administration (NOAA), Commerce. ] ACTION: Notice; public meeting. SUMMARY: The New England Fishery Management...; telephone: (617) 569-5250; fax: (617) 561-0971. Council address: New England Fishery Management Council,...

  5. 78 FR 65616 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-01

    ... National Oceanic and Atmospheric Administration RIN 0648-XC940 New England Fishery Management Council... Council's (Council) Groundfish Oversight Committee will meet to consider actions affecting New England...; telephone: (401) 849-1000; fax: (401) 849-3422. Council address: New England Fishery Management Council,...

  6. 76 FR 10888 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-02-28

    ... National Oceanic and Atmospheric Administration RIN 0648-XA251 New England Fishery Management Council... Council's (Council) Groundfish Committee will meet to consider actions affecting New England fisheries in...; telephone: (978) 777-2500; fax: (978) 750- 7991. Council address: New England Fishery Management Council,...

  7. Smart Routes: Migration Patterns among New England's College Freshmen

    ERIC Educational Resources Information Center

    Thomas, Michael K.

    2003-01-01

    Despite increased competition from other states, New England remains a very popular education destination for both undergraduate and graduate students. As with commerce, New England has a "balance of trade," with students flowing in and out of the region. As a region, New England enjoys a notable "positive" net migration of first-year college…

  8. 75 FR 80798 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-23

    ... National Oceanic and Atmospheric Administration RIN 0648-XA106 New England Fishery Management Council... Administration (NOAA), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery Management... 04102; telephone: (207) 774-5611; fax: (207) 871- 0510. Council address: New England Fishery...

  9. 78 FR 31519 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-24

    ... National Oceanic and Atmospheric Administration RIN 0648-XC696 New England Fishery Management Council... Administration (NOAA), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery Management... address: New England Fishery Management Council, 50 Water Street, Mill 2, Newburyport, MA 01950....

  10. 75 FR 78976 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-17

    ... National Oceanic and Atmospheric Administration RIN 0648-XA092 New England Fishery Management Council... Administration (NOAA), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery Management...: (617) 569-5250; fax: (617) 561-0971. Council address: New England Fishery Management Council, 50...

  11. 77 FR 58983 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-25

    ... National Oceanic and Atmospheric Administration RIN 0648-XC250 New England Fishery Management Council... Administration (NOAA), Commerce. ACTION: Notice of a public meeting. SUMMARY: The New England Fishery Management...) 926-6762; fax: (603) 926-2002. Council address: New England Fishery Management Council, 50...

  12. 77 FR 42278 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-07-18

    ... National Oceanic and Atmospheric Administration New England Fishery Management Council; Public Meeting...), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery Management Council's (Council...: (603) 431-2300; fax: (603) 433-5649. Council address: New England Fishery Management Council, 50...

  13. 78 FR 30868 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-23

    ... National Oceanic and Atmospheric Administration RIN 0648-XC692 New England Fishery Management Council... Administration (NOAA), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery Management...; telephone: (401) 421-0700; fax: (401) 455-3040. Council address: New England Fishery Management Council,...

  14. 75 FR 63147 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-14

    ... National Oceanic and Atmospheric Administration RIN 0648-XZ63 New England Fishery Management Council... Administration (NOAA), Commerce. ACTION: Notice of a public meeting. SUMMARY: The New England Fishery Management...-0700; fax: (401) 455-3050. Council address: New England Fishery Management Council, 50 Water...

  15. 75 FR 78681 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-16

    ... National Oceanic and Atmospheric Administration RIN 0648-XA089 New England Fishery Management Council... Administration (NOAA), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery Management...: (207) 871-0510. Council address: New England Fishery Management Council, 50 Water Street, Mill...

  16. 75 FR 78680 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-16

    ... National Oceanic and Atmospheric Administration RIN 0648-XA090 New England Fishery Management Council... Administration (NOAA), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery Management...: (401) 732-9309. Council address: New England Fishery Management Council, 50 Water Street, Mill...

  17. 76 FR 77492 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-13

    ... National Oceanic and Atmospheric Administration RIN 0648-XA864 New England Fishery Management Council... Administration (NOAA), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery Management...-8000; fax: (401) 861-8002. Council address: New England Fishery Management Council, 50 Water...

  18. 77 FR 14351 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-09

    ... National Oceanic and Atmospheric Administration RIN 0648-XB073 New England Fishery Management Council... Administration (NOAA), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery Management...: (401) 421-0700; fax: (401) 455-3050. Council address: New England Fishery Management Council, 50...

  19. 78 FR 11820 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-20

    ... National Oceanic and Atmospheric Administration RIN 0648-XC514 New England Fishery Management Council... Administration (NOAA), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery Management.... Council address: New England Fishery Management Council, 50 Water Street, Mill 2, Newburyport, MA...

  20. 76 FR 77214 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-12

    ... National Oceanic and Atmospheric Administration RIN 0648-XA862 New England Fishery Management Council... Administration (NOAA), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery Management...; fax: (401) 861-8002. Council address: New England Fishery Management Council, 50 Water Street, Mill...

  1. 75 FR 1752 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-01-13

    ... National Oceanic and Atmospheric Administration RIN 0648-XT67 New England Fishery Management Council... Administration (NOAA), Commerce. ACTION: Notice of a public meeting. SUMMARY: The New England Fishery Management...; telephone: (603) 431-2300 and fax: (603) 433-5649. Council address: New England Fishery Management...

  2. Air pollution dispersion models for human exposure predictions in London.

    PubMed

    Beevers, Sean D; Kitwiroon, Nutthida; Williams, Martin L; Kelly, Frank J; Ross Anderson, H; Carslaw, David C

    2013-01-01

    The London household survey has shown that people travel and are exposed to air pollutants differently. This argues for human exposure to be based upon space-time-activity data and spatio-temporal air quality predictions. For the latter, we have demonstrated the role that dispersion models can play by using two complimentary models, KCLurban, which gives source apportionment information, and Community Multi-scale Air Quality Model (CMAQ)-urban, which predicts hourly air quality. The KCLurban model is in close agreement with observations of NO(X), NO(2) and particulate matter (PM)(10/2.5), having a small normalised mean bias (-6% to 4%) and a large Index of Agreement (0.71-0.88). The temporal trends of NO(X) from the CMAQ-urban model are also in reasonable agreement with observations. Spatially, NO(2) predictions show that within 10's of metres of major roads, concentrations can range from approximately 10-20 p.p.b. up to 70 p.p.b. and that for PM(10/2.5) central London roadside concentrations are approximately double the suburban background concentrations. Exposure to different PM sources is important and we predict that brake wear-related PM(10) concentrations are approximately eight times greater near major roads than at suburban background locations. Temporally, we have shown that average NO(X) concentrations close to roads can range by a factor of approximately six between the early morning minimum and morning rush hour maximum periods. These results present strong arguments for the hybrid exposure model under development at King's and, in future, for in-building models and a model for the London Underground. PMID:23443237

  3. Space in Pentecostal healing practices among Ghanaian migrants in London.

    PubMed

    Krause, Kristine

    2014-01-01

    In this article I analyze different spatial practices related to Pentecostal healing, drawing on fieldwork with Pentecostal believers who have migrated from Ghana to London, UK. I explore the relationship between space and the manifestation of the Holy Spirit by looking at how points of contact with the divine are created in the personal life of people and at the sites where the casting out of demons takes place. Unlike in other spirit-centered healing traditions, the Christian Holy Spirit is not conceived of as embodied in specific places, but rather is spatially unbound. To manifest, however, the Holy Spirit requires specific spatial qualities and esthetics. PMID:24383751

  4. Two daily smoke maxima in eighteenth century London air

    NASA Astrophysics Data System (ADS)

    Harrison, R. Giles

    Varied electrostatics experiments followed Benjamin Franklin's pioneering atmospheric investigations. In Knightsbridge, Central London, John Read (1726-1814) installed a sensing rod in the upper part of his house and, using a pith ball electrometer and Franklin chimes, monitored atmospheric electricity from 1789 to 1791. Atmospheric electricity is sensitive to weather and smoke pollution. In calm weather conditions, Read observed two daily electrification maxima in moderate weather, around 9 am and 7 pm. This is likely to represent a double diurnal cycle in urban smoke. Before the motor car and steam railways, one source of the double maximum smoke pattern was the daily routine of fire lighting for domestic heating.

  5. Lessons for climate policy from The Great Stink of London

    NASA Astrophysics Data System (ADS)

    Skuce, A.

    2012-12-01

    A rapidly growing population and the introduction of the flush toilet in nineteenth-century London caused a crisis with sewage pollution in the River Thames (Halliday, 1999). There were decades of delays in implementing solutions owing to: inadequate governance institutions; political inertia; difficulties with financing; opposition from vested interests; scientific uncertainties; and technological challenges. Effective counter-measures were started only once the problem arose, quite literally, under the noses of parliamentarians. There are parallels, some of them pointed out earlier by Alley et al (2010), between the sewage crisis in Victorian London and the current problem with climate change. Both involve the unsustainable use of a common resource (a river, the atmosphere) for the unconstrained disposal of human waste products. Alley (2011) estimated that the costs of providing clean water and sanitation are comparable to the expected costs of reducing greenhouse gas emissions. Despite the similarities, the climate change issue is actually much more difficult because of: a) the unequal and uncertain global distribution of cause and effect; b) its long, intergenerational time lines; c) the insufficiency of adequate institutions, conventions or the tools— political, moral or economic—for tackling the climate crisis. This analysis is consistent with the model proposed by Gardiner (2011) in his book A Perfect Moral Storm. The three "storms" he identifies, the global, intergenerational and theoretical storms, combine in a powerful synergy to create a challenge of unprecedented intractability, providing opportunities for what Gardiner calls moral corruption: the obscuring of the buck-passing and procrastination that characterizes climate policy today. In Victorian London, the crucial steps to solve the sewage crises were not taken until the stench from the River Thames during the hot summer of 1858 rendered the House of Commons uninhabitable. A greater stink of a

  6. Frontiers in cardiovascular biology: London 2012 - a scientific 'olympiad'.

    PubMed

    Harding, Sian E

    2012-09-01

    Imperial College London (UK) was the showcase for the second in the 'Frontiers in Cardiovascular Biology' series, a biennial meeting of the European Society of Cardiology Council on basic cardiovascular sciences, held from 30 March to 1 April 2012. The aim of this series is to bring researchers together to learn the very latest findings in cardiac and vascular sciences, and to see state-of-the-art and developing technologies that could impact cardiovascular research. Five keynote lectures, 25 scientific symposia and two translational lunchtime symposia were grouped around the central themes of bioimaging, degeneration and regeneration, and inflammation. PMID:23013121

  7. Contribution of wood burning to PM10 in London

    NASA Astrophysics Data System (ADS)

    Fuller, Gary W.; Tremper, Anja H.; Baker, Timothy D.; Yttri, Karl Espen; Butterfield, David

    2014-04-01

    Ahead of measures to incentivise wood heating, the current level of wood burning in London was assessed by two tracer methods; i) a six week campaign of daily measurements of levoglucosan along a 38 km transect across the city during winter 2010, ii) a three year (2009-2011) measurement programme of black carbon and particulate matter from wood burning using differential IR and UV absorption by Aethalometer. Mean winter levoglucosan concentrations were 160 ± 17 ng m-3 in central London and 30 ± 26 ng m-3 greater in the suburbs, with good temporal correlation (r2 = 0.68-0.98) between sampling sites. Sensitivity testing found that the aethalometer wood burning tracer method was more sensitive to the assumed value of the Ångström coefficient for fossil fuel black carbon than it was to the Ångström coefficient for wood burning PM, and that the model was optimised with Ångström coefficient for fossil fuel black carbon of 0.96. The aethalometer and levoglucosan estimates of mean PM from wood burning were in good agreement during the winter campaign; 1.8 μg m-3 (levoglucosan) and 2.0 μg m-3 (aethalometer); i.e. between 7% and 9% of mean PM10 across the London transect. Analysis of wood burning tracers with respect to wind speed suggested that wood burning PM was dominated by sources within the city. Concentrations of aethalometer and levoglucosan wood burning tracers were a greatest at weekends suggesting discretionary or secondary domestic wood burning rather than wood being used as a main heating source. Aethalometer wood burning tracers suggests that the annual mean concentration of PM10 from wood burning was 1.1 μg m-3. To put this in a policy context, this PM10 from wood burning is considerably greater than the city-wide mean PM10 reduction of 0.17 μg m-3 predicted from the first two phases of the London Low Emission Zone which was introduced to reduce PM from traffic sources.

  8. 78 FR 1851 - New England States Committee on Electricity v. ISO New England Inc.; Notice of Complaint

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-01-09

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF ENERGY Federal Energy Regulatory Commission New England States Committee on Electricity v. ISO New England Inc.; Notice... States Committee on Electricity (Complainant) filed a formal complaint against ISO New England...

  9. 78 FR 67357 - New England Power Generators Association, Inc. v. ISO New England Inc.; Notice of Complaint

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-12

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF ENERGY Federal Energy Regulatory Commission New England Power Generators Association, Inc. v. ISO New England Inc... Energy Regulatory Commission (Commission), 18 CFR 385.206 (2013), the New England Power...

  10. Use Medicines Safely

    MedlinePlus

    ... Medicines Safely Print This Topic En español Use Medicines Safely Browse Sections The Basics Overview Prescription Medicines ... Medicines 1 of 7 sections The Basics: Prescription Medicines There are different types of medicine. The 2 ...

  11. Public health assessment for US Naval Submarine Base, New London, Groton, New London County, Connecticut, Region 1. CERCLIS No. CTD980906515. Final report

    SciTech Connect

    Not Available

    1993-05-26

    The New London Submarine Base was divided by the town boundaries of Groton to the south and Ledyard to the north in New London County, Connecticut. In 1983, the Navy identified 16 potential source areas of environmental contamination during their investigations. The submarine base was listed on the US Environmental Protection Agency's National Priorities List in August 1990 because of the potential for on-base groundwater contamination to migrate to off-base residential wells that are close to the New London Submarine Base.

  12. Vulnerable Medicine

    ERIC Educational Resources Information Center

    Bochner, Arthur P.

    2009-01-01

    In "Narrative Medicine: Honoring the Stories of Illness," Rita Charon paints an original and humane portrait of what it can mean to be a doctor, to live a life immersed in sickness and dedicated to wellness. Charon drops the veil, inviting readers to look at the secret, subjective, emotional face of medicine, a zone of self-censored feelings and…

  13. Medicine Tracker

    MedlinePlus

    ... medicine! TIME MEDICINE DOSAGE Name: Physician’s Information Name: Phone Number: NOTES ✓ Mon 11/19 Morning Antibiotic 1 tsp. With food ✓ For more useful tools, visit www.aapcc.org POISON HELP LINE: 1-800-222-1222 Lost track of your meds? Think you may have taken ...

  14. Complementary medicine.

    PubMed

    Ernst, E

    2003-03-01

    Complementary medicine has become an important subject for rheumatologists, not least because many patients try complementary treatments. Recent clinical trials yield promising results. In particular, evidence suggests that several herbal medicines and dietary supplements can alleviate the pain of osteoarthritis and rheumatoid arthritis. Clearly, rigorous testing of complementary treatments is possible, and considering their popularity, should be encouraged. PMID:12598804

  15. Aerospace Medicine

    NASA Technical Reports Server (NTRS)

    Davis, Jeffrey R.

    2006-01-01

    This abstract describes the content of a presentation for ground rounds at Mt. Sinai School of Medicine. The presentation contains three sections. The first describes the history of aerospace medicine beginning with early flights with animals. The second section of the presentation describes current programs and planning for future missions. The third section describes the medical challenges of exploration missions.

  16. Behavioral Medicine.

    ERIC Educational Resources Information Center

    Garfield, Sol L., Ed.

    1982-01-01

    Contains 18 articles discussing the uses of behavioral medicine in such areas as obesity, smoking, hypertension, and headache. Reviews include discussions of behavioral medicine and insomnia, chronic pain, asthma, peripheral vascular disease, and coronary-prone behavior. Newly emerging topics include gastrointestinal disorders, arthritis,…

  17. Trends in the stem cell and regenerative medicine industry.

    PubMed

    Ilic, Dusko

    2012-09-01

    The World Stem Cell Regenerative Medicine Congress series, now in its 7th year, is organized annually in the USA, Europe and Asia by Terrapinn, a business media company with its head office in London, and has grown over the last several years into the largest and probably the most important strategic stem cell conference where regulators, investors, big pharma, and small and medium enterprises gather to share and create synergy in developing and commercializing stem cell applications. The conference, held in London on 21-23 May 2012, only confirmed that this series is the meeting to attend if you want to get a clear understanding of trends in the stem cell and regenerative medicine industry. PMID:22954435

  18. New England Instructional Television Research Center (NETREC).

    ERIC Educational Resources Information Center

    Friedlander, Bernard Z.; Wetstone, Harriet S.

    Projects of the New England Instructional Television Research Center (NITREC) are summarized in a collection of papers. Objectives, rationale, and program of NETREC are defined, along with methods of formative evaluation during production. Seven videotest research projects cover methods of evaluating communicative effectiveness of primary-grade…

  19. The Current Brouhaha about Standards in England

    ERIC Educational Resources Information Center

    Brown, Roger

    2010-01-01

    Following a report by a Parliamentary Committee, the Higher Education Funding Council for England is consulting the sector about a strengthened national quality assurance system, with an enhanced role for information about quality and a closer focus on academic standards. This article provides a critical review of the main proposals.

  20. Reconfiguring the Governance of Schools in England

    ERIC Educational Resources Information Center

    Jones, Jeffrey; Ranson, Stewart

    2010-01-01

    In England, school governing bodies are the largest volunteer group. For decades they have displayed a strong tradition of serving their communities with care and commitment. Research shows (DCSF, 2008b) that most governing bodies have made an effective contribution to the improvement of their schools. Yet concern about the disengagement of young…

  1. Disproportionality in Special Needs Education in England

    ERIC Educational Resources Information Center

    Dyson, Alan; Gallannaugh, Frances

    2008-01-01

    Unlike the United States, England does not have a special education system based on the identification of students as having disabilities of one or another type. Instead, the English system enables help to be provided to students on the basis of assessments of their individual "special educational needs." The authors consider the implications of…

  2. Educational Opportunity in Tudor and Stuart England

    ERIC Educational Resources Information Center

    Cressy, David

    1976-01-01

    Discussed is the unprecedented expansion of educational facilities in 16th and 17th century England. Reasons for the newly endowed schools, freelance teachers and increasing numbers of students proceeding to higher education are investigated. The author concludes that, in spite of some extraordinary successes, the chances of escaping drudgery…

  3. New England Zion: Townplanters and Indians.

    ERIC Educational Resources Information Center

    Cole, Robert A.

    1982-01-01

    Examines how the Puritan religious outlook influenced relationships with the Indians and the form of New England towns. The form of Puritan towns in Massachusetts reflected the European ideal of the religious utopia. Misunderstandings about the concept of property rights led to conflicts with indigenous Indian tribes. (AM)

  4. Images of Idiocy in Puritan New England.

    ERIC Educational Resources Information Center

    Wickham, Parnel

    2001-01-01

    A review of how New England colonists viewed idiocy finds that for practical purposes, colonists defined idiocy in terms of incompetence in order to create a class of individuals who might qualify for protection under the laws. The influence of the beliefs of the Puritan preacher Cotton Mather is discussed. (Contains references.) (CR)

  5. Mathematics Anxiety in Secondary Students in England

    ERIC Educational Resources Information Center

    Chinn, Steve

    2009-01-01

    Whatever the changes that are made to the mathematics curriculum in England, there will always remain a problem with mathematics anxiety. Maths anxiety is rarely facilitative. This study examined aspects of mathematics in secondary schools and how students rated them as sources of anxiety. Over 2000 students in independent and mainstream schools…

  6. Whales of New England. Secondary Curriculum.

    ERIC Educational Resources Information Center

    New England Aquarium, Boston, MA.

    Instructional materials and suggestions for conducting a whale watching field trip are contained in this curriculum packet for secondary science teachers. It is one unit in a series of curricular programs developed by the New England Aquarium Education Department. Activities and information are organized into three sections: (1) pre-trip…

  7. The New England solar energy atlas

    SciTech Connect

    Cook, D.L.

    1986-01-01

    This book offers a convenient source of historical solar radiation data excerpted from the Solar Radiation Energy Resource Atlas of the United States. The collection of regional maps and the graphic summaries of the resource data pertinent to the New England area accomplish the author's goal of providing design data in a more compact format than that of the national atlas.

  8. Indians in England: why did they emigrate?

    PubMed

    Ram, S

    1987-01-01

    The period of highest migration from India to England was 1955-1975. In 1981, the Bradford metropolitan district had about 13,000 Indians. 46% were Punjabis and 43.3% were from Gujarat. Using a 10% sample of Indian households in the Bradford district in 1984 and secondary information, this study examines the impact of the following reasons on decision to migrate: 1) push factors in the area of origin, 2) the 1947 partition of India, 3) strong economic attraction of the destination, and 4) "cultural ethos" and "status competition" among the migrant communities in the areas of emigration. Findings show that 1) Punjab and Gujarat do not have high poverty levels nor very high population densities; 2) the partition of India did not influence migration decisions; 3) the economic well-being of returning migrants and the high conversion rate of English currency did attract migrants to England (39% of surveyed migrants emigrated to England for purely economic reasons); and 4) 60% of the Punjabis and over 50% of the Gujaratis state that local status competition had a significant influence on their decisions to migrate. Thus, the economic attraction of England and the status competition among local families and the community were the dominant factors in migration decision making. PMID:12179028

  9. Rural Primary School Closures in England.

    ERIC Educational Resources Information Center

    Whitfield, Richard C.

    A three-phase interdisciplinary effort between educators and environmental planners is focusing on the social effects of rural primary school reorganization now occuring in England as a result of a declining birth rate and the resulting need for school closure. A questionnaire mailed nationally to rural Local Education Authorities, cross-community…

  10. Polish Complementary Schools in Iceland and England

    ERIC Educational Resources Information Center

    Zielinska, Malgorzata; Kowzan, Piotr; Ragnarsdóttir, Hanna

    2014-01-01

    Since 2004, the opening of labour markets has spurred a considerable number of Poles to emigrate e.g. to Iceland and England. Families with school age children have had the challenge of adapting to foreign environments and school systems. Polish complementary schools have played an important, albeit ambivalent, role in this process. Through focus…

  11. Early Childhood Education and Care in England.

    ERIC Educational Resources Information Center

    Lubeck, Sally

    2001-01-01

    Describes early childhood education reform policies in England based on recent report by the Organisation for Economic Co-operation and Development. Explores implications of these government reform initiatives for early childhood education in the United States. (Contains 39 references.) (PKP)

  12. Education and Training: Some Lessons from England.

    ERIC Educational Resources Information Center

    Hall, William

    1987-01-01

    Describes distinctions between "education" and "training," with particular reference to the relationships between England's Department of Education and Science and the Manpower Services Commission. Applies these lessons to relations between Australia's Department of Employment and Industrial Relations and its Technical and Further Education…

  13. Becoming Adults in England and Germany.

    ERIC Educational Resources Information Center

    Evans, Karen, Ed.; Heinz, Walter R., Ed.

    A comparison study of the school-to-work transitions of young people aged 16-19 in Germany and England was followed up several years later when the former subjects were in their early twenties. Research was conducted through interviews, case studies, and studies of labor market trends. The analysis of the transition of the young people studied…

  14. The Politics of Education Policy in England

    ERIC Educational Resources Information Center

    Gunter, Helen M.

    2015-01-01

    In this appreciative discussion paper I provide an overview of the reforms made to education in England, and engage with the politics of education through examining the simultaneous and inter-related processes of politicisation, depoliticisation and repoliticisation of educational matters. I engage in a discussion of the papers in this special…

  15. The Field of Educational Administration in England

    ERIC Educational Resources Information Center

    Gunter, Helen M.

    2012-01-01

    Based on over twenty years of empirical and intellectual work about knowledge production in the field of educational administration, I examine the origins and development of the canon, methodologies and knowledge workers in England. I focus on the field as being primarily concerned with professional activity and how and why this was established…

  16. EPA - NEW ENGLAND POPULATION DENSITY BY BLOCKGROUP

    EPA Science Inventory

    The Population Density is based on U.S. Census block groups of New England. Each block group is assigned a value based on the number of people per square mile. Only those blockgroups that are sparsely populated (<=10 people/sq mi) are displayed.

  17. A View from England and Wales

    ERIC Educational Resources Information Center

    Ingham, Roger

    2016-01-01

    This commentary outlines developments regarding Sex and Relationships Education (SRE, akin to Comprehensive Sex Education) in England and Wales over the past 15 years or so. BZgA has been a WHO/Europe collaborating centre for sexual and reproductive health since 2003. In this capacity, BZgA contributes to the development and dissemination of WHO…

  18. Contextualising Catholic School Performance in England

    ERIC Educational Resources Information Center

    Morris, Andrew B.

    2009-01-01

    Despite there being significant numbers of state maintained Catholic schools in England, they have, until recently, proved to be of interest only to a minority of researchers. Government initiatives to promote greater scrutiny and accountability through the publication of school test and examination results have generated interest in their…

  19. Molecular Self-Assembly Driven by London Dispersion Forces

    SciTech Connect

    Li, Guo; Cooper, Valentino R; Cho, Jun-Hyung; Du, Shixuan; Gao, Hongjun; Zhang, Zhenyu

    2011-01-01

    The nature and strength of intermolecular interactions are crucial to a variety of kinetic and dynamic processes at surfaces. Whereas strong chemisorption bonds are known to facilitate molecular binding, the importance of the weaker yet ubiquitous van der Waals (vdW) interactions remains elusive in most cases. Here we use first-principles calculations combined with kinetic Monte Carlo simulations to unambiguously demonstrate the vital role that vdW interactions play in molecular self-assembly, using styrene nanowire growth on silicon as a prototypical example. We find that, only when the London dispersion forces are included, accounting for the attractive parts of vdW interactions, can the effective intermolecular interaction be reversed from being repulsive to attractive. Such attractive interactions, in turn, ensure the preferred growth of long wires under physically realistic conditions as observed experimentally. We further propose a cooperative scheme, invoking the application of an electric field and the selective creation of Si dangling bonds, to drastically improve the ordered arrangement of the molecular structures. The present study represents a significant step forward in the fundamental understanding and precise control of molecular self-assembly guided by London dispersion forces.

  20. Space-Time Analysis of Crime Patterns in Central London

    NASA Astrophysics Data System (ADS)

    Cheng, T.; Williams, D.

    2012-07-01

    Crime continues to cast a shadow over citizen well-being in big cities today, while also imposing huge economic and social costs. Timely understanding of how criminality emerges and how crime patterns evolve is crucial to anticipating crime, dealing with it when it occurs and developing public confidence in the police service. Every day, about 10,000 crime incidents are reported by citizens, recorded and geo-referenced in the London Metropolitan Police Service Computer Aided Dispatch (CAD) database. The unique nature of this dataset allows the patterns to be explored at particularly fine temporal granularity and at multiple spatial resolutions. This study provides a framework for the exploratory spatio-temporal analysis of crime patterns that combines visual inquiry tools (interactive animations, space-time cubes and map matrices) with cluster analysis (spatial-temporal scan statistics and the self-organizing map). This framework is tested on the CAD dataset for the London Borough of Camden in March 2010. Patterns of crime through space and time are discovered and the clustering methods were evaluated on their ability to facilitate the discovery and interpretation of these patterns.

  1. United Kingdom (England): Health system review.

    PubMed

    Boyle, Seán

    2011-01-01

    The Health Systems in Transition (HiT) profiles are country-based reports that provide a detailed description of a health system and of policy initiatives in progress or under development. HiTs examine different approaches to the organization, financing and delivery of health services and the role of the main actors in health systems; describe the institutional framework, process, content and implementation of health and health care policies; and highlight challenges and areas that require more in-depth analysis. Various indicators show that the health of the population has improved over the last few decades. However, inequalities in health across socioeconomic groups have been increasing since the 1970s. The main diseases affecting the population are circulatory diseases, cancer, diseases of the respiratory system and diseases of the digestive system. Risk factors such as the steadily rising levels of alcohol consumption, the sharp increases in adult and child obesity and prevailing smoking levels are among the most pressing public health concerns, particularly as they reflect the growing health inequalities among different socioeconomic groups. Health services in England are largely free at the point of use. The NHS provides preventive medicine, primary care and hospital services to all those ordinarily resident. Over 12% of the population is covered by voluntary health insurance schemes, known in the United Kingdom as private medical insurance (PMI), which mainly provides access to acute elective care in the private sector. Responsibility for publicly funded health care rests with the Secretary of State for Health, supported by the Department of Health. The Department operates at a regional level through 10 strategic health authorities (SHAs), which are responsible for ensuring the quality and performance of local health services within their geographic area. Responsibility for commissioning health services at the local level lies with 151 primary care

  2. The Osler Club of London, 1928-38: young medical gentlemen, their heroes, liberal education, books, and other matters.

    PubMed

    Lella, J W

    1995-01-01

    This study focuses on the interpretation of the Oslerian legacy reflected in the activities and intellectual emphases of the Osler Club of London during its first 10 years. It argues that the founders and early members of the Club were neophytes in a medical elite, pursuing ideals which were congenial to a subgroup of that elite and in which the Club members had been raised and educated. These ideals may be summed up in the expression "the nineteenth-century, British medical gentleman." Sir William Osler was chosen as patron of the Club because he exemplified important aspects of these ideals. However, in its orientation toward the "British medical gentleman," reflecting the gentility of Osler--including his concern for people, his commitment to teaching, his loyalty to students and medical colleagues, and his interest in the history of medicine, its books, and the broader humanities--the Club missed an important dimension of the Oslerian legacy: an interest in the social institutions and responsibilities of medicine. Finally, this study shows that perhaps the most influential Club founder, A. W. Franklin, in his later life expanded his own vision of medicine to include and even go beyond this latter dimension of the Oslerian legacy. PMID:11609082

  3. Wilderness medicine

    PubMed Central

    Sward, Douglas G.; Bennett, Brad L.

    2014-01-01

    BACKGROUND: Human activity in wilderness areas has increased globally in recent decades, leading to increased risk of injury and illness. Wilderness medicine has developed in response to both need and interest. METHODS: The field of wilderness medicine encompasses many areas of interest. Some focus on special circumstances (such as avalanches) while others have a broader scope (such as trauma care). Several core areas of key interest within wilderness medicine are discussed in this study. RESULTS: Wilderness medicine is characterized by remote and improvised care of patients with routine or exotic illnesses or trauma, limited resources and manpower, and delayed evacuation to definitive care. Wilderness medicine is developing rapidly and draws from the breadth of medical and surgical subspecialties as well as the technical fields of mountaineering, climbing, and diving. Research, epidemiology, and evidence-based guidelines are evolving. A hallmark of this field is injury prevention and risk mitigation. The range of topics encompasses high-altitude cerebral edema, decompression sickness, snake envenomation, lightning injury, extremity trauma, and gastroenteritis. Several professional societies, academic fellowships, and training organizations offer education and resources for laypeople and health care professionals. CONCLUSIONS: The future of wilderness medicine is unfolding on multiple fronts: education, research, training, technology, communications, and environment. Although wilderness medicine research is technically difficult to perform, it is essential to deepening our understanding of the contribution of specific techniques in achieving improvements in clinical outcomes. PMID:25215140

  4. Medicines management.

    PubMed

    Pegram, Anne; Bloomfield, Jacqueline

    2015-04-15

    All newly registered graduate nurses are required to have the appropriate knowledge and understanding to perform the skills required for patient care, specifically the competencies identified in the Nursing and Midwifery Council's essential skills clusters. This article focuses on the fifth essential skills cluster – medicines management. Nursing students should work to attain the knowledge and skills required for effective medicines management throughout their pre-registration education. The roles and responsibilities of the newly registered graduate nurse in the area of medicines management are discussed in this the final article of the essential skills cluster series. PMID:25872850

  5. Complementary medicine.

    PubMed Central

    Spiegel, D; Stroud, P; Fyfe, A

    1998-01-01

    The widespread use of complementary and alternative medicine techniques, often explored by patients without discussion with their primary care physician, is seen as a request from patients for care as well as cure. In this article, we discuss the reasons for the growth of and interest in complementary and alternative medicine in an era of rapidly advancing medical technology. There is, for instance, evidence of the efficacy of supportive techniques such as group psychotherapy in improving adjustment and increasing survival time of cancer patients. We describe current and developing complementary medicine programs as well as opportunities for integration of some complementary techniques into standard medical care. PMID:9584661

  6. From Leningrad to London: the saga of Kulchitsky and the legacy of the enterochromaffin cell.

    PubMed

    Drozdov, Ignat; Modlin, Irvin M; Kidd, Mark; Goloubinov, Viktor V

    2009-01-01

    By the end of the 19th century, the subject of internal secretion and the consequences of its perturbations had been explored in considerable depth but with little clear understanding. Despite the anatomic delineation of the majority of the glands and tissues that comprised the gross endocrine system, the cellular basis and the interactions between the 'internal glands' and the nervous system had not been clearly delineated. Prominent early investigators in the field included Rudolf Peter Heidenhain (1834-1897), who described a novel class of clear cells (1868), Paul Langerhans (1847-1888), who identified pancreatic islets in 1869, and M.C. Ciacco (1877-1956), who coined the term 'enterochromaffin' (1906). Their contributions facilitated the description of the diffuse neuroendocrine system (DNES) by F. Feyrter (1938) which allowed for the understanding of a syncytial regulatory system that consisted of both endocrine and neural components. This rich developmental history often reveals the name of Kulchitsky, but little recognition has been given to his seminal contributions. Indeed the Russian, Nikolai Konstantinovich Kulchitsky (1856-1925), both due to his modest and unassuming nature and the tragic events of his life, was little recognized and has been relegated to a mere eponymous attribution. In reality, his life bears legacy to rich scientific contributions spanning a great teaching and scientific career at Kharkov University, to responsibilities as the Imperial Minister of Education for all of Russia. He identified the Kulchitsky cell, trained and mentored numerous professors of histopathology, was incarcerated by the Bolsheviks and worked in a soap factory to save his life. He and his family finally fled on a British battleship with the remnants of the Russian Royal family to England where he secured a position with Bayliss and Starling at University College, London (UCL). His mysterious demise in a lift-shaft accident on his 69th birthday tragically

  7. Diversity in Adoption of Linguistic Features of London English by Chinese and Bangladeshi Adolescents

    ERIC Educational Resources Information Center

    Pennington, Martha C.; Lau, Lawrence; Sachdev, Itesh

    2011-01-01

    This comparative study, conducted in multicultural London, investigates the occurrence in interviews with a researcher and in constructed same-sex peer conversations of five linguistic features characteristic of London English in the speech of two groups of British-born adolescents: ethnic Bangladeshis and ethnic Chinese of Cantonese heritage. The…

  8. The Increasing Presence of Spanish-Speaking Latinos in London: An Emergent Community?

    ERIC Educational Resources Information Center

    Block, David

    2008-01-01

    In recent years, the number of Spanish-speaking Latinos in Britain and London has grown considerably. Estimates from different sources put the population in London as high as 300,000. Unfortunately, this growing ethnolinguistic group is an underresearched minority, and information of any kind is hard to come by. In this article, my aim is to…

  9. Engendering City Politics and Educational Thought: Elite Women and the London Labour Party, 1914-1965

    ERIC Educational Resources Information Center

    Martin, Jane

    2008-01-01

    This article uses biographical approaches to recover the contribution of hitherto neglected figures in the history of education and the political history of the Left in London. Place and location are important since it is important to grasp the uniqueness of the London County Council within the framework of English local government and of the…

  10. Psychoanalysis of Jack London's "The Call of the Wild" and "White Fang"

    ERIC Educational Resources Information Center

    Yang, Hongyan

    2015-01-01

    "The Call of the Wild" and "White Fang" both are masterpieces of Jack London. The protagonists Buck and White Fang are the incarnation of Jack himself to some extent for the two novels reveal a great deal of the writer. This essay aims at psychoanalyzing Jack London's creative process, the Oedipus complex and the confliction…

  11. 33 CFR 334.75 - Thames River, Naval Submarine Base New London, restricted area.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 33 Navigation and Navigable Waters 3 2014-07-01 2014-07-01 false Thames River, Naval Submarine....75 Thames River, Naval Submarine Base New London, restricted area. (a) The area: The open waters of... notified by personnel of the New London Submarine Base that such use will interfere with...

  12. 33 CFR 334.75 - Thames River, Naval Submarine Base New London, restricted area.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 33 Navigation and Navigable Waters 3 2013-07-01 2013-07-01 false Thames River, Naval Submarine....75 Thames River, Naval Submarine Base New London, restricted area. (a) The area: The open waters of... notified by personnel of the New London Submarine Base that such use will interfere with...

  13. 33 CFR 334.75 - Thames River, Naval Submarine Base New London, restricted area.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 33 Navigation and Navigable Waters 3 2012-07-01 2012-07-01 false Thames River, Naval Submarine....75 Thames River, Naval Submarine Base New London, restricted area. (a) The area: The open waters of... notified by personnel of the New London Submarine Base that such use will interfere with...

  14. Ayurvedic Medicine

    MedlinePlus

    ... in varying forms in Southeast Asia. What the Science Says About the Safety and Side Effects of ... and integrative health approaches you use. What the Science Says About the Effectiveness of Ayurvedic Medicine Research ...

  15. Taking Medicines

    MedlinePlus

    ... the body, it is converted into products called metabolites. Usually, these metabolites are not as strong as the original drug. ... by too much medicine in the body. Drug metabolites often return to the liver and are chemically ...

  16. Herbal Medicine

    MedlinePlus

    An herb is a plant or plant part used for its scent, flavor, or therapeutic properties. Herbal medicines are ... go through the testing that drugs do. Some herbs, such as comfrey and ephedra, can cause serious ...

  17. European Society of Cardiology (ESC) Congress Report from London 2015.

    PubMed

    Nishiguchi, Tsuyoshi; Akasaka, Takashi

    2015-01-01

    The Annual Congress of the European Society of Cardiology (ESC) was held in London from 29 August to 2 September 2015. It is the leading conference in cardiology in the world, with presentations on the latest scientific discoveries, innovations, technology, education, and clinical practices. More than 32,000 delegates and 5,000 exhibitors from 140 countries participated, sharing a number of scientific presentations, including 28 clinical hot lines, 18 clinical trial updates, 20 registry studies, 12 basic and translational science hot line studies, and 4,533 abstract studies. Japan had the highest number of accepted abstracts at the Congress, indicating the great contribution of Japanese scientists and the Japanese Circulation Society. PMID:26459395

  18. Should I pay for your risky behaviours? Evidence from London.

    PubMed

    Miraldo, Marisa; Galizzi, Matteo M; Merla, Anna; Levaggi, Rosella; Schulz, Peter J; Auxilia, Francesco; Castaldi, Silvana; Gelatti, Umberto

    2014-09-01

    We investigate the extent to which respondents from a general population sample in London (July-August 2011) agree or disagree with the NHS covering the healthcare costs related to five risky health behaviours: overeating, unhealthy diet, sedentary life, excess of alcohol, and smoking. For each behaviour, we also directly explore the main factors associated with the likelihood to agree or disagree. Half of the respondents (N=146) manifest agreement with the idea. Wider agreement exists for covering the costs associated smoking, heavy drinking, and sedentary lives than with overeating, or poor diets. With the exception of alcohol drinking and sedentary life, there is an almost one-to-one relationship between the agreement that the NHS should pay the healthcare costs associated with a specific behaviour, and the respondents' actual engagement in that behaviour. Those at higher risk of depending on publicly funded healthcare, are more likely to agree. PMID:24945692

  19. Acheiving speech intelligibility at Paddington Station, London, UK

    NASA Astrophysics Data System (ADS)

    Goddard, Helen M.

    2002-11-01

    Paddington Station in London, UK is a large rail terminus for long distance electric and diesel powered trains. This magnificent train shed has four arched spans and is one of the remaining structural testaments to the architect Brunel. Given the current British and European legislative requirements for intelligible speech in public buildings AMS Acoustics were engaged to design an electroacoustic solution. In this paper we will outline how the significant problems of lively natural acoustics, the high operational noise levels and the strict aesthetic constraints were addressed. The resultant design is radical, using the most recent dsp controlled line array loudspeakers. In the paper we detail the acoustic modeling undertaken to predict both even direct sound pressure level coverage and STI. Further it presents the speech intelligibility measured upon handover of the new system. The design has proved to be successful and given the nature of the space, outstanding speech intelligibility is achieved.

  20. London's changing ethnic landscape, 2001-2011: a cartographic exploration.

    PubMed

    Johnston, Ron; Poulsen, Michael; Forrest, James

    2014-01-01

    London population became increasing more diverse ethnically over the decade 2001-2011, a period when the White population declined, with many commentators suggesting that there has been 'White flight' from some districts in the face of 'invasion' by members of ethnic minority groups. To examine how extensively the city's ethnic landscape changed during that period--and whether suggestions of the operation of 'invasion and succession processes' are valid--this article reports on statistical mapping of small area data for the two censuses. The results identify clearly-defined, substantial blocks of territory within the urban residential fabric where members of each of the main census respondent self-identified ethnic groups are concentrated. These have expanded outwards, into areas from which the White population has clearly withdrawn, though in most cases the rate of cluster areal expansion has been less than the groups' numerical growth. PMID:25080618

  1. Carbon dioxide and methane emission dynamics in central London (UK)

    NASA Astrophysics Data System (ADS)

    Helfter, Carole; Nemitz, Eiko; Barlow, Janet F.; Wood, Curtis R.

    2013-04-01

    London, with a population of 8.2 million, is the largest city in Europe. It is heavily built-up (typically 8% vegetation cover within the central boroughs) and boasts some of the busiest arteries in Europe despite efforts to reduce traffic in the city centre with the introduction of a congestion charging scheme in 2007. We report on two substantial pollution monitoring efforts in the heart of London between October 2006 and present. Fluxes of carbon dioxide (CO2) and water (H2O) were measured continuously by eddy-covariance in central London from October 2006 until May 2008 from a 190 m telecommunication tower (BT tower; 51° 31' 17.4'' N 0° 8' 20.04'' W). The eddy-covariance system consisted of a Gill R3-50 ultrasonic anemometer operated at 20 Hz and a LI-COR 6262 infrared gas analyser. Air was sampled 0.3 m below the sensor head of the ultrasonic anemometer - which was itself mounted on a 3 m mast to the top of a 15 m lattice tower situated on the roof of the tower (instrument head at 190 m above street level) - and pulled down 45 m of 12.7 mm OD Teflon tubing. In addition, meteorological variables (temperature, relative humidity, pressure, precipitation, wind speed and direction) were also measured with a multi-sensor (Weather Transmitter WXT510, Vaisala). Eddy-covariance measurements at the BT tower location were reinstated in July 2011 and include methane (CH4), CO2 and H2O concentrations measured by a Picarro fast methane analyser (G2301-f). CO2 emissions were found to be mainly controlled by fossil fuel combustion (e.g. traffic, commercial and domestic heating). Diurnal averages of CO2 fluxes were found to be highly correlated to traffic. However changes in heating-related natural gas consumption and, to a lesser extent, photosynthetic activity in two large city centre green spaces (Hyde Park and Regent's Park) explained the seasonal variability. Annual estimates of net exchange of CO2 obtained by eddy-covariance agreed well with up-scaled data from the UK

  2. SETI and astrobiology: The Rio Scale and the London Scale

    NASA Astrophysics Data System (ADS)

    Almár, Iván

    2011-11-01

    The public reaction to a discovery, the character of the corresponding risk communication, as well as the possible impact on science and society all depend on the character of the phenomenon discovered, on the method of discovery, on the distance to the phenomenon and, last but not least, on the reliability of the announcement itself. The Rio Scale - proposed together with Jill Tarter just a decade ago at an IAA symposium in Rio de Janeiro - attempts to quantify the relative importance of such a “low probability, high consequence event”, namely the announcement of an ETI discovery. After the publication of the book “The Eerie Silence” by Paul Davies it is necessary to control how the recently suggested possible “technosignatures” or “technomarkers” mentioned in this book could be evaluated by the Rio Scale. The new London Scale, proposed at the Royal Society meeting in January 2010, in London, is a similar attempt to quantify the impact of an announcement regarding the discovery of ET life on an analogous ordinal scale between zero and ten. Here again the new concept of a “shadow biosphere” raised in this book deserves a special attention since a “weird form of life” found on Earth would not necessarily have an extraterrestrial origin, nevertheless it might be an important discovery in itself. Several arguments are presented that methods, aims and targets of “search for ET life” and “search for ET intelligence” are recently converging. The new problem is raised whether a unification of these two scales is necessary as a consequence of the convergence of the two subjects. Finally, it is suggested that experts in social sciences should take the structure of the respective scales into consideration when investigating case by case the possible effects on the society of such discoveries.

  3. Being Mad in Early Modern England

    PubMed Central

    Dimitrijevic, Aleksandar

    2015-01-01

    It has become almost a rule that the birth of scientific psychiatry and what we today term clinical psychology took place in the short period between the last decade of the XVIII century and the 1820s. Everything that happened before that period—every description, diagnosis, and therapy—has been considered “pre-scientific,” outdated, in a way worthless. In this paper, however, I am providing the argument that, first, the roots of contemporary psychiatry reach at least to England of the early modern period, and that, second, it may still turn out that in the field of mental health care historical continuities are more numerous and persistent than discontinuities. Thus, I briefly review the most important surviving documents about the treatment of mental disorders in England of Elizabethan and Jacobian period, organizing the argument around the well-known markers: diagnostics and etiology, therapy, organization of the asylum, the public image of the mentally ill. PMID:26635656

  4. Use Medicines Safely

    MedlinePlus

    ... Medicines Safely Print This Topic En español Use Medicines Safely Browse Sections The Basics Overview Prescription Medicines ... Take these simple steps to avoid problems with medicines. Follow the directions on the medicine label carefully. ...

  5. Variation in cervical and breast cancer screening coverage in England: a cross-sectional analysis to characterise districts with atypical behaviour

    PubMed Central

    Massat, Nathalie J; Douglas, Elaine; Waller, Jo; Wardle, Jane; Duffy, Stephen W

    2015-01-01

    Objectives Reducing cancer screening inequalities in England is a major focus of the 2011 Department of Health cancer outcome strategy. Screening coverage requires regular monitoring in order to implement targeted interventions where coverage is low. This study aimed to characterise districts with atypical coverage levels for cervical or breast screening. Design Observational study of district-level coverage in the English Cervical and Breast screening programmes in 2012. Setting England, UK. Participants All English women invited to participate in the cervical (age group 25–49 and 50–64) and breast (age group 50–64) screening programmes. Outcomes Risk adjustment models for coverage were developed based on district-level characteristics. Funnel plots of adjusted coverage were constructed, and atypical districts examined by correlation analysis. Results Variability in coverage was primarily explained by population factors, whereas general practice characteristics had little independent effect. Deprivation and ethnicity other than white, Asian, black or mixed were independently associated with poorer coverage in both screening programmes, with ethnicity having the strongest effect; by comparison, the influence of Asian, black or mixed ethnic minority was limited. Deprivation, ethnicity and urbanisation largely accounted for the lower cervical screening coverage in London. However, for breast screening, being located in London remained a strong negative predictor. A subset of districts was identified as having atypical coverage across programmes. Correlates of deprivation in districts with relatively low adjusted coverage were substantially different from overall correlates of deprivation. Discussion These results inform the continuing drive to reduce avoidable cancer deaths in England, and encourage implementation of targeted interventions in communities residing in districts identified as having atypically low coverage. Sequential implementation to monitor the

  6. Mesopotamian medicine.

    PubMed

    Retief, F P; Cilliers, L

    2007-01-01

    Although the Mesopotamian civilisation is as old as that of Egypt and might even have predated it, we know much less about Mesopotamian medicine, mainly because the cuneiform source material is less well researched. Medical healers existed from the middle of the 3rd millennium. In line with the strong theocratic state culture, healers were closely integrated with the powerful priestly fraternity, and were essentially of three main kinds: barû (seers) who were experts in divination, âshipu (exorcists), and asû (healing priests) who tended directly to the sick. All illness was accepted as sent by gods, demons and other evil spirits, either as retribution for sins or as malevolent visitations. Treatment revolved around identification of the offending supernatural power, appeasement of the angry gods, for example by offering amulets or incantations, exorcism of evil spirits, as well as a measure of empirical therapy aimed against certain recognised symptom complexes. Medical practice was rigidly codified, starting with Hammurabi's Code in the 18th century BC and persisting to the late 1st millennium BC. Works like the so-called Diagnostic Handbook, the Assyrian Herbal and Prescription Texts describe the rationale of Mesopotamian medicine, based predominantly on supernatural concepts, although rudimentary traces of empirical medicine are discernible. There is evidence that Egyptian medicine might have been influenced by Mesopotamian practices, but Greek rational medicine as it evolved in the 5th/4th centuries BC almost certainly had no significant Mesopotamian roots. PMID:17378276

  7. Travel medicine

    PubMed Central

    Aw, Brian; Boraston, Suni; Botten, David; Cherniwchan, Darin; Fazal, Hyder; Kelton, Timothy; Libman, Michael; Saldanha, Colin; Scappatura, Philip; Stowe, Brian

    2014-01-01

    Abstract Objective To define the practice of travel medicine, provide the basics of a comprehensive pretravel consultation for international travelers, and assist in identifying patients who might require referral to travel medicine professionals. Sources of information Guidelines and recommendations on travel medicine and travel-related illnesses by national and international travel health authorities were reviewed. MEDLINE and EMBASE searches for related literature were also performed. Main message Travel medicine is a highly dynamic specialty that focuses on pretravel preventive care. A comprehensive risk assessment for each individual traveler is essential in order to accurately evaluate traveler-, itinerary-, and destination-specific risks, and to advise on the most appropriate risk management interventions to promote health and prevent adverse health outcomes during travel. Vaccinations might also be required and should be personalized according to the individual traveler’s immunization history, travel itinerary, and the amount of time available before departure. Conclusion A traveler’s health and safety depends on a practitioner’s level of expertise in providing pretravel counseling and vaccinations, if required. Those who advise travelers are encouraged to be aware of the extent of this responsibility and to refer all high-risk travelers to travel medicine professionals whenever possible. PMID:25500599

  8. How protective is breast feeding against diarrhoeal disease in infants in 1990s England? A case‐control study

    PubMed Central

    Quigley, M A; Cumberland, P; Cowden, J M; Rodrigues, L C

    2006-01-01

    Aims To assess the effect of several measures of infant feeding on diarrhoeal disease, and whether these effects vary according to markers of social deprivation. Methods Case‐control study of diarrhoeal disease cases presenting to 34 general practices in England. Controls were stratified on age group, area deprivation index for the practice, and whether or not the practice was in London. Data were available on 304 infants (167 cases and 137 controls). Results After adjustment for confounders, breast feeding was associated with significantly less diarrhoeal disease. Associations were striking even in infants aged ⩾ 6 months. They did not vary by social class, but were greater in those living in rented council accommodation and in more crowded households. The effect of receiving no breast milk was stronger in more deprived areas than in less deprived areas. The effect of not receiving exclusive breast milk was stronger in more deprived areas than in less deprived areas. In formula fed infants, there was significantly more diarrhoeal disease in those not sterilising bottles/teats with steam or chemicals. The protective effect of breast feeding did not persist beyond two months after breast feeding had stopped. Conclusions Breast feeding protects against diarrhoeal disease in infants in England although the degree of protection may vary across infants and wear off after breast feeding cessation. Education about the benefits of breast feeding and the risks of inadequate sterilisation should be targeted at carers in deprived areas or households. PMID:16308409

  9. Samuel Holden Parsons Lee (1772-1863): American physician, entrepreneur and selfless fighter of the 1798 Yellow Fever epidemic of New London, Connecticut.

    PubMed

    Mattie, James K; Desai, Sukumar P

    2015-02-01

    Samuel Holden Parsons Lee practised medicine at a time when the germ theory of disease had not yet been proposed and antibiotics remained undiscovered. In 1798 he served selflessly as the only physician in town who was willing to battle the Yellow Fever outbreak of New London, Connecticut. Because he practised at the dawn of the age of patent medicine, unfortunately his name also came to be associated with medical quackery. We argue that his contributions have been grossly underestimated. He compounded and vended medications - including bilious pills and bitters - that were gold standards of the day. Moreover, one preparation for treatment of kidney stones led to his sub-specialization in this field and was met with such success that its sale continued for nearly 100 years after his death. While a talented medical man, Lee also had a knack for business, finding success in trading, whaling and real estate. PMID:24585580

  10. Protecting Geoheritage - Geodiversity Charter for England

    NASA Astrophysics Data System (ADS)

    Dunlop, Lesley

    2016-04-01

    The Geodiversity Charter for England, launched in 2014, sets out the clear vision that England's 'geodiversity is recognised as an integral and vital part of our environment, economy and heritage that must be safeguarded and managed for current and future generations'. England is privileged to be among the most geodiverse places in the world with 700 million years of geological history revealed by our rocks. The white cliffs of Dover, honey coloured Cotswold limestone, granite Dartmoor Tors, are examples of this geodiversity. To maintain and enhance our geodiversity it is important to recognise its role in: • the understanding of England's geological history and global geosciences • natural heritage, both terrestrial and marine, and landscapes in all their diversity • supporting habitats and species and the many essential benefits they provide for society • adaptation to changes in climate and sea-level through sustainable management of land and water and working with natural processes • sustainable economic development • the history, character and cultural development of our society through intellectual growth and creative expression alongside industrial and technological development • public health, quality of life and national well-being and connecting people with the natural environment including active promotion of geotourism. Geodiversity, however, is an often overlooked environmental asset. The vision of the Charter and the work of the English Geodiversity Forum is to encourage good practice and to act as a focus in order to: • raise awareness of the importance, value and relevance of geodiversity to our economic prosperity and comfort and its wider links with the natural environment, landscape, cultural and historical heritage and sense of place • encourage a sense of pride through education and learning, promotion and interpretation • promote careful management of geodiversity through conservation and enhancement of its special

  11. 78 FR 13868 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-01

    ... catch (ABC) risk policy for New England fisheries through structured and participatory discussions. It... opportunity for communications between participants about management and science issues that relate to the...

  12. The invertebrate ecology of the Chalk aquifer in England (UK)

    NASA Astrophysics Data System (ADS)

    Maurice, L.; Robertson, A. R.; White, D.; Knight, L.; Johns, T.; Edwards, F.; Arietti, M.; Sorensen, J. P. R.; Weitowitz, D.; Marchant, B. P.; Bloomfield, J. P.

    2016-03-01

    The Chalk is an important water supply aquifer, yet ecosystems within it remain poorly understood. Boreholes (198) in seven areas of England (UK) were sampled to determine the importance of the Chalk aquifer as a habitat, and to improve understanding of how species are distributed. Stygobitic macro-invertebrates were remarkably common, and were recorded in 67 % of boreholes in unconcealed Chalk, although they were not recorded in Chalk that is concealed by low-permeability strata and thus likely to be confined. Most species were found in shallow boreholes (<21 m) and boreholes with deep (>50 m) water tables, indicating that the habitat is vertically extensive. Stygobites were present in more boreholes in southern England than northern England (77 % compared to 38 %). Only two species were found in northern England compared to six in southern England, but overall seven of the eight stygobitic macro-invertebrate species found in England were detected in the Chalk. Two species are common in southern England, but absent from northern England despite the presence of a continuous habitat prior to the Devensian glaciation. This suggests that either they did not survive glaciations in the north where glaciers were more extensive, or dispersal rates are slow and they have never colonised northern England. Subsurface ecosystems comprising aquatic macro-invertebrates and meiofauna, as well as the microbial organisms they interact with, are likely to be widespread in the Chalk aquifer. They represent an important contribution to biodiversity, and may influence biogeochemical cycles and provide other ecosystem services.

  13. 75 FR 68757 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-09

    ... Council's (Council) Herring Committee will meet to consider actions affecting New England fisheries in the... for consideration in Amendment 5 to the Atlantic Herring Fishery Management Plan (FMP),...

  14. 77 FR 16540 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-21

    ... affecting New England fisheries in the exclusive economic zone (EEZ). Recommendations from this group will... presentation from Stellwagen Bank National Marine Sanctuary staff regarding an ecological research...

  15. Wilderness Medicine.

    PubMed

    Alexander, Whitney; Bright, Steven; Burns, Patrick; Townes, David

    2016-03-01

    Wilderness medicine encompasses prevention and treatment of illness and injury, education and training, emergency medical services, and search and rescue in the wilderness. Although traumatic injuries, including minor injuries, outnumber medical illness as the cause of morbidity in the wilderness, basic understanding of the prevention and management of injury and illness, including recognition, identification, treatment, initial management, and stabilization, is essential, in addition to the ability to facilitate evacuation of affected patients. An important theme throughout wilderness medicine is planning and preparation for the best- and worst-case scenarios, and being ready for the unexpected. PMID:26900118

  16. Radical observations during the Clean air for London project

    NASA Astrophysics Data System (ADS)

    Whalley, L. K.; Stone, D.; Clancy, N.; Lee, J. D.; Laufs, S.; Kleffmann, J.; Heard, D. E.

    2012-12-01

    With greater than 50 % of the global population residing in urban conurbations, poor urban air quality has a demonstrable effect on human health. OH and HO2 radicals, (collectively termed HOx) together with RO2 radicals, mediate virtually all of the oxidative chemistry in the atmosphere, being responsible for the transformation of primary emissions into secondary pollutants such as NO2, O3 and particulates. Understanding the chemistry of free-radicals in the atmosphere is essential in improving predictions of the lifetimes of pollutants and spatial scales of their transport within urban areas. Results from earlier field campaigns in urban and polluted regions have demonstrated the significance of HONO photolysis and alkene ozonolysis in the production of HOx radicals. In many cases, however, measurements of HONO have not been made, reducing the ability to evaluate model successes for OH in these environments. Here we present measurements of OH, HO2, RO2 and OH reactivity taken during the wintertime (January - February, 2012) and summertime (July - August, 2012) as part of the Clean air for London (ClearfLo) project in London. RO2 was detected using a newly developed flow-reactor laser-induced fluorescence technique which is able to discriminate between HO2 and organic peroxy radicals [1]. Low concentrations of radicals were observed during the wintertime, midday [OH], [HO2] and [RO2] were ~ 0.04, 0.8 and 1.5 pptv respectively, comparable to observations of radicals at other urban locations in winter [2,3,4], and which displayed a negative correlation with NO concentrations. OH reactivity was high and largely tracked the diurnal profiles of NOx and CO, with the highest reactivity ~100 s-1 observed during the morning rush hour. Analysis of factors controlling OH concentrations during the wintertime suggests that the formation of OH from the photolysis of O3 and subsequent reaction of O(1D) with H2O is a minor contribution both under high and low NOx conditions owing

  17. Role of community pharmacies in prevention of AIDS among injecting drug misusers: findings of a survey in England and Wales.

    PubMed Central

    Glanz, A.; Byrne, C.; Jackson, P.

    1989-01-01

    OBJECTIVE--To determine the current and potential roles of community pharmacists in the prevention of AIDS among misusers of injected drugs. DESIGN--Cross sectional postal survey of a one in four random sample of registered pharmacies in England and Wales. SETTING--Project conducted in the addiction research unit of the Institute of Psychiatry, London. SUBJECTS--2469 Community pharmacies in the 15 regional health authorities in England and Wales. MAIN OUTCOME MEASURES--Willingness of pharmacists to sell injecting equipment to known or suspected misusers of drugs; pharmacists' attitudes to syringe exchange schemes, keeping a "sharps" box for use by misusers of drugs, and offering face to face advice and leaflets; and opinions of community pharmacists on their role in AIDS prevention and drug misuse. RESULTS--1946 Questionnaires were returned, representing a response rate of 79%. This fell short of the target of one in four pharmacies in each family practitioner committee area in England and Wales, and total numbers of respondents were therefore weighted in inverse proportion to the response rate in each area. The findings disclosed a substantial demand for injecting equipment by drug misusers. After weighting of numbers of respondents an estimated 676 of 2434 pharmacies were currently selling injecting equipment and 65 of 2415 (3%) were participating in local syringe exchange schemes; only 94 of 2410 pharmacies (4%) had a sharps box for used equipment. There was a high degree of concern among pharmacists about particular consequences of drug misusers visiting their premises, along with a widespread acceptance that the community pharmacist had an important part to play. CONCLUSIONS--Promoting the participation of community pharmacists in the prevention of AIDS among misusers of injected drugs is a viable policy, but several problems would need to be overcome before it was implemented. PMID:2511969

  18. Incidence and survival trends of lip, intra-oral cavity and tongue base cancers in south-east England

    PubMed Central

    Ekrikpo, U; Lyne, O; Wiseberg, J

    2015-01-01

    Background Oral cavity cancers are on the increase in the UK. Understanding site-specific epidemiological trends is important for cancer control measures. This study demonstrates the changing epidemiological trends in lip, intra-oral cavity and tongue base cancers in south-east England from 1987 to 2006. Aim: Methods This was a retrospective study using anonymised data obtained from the Thames Cancer Registry (TCR) London. Data were analysed using SPSS v.17 and survival analyses with Kaplan-Meier and Cox regression. Age standardisation of the incidence rates was performed. It was conducted in south-east England, which has an average population of 12 million. The study analysed 9,318 cases (ICD-10 code C00–C06, C14). Kent Research Ethics Committee UK granted ethical approval. Results Oral cancers were more common in men, with male: female ratio of 1.6:1. Tongue cancers had the highest frequency at 3,088 (33.1%). Incidence varied with each cancer type. Mean incidence (per 1,000,000) ranged from 2.3 (lip cancer) to 13.8 (tongue cancer). There has been a statistically significant increase in incidence for cancers of the tongue base, other parts of tongue, gum and palate (p<0.001). Median survival time varied by sub-site, with lip cancer having the best median survival time (11.09 years) compared with tongue base cancer (2.42 years). Survival analyses showed worse prognosis for men, older age at diagnosis, and presence of synchronous tumours (p<0.001). Conclusion There is a rising incidence of tongue and tongue base, gum and palate cancers in south-east England with wide variability in survival. Oral cancer awareness and screening programmes should be encouraged. PMID:26263810

  19. Bioenergetic medicine

    PubMed Central

    Swerdlow, Russell H

    2014-01-01

    Here we discuss a specific therapeutic strategy we call ‘bioenergetic medicine’. Bioenergetic medicine refers to the manipulation of bioenergetic fluxes to positively affect health. Bioenergetic medicine approaches rely heavily on the law of mass action, and impact systems that monitor and respond to the manipulated flux. Since classically defined energy metabolism pathways intersect and intertwine, targeting one flux also tends to change other fluxes, which complicates treatment design. Such indirect effects, fortunately, are to some extent predictable, and from a therapeutic perspective may also be desirable. Bioenergetic medicine-based interventions already exist for some diseases, and because bioenergetic medicine interventions are presently feasible, new approaches to treat certain conditions, including some neurodegenerative conditions and cancers, are beginning to transition from the laboratory to the clinic. Linked Articles This article is part of a themed issue on Mitochondrial Pharmacology: Energy, Injury & Beyond. To view the other articles in this issue visit http://dx.doi.org/10.1111/bph.2014.171.issue-8 PMID:24004341

  20. Medicinal Plants.

    ERIC Educational Resources Information Center

    Phillipson, J. David

    1997-01-01

    Highlights the demand for medicinal plants as pharmaceuticals and the demand for health care treatments worldwide and the issues that arise from this. Discusses new drugs from plants, anticancer drugs, antiviral drugs, antimalarial drugs, herbal remedies, quality, safety, efficacy, and conservation of plants. Contains 30 references. (JRH)

  1. Nuclear medicine

    SciTech Connect

    Wagner, H.N. Jr.

    1986-10-17

    In 1985 and 1986 nuclear medicine became more and more oriented toward in vov chemistry, chiefly as a result of advances in positron emission tomography (PET). The most important trend was the extension of PET technology into the care of patients with brain tumors, epilepsy, and heart disease. A second trend was the increasing use of single-photon emission computed tomography (SPECT).

  2. [Osteopathic medicine].

    PubMed

    Klein, P; Lepers, Y; Salem, W

    2011-09-01

    Osteopathy is originated in the 19th century in the United States. Andrew Taylor Still seek for an alternative medical system to the orthodox medicine largely empirical and advocating bloodletting, calomel, etc., all of which was resumed with terms like" heroic medicine". Osteopathy as other alternative medical practices (homeopathy, eclecticism, etc.) based on rational and metaphysical postulates as vitalism or the fact that man is a divinely ordained machine. Still's approach was essentially manual and based on manipulation of the joints. Today osteopaths challenge these dogmas and seek to agree their practice within scientific biomedical standards. Even if strong randomized clinical trials are lacking, several surveys report how osteopathy gained public notoriety. Several recent meta-analyses pinpoint the benefit of the spinal manipulative treatment and even if there is no evidence that such an approach is superior to other advocated therapies there is no evidence that these therapies are more effective than the first one. The major indications for such a treatment are cervical and low back pain, either chronic or acute. The quality of the relationship between the practitioner and patient together with the placebo effect are important components of a treatment effect. Osteopathic education is an important aspect and only higher education institutions, i.e. universities can achieve and maintain adequate standards. Materia medica and surgery represent the two major therapeutic mainstreams in medicine; osteopathy considered as manual medicine could be the third one. PMID:22034767

  3. Managing Medicines

    MedlinePlus

    ... other strategies that don’t use medicine have • Call the ADEAR Center toll-free: 1-800-438-4380 been tried. ... dose, patient’s name, dosage frequency, and expiration date. • ... Disease Education and Referral (ADEAR) Center is a service of the National Institute on ...

  4. Medicine Handbook.

    ERIC Educational Resources Information Center

    New York State Education Dept., Albany. Office of the Professions.

    A reference guide to laws, rules, and regulations that govern medical practice in New York State is presented. After an overview of professional regulation in the state, licensing requirements/procedures for medicine are described including education and postgraduate training requirements, state licensing examinations, and application…

  5. Medicine Handbook.

    ERIC Educational Resources Information Center

    New York State Education Dept., Albany. Office of the Professions.

    New York State education law, rules, and regulations concerning the practice of medicine are presented, along with requirements and procedures for obtaining licensure and first registration as a physician. State statutory provisions cover: duration and registration of a license, practice and regulation of the profession, supervision by the Board…

  6. Constraining the vertical surface motions of the Hampshire Basin, south England During the Cenozoic

    NASA Astrophysics Data System (ADS)

    Smith, Philip; England, Richard; Zalasiewicz, Jan

    2016-04-01

    mechanism for the observed return to a long wavelength tilting of the UK superimposed on short wavelength variations in surface topography caused by an existing state of tectonic stress, possibly inherited in the early to mid Cenozoic. Considering the tectonic and structural evidence available, the Cenozoic topography could be explained by magmatic underplating associated with north Atlantic opening and/or crustal buckling as a result of the Alpine collisional sequences. Additional deep boreholes from the London basin and East Anglia provide a comprehensive 3D tectonic map of vertical surface motions during the early to mid Cenozoic. From this we may be able to understand more about the major tectonic controls influencing southern England at this time and what is modifying the current surface elevation change on short wavelengths.

  7. Improving accountability through alignment: the role of academic health science centres and networks in England

    PubMed Central

    2014-01-01

    Background As in many countries around the world, there are high expectations on academic health science centres and networks in England to provide high-quality care, innovative research, and world-class education, while also supporting wealth creation and economic growth. Meeting these expectations increasingly depends on partnership working between university medical schools and teaching hospitals, as well as other healthcare providers. However, academic-clinical relationships in England are still characterised by the “unlinked partners” model, whereby universities and their partner teaching hospitals are neither fiscally nor structurally linked, creating bifurcating accountabilities to various government and public agencies. Discussion This article focuses on accountability relationships in universities and teaching hospitals, as well as other healthcare providers that form core constituent parts of academic health science centres and networks. The authors analyse accountability for the tripartite mission of patient care, research, and education, using a four-fold typology of accountability relationships, which distinguishes between hierarchical (bureaucratic) accountability, legal accountability, professional accountability, and political accountability. Examples from North West London suggest that a number of mechanisms can be used to improve accountability for the tripartite mission through alignment, but that the simple creation of academic health science centres and networks is probably not sufficient. Summary At the heart of the challenge for academic health science centres and networks is the separation of accountabilities for patient care, research, and education in different government departments. Given that a fundamental top-down system redesign is now extremely unlikely, local academic and clinical leaders face the challenge of aligning their institutions as a matter of priority in order to improve accountability for the tripartite mission from

  8. General Practitioners’ Concerns About Online Patient Feedback: Findings From a Descriptive Exploratory Qualitative Study in England

    PubMed Central

    Cain, Rebecca; Neailey, Kevin; Hooberman, Lucy

    2015-01-01

    Background The growth in the volume of online patient feedback, including online patient ratings and comments, suggests that patients are embracing the opportunity to review online their experience of receiving health care. Very little is known about health care professionals’ attitudes toward online patient feedback and whether health care professionals are comfortable with the public nature of the feedback. Objective The aim of the overall study was to explore and describe general practitioners’ attitudes toward online patient feedback. This paper reports on the findings of one of the aims of the study, which was to explore and understand the concerns that general practitioners (GPs) in England have about online patient feedback. This could then be used to improve online patient feedback platforms and help to increase usage of online patient feedback by GPs and, by extension, their patients. Methods A descriptive qualitative approach using face-to-face semistructured interviews was used in this study. A topic guide was developed following a literature review and discussions with key stakeholders. GPs (N=20) were recruited from Cambridgeshire, London, and Northwest England through probability and snowball sampling. Interviews were transcribed verbatim and analyzed in NVivo using the framework method, a form of thematic analysis. Results Most participants in this study had concerns about online patient feedback. They questioned the validity of online patient feedback because of data and user biases and lack of representativeness, the usability of online patient feedback due to the feedback being anonymous, the transparency of online patient feedback because of the risk of false allegations and breaching confidentiality, and the resulting impact of all those factors on them, their professional practice, and their relationship with their patients. Conclusions The majority of GPs interviewed had reservations and concerns about online patient feedback and

  9. [Is "evidence-based medicine" followed by "confidence-based medicine"?].

    PubMed

    Porzsolt, Franz; Fangerau, Heiner

    2010-08-01

    In an appeal concerning accusations of defamation, the England and Wales Court of Appeal Decisions determined that evidence-based statements are to be judged as opinions and not statements of fact. Since the authors consider it probable that this legal judgment will exert influence on physicians' decisions about the provision of health care services, they have compiled the implications of the judgment and discuss its consequences. The own analyses and considerations lead to the conclusion that confidence-based medicine follows evidence-based medicine. This extension is necessary because evidence-based medicine has not been able to generate the required trust. Therefore, it will be demanded to underpin the existing concept with additional data. These data will be necessary because it is no longer sufficient to convince scientists with data which are obtained under ideal conditions, but to convince critical members of society with additional data which have been obtained under everyday conditions. PMID:20824414

  10. Chronic Pain Medicines

    MedlinePlus

    ... Treatment of chronic pain usually involves medicines and therapy. Medicines used for chronic pain include pain relievers, antidepressants and anticonvulsants. Different types of medicines help ...

  11. Jean Decima Jacomb (1894-1988), matron of The London Clinic, 20 Devonshire Place, London W1 from 1938 to 1949.

    PubMed

    Perkins, Kathy

    2016-08-01

    Miss Jean Jacomb born into a wealthy family, was at the age of 22 a student nurse at St Bartholomew's Hospital, London in 1917 where she nursed convalescent soldiers from World War I. Her midwifery training was in the slums around Whitechapel where a nurses uniform and medical bag provided a safe passage in the East End of London. For a while she worked in South Africa and India and returning to UK in 1923 she progressed to appointment as matron at the now re-named Royal Marsden Hospital in Chelsea. In 1938 she was appointed matron to The London Clinic during the years of World War II following which in 1949 she retired at the age of 55. She then travelled the world extensively by ship, always first class. She died in 1988. PMID:24944046

  12. Novel methylotrophic bacteria isolated from the River Thames (London, UK).

    PubMed

    Boden, Rich; Thomas, Elizabeth; Savani, Parita; Kelly, Donovan P; Wood, Ann P

    2008-12-01

    Enrichment and elective culture for methylotrophs from sediment of the River Thames in central London yielded a diversity of pure cultures representing several genera of Gram-negative and Gram-positive bacteria, which were mainly of organisms not generally regarded as typically methylotrophic. Substrates leading to successful isolations included methanol, monomethylamine, dimethylamine, trimethylamine, methanesulfonate and dimethylsulfone. Several isolates were studied in detail and shown by their biochemical and morphological properties and 16S rRNA gene sequencing to be Sphingomonas melonis strain ET35, Mycobacterium fluoranthenivorans strain DSQ3, Rhodococcus erythropolis strain DSQ4, Brevibacterium casei strain MSQ5, Klebsiella oxytoca strains MMA/F and MMA/1, Pseudomonas mendocina strain TSQ4, and Flavobacterium sp. strains MSA/1 and MMA/2. The results show that facultative methylotrophy is present across a wide range of Bacteria, suggesting that turnover of diverse C(1)-compounds is of much greater microbiological and environmental significance than is generally thought. The origins of the genes encoding the enzymes of methylotrophy in diverse heterotrophs need further study, and could further our understanding of the phylogeny and antiquity of methylotrophic systems. PMID:18681896

  13. Stability of topological defects in chiral superconductors: London theory.

    SciTech Connect

    Vakaryuk, V.

    2011-12-22

    This paper examines the thermodynamic stability of chiral domain walls and vortices-topological defects which can exist in chiral superconductors. Using London theory it is demonstrated that at sufficiently small applied and chiral fields the existence of domain walls and vortices in the sample is not favored and the sample's configuration is a single domain. The particular chirality of the single-domain configuration is neither favored nor disfavored by the applied field. Increasing the field leads to an entry of a domain-wall loop or a vortex into the sample. The formation of a straight domain wall is never preferred in equilibrium. Values of the entry (critical) fields for both types of defects, as well as the equilibrium size of the domain-wall loop, are calculated. We also consider a mesoscopic chiral sample and calculate its zero-field magnetization, susceptibility, and a change in the magnetic moment due to a vortex or a domain-wall entry. We show that in the case of a soft domain wall whose energetics is dominated by the chiral current (and not by the surface tension) its behavior in mesoscopic samples is substantially different from that in the bulk case and can be used for a controllable transfer of edge excitations. The applicability of these results to Sr{sub 2}RuO{sub 4} - a tentative chiral superconductor - is discussed.

  14. Carbon in black crusts from the Tower of London

    SciTech Connect

    Alessandra Bonazza; Peter Brimblecombe; Carlota M. Grossi; Cristina Sabbioni

    2007-06-15

    This paper investigates the origin, fluxes, and transformation of carbon compounds within black crusts on the stone walls of the Tower of London. The crusts were analyzed for elemental and organic carbon, including the water soluble fraction. The stratigraphy of the old, thicker crusts highlighted the presence of prismatic particles, spherical aluminosilicates and metals, and carbonaceous particles. These are indicative of wood, coal and oil combustion processes. Elemental carbon and low solubility compounds such as oxalates appeared to be conserved because of long residence times. Conversely, more soluble ions, like chloride and formate would be removed from the layers relatively quickly by rainfall. At higher organic carbon concentrations acetic acid may be produced within the crusts from biological transformations. Currently, traffic sources contribute to increasingly organic rich crusts. The deposition of elemental carbon to buildings darkens surfaces and has important aesthetic implications. The increased organic content may have further aesthetic consequence by changing the color of buildings to warmer tones, particularly browns and yellows. Management of historic buildings requires us to recognize the shift away from simple gypsum crusts to those richer in organic materials. 26 refs., 6 figs., 1 tab.

  15. Anatomists and entrepreneurs in early eighteenth-century London.

    PubMed

    Guerrini, Anita

    2004-04-01

    Anatomical demonstration in the eighteenth century took place in many formats. In this essay I discuss public anatomical demonstration as performed by entrepreneurial anatomists in London between 1700 and 1740. These anatomists offered courses, advertised in newspapers, to anyone who was willing to pay. In contrast to courses offered in official settings to prospective physicians and surgeons, these courses emphasized natural philosophy and natural theology rather than practical knowledge. Entrepreneurial lecturers also aimed to entertain. In this article I examine the lectures of James Douglas, William Cheselden, and Frank Nicholls, each of whom differed significantly from the others in style and content but were all anatomical entrepreneurs. All of them, moreover, employed not only human cadavers but also living and dead animals in their lessons. I examine the content of the lectures and the motivations of the lecturers' audiences. I also argue that the prevailing historiographical representation of eighteenth-century science as "polite" requires considerable revision to accommodate as impolite an activity as public anatomy. PMID:15109154

  16. Malaria in Birmingham and a London teaching hospital.

    PubMed Central

    Ellis, C J; Eykyn, S J; Watkins, P; Bell, M; Geddes, A M

    1979-01-01

    During the past five years the incidence of imported malaria increased among patients seen in East Birmingham Hospital and in St Thomas's Hospital, London. Plasmodium vivax was the predominant species in Birmingham, and was almost always acquired by Asian immigrants visiting the Indian subcontinent. In St Thomas's P falciparum was most commonly imported, usually by African immigrants visiting Nigeria and Ghana. Two patients (one Irish, one Japanese) died of falciparum malaria after visiting tropical Africa. In both hospitals the immigrant patients had seldom taken prophylactic drugs, and the few who had, ceased to do so on arrival in the UK and sometimes before leaving the malarious country. Apparently immigrants who visit their homeland do not consult their general practitioners before travelling, are given inappropriate advice, or do not take appropriate advice when given. Since the incidence of imported falciparum malaria in the UK is rising, the following points should be considered: the infection may be lethal, particularly in patients lacking immunity; it can mimic other diseases, which may lead to delayed diagnosis; severe disease may be associated with few parasites on a blood film, and even if the result is negative further tests should be performed; clinicians and hospital pharmacists should be aware of the need to keep permanent stocks of parenteral chloroquine and quinine preparations. PMID:367507

  17. INVITATION : Latest astronomical results from ISO: Press briefing in London

    NASA Astrophysics Data System (ADS)

    1998-03-01

    Representatives of the media are invited to attend the briefing at the Institute of Physics, which will commence with registration and demonstrations at 10:00 a.m. London time. As of 10:30, Paul Murdin, Head of Astronomy at PPARC will initiate the briefing on behalf of PPARC. Reinhard Genzel, a German astronomer and Director of the Max Planck Institute, will make an independent assessment of ISO's achievements and announce some recent discoveries. Martin Kessler, the European Space Agency's project scientist, will summarize the extent of ISO's observations and describe the continuing work of analysis. At 11:45 (after questions) ISO scientists will be available for interviews, with quiet rooms for radio interviews and a scale model of ISO as backdrop for TV interviews and still pictures. Other facilities will include digital images from ISO, and a demonstration of educational project work. To coincide with the event, ESA will distribute a video news release, an Information Note, and new pictures from ISO. After the briefing there will be a buffet lunch. The nearest underground stations to the Institute of Physics are Great Portland Street and Regent's Park. Representatives of the media wishing to attend are requested to return by fax (+33(0)1.53.69.76.90) the attached accreditation form. For further information, please contact : ESA Public Relations Division Tel : +33(0)1.53.69.71.55 Fax : +33(0)1.53.69.76.90

  18. Geological Society of London Issues Statement on Climate Change

    NASA Astrophysics Data System (ADS)

    Summerhayes, Colin

    2011-02-01

    On 1 November the Geological Society of London (GSL) published a statement (http://www.geolsoc.org.uk/gsl/site//GSL//lang/en/climatechange) about the geological evidence relating to past climates, atmospheric carbon levels, and their interrelationships. The online version also carries a list of recommendations for further reading. The GSL's Geoscientist magazine (http://www.geolsoc.org.uk/gsl/site/GSL/lang/en/page8578.html) reported Bryan Lovell, GSL president, as saying, “Climate change is a defining issue of our time, whose full understanding needs geology's long perspective. Earth scientists can read…the geological record of changes in climate that occurred long before we were around to light so much as a camp fire, let alone burn coal, gas and oil. A dramatic global warming event 55 million years ago gives us a particularly clear indication of what happens when there is a sudden release of 1500 billion tonnes of carbon into Earth's atmosphere. It gets hot, the seas become more acid, and there is widespread extinction of life. We are a third of the way to repeating that ancient natural input of carbon through our own agency. The message from the rocks is that it would be a good idea to stop pulling that carbon trigger.”

  19. A national syndromic surveillance system for England and Wales using calls to a telephone helpline.

    PubMed

    Smith, G E; Cooper, D L; Loveridge, P; Chinemana, F; Gerard, E; Verlander, N

    2006-01-01

    Routine primary care data provide the means to monitor a variety of syndromes which could give early warning of health protection issues. In the United Kingdom, a national syndromic surveillance system, operated jointly by the UK Health Protection Agency (HPA) and NHS Direct (a national telephone health helpline), examines symptoms reported to NHS Direct. The aim of the system is to identify an increase in syndromes indicative of common infections and diseases, or the early stages of illness caused by the deliberate release of a biological or chemical agent. Data relating to 11 key symptoms/syndromes are received electronically from all 22 NHS Direct call centres covering England and Wales and analysed by the HPA on a daily basis. Statistically significant excesses in calls are automatically highlighted and assessed by a multi-disciplinary team. Although the surveillance system has characterised many sudden rises in syndromes reported to NHS Direct, no evidence of a biological or chemical attack has been detected. Benefits of this work, however, are early warning and tracking of rises in community morbidity (e.g. influenza-like illness, heatstroke); providing reassurance during times of perceived high risk (e.g. after the 7 July 2005 London bombs and December 2005 Buncefield oil depot fire); and timely surveillance data for influenza pandemic planning and epidemic modeling. PMID:17370968

  20. Squid 'ear bones' (statoliths) from the Jurassic succession of South-west England

    NASA Astrophysics Data System (ADS)

    Hart, Malcolm; Page, Kevin; Price, Gregory; Smart, Christopher

    2015-04-01

    Squid 'ear bones' - or statoliths - are a part of the balancing organs of modern and probably most fossil squids. Over the course of the last 10 years fossil statoliths have been discovered in the Jurassic sediments of the Wessex Basin (South-west England). They are probably all related to teuthids, such as Belemnotheutis antiquus Pearce, of Callovian-Oxfordian age. Thus far, we have identified four possible 'species' of statolith that are in the process of being formally described, named and their potential relationships determined. The sediments from which these statoliths have been recorded also contain squid hooklets (onycites), otoliths (fish 'ear bones') and other microfossils (including foraminifera). All are, therefore, of marine origin. In the case of the Christian Malford and Ashton Keynes lagerstätte (of late Callovian age), the statoliths are associated with exceptional, soft-bodied preservation of squid and it may be possible to determine the parent animal of the recorded statoliths. A number of museum collections (Natural History Museum [London], Natural History Museum [Paris], Senckenberg [Frankfurt], Smithsonian Institution [Washington], etc.) are being investigated in order to trace the possible host animals for all of the recorded statoliths. Despite many thousands of samples of Cretaceous sediments being investigated for foraminifera over the past 40+ years, no statoliths have been recorded and none are known from the literature.

  1. General surgical workload in England and Wales.

    PubMed Central

    Allen-Mersh, T G; Earlam, R J

    1983-01-01

    An attempt was made to measure the workload of a typical general surgical firm (two part time consultants and their junior staff) serving a population of 100 000 in England and Wales. This provides a background against which to plan curricula for undergraduate and postgraduate teaching, as well as being a guide to the experience that a surgical trainee should get in a suitable training post. The effect of changes in surgical staffing on the number of operations done by a surgeon may also be estimated. PMID:6414594

  2. Deformation of Mesozoic dikes in New England

    SciTech Connect

    Manning, A.H.; de Boer, J.Z. )

    1989-11-01

    Slickensided fractures occur in 52{percent} of the 235 Mesozoic dikes examined in Vermont, New Hampshire, and southern Maine. About 80{percent} are tectonically reactivated cooling joints; about 20{percent} are true faults. Stress configurations were derived from the fractures by using the Gephart stress inversion programs. The data provide clear evidence for east-northeast-west-southwest compression, north-south compression, and regional arching. Evidence of east-northeast-west-southwest compression dominates the data set. This stress has probably affected New England since Early Cretaceous time.

  3. National Holographic Centre, England: proposal report

    NASA Astrophysics Data System (ADS)

    Pepper, Andrew T.

    1998-02-01

    A National Holographic Center has been proposed for construction in England. Its aim is to offer teaching facilities for creative holography to degree level students, the design based holography industry, the local community, school children and members of the public. There are also plans to provide advanced studies and master classes from artists and scientists renowned for their work in the field as well as formal artist-in-residencies. Unlike other teaching and display facilities, this will be a purpose- designed building with labs, gallery space and accommodation for users.

  4. The New England Healthcare EDI Network.

    PubMed

    Glaser, John P; DeBor, Greg; Stuntz, Laurance

    2003-01-01

    The New England Healthcare EDI Network (NEHEN) is a collaborative of providers and payers in eastern Massachusetts that created, manages, and operates a shared insurance EDI infrastructure. NEHEN currently has 12 provider and three payer members, and supports over 1,000,000 insurance EDI transactions per month. This paper describes the philosophies that define the NEHEN business model and discusses its governance structure, technology, operational issues associated with its implementation, and its current status, along with lessons learned from the NEHEN undertaking. PMID:14558371

  5. Outcomes of domestic violence screening at an acute London trust: are there missed opportunities for intervention?

    PubMed Central

    Warren-Gash, Charlotte; Bartley, Angela; Bayly, Jude; Dutey-Magni, Peter; Edwards, Sarah; Madge, Sara; Miller, Charlotte; Nicholas, Rachel; Radhakrishnan, Sheila; Sathia, Leena; Swarbrick, Helen; Blaikie, Dee; Rodger, Alison

    2016-01-01

    Objectives Domestic violence screening is advocated in some healthcare settings. Evidence that it increases referral to support agencies or improves health outcomes is limited. This study aimed to (1) investigate the proportion of hospital patients reporting domestic violence, (2) describe characteristics and previous hospital attendances of affected patients and (3) assess referrals to an in-house domestic violence advisor from Camden Safety Net. Design A series of observational studies. Setting Three outpatient clinics at the Royal Free London NHS Foundation Trust. Participants 10 158 patients screened for domestic violence in community gynaecology, genitourinary medicine (GUM) and HIV medicine clinics between 1 October 2013 and 30 June 2014. Also 2253 Camden Safety Net referrals over the same period. Main outcome measures (1) Percentage reporting domestic violence by age group gender, ethnicity and clinic. (2) Rates of hospital attendances in the past 3 years for those screening positive and negative. (3) Characteristics, uptake and risk assessment results for hospital in-house domestic violence referrals compared with Camden Safety Net referrals from other sources. Results Of the 10 158 patients screened, 57.4% were female with a median age of 30 years. Overall, 7.1% reported ever-experiencing domestic violence, ranging from 5.7% in GUM to 29.4% in HIV services. People screening positive for domestic violence had higher rates of previous emergency department attendances (rate ratio (RR) 1.63, 95% CI 1.09 to 2.48), emergency inpatient admissions (RR 2.27, 95% CI 1.37 to 3.84) and day-case admissions (RR 2.03, 95% CI 1.23 to 3.43) than those screening negative. The 77 hospital referrals to the hospital-based domestic violence advisor during the study period were more likely to be taken up and to be classified as high risk than referrals from elsewhere. Conclusions Selective screening for domestic violence in high-risk hospital clinic populations has the

  6. Protocol for a process-oriented qualitative evaluation of the Waltham Forest and East London Collaborative (WELC) integrated care pioneer programme using the Researcher-in-Residence model

    PubMed Central

    Eyre, Laura; George, Bethan; Marshall, Martin

    2015-01-01

    Introduction The integration of health and social care in England is widely accepted as the answer to fragmentation, financial concerns and system inefficiencies, in the context of growing and ageing populations with increasingly complex needs. Despite an expanding body of literature, there is little evidence yet to suggest that integrated care can achieve the benefits that its advocates claim for it. Researchers have often adopted rationalist and technocratic approaches to evaluation, treating integration as an intervention rather than a process. Results have usually been of limited use to practitioners responsible for health and social care integration. There is, therefore, a need to broaden the evidence base, exploring not only what works but also how integrated care can most successfully be implemented and delivered. For this reason, we are carrying out a formative evaluation of the Waltham Forest and East London Collaborative (WELC) integrated care pioneer programme. Our expectation is that this will add value to the literature by focusing on the processes by which the vision and objectives of integrated care are translated through phases of development, implementation and delivery from a central to a local perspective, and from a strategic to an operational perspective. Methods and analysis The qualitative and process-oriented evaluation uses an innovative participative approach—the Researcher-in-Residence model. The evaluation is underpinned by a critical ontology, an interpretive epistemology and a critical discourse analysis methodology. Data will be generated using interviews, observations and documentary gathering. Ethics and dissemination Emerging findings will be interpreted and disseminated collaboratively with stakeholders, to enable the research to influence and optimise the effective implementation of integrated care across WELC. Presentations and publications will ensure that learning is shared as widely as possible. The study has received

  7. Apprentices in Trouble: Some Problems in the Training of Surgeons and Apothecaries in Seventeenth Century London

    PubMed Central

    Forbes, Thomas R.

    1979-01-01

    Mayor's Court interrogatories and depositions in six disputes between apprentices and their surgeon and apothecary masters in London in 1654-1684 are reviewed. Evidence is presented to illustrate aspects of the operation of the apprentice system. PMID:377827

  8. Tracer concentration profiles measured in central London as part of the REPARTEE campaign

    NASA Astrophysics Data System (ADS)

    Martin, D.; Petersson, K. F.; White, I. R.; Henshaw, S. J.; Nickless, G.; Lovelock, A.; Barlow, J. F.; Dunbar, T.; Wood, C. R.; Shallcross, D. E.

    2011-01-01

    There have been relatively few tracer experiments carried out that have looked at vertical plume spread in urban areas. In this paper we present results from two tracer (cyclic perfluorocarbon) experiments carried out in 2006 and 2007 in central London centred on the BT Tower as part of the REPARTEE (Regent's Park and Tower Environmental Experiment) campaign. The height of the tower gives a unique opportunity to study vertical dispersion profiles and transport times in central London. Vertical gradients are contrasted with the relevant Pasquill stability classes. Estimation of lateral advection and vertical mixing times are made and compared with previous measurements. Data are then compared with a simple operational dispersion model and contrasted with data taken in central London as part of the DAPPLE campaign. This correlates dosage with non-dimensionalised distance from source. Such analyses illustrate the feasibility of the use of these empirical correlations over these prescribed distances in central London.

  9. REVIEW OF NEW ENGLAND COMPARATIVE RISK PROJECTS AND RANKINGS

    EPA Science Inventory

    Ten years ago, EPA New England (EPA NE) conducted a pilot comparative risk project:"Unfinished Business in New England: A Comparative Assessment of Environmental Problems" (December 1988). This regional effort was modeled after the national EPA comparative risk project: "Unfinis...

  10. Religious Control of Schooling in England: Diversity and Division

    ERIC Educational Resources Information Center

    Ward, Stephen

    2008-01-01

    Britain is a multicultural, multi-faith and multiracial society overlaid by white institutional racism. The race riots in the northern cities of England in 2001 and in 2005 signal that social and ethnic divisions are prominent. This article considers the state schooling in England and the role which state-funded faith schools play in government…

  11. 77 FR 27440 - New England Fishery Management Council; Public Hearings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-10

    ... National Oceanic and Atmospheric Administration New England Fishery Management Council; Public Hearings...), Commerce. ACTION: Public Hearing; Request for Comments. SUMMARY: The New England Fishery Management Council (Council) will hold a supplemental public hearing to solicit Scoping comments on Draft Amendment 19 to...

  12. Gender and the Social Order in Early Modern England.

    ERIC Educational Resources Information Center

    Amussen, Susan Dwyer

    The place of the family and the relationship between gender and social order in England between 1560 and 1725 are examined. The fear of disorder so prevalent in England in the late 16th and early 17th centuries was caused by the doubling of the population and extremely poor economic conditions. In the attempt to enforce order, the analogy between…

  13. 76 FR 32143 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-03

    ... wish to provide brief comments on issues relevant to Council business but not otherwise listed on the... National Oceanic and Atmospheric Administration New England Fishery Management Council; Public Meeting...), Commerce. ACTION: Public meeting. SUMMARY: The New England Fishery Management Council (Council) will hold...

  14. Economic Education in Schools and Universities in England

    ERIC Educational Resources Information Center

    Davies, Peter; Durden, Guy

    2010-01-01

    The authors review three aspects of economic education in England. They examine trends in undergraduate economics in England, principally in terms of recruitment and outcomes and connections with economics in schools. They also review formal instruction in schools through so-called "advanced level" courses for 16-19-year-old students and the role…

  15. Cherished Possessions: A New England Legacy. Educator's Resource Guide.

    ERIC Educational Resources Information Center

    Peters, Amy L.

    The exhibition, "Cherished Possessions: A New England Legacy," consists of approximately 200 objects drawn from the Society for the Preservation of New England Antiquities collection of fine and decorative arts. Each item in the exhibition has been selected for its ability to tell a story and to place the history of that item within the larger…

  16. 78 FR 78823 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-27

    ...The New England Fishery Management Council (Council) is scheduling a joint public meeting of its Skate Oversight Committee and Skate Advisory Panel on January 15, 2014 to consider actions affecting New England fisheries in the exclusive economic zone (EEZ). Recommendations from this group will be brought to the full Council for formal consideration and action, if...

  17. Why They Come: New England's Lure to the International Student

    ERIC Educational Resources Information Center

    Goodman, Allan E.

    2006-01-01

    The Institute of International Education's annual census of academic mobility reveals that 7.5 percent of the nearly 600,000 international students attending U.S. colleges and universities in 2005 went to campuses in New England. In this article, the author explains why New England's higher education enterprise will continue to lure international…

  18. Six States, One Destiny: Critical Issues for New England

    ERIC Educational Resources Information Center

    Mass, William; Soule, David C.

    2005-01-01

    Midway through the first decade of the 21st century, New England innovation and creative capacity are being challenged by other regions of the nation and the world. New England needs foresight to understand what its emerging economic sectors need to thrive in a changing demography. The region is losing 20- to 34-year-olds and seeing a growing…

  19. On Affordability: Public Higher Education in New England

    ERIC Educational Resources Information Center

    Syverud, Gretchen

    2015-01-01

    As the lowest-priced higher education institutions serving the greatest share of students in New England, public institutions are a crucial access point for the region's students who may not have other opportunities to enroll in college. Maintaining the cost of attending a public institution in New England is imperative for students, families,…

  20. Confusion in the Ranks: How Good Are England's Schools?

    ERIC Educational Resources Information Center

    Smithers, Alan

    2013-01-01

    Understanding how well English education performs compared with other countries is a valuable exercise, particularly because the information can help England and other countries learn from successful systems. The most recent international league tables of pupil performance differ considerably. England languishes well down the list in PISA 2009,…

  1. Who Should Control Teacher Education? Lessons From England.

    ERIC Educational Resources Information Center

    Baker, Thomas E.

    This paper discusses changes in England's teacher education, using data from interviews, literature, and observation. The research examined how teachers and teacher educators responded to sweeping changes imposed on schools and education following the Education Reform Act of 1988. Both the United States and England experience significant criticism…

  2. 75 FR 36360 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-25

    ... National Oceanic and Atmospheric Administration RIN 0648-XX09 New England Fishery Management Council... Administration (NOAA), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery Management Council's (Council) Groundfish/Scallop Advisory Panel will meet to consider actions affecting New...

  3. 76 FR 54433 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-01

    .... SUPPLEMENTARY INFORMATION: The original meeting notice published on August 26, 2011, (76 FR 53417). The meetings... National Oceanic and Atmospheric Administration RIN 0648-XA665 New England Fishery Management Council... Administration (NOAA), Commerce. ACTION: Notice of a public meeting. SUMMARY: The New England Fishery...

  4. 75 FR 28566 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-21

    ... National Oceanic and Atmospheric Administration RIN 0648-XW57 New England Fishery Management Council... Administration (NOAA), Commerce. ACTION: Notice of a public meeting. SUMMARY: The New England Fishery Management Council's (Council) Groundfish/Scallop Advisory Panel will meet to consider actions affecting New...

  5. 76 FR 17626 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-30

    ...: (508) 339-2200; fax: (508) 339- 1040. Council address: New England Fishery Management Council, 50 Water... stocks managed under the US/Canada Resource Sharing Understanding. 4. Amendment 17 to the Northeast... National Oceanic and Atmospheric Administration RIN 0648-XA336 New England Fishery Management...

  6. Educational Accountability in England: The Role of Assessment.

    ERIC Educational Resources Information Center

    Gipps, Caroline V.

    This paper discusses the role of assessment in educational accountability in England. A national curriculum was introduced in England and Wales in 1988, and national assessment against the national curriculum was introduced progressively from 1990. Students are assessed at the end of the key stages (at ages 7, 11, and 14) using a combination of…

  7. 27 CFR 9.72 - Southeastern New England.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 27 Alcohol, Tobacco Products and Firearms 1 2011-04-01 2011-04-01 false Southeastern New England. 9.72 Section 9.72 Alcohol, Tobacco Products and Firearms ALCOHOL AND TOBACCO TAX AND TRADE BUREAU, DEPARTMENT OF THE TREASURY LIQUORS AMERICAN VITICULTURAL AREAS Approved American Viticultural Areas § 9.72 Southeastern New England. (a) Name. The...

  8. New England Junior College Council Salary Survey 1971-72.

    ERIC Educational Resources Information Center

    New England Board of Higher Education, Wellesley, MA.

    The New England Board of Higher Education conducted a salary survey among the 51 New England Junior College Council member institutions. The questionnaire sought information about salaries of selected administrators, full-time faculty, and fringe benefits for full-time faculty. Of the 35 responding colleges, 20 were public and 15 were private…

  9. 76 FR 13361 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-11

    ... National Oceanic and Atmospheric Administration RIN 0648-XA284 New England Fishery Management Council... Administration (NOAA), Commerce. ACTION: Notice of a public meeting. SUMMARY: The New England Fishery Management... Management Council, 50 Water Street, Mill 2, Newburyport, MA 01950. FOR FURTHER INFORMATION CONTACT: Paul...

  10. Aspirations for a Master's-Level Teaching Profession in England

    ERIC Educational Resources Information Center

    Thomas, Lorraine

    2016-01-01

    This research investigates aspirations for a master's-level teaching profession in England, providing key stakeholder perceptions in one densely populated region within a multiple case study. Although this intended move to a master's-level profession represented a major shift in teachers' professional development in England, only limited…

  11. 75 FR 51240 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-19

    ...: (401) 732-9309. Council address: New England Fishery Management Council, 50 Water Street, Mill 2... National Oceanic and Atmospheric Administration RIN 0648-XY24 New England Fishery Management Council... Council (Council) is scheduling a public meeting of its Scallop Committee, in September, 2010, to...

  12. 78 FR 51712 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-21

    ...-9600; fax: (401) 734-9700. Council address: New England Fishery Management Council, 50 Water Street... National Oceanic and Atmospheric Administration RIN 0648-XC819 New England Fishery Management Council... Council (Council) is scheduling a public meeting of its Whiting Advisory Panel on September 9, 2013...

  13. 78 FR 51711 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-21

    ...) 431-2300; fax: (603) 433-5649. Council address: New England Fishery Management Council, 50 Water... National Oceanic and Atmospheric Administration RIN 0648-XC813 New England Fishery Management Council... Council (Council) is scheduling a public meeting of its Joint Groundfish/Habitat Committees on September...

  14. 78 FR 27367 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-10

    ... England Fishery Management Council, 50 Water Street, Mill 2, Newburyport, MA 01950. FOR FURTHER... National Oceanic and Atmospheric Administration RIN 0648-XC674 New England Fishery Management Council... Council (Council) is scheduling a public meeting of its Monkfish Committee on May 29, 2013 and May...

  15. 75 FR 10470 - New England Fishery Management Council; Public Hearings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-08

    ..., Executive Director, New England Fishery Management Council, 50 Water Street, Mill 2, Newburyport, MA 01950... Register (75 FR 2111) and the new dates, times, locations and telephone numbers of the hearings are as... National Oceanic and Atmospheric Administration RIN 0648-XT75 New England Fishery Management...

  16. 75 FR 54093 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-03

    ...-1191; fax: (401) 272-1416. Council address: New England Fishery Management Council, 50 Water Street... National Oceanic and Atmospheric Administration RIN: 0648-XY77 New England Fishery Management Council... Council (Council) is scheduling a public meeting of its Scallop Advisory Panel, in September, 2010,...

  17. 77 FR 68735 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-16

    ...-0700; fax: (401) 455-3050. Council address: New England Fishery Management Council, 50 Water Street... National Oceanic and Atmospheric Administration RIN 0648-XC356 New England Fishery Management Council... Council (Council) is scheduling a public meeting of its Monkfish Oversight Committee and Advisory Panel...

  18. 77 FR 68735 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-16

    ...) 634-2001. Council address: New England Fishery Management Council, 50 Water Street, Mill 2... National Oceanic and Atmospheric Administration RIN 0648-XC355 New England Fishery Management Council... Council (Council) is scheduling a public meeting of its Habitat Oversight Committee to consider...

  19. 78 FR 65617 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-01

    ... addressed to the New England Fishery Management Council, 50 Water Street, Mill 2, Newburyport, MA 01950... National Oceanic and Atmospheric Administration RIN 0648-XC952 New England Fishery Management Council... Council (Council) will hold a one-day meeting on November 20, 2013 to consider actions affecting...

  20. 75 FR 54093 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-03

    ...; fax: (401) 272-1416. Council address: New England Fishery Management Council, 50 Water Street, Mill 2... National Oceanic and Atmospheric Administration RIN: 0648-XY76 New England Fishery Management Council... Council (Council) is scheduling a public meeting of its Scallop Committee, in September, 2010, to...