Sample records for united kingdom tourist

  1. Occupations in the Hotel Tourist Sector within the European Community. A Comparative Analysis.

    ERIC Educational Resources Information Center

    Peroni, Giovanni; Guerra, Duccio

    This report contains a directory of job profiles in the tourist/hotel sector that is based on seven national monographs. It provides an instrument for comparing factors that characterize practitioners working in the sector in Germany, Spain, France, Greece, Italy, Portugal, and the United Kingdom. A methodological note discusses study objectives,…

  2. The ethics of medical tourism: from the United Kingdom to India seeking medical care.

    PubMed

    Meghani, Zahra

    2013-01-01

    Is the practice of UK patients traveling to India as medical tourists morally justified? This article addresses that question by examining three ethically relevant issues. First, the key factor motivating citizens of the United Kingdom to seek medical treatment in India is identified and analyzed. Second, the life prospects of the majority of the citizens of the two nations are compared to determine whether the United Kingdom is morally warranted in relying on India to meet the medical needs of its citizens. Third, as neoliberal reforms are justified on the grounds that they will help the indigent populations affected by them, the impact of medical tourism--a neoliberal initiative--on India's socially and economically marginalized groups is scrutinized.

  3. Theatre and Cultural Diplomacy: The Role of the Performing Arts in How Nations Deal With Each Other

    DTIC Science & Technology

    2010-06-01

    restaurants, associated exhibitions and tourist venues, souvenir shopping, and, in all likelihood, follow-on tourism . Festivals have the potential to... FESTIVALS AND PROGRAMS ..............52 1. United Kingdom: LIFT .....................................................................52 2. France... Festival d’Avignon...............................................................54 3. Germany: Berliner Theatertreffen

  4. Economic costs of the foot and mouth disease outbreak in the United Kingdom in 2001.

    PubMed

    Thompson, D; Muriel, P; Russell, D; Osborne, P; Bromley, A; Rowland, M; Creigh-Tyte, S; Brown, C

    2002-12-01

    The authors present estimates of the economic costs to agriculture and industries affected by tourism of the outbreak of foot and mouth disease (FMD) in the United Kingdom (UK) in 2001. The losses to agriculture and the food chain amount to about Pound Sterling3.1 billion. The majority of the costs to agriculture have been met by the Government through compensation for slaughter and disposal as well as clean-up costs. Nonetheless, agricultural producers will have suffered losses, estimated at Pound Sterling355 million, which represents about 20% of the estimated total income from farming in 2001. Based on data from surveys of tourism, businesses directly affected by tourist expenditure are estimated to have lost a similar total amount (between Pound Sterling2.7 and Pound Sterling3.2 billion) as a result of reduced numbers of people visiting the countryside. The industries which supply agriculture, the food industries and tourist-related businesses will also have suffered losses. However, the overall costs to the UK economy are substantially less than the sum of these components, as much of the expenditure by tourists was not lost, but merely displaced to other sectors of the economy. Overall, the net effect of FMD is estimated to have reduced the gross domestic product in the UK by less than 0.2% in 2001.

  5. Epidemiology of Imported Cutaneous Leishmaniasis at the Hospital for Tropical Diseases, London, United Kingdom: Use of Polymerase Chain Reaction to Identify the Species

    PubMed Central

    Wall, Emma C.; Watson, Julie; Armstrong, Margaret; Chiodini, Peter L.; Lockwood, Diana N.

    2012-01-01

    This study reviewed all patients diagnosed with imported cutaneous leishmaniasis (CL) at the Hospital for Tropical Diseases in London, United Kingdom, over an 11-year period. Diagnostic and epidemiologic information was collected prospectively for all patients with imported CL to this hospital during 1998–2009. A total of 223 patients were given a diagnosis of CL. Ninety patients were diagnosed with Old World CL, which was caused most commonly by Leishmania donovani complex (n = 20). A total of 71% were tourists to the Mediterranean region, 36% were migrants or visiting friends and relatives, and 17% were soldiers. One hundred thirty-three patients were given a diagnosis of New World CL. The Leishmania subgenus Viannia caused 97 of these cases; 44% of these were in backpackers and 29% were in soldiers. Polymerase chain reaction was more sensitive and faster for detecting Leishmania DNA (86% for Old World CL and 96% for New World CL) than culture. This is the largest study of imported leishmaniasis, and demonstrates that tourists to the Mediterranean and backpackers in Central and South America are at risk for this disease. PMID:22232460

  6. Tourism trends in the world׳s main destinations before and after the 2008 financial crisis using UNWTO official data.

    PubMed

    Claveria, Oscar; Poluzzi, Alessio

    2016-06-01

    The first decade of the present century has been characterized by several economic shocks such as the 2008 financial crisis. In this data article we present the annual percentage growth rates of the main tourism indicators in the world׳s top tourist destinations: the United States, China, France, Spain, Italy, United Kingdom, Germany, Turkey, Mexico and Austria. We use data from the Compendium of Tourism Statistics provided by the World Tourism Organization (http://www2.unwto.org/content/data-0). It has been demonstrated that the dynamics of growth in the tourism industry pose different challenges to each destination in the previous study "Positioning and clustering of the world׳s top tourist destinations by means of dimensionality reduction techniques for categorical data" (Claveria and Poluzzi, 2016, [1]). We provide a descriptive analysis of the variables over the period comprised between 2000 and 2010. We complement the analysis by graphing the evolution of the main variables so as to visually represent the co-movements between tourism variables and economic growth.

  7. 40-years of fires in a touristic area from South of Spain.

    NASA Astrophysics Data System (ADS)

    Martínez-Murillo, Juan F.; Aranda-Gómez, Francisco; Damián Ruiz-Sinoga, José

    2014-05-01

    Costa del Sol in the Province of Malaga is one of the major touristic region in Spain. Its develop started in the 1960s of the XXth century at the same time as other regions in Mediterranean Europe. Since then, this area has become a holiday touristic centre for different countries and regions from Europe (United Kingdom, Escandinavia, Germany, Netherlands, Russia, etc.). Likewise, Costa del Sol has been characterised by a constant grow of the residence tourism rendering in an extreme increment of urban areas, especially in those municipalities located in the coast. This expansión of urban áreas was carried out against rural and natural vegetated areas. The region is characterised by very montanious topography, predominant impermeable rocks (shales, schists and peridotites) and abundant rainfalls from October to May, especially, in the western area (where a climatic gradient is observed from humid to dry conditions). All of these features, joined a very spread and intense occupation by urban, infrastructures and touristic land uses, renders in a very high vulnerability to fires and their consequences. As fire removes vegetation cover and accelerate water erosion, local relief and climatic conditions induce to extreme high risk of soil loss and floodings. During the last 40 years, in the study area, the number of fires increased as weell as the affected area, following the similar trend for the rest of Spain and other Mediterranean countries. This situation increases the exposition to fire risk for more than one-million of people, which become at least two-millions during the summer months when fire conditions are expected.

  8. Assisted Suicide as a Remedy for Suffering? The End-of-Life Preferences of British "Suicide Tourists".

    PubMed

    Richards, Naomi

    2017-01-01

    The highly charged debate about the moral status of assisted suicide features regularly in the news media in medically advanced countries. In the United Kingdom, the debate has been dominated in recent years by a new mode of death: assisted suicide in Switzerland, so-called suicide tourism. Drawing on in-depth interviews with people who were actively planning on 'going to Switzerland,' alongside participant-observation at a do-it-yourself self-deliverance workshop, I discuss how participants arrived at their decision to seek professionalized assistance. In doing so, I explore the constituent elements of people's suffering, examining how participants justified, rationalized, or sought authentication from a doctor for their decision to die in light of their own belief systems and aesthetic preferences for a good death.

  9. Reported fatal and non-fatal incidents involving tourists in Thailand, July 1997-June 1999.

    PubMed

    Leggat, Peter A; Leggat, Frances W

    2003-05-01

    Objectives. To examine fatal and non-fatal incidents involving tourists in Thailand. Methods. Press records from a major English language newspaper for the period from July 1997 to June 1999 were examined for reports of fatal and non-fatal incidents involving tourists. Results. From July 1997 to June 1999, up to 233 deaths were reported and up to a further 216 were reported injured in incidents involving tourists. One hundred and one deaths and 45 injured were reported following one major domestic jet aircraft crash in southern Thailand, however, it was not stated what proportion of casualties were tourists. Approximately 90 people perished in a single hotel fire in southeast Thailand. Most of the victims were local travellers attending meetings of two Thai companies. Sixteen deaths and 86 injured resulted from five road accidents. The majority of deaths and injuries involved foreigners. Twelve deaths and at least 33 injured resulted from three ferry and tour boat accidents. Most victims were reported to be foreigners. Three deaths and 35 injured resulted from a single cable car accident in northern Thailand. Most of these were Thai tourists, however, four of the injured were foreigners. Eight deaths and six injured resulted from 11 muggings and other violent incidents. All were foreigners. Six deaths were reportedly connected to a scam at the airport in Bangkok involving unlicensed airport taxis. Three deaths and four injured were due to other reported incidents. Conclusions. Newspaper reports of fatal and non-fatal incidents involving tourists in Thailand were probably uncommon, particularly given the volume of tourists entering the Kingdom, although better reporting mechanisms are needed. With the exception of the unusual major incidents, most reported fatal and non-fatal incidents involving tourists were due to road trauma and other transportation accidents, muggings, and occasional water sports and other accidents, which could occur at any major tourist destination. Travel health advisers should include advice concerning personal safety abroad and tourist authorities should endeavour to promote and advocate for tourism safety.

  10. Saving tourists: the status of emergency medical services in California's National Parks.

    PubMed

    Heggie, Travis W; Heggie, Tracey M

    2009-01-01

    Providing emergency medical services (EMS) in popular tourist destinations such as National Parks requires an understanding of the availability and demand for EMS. This study examines the EMS workload, EMS transportation methods, EMS funding, and EMS provider status in California's National Park Service units. A retrospective review of data from the 2005 Annual Emergency Medical Services Report for National Park Service (NPS) units in California. Sixteen NPS units in California reported EMS activity. EMS program funding and training costs totaled USD $1,071,022. During 2005 there were 84 reported fatalities, 910 trauma incidents, 663 non-cardiac medicals, 129 cardiac incidents, and 447 first aid incidents. Sequoia and Kings Canyon National Parks, Yosemite National Park, Golden Gate National Recreation Area, and Death Valley National Park accounted for 83% of the total EMS case workload. Ground transports accounted for 85% of all EMS transports and Emergency Medical Technicians with EMT-basic (EMT-B) training made up 76% of the total 373 EMS providers. Providing EMS for tourists can be a challenging task. As tourist endeavors increase globally and move into more remote environments, the level of EMS operations in California's NPS units can serve as a model for developing EMS operations serving tourist populations.

  11. Cambodia: Background and U.S. Relations

    DTIC Science & Technology

    2009-04-30

    Cambodia’s economic growth has been fueled largely by the development of the textile and apparel industry and by tourism . With the termination of quotas on...manufacturing, tourism , and construction have fueled growth in recent years. In 2008, 2.5 million foreign tourists were expected to visit the...kingdom, with the largest numbers coming from South Korea, Japan, China, and Taiwan. However, garment exports and tourism began to slow in the second half

  12. 22 CFR 120.36 - United Kingdom Implementing Arrangement.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 22 Foreign Relations 1 2014-04-01 2014-04-01 false United Kingdom Implementing Arrangement. 120.36 Section 120.36 Foreign Relations DEPARTMENT OF STATE INTERNATIONAL TRAFFIC IN ARMS REGULATIONS PURPOSE AND DEFINITIONS § 120.36 United Kingdom Implementing Arrangement. United Kingdom Implementing Arrangement means...

  13. 22 CFR 120.36 - United Kingdom Implementing Arrangement.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 22 Foreign Relations 1 2012-04-01 2012-04-01 false United Kingdom Implementing Arrangement. 120.36 Section 120.36 Foreign Relations DEPARTMENT OF STATE INTERNATIONAL TRAFFIC IN ARMS REGULATIONS PURPOSE AND DEFINITIONS § 120.36 United Kingdom Implementing Arrangement. United Kingdom Implementing Arrangement means...

  14. 22 CFR 120.36 - United Kingdom Implementing Arrangement.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 22 Foreign Relations 1 2013-04-01 2013-04-01 false United Kingdom Implementing Arrangement. 120.36 Section 120.36 Foreign Relations DEPARTMENT OF STATE INTERNATIONAL TRAFFIC IN ARMS REGULATIONS PURPOSE AND DEFINITIONS § 120.36 United Kingdom Implementing Arrangement. United Kingdom Implementing Arrangement means...

  15. 76 FR 41761 - Ball Bearings and Parts Thereof From Japan and the United Kingdom: Revocation of Antidumping Duty...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-15

    ... Parts Thereof From Japan and the United Kingdom: Revocation of Antidumping Duty Orders AGENCY... Japan and the United Kingdom. DATES: Effective Date: July 16, 2011. FOR FURTHER INFORMATION CONTACT... thereof from Japan and the United Kingdom (collectively, the orders) in the Federal Register. See...

  16. Examining Pharmacy Workforce Issues in the United States and the United Kingdom

    PubMed Central

    Covvey, Jordan R.; Cohron, Peter P.

    2015-01-01

    Objective. To examine available data and actions surrounding current pharmacy workforce issues in the United States and United Kingdom. Methods. Published pharmacy workforce data from the United States and United Kingdom were gathered from various sources, including PUBMED, Internet search engines, and pharmacy organization websites. Data was collated from additional sources including scientific literature, internal documents, news releases, and policy positions. Results. The number of colleges and schools of pharmacy has expanded by approximately 50% in both the United States and United Kingdom over the previous decade. In the United States, continued demand for the pharmacy workforce has been forecasted, but this need is based on outdated supply figures and assumptions for economic recovery. In the United Kingdom, workforce modeling has predicted a significant future oversupply of pharmacists, and action within the profession has attempted to address the situation through educational planning and regulation. Conclusion. Workforce planning is an essential task for sustaining a healthy profession. Recent workforce planning mechanisms in the United Kingdom may provide guidance for renewed efforts within the profession in the United States. PMID:25861098

  17. The contemporary Malay Cultural and architecture in Medan City

    NASA Astrophysics Data System (ADS)

    Nawawiy Loebis, M.; Nirfalini Aulia, Dwira; Asdiana; Tuah Aditya Saragih, Jhon

    2018-03-01

    Malay is one of the identity of the city of Medan. Especially the Malay kingdom that has an important role in the history of the city of Medan and the river Deli. Some relics of the Malay kingdom in the form of buildings with Malay architecture that made the tourist area. In this modern era, many buildings are designed contemporary and leave behind a cultural background, especially Malay architecture. The research methodology used is qualitative methodology by way of observation and interviews with informants who are Malay people still in Medan city. And the distribution of questionnaires to the Malay community. The variables tested are, location and environment, language, technology, organizational livelihood system, the arts, and religious system. This study aims to determine the contemporary Malay culture and architecture prevailing in today’s Malay society.

  18. 75 FR 30856 - Ball Bearings From Japan and the United Kingdom

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-02

    ... Remand)] Ball Bearings From Japan and the United Kingdom AGENCY: United States International Trade... determinations in the five-year reviews of the antidumping orders on ball bearings from Japan and the United... Certain Bearings and Parts Thereof From Japan and the United Kingdom, Inv. Nos. 731-TA- 394-A & 399-A...

  19. United States-Canada Trade and Economic Relationship: Prospects and Challenges

    DTIC Science & Technology

    2008-01-29

    gap has proven worrisome to Canadian policymakers as it raises questions about Canadian productivity and competitiveness (see box). In terms of...While Canada suffers from productivity problems in other sectors of its economy, its automotive plants are among the most competitive in North America...Canadian tourists spent 56% of their tourist dollars in the United States that year.15 Investment The U.S.-Canada economic relationship is characterized by

  20. United Kingdom health research analyses and the benefits of shared data.

    PubMed

    Carter, James G; Sherbon, Beverley J; Viney, Ian S

    2016-06-24

    To allow research organisations to co-ordinate activity to the benefit of national and international funding strategies requires assessment of the funding landscape; this, in turn, relies on a consistent approach for comparing expenditure on research. Here, we discuss the impact and benefits of the United Kingdom's Health Research Classification System (HRCS) in national landscaping analysis of health research and the pros and cons of performing large-scale funding analyses. The first United Kingdom health research analysis (2004/2005) brought together the 11 largest public and charity funders of health research to develop the HRCS and use this categorisation to examine United Kingdom health research. The analysis was revisited in 2009/2010 and again in 2014. The most recent quinquennial analysis in 2014 compiled data from 64 United Kingdom research organisations, accounting for 91% of all public/charitable health research funding in the United Kingdom. The three analyses summarise the United Kingdom's health research expenditure in 2004/2005, 2009/2010 and 2014, and can be used to identify changes in research activity and disease focus over this 10 year period. The 2004/2005 analysis provided a baseline for future reporting and evidence for a United Kingdom Government review that recommended the co-ordination of United Kingdom health research should be strengthened to accelerate the translation of basic research into clinical and economic benefits. Through the second and third analyses, we observed strategic prioritisation of certain health research activities and disease areas, with a strong trend toward increased funding for more translational research, and increases in specific areas such as research on prevention. The use of HRCS in the United Kingdom to analyse the research landscape has provided benefit both to individual participatory funders and in coordinating initiatives at a national level. A modest amount of data for each project is sufficient for a nationwide assessment of health research funding, but achieving coverage of the United Kingdom portfolio relies on sourcing these details from a large number of individual funding agencies. The effort needed to compile this data could be minimised if funders routinely shared or published this information in a standard and accessible way. The United Kingdom approach to landscaping analyses could be readily adapted to suit other groups or nations, and global availability of research funding data would support better national and international coordination of health research.

  1. Psychiatry training in the United Kingdom--part 2: the training process.

    PubMed

    Christodoulou, N; Kasiakogia, K

    2015-01-01

    In the second part of this diptych, we shall deal with psychiatric training in the United Kingdom in detail, and we will compare it--wherever this is meaningful--with the equivalent system in Greece. As explained in the first part of the paper, due to the recently increased emigration of Greek psychiatrists and psychiatric trainees, and the fact that the United Kingdom is a popular destination, it has become necessary to inform those aspiring to train in the United Kingdom of the system and the circumstances they should expect to encounter. This paper principally describes the structure of the United Kingdom's psychiatric training system, including the different stages trainees progress through and their respective requirements and processes. Specifically, specialty and subspecialty options are described and explained, special paths in training are analysed, and the notions of "special interest day" and the optional "Out of programme experience" schemes are explained. Furthermore, detailed information is offered on the pivotal points of each of the stages of the training process, with special care to explain the important differences and similarities between the systems in Greece and the United Kingdom. Special attention is given to The Royal College of Psychiatrists' Membership Exams (MRCPsych) because they are the only exams towards completing specialisation in Psychiatry in the United Kingdom. Also, the educational culture of progressing according to a set curriculum, of utilising diverse means of professional development, of empowering the trainees' autonomy by allowing initiative-based development and of applying peer supervision as a tool for professional development is stressed. We conclude that psychiatric training in the United Kingdom differs substantially to that of Greece in both structure and process. Τhere are various differences such as pure psychiatric training in the United Kingdom versus neurological and medical modules in Greece, in-training exams in the United Kingdom versus an exit exam in Greece, and of course the three years of higher training, which prepares trainees towards functioning as consultants. However, perhaps the most important difference is one of mentality; namely a culture of competency- based training progression in the United Kingdom, which further extends beyond training into professional revalidation. We believe that, with careful cultural adaptation, the systems of psychiatric training in the United Kingdom and Greece may benefit from sharing some of their features. Lastly, as previously clarified, this diptych paper is meant to be informative, not advisory.

  2. 76 FR 798 - Ball Bearings From Japan and the United Kingdom

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-01-06

    ... Remand)] Ball Bearings From Japan and the United Kingdom AGENCY: United States International Trade... determination in the five-year review of the antidumping duty order on ball bearings from Japan. For further... Certain Bearings and Parts Thereof from Japan and the United Kingdom, Inv. Nos. 731-TA-394-A & 399-A...

  3. The Past, Present and Future of Geodemographic Research in the United States and United Kingdom

    PubMed Central

    Singleton, Alexander D.; Spielman, Seth E.

    2014-01-01

    This article presents an extensive comparative review of the emergence and application of geodemographics in both the United States and United Kingdom, situating them as an extension of earlier empirically driven models of urban socio-spatial structure. The empirical and theoretical basis for this generalization technique is also considered. Findings demonstrate critical differences in both the application and development of geodemographics between the United States and United Kingdom resulting from their diverging histories, variable data economies, and availability of academic or free classifications. Finally, current methodological research is reviewed, linking this discussion prospectively to the changing spatial data economy in both the United States and United Kingdom. PMID:25484455

  4. Possibilities of tourist use of natural and cultural resources in the Lublin Region - case study

    NASA Astrophysics Data System (ADS)

    Świeca, Andrzej; Krukowska, Renata; Tucki, Andrzej; Skowronek, Ewa; Brzezińska-Wójcik, Teresa; Kociuba, Waldemar; Jóźwik, Marta

    2012-01-01

    The paper presents an overview of previous studies, the possibilities for tourist use of natural and cultural resources of the Lublin Region and presents case studies in this area. The case studies focused on assessing the tourism potential of spatial units of an administrative nature: the Lublin voivodeship, Lublin city and the municipality of Krasnobród, as well as physical-geographical units - the Giełczew Elevation.

  5. Analysis on the inbound tourist source market in Fujian Province

    NASA Astrophysics Data System (ADS)

    YU, Tong

    2017-06-01

    The paper analyzes the development and structure of inbound tourism in Fujian Province by Excel software and conducts the cluster analysis on the inbound tourism market by SPSS 23.0 software based on the inbound tourism data of Fujian Province from 2006 to 2015. The results show: the rapid development of inbound tourism in Fujian Province and the diversified inbound tourist source countries indicate the stability of inbound tourism market; the inbound tourist source market in Fujian Province can be divided into four categories according to the cluster analysis, and tourists from the United States, Japan, Malaysia, and Singapore are the key of inbound tourism in Fujian Province.

  6. Imported Cutaneous Diphtheria, United Kingdom

    PubMed Central

    de Benoist, Anne-Claire; White, Joanne Margaret; Efstratiou, Androulla; Kelly, Carole; Mann, Ginder; Nazareth, Bernadette; Irish, Charles James; Kumar, Deepti

    2004-01-01

    Cutaneous diphtheria is endemic in tropical countries but unusual in the United Kingdom. Four cases occurred in the United Kingdom within 2 months in 2002. Because cutaneous diphtheria causes outbreaks of both cutaneous and pharyngeal forms, early diagnosis is essential for implementing control measures; high diphtheria vaccination coverage must also be maintained. PMID:15109425

  7. IFLA General Conference, 1986. LIBER. Papers.

    ERIC Educational Resources Information Center

    International Federation of Library Associations and Institutions, The Hague (Netherlands).

    Three papers on special book collections were presented at the 1986 IFLA general conference. They include: (1) "Far Eastern Collections in the United Kingdom" (B. C. Bloomfield, United Kingdom), which discusses the background of Eastern Studies in the United Kingdom (UK) and the coordination of library provision for Far Eastern…

  8. US metric study mission to the United Kingdom and the Federal Republic of Germany: Report of the NASA representative (Executive Summary)

    NASA Technical Reports Server (NTRS)

    Vlannes, P. N.

    1976-01-01

    The trip report is given of the NASA representative of the U.S. metric study mission to the United Kingdom and the Federal Republic of Germany. The mission was organized and conducted under the aegis of the American National Metric Council to learn at first hand the progress of metrication in the United Kingdom and the progress of metrication in the aerospace industry in both the United Kingdom and the Federal Republic of Germany. Representatives of the mission included a cross section of government, industry, labor, and other segments of the private sector. After general and special meetings in the United Kingdom, U.S. members with aerospace related interests met with aerospace representatives in the Federal Republic of Germany.

  9. An analysis of discrepancies between United Kingdom cancer research funding and societal burden and a comparison to previous and United States values.

    PubMed

    Carter, Ashley J R; Delarosa, Beverly; Hur, Hannah

    2015-11-02

    Ideally, the allocation of research funding for each specific type of cancer should be proportional to its societal burden. This burden can be estimated with the metric 'years of life lost' (YLL), which combines overall mortality and age at death. Using United Kingdom data from 2010, we compared research funding from the National Cancer Research Institute to this YLL burden metric for 26 types of cancers in order to identify the discrepancies between cancer research funding allocation and societal burden. We also compared these values to United States data from 2010 and United Kingdom data published in 2005. Our study revealed a number of discrepancies between cancer research funding and burden. Some cancers are funded at levels far higher than their relative burden suggests (testicular, leukaemia, Hodgkin's lymphoma, breast, cervical, ovarian, prostate) while other cancers appear under-funded (gallbladder, lung, nasopharyngeal, intestine, stomach, pancreatic, thyroid, oesophageal, liver, kidney, bladder, and brain/central nervous system). United Kingdom funding patterns over the past decade have generally moved to increase funding to previously under-funded cancers with one notable exception showing a converse trend (breast cancer). The broad relationship between United Kingdom and United States funding patterns is similar with a few exceptions (e.g. leukaemia, Hodgkin's lymphoma, prostate, testicular cancer). There are discrepancies between cancer research funding allocation and societal burden in the United Kingdom. These discrepancies are broadly similar in both the United Kingdom and the United States and, while they appear to be improving, this is not consistent across all types of cancer.

  10. Cosmetic surgery growth and correlations with financial indices: a comparative study of the United Kingdom and United States from 2002-2011.

    PubMed

    Nassab, Reza; Harris, Paul

    2013-05-01

    Over the past 10 years, there has been significant fluctuation in the yearly growth rates for cosmetic surgery procedures in both the United States and the United Kingdom. The authors compare cosmetic surgical procedure rates in the United Kingdom and United States with the macroeconomic climate of each region to determine whether there is a direct relationship between cosmetic surgery rates and economic health. The authors analyzed annual cosmetic surgery statistics from the British Association of Aesthetic Plastic Surgeons and the American Society for Aesthetic Plastic Surgery for 2002-2011 against economic indices from both regions, including the gross domestic product (GDP), consumer prices indices (CPI), and stock market reports. There was a 285.9% increase in the United Kingdom and a 1.1% increase in the United States in the number of procedures performed between 2002 and 2011. There were significant positive correlations between the number of cosmetic procedures performed in the United Kingdom and both the GDP (r = 0.986, P < .01) and CPI (r = 0.955, P < .01). Analysis of the US growth rates failed to show a significant relationship with any indices. UK interest rates showed a significant negative correlation (r = -0.668, P < .05) with procedures performed, whereas US interest rates showed a significant positive correlation. Data from the United States and United Kingdom suggest 2 very different growth patterns in the number of cosmetic surgeries being performed as compared with the economy in each region. Economic indices are accurate indicators of numbers of procedures being performed in the United Kingdom, whereas rates in the United States seem independent of those factors.

  11. Self-Employment in the United Kingdom and Germany.

    ERIC Educational Resources Information Center

    Meager, Nigel; And Others

    In a comparison of self-employment patterns in Germany and the United Kingdom, data from the Labour Force Survey (United Kingdom) and Mikrozensus (Germany) were analyzed to identify the personal characteristics of self-employed individuals in the two countries, the characteristics of their self-employed activity, and movement in and out of…

  12. 48 CFR 252.229-7006 - Value added tax exclusion (United Kingdom).

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 48 Federal Acquisition Regulations System 3 2010-10-01 2010-10-01 false Value added tax exclusion... CLAUSES Text of Provisions And Clauses 252.229-7006 Value added tax exclusion (United Kingdom). As prescribed in 229.402-70(f), use the following clause: Value Added Tax Exclusion (United Kingdom) (JUN 1997...

  13. 48 CFR 252.229-7006 - Value added tax exclusion (United Kingdom).

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 48 Federal Acquisition Regulations System 3 2011-10-01 2011-10-01 false Value added tax exclusion... CLAUSES Text of Provisions And Clauses 252.229-7006 Value added tax exclusion (United Kingdom). As prescribed in 229.402-70(f), use the following clause: Value Added Tax Exclusion (United Kingdom) (JUN 1997...

  14. 48 CFR 252.229-7006 - Value Added Tax Exclusion (United Kingdom)

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 48 Federal Acquisition Regulations System 3 2013-10-01 2013-10-01 false Value Added Tax Exclusion... CLAUSES Text of Provisions And Clauses 252.229-7006 Value Added Tax Exclusion (United Kingdom) As prescribed in 229.402-70(f), use the follow clause: Value Added Tax Exclusion (United Kingdom) (DEC 2011) The...

  15. 48 CFR 252.229-7006 - Value Added Tax Exclusion (United Kingdom)

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 48 Federal Acquisition Regulations System 3 2014-10-01 2014-10-01 false Value Added Tax Exclusion... CLAUSES Text of Provisions And Clauses 252.229-7006 Value Added Tax Exclusion (United Kingdom) As prescribed in 229.402-70(f), use the follow clause: Value Added Tax Exclusion (United Kingdom) (DEC 2011) The...

  16. 48 CFR 252.229-7006 - Value Added Tax Exclusion (United Kingdom)

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 48 Federal Acquisition Regulations System 3 2012-10-01 2012-10-01 false Value Added Tax Exclusion... CLAUSES Text of Provisions And Clauses 252.229-7006 Value Added Tax Exclusion (United Kingdom) As prescribed in 229.402-70(f), use the follow clause: Value Added Tax Exclusion (United Kingdom) (DEC 2011) The...

  17. International recruitment of nurses: policy and practice in the United Kingdom.

    PubMed

    Buchan, James

    2007-06-01

    To synthesize information about nurse migration into and out of the United Kingdom in the period to 2005, and to assess policy implications. There has been rapid growth in inflow of nurses to the United Kingdom from other countries. In recent years, 40-50 percent of new nurse registrants in the United Kingdom have come from other countries, principally the Philippines, Australia, India, and South Africa. Outflow has been at a lower level, mainly to other English-speaking developed countries--Australia, the United States, New Zealand, Ireland, and Canada. The United Kingdom is a net importer of nurses. The principal policy instrument in the United Kingdom, the Code of Practice on International Recruitment, has not ended the inflow of nurses to the United Kingdom from sub-Saharan Africa. Given the increasing globalization of labor markets, it is likely that the historically high levels of inflow of internationally recruited nurses to the United Kingdom will continue over the next few years; however the "peak" number reached in 2002/2003 may not be repeated, particularly as large-scale active international recruitment has now been ended, for the short term at least. New English language tests and other revised requirements for international applicants being introduced by the Nurses and Midwives Council from September 2005 may restrict successful applications from some countries and will also probably add to the "bottleneck" of international nurse applicants. Demographic-driven demand for health care, combined with a potential reduction in supply of U.K. nurses as many more reach potential retirement age means that international recruitment is likely to remain on the policy agenda in the longer term, even with further growth in the number of home-based nurses being trained.

  18. Self-reported health problems among travelers visiting Cuzco: a Peruvian Airport survey.

    PubMed

    Cabada, Miguel M; Maldonado, Fernando; Mozo, Karen; Seas, Carlos; Gotuzzo, Eduardo

    2009-01-01

    Travel related illnesses are a concern among travelers visiting developing countries. These illnesses affect the travelers' plans and the local tourism industry. Few data on travel related illnesses are available from tourist destinations. Foreign travelers answered a self-administered questionnaire on health issues at the departures area of Cuzcos' International Airport between August and November 2002. Self-reported travel related illnesses that occurred during the travelers stay in Cuzco were compared with demographic and risk factors. The total number of participants was 5988. Their mean age was 35.4 years (SD 11.4), and slightly over half were female. The most common countries of residence were the United States (23.5%) and the United Kingdom (20%). The median length of stay in Cuzco was 5 days (IQR: 4-7 days). Pre-travel advice was received by 93.6% of the participants. Half (47.6%) of the participants became ill while in Cuzco. The most common illnesses reported were diarrhea (49.8%), altitude sickness (43.2%), and upper respiratory infections (21.7%). Most participants who reported an illness treated themselves (75.5%), and only 22.1% sought medical attention. It is concluded that a significant burden of disease is observed in travelers to Cuzco. Self-medication is very common and apparently preferred over formal medical attention.

  19. Meeting the healthcare needs of transgender people within the armed forces: putting UK military policy into practice.

    PubMed

    Whybrow, Dean; New, Chris; Coetzee, Rik; Bickerstaffe, Paul

    2016-12-01

    To explain how the healthcare needs of transgender personnel are met within the United Kingdom Armed Forces. It may be that when transgender people disclose their gender preference that they are at increased risk of social exclusion. The United Kingdom Armed Forces has an inclusive organisational policy for the recruitment and management of transgender personnel. This is a position paper about how the healthcare needs of transgender military personnel are met by the United Kingdom Armed Forces. United Kingdom Armed Forces policy was placed into context by reviewing current research, discussing medical terminology and describing the policy. This was followed by an account of how UK AF policy is applied in practice. Where armed forces had an inclusive policy for the management of transgender personnel, there seemed to be little cause for secrecy and zero tolerance of discrimination when compared to nations where this was not the case. Medical terminology has changed to reflect a more inclusive, less stigmatising use of language. The United Kingdom Armed Forces policy has been described as progressive and inclusive. The application of this policy in practice may be dependent upon strong leadership and training. The wider United Kingdom Armed Forces seems capable of adopting a pragmatic and flexible approach to meeting the healthcare needs of transgender personnel. The United Kingdom Armed Forces value diversity within their workforce and have a progressive, inclusive policy for the recruitment and management of transgender personnel. When supporting a transgender military person, healthcare professionals, civilian organisations and military line managers should consider referring to United Kingdom Armed Forces policy as early as possible. Other military and uniformed services may wish to examine the United Kingdom Armed Forces exemplar in order to consider the applicability within their own organisational setting. © 2016 John Wiley & Sons Ltd.

  20. Touristic infrastructure of municipalities in the border section of Bug valley's Dołhobyczów-Włodawa in the context of existing protected areas

    NASA Astrophysics Data System (ADS)

    Kałamucka, Wioletta; Kałamucki, Krzysztof

    2011-01-01

    This article presents results of research concerning tourist infrastructure in some districts located in the Bug river valley, in the context of protected areas. The territory examined includes 9 rural districts and 2 towns in the immediate neighborhood of the river. These administrative units are characterized by great natural value. Their total area is 687,7 km2 that makes 6,7% of the whole Lublin voivodship. On the other hand, the share of protected areas (without Natura 2000) is twice as high - 11,1%. Protected areas makes 37,6% of the territory under study. In some units, share of protected areas is very high: Dubienka - 72%, Horodło - 69,5%. In 2009 in the region examined there were 48 objects of collective accommodation - 16,8% of total number in the voivodship. 83,6% of all objects were situated in Włodawa. Characteristic feature of accommodation is seasonality. There are only 7 objects that functions the whole year and year-round lodging places (280) makes barely 9,3% of the totality. Comparing tourist management with presence of areas of the highest natural values, one can see strong correlation between these two indexes only in rural unit - Włodawa, located within the borders of Biosphere Reserves "Polesie Zachodnie" (West Polesie) In case of other units such a interdependance does not exist. On the contrary, there is opposite relation. In Dołhobyczów, Mircze, Horodło, where apart from areas of Natura 2000, in the Bug river valley landscapes protected areas and landscapes parks were created, tourist infrastructure is insignificant or even does not exist. The existence of large protected areas and natural value make it possible to develop various forms of environmentally friendly tourism - tourism qualified, especially fishing and canoeing, hiking, biking, nature education tourism. Tourist service centers should be located outside the valley. Due to the high natural values, caution is advisable to adapt the area for tourism. Such decisions should precede the insightful observations and fieldstudy in order not to affect the structure of natural and touristic values of this area.

  1. Migration from Developing Countries: The Case of South African Teachers to the United Kingdom

    ERIC Educational Resources Information Center

    De Villiers, Rian

    2007-01-01

    The United Kingdom (particularly England) is the main developed country that recruits teachers from South Africa. This article provides an overview of teacher migration from South Africa to the United Kingdom over the past decade. The research focuses on the following aspects of migration: the recruitment of South African teachers; motivation for…

  2. Changing Understandings of "Public" and "Private" in Higher Education: The United Kingdom Case

    ERIC Educational Resources Information Center

    Tight, Malcolm

    2006-01-01

    Where does higher education in the United Kingdom sit today in terms of the public-private distinction, and what does that distinction mean in the higher education context? This article considers these questions and related issues, noting how the particular example of the United Kingdom compares with other systems internationally. Following a…

  3. 48 CFR 252.229-7009 - Relief from customs duty and value added tax on fuel (passenger vehicles) (United Kingdom).

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... and value added tax on fuel (passenger vehicles) (United Kingdom). 252.229-7009 Section 252.229-7009... Relief from customs duty and value added tax on fuel (passenger vehicles) (United Kingdom). As prescribed in 229.402-70(i), use the following clause: Relief from Customs Duty and Value Added Tax on Fuel...

  4. 48 CFR 252.229-7009 - Relief from customs duty and value added tax on fuel (passenger vehicles) (United Kingdom).

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... and value added tax on fuel (passenger vehicles) (United Kingdom). 252.229-7009 Section 252.229-7009... Relief from customs duty and value added tax on fuel (passenger vehicles) (United Kingdom). As prescribed in 229.402-70(i), use the following clause: Relief from Customs Duty and Value Added Tax on Fuel...

  5. 48 CFR 252.229-7009 - Relief from customs duty and value added tax on fuel (passenger vehicles) (United Kingdom).

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... and value added tax on fuel (passenger vehicles) (United Kingdom). 252.229-7009 Section 252.229-7009... Relief from customs duty and value added tax on fuel (passenger vehicles) (United Kingdom). As prescribed in 229.402-70(i), use the following clause: Relief from Customs Duty and Value Added Tax on Fuel...

  6. 48 CFR 252.229-7009 - Relief from customs duty and value added tax on fuel (passenger vehicles) (United Kingdom).

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... and value added tax on fuel (passenger vehicles) (United Kingdom). 252.229-7009 Section 252.229-7009... Relief from customs duty and value added tax on fuel (passenger vehicles) (United Kingdom). As prescribed in 229.402-70(i), use the following clause: Relief from Customs Duty and Value Added Tax on Fuel...

  7. 48 CFR 252.229-7009 - Relief from customs duty and value added tax on fuel (passenger vehicles) (United Kingdom).

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... and value added tax on fuel (passenger vehicles) (United Kingdom). 252.229-7009 Section 252.229-7009... Relief from customs duty and value added tax on fuel (passenger vehicles) (United Kingdom). As prescribed in 229.402-70(i), use the following clause: Relief from Customs Duty and Value Added Tax on Fuel...

  8. Lay Understanding of the Causes of Binge Drinking in the United Kingdom and Australia: A Network Diagram Approach

    ERIC Educational Resources Information Center

    Keatley, David A.; Ferguson, Eamonn; Lonsdale, Adam; Hagger, Martin S.

    2017-01-01

    Binge drinking is associated with deleterious health, social and economic outcomes. This study explored the lay understanding of the causes of binge drinking in members of the general public in the United Kingdom and Australia. Participants in the United Kingdom (N = 133) and Australia (N = 102) completed a network diagram exercise requiring them…

  9. 77 FR 12241 - Smart Grid Trade Mission to the United Kingdom; London, United Kingdom, October 15-17, 2012

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-29

    ... 2020 and by 80% of 1990 levels by 2050. Power generation is a major source of carbon emissions, with 74% of power generated in the United Kingdom coming from fossil fuels. As the government seeks to reduce... power. Highly developed, sophisticated, and diversified, the UK market is the single largest export...

  10. The Impact of Reforms on the Quality and Responsiveness of Universities in the United Kingdom

    ERIC Educational Resources Information Center

    Clark, Tony

    2009-01-01

    The paper starts with a description of higher education in the United Kingdom and of reforms over the last 50 years. By reference to specified output measures, the performance of UK universities is judged to be good. The factors affecting this performance are postulated by comparing policies and approaches in the United Kingdom with those…

  11. A review of ride comfort studies in the United Kingdom

    NASA Technical Reports Server (NTRS)

    Griffin, M. J.

    1975-01-01

    United Kingdom research which is relevant to the assessment of vehicle ride comfort was reviewed. The findings reported in approximately 80 research papers are outlined, and an index to the areas of application of these studies is provided. The data obtained by different research groups are compared, and it is concluded that, while there are some areas of general agreement, the findings obtained from previous United Kingdom research are insufficient to define a general purpose ride comfort evaluation procedure. The degree to which United Kingdom research supports the vibration evaluation procedure defined in the current International Standard on the evaluation of human exposure to whole-body vibration is discussed.

  12. The Role of the Company in Generating Skills. The Learning Effects of Work Organization in the United Kingdom.

    ERIC Educational Resources Information Center

    Walsh, Kenneth; Green, Andy; Steedman, Hilary

    The impact of developments in work organizations on the skilling process in the United Kingdom was studied through a macro analysis of available statistical information about the development of workplace training in the United Kingdom and case studies of three U.K. firms. The macro analysis focused on the following: initial training arrangements;…

  13. 76 FR 35401 - Ball Bearings and Parts Thereof From Japan and the United Kingdom: Notice of Court Decision Not...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-17

    ..., Singapore, and the United Kingdom, 70 FR 31531 (June 1, 2005). See also 19 CFR 351.218. As a result of its... 5, 2005), Ball Bearings and Parts Thereof From Japan and Singapore; Five-Year Sunset Reviews of... Certain Bearings From China, France, Germany, Italy, Japan, Singapore, and the United Kingdom, 71 FR 51850...

  14. Educational inequalities in parental care time: Cross-national evidence from Belgium, Denmark, Spain, and the United Kingdom.

    PubMed

    Gracia, Pablo; Ghysels, Joris

    2017-03-01

    This study uses time-diary data for dual-earner couples from Belgium, Denmark, Spain, and the United Kingdom to analyze educational inequalities in parental care time in different national contexts. For mothers, education is significantly associated with parenting involvement only in Spain and the United Kingdom. In Spain these differences are largely explained by inequalities in mothers' time and monetary resources, but not in the United Kingdom, where less-educated mothers disproportionally work in short part-time jobs. For fathers, education is associated with parenting time in Denmark, and particularly in Spain, while the wife's resources substantially drive these associations. On weekends, the educational gradient in parental care time applies only to Spain and the United Kingdom, two countries with particularly large inequalities in parents' opportunities to engage in parenting. The study shows country variations in educational inequalities in parenting, suggesting that socioeconomic resources, especially from mothers, shape important variations in parenting involvement. Copyright © 2016. Published by Elsevier Inc.

  15. The United Kingdom Primary Immune Deficiency (UKPID) registry 2012 to 2017.

    PubMed

    Shillitoe, B; Bangs, C; Guzman, D; Gennery, A R; Longhurst, H J; Slatter, M; Edgar, D M; Thomas, M; Worth, A; Huissoon, A; Arkwright, P D; Jolles, S; Bourne, H; Alachkar, H; Savic, S; Kumararatne, D S; Patel, S; Baxendale, H; Noorani, S; Yong, P F K; Waruiru, C; Pavaladurai, V; Kelleher, P; Herriot, R; Bernatonienne, J; Bhole, M; Steele, C; Hayman, G; Richter, A; Gompels, M; Chopra, C; Garcez, T; Buckland, M

    2018-06-01

    This is the second report of the United Kingdom Primary Immunodeficiency (UKPID) registry. The registry will be a decade old in 2018 and, as of August 2017, had recruited 4758 patients encompassing 97% of immunology centres within the United Kingdom. This represents a doubling of recruitment into the registry since we reported on 2229 patients included in our first report of 2013. Minimum PID prevalence in the United Kingdom is currently 5·90/100 000 and an average incidence of PID between 1980 and 2000 of 7·6 cases per 100 000 UK live births. Data are presented on the frequency of diseases recorded, disease prevalence, diagnostic delay and treatment modality, including haematopoietic stem cell transplantation (HSCT) and gene therapy. The registry provides valuable information to clinicians, researchers, service commissioners and industry alike on PID within the United Kingdom, which may not otherwise be available without the existence of a well-established registry. © 2018 British Society for Immunology.

  16. Prevalence of Hepatitis E Virus Infection in Pigs at the Time of Slaughter, United Kingdom, 2013.

    PubMed

    Grierson, Sylvia; Heaney, Judith; Cheney, Tanya; Morgan, Dilys; Wyllie, Stephen; Powell, Laura; Smith, Donald; Ijaz, Samreen; Steinbach, Falko; Choudhury, Bhudipa; Tedder, Richard S

    2015-08-01

    Since 2010, reports of infection with hepatitis E virus (HEV) have increased in England and Wales. Despite mounting evidence regarding the zoonotic potential of porcine HEV, there are limited data on its prevalence in pigs in the United Kingdom. We investigated antibody prevalence, active infection, and virus variation in serum and cecal content samples from 629 pigs at slaughter. Prevalence of antibodies to HEV was 92.8% (584/629), and HEV RNA was detected in 15% of cecal contents (93/629), 3% of plasma samples (22/629), and 2% of both (14/629). However, although HEV is prevalent in pigs in the United Kingdom and viremic pigs are entering the food chain, most (22/23) viral sequences clustered separately from the dominant type seen in humans. Thus, pigs raised in the United Kingdom are unlikely to be the main source of human HEV infections in the United Kingdom. Further research is needed to identify the source of these infections.

  17. When "Best Value" May Not Quite Say What It Means: A Reflection on Measuring Quality in Public Services in the United Kingdom

    ERIC Educational Resources Information Center

    Trickey, Keith

    2003-01-01

    A review of the development of the United Kingdom obsession with "value for money", and the performance indicators that have led to the current "best value" approach that is working through the public sector in the United Kingdom. I hope to identify the values and problems with the approach offering a salutary warning to those…

  18. Quality Assurance in American and British Higher Education: A Comparison.

    ERIC Educational Resources Information Center

    Stanley, Elizabeth C.; Patrick, William J.

    1998-01-01

    Compares quality improvement and accountability processes in the United States and United Kingdom. For the United Kingdom, looks at quality audits, institutional assessment, standards-based quality assurance, and research assessment; in the United States, looks at regional and specialized accreditation, performance indicator systems, academic…

  19. Using Typologies to Interpret Study Abroad Preferences of American Business Students: Applying a Tourism Framework to International Education

    ERIC Educational Resources Information Center

    Cardon, Peter W.; Marshall, Bryan; Poddar, Amit

    2011-01-01

    The authors describe research that applies a tourist framework to study abroad attitudes and preferences. A total of 371 university business students in the Southern region of the United States completed a survey that included the International Tourist Role scale and study abroad attitudes and preferences. These students were grouped into one of 4…

  20. Bridging an interdisciplinary gap: a case for uniting tourism and urban planning for a consistent understanding of the

    Treesearch

    Holly E. Bosley; Gene L. Brothers

    2009-01-01

    Both tourism researchers and urban planners use the term "tourist bubble" to describe a geographic area in a destination within which visitors operate. However, there is an interdisciplinary disparity in the conceptualization of the tourist bubble. This paper aims to more clearly describe the intersection of tourism and urban planning research, as well as to...

  1. Moderately premature infants at Kaiser Permanente Medical Care Program in California are discharged home earlier than their peers in Massachusetts and the United Kingdom

    PubMed Central

    Profit, J; Zupancic, J A F; McCormick, M C; Richardson, D K; Escobar, G J; Tucker, J; Tarnow‐Mordi, W; Parry, G

    2006-01-01

    Objective To compare gestational age at discharge between infants born at 30–34+6 weeks gestational age who were admitted to neonatal intensive care units (NICUs) in California, Massachusetts, and the United Kingdom. Design Prospective observational cohort study. Setting Fifty four United Kingdom, five California, and five Massachusetts NICUs. Subjects A total of 4359 infants who survived to discharge home after admission to an NICU. Main outcome measures Gestational age at discharge home. Results The mean (SD) postmenstrual age at discharge of the infants in California, Massachusetts, and the United Kingdom were 35.9 (1.3), 36.3 (1.3), and 36.3 (1.9) weeks respectively (p  =  0.001). Compared with the United Kingdom, adjusted discharge of infants occurred 3.9 (95% confidence interval (CI) 1.4 to 6.5) days earlier in California, and 0.9 (95% CI −1.2 to 3.0) days earlier in Massachusetts. Conclusions Infants of 30–34+6 weeks gestation at birth admitted and cared for in hospitals in California have a shorter length of stay than those in the United Kingdom. Certain characteristics of the integrated healthcare approach pursued by the health maintenance organisation of the NICUs in California may foster earlier discharge. The California system may provide opportunities for identifying practices for reducing the length of stay of moderately premature infants. PMID:16449257

  2. Behind-the-Counter Statins: A Silver Bullet for Reducing Costs and Increasing Access?

    PubMed Central

    Sood, Neeraj; Sun, Eric; Zhuo, Xiaohui

    2012-01-01

    Objective To examine how the 2004 introduction of behind-the-counter (BTC) simvastatin in the United Kingdom affected utilization, prices, and expenditures. Data Sources/Study Setting Secondary data on simvastatin utilization, prices, and expenditures between 1997 and 2007 in the United Kingdom and four other countries. Study Design We used a difference-in-differences approach to estimate how the introduction of BTC simvastatin affected utilization, prices, and expenditures. This approach compares outcomes in the United Kingdom before and after the introduction of BTC simvastatin, using outcomes in countries where the drug remained prescription only to control for possible confounders. Data Collection/Extraction Methods Data on simvastain utilization, prices, and expenditures between 1997 and 2007 in the United Kingdom and four other countries were obtained from an outside vendor. Principal Findings The introduction of BTC simvastatin in the United Kingdom led to a significant increase in utilization of simvastatin and a significant decline in expenditures for simvastatin purchases. Our results are robust to alternate model specifications. Conclusions Behind-the-counter statins have the potential to simultaneously increase use of statins and lower expenditures. PMID:22091792

  3. Mycobacterium chimaera in Heater-Cooler Units in Denmark Related to Isolates from the United States and United Kingdom.

    PubMed

    Svensson, Erik; Jensen, Elsebeth Tvenstrup; Rasmussen, Erik Michael; Folkvardsen, Dorte Bek; Norman, Anders; Lillebaek, Troels

    2017-03-01

    Mycobacterium chimaera was present at high rates (>80%) in heater-cooler units (HCUs) from all 5 thoracic surgery departments in Denmark. Isolates were clonal to HCU-associated isolates from the United States (including some from patients) and United Kingdom. However, M. chimaera from 2 brands of HCU were genetically distinct.

  4. 22 CFR 120.34 - Defense Trade Cooperation Treaty between the United States and the United Kingdom.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 22 Foreign Relations 1 2013-04-01 2013-04-01 false Defense Trade Cooperation Treaty between the United States and the United Kingdom. 120.34 Section 120.34 Foreign Relations DEPARTMENT OF STATE INTERNATIONAL TRAFFIC IN ARMS REGULATIONS PURPOSE AND DEFINITIONS § 120.34 Defense Trade Cooperation Treaty between the United States and the United...

  5. Research output on primary care in Australia, Canada, Germany, the Netherlands, the United Kingdom, and the United States: bibliometric analysis

    PubMed Central

    Glanville, Julie; Kendrick, Tony; McNally, Rosalind; Campbell, John

    2011-01-01

    Objective To compare the volume and quality of original research in primary care published by researchers from primary care in the United Kingdom against five countries with well established academic primary care. Design Bibliometric analysis. Setting United Kingdom, United States, Australia, Canada, Germany, and the Netherlands. Studies reviewed Research publications relevant to comprehensive primary care and authored by researchers from primary care, recorded in Medline and Embase, with publication dates 2001-7 inclusive. Main outcome measures Volume of published activity of generalist primary care researchers and the quality of the research output by those publishing the most using citation metrics: numbers of cited papers, proportion of cited papers, and mean citation scores. Results 82 169 papers published between 2001 and 2007 in the six countries were classified as research on primary care. In a 15% pragmatic random sample of these records, 40% of research on primary care from the United Kingdom and 46% from the Netherlands was authored by researchers employed in a primary care setting or employed in academic departments of primary care. The 141 researchers with the highest volume of publications reporting research findings published between 2001 and 2007 (inclusive) authored or part authored 8.3% of the total sample of papers. For authors with the highest proportion of publications cited at least five times, the best performers came from the United States (n=5), United Kingdom (n=4), and the Netherlands (n=2). In the top 10 of authors with the highest proportions of publications achieving 20 or more citations, six were from the United Kingdom and four from the United States. The mean Hirsch index (measure of a researcher’s productivity and impact of the published work) was 14 for the Netherlands, 13 for the United Kingdom, 12 for the United States, 7 for Canada, 4 for Australia, and 3 for Germany. Conclusion This international comparison of the volume and citation rates of papers by researchers from primary care consistently placed UK researchers among the best performers internationally. PMID:21385804

  6. A 26-year comparative review of United Kingdom helicopter emergency medical services crashes and serious incidents.

    PubMed

    Chesters, Adam; Grieve, Phillip H; Hodgetts, Timothy J

    2014-04-01

    The use of helicopter emergency medical services (HEMS) has increased substantially in the United Kingdom since 1987. There are currently no data on the rate of crashes and serious incidents related to HEMS in the United Kingdom. The aims of this article were to present data from a 26-year period since the start of HEMS operations in the United Kingdom and to compare them with published data from Germany, Australia, and the United States. Factors identified as affecting the safety of HEMS operations will also be discussed. A PubMed search was performed to retrieve published data on accident rates and safety discussions for international HEMS using the key words HEMS, helicopter, emergency medical services, accident, incident, and crash. The details of every helicopter crash in the United States since the beginning of HEMS operations was obtained and reviewed to identify those that involved HEMS aircraft. This novel UK information was compared with published data from three international systems. A total of 13 accidents or serious incidents involving HEMS aircraft were identified from Civil Aviation Authority records, only 1 of which was a fatal accident. It was estimated that approximately 230,000 HEMS missions occurred in the United Kingdom between 1987 and 2013, giving an absolute accident incidence of approximately 0.0057% and a fatal accident incidence of approximately 0.00043%. The accident and fatal accident rate per 10,000 missions in the United Kingdom was 0.57 and 0.04, respectively. This compares with published rates from Germany, Australia, and the United States with accident rate per 10,000 missions ranging between 0.57 and 0.75 and fatal accident rates per 10,000 missions ranging between 0.04 and 0.23. Accidents and serious incidents relating to HEMS operations in the United Kingdom have been comprehensively identified for the first time, allowing an estimation of overall accident and fatal accident rates and comparison with other countries' HEMS operations. Data collection and analysis were hampered by obscurity of data sources and poor availability of data. In a time of increasing HEMS use in the United Kingdom, it is essential to be mindful of safety, and standardization of data collection will improve focus in this important area.

  7. An Investigation into the Relative Risks from the Road Transport of Blasting Explosives in Maximum Loads of 5 Tonne and 16 Tonne

    DTIC Science & Technology

    1994-08-01

    Health and Safety Executive Magdalen House Stanley Precinct, Bootle Merseyside, L2O 3QZ United Kingdom P. A. MORETON AEA Technology Thomson House Risley...Warrington, WA3 6AT United Kingdom INTRODUCTION In 1992 the UK Health and Safety Commission published a report by the Advisory Committee on Dangerous...ADDRESS(ES) AEA Technology,Thomson House,Risley,Warrington, WA3 6AT, United Kingdom , 8. PERFORMING ORGANIZATION REPORT NUMBER 9. SPONSORING/MONITORING

  8. Information Literacy in Postsecondary Education in the United Kingdom, the United States, Australia, and New Zealand

    ERIC Educational Resources Information Center

    Folk, Amanda L.

    2016-01-01

    This comparison seeks to determine if the three documents addressing information literacy skills and competence developed by professional library associations for postsecondary education in four predominantly English-speaking countries--the United Kingdom, the United States, Australia, and New Zealand--have similar or varying conceptions of…

  9. Public Relations Education in the United Kingdom.

    ERIC Educational Resources Information Center

    Hatfield, Charlotte R.

    1994-01-01

    Describes the growth and maturation of public relations education in the United Kingdom up to 1987. Discusses the first academic programs, certificate and diploma programs, and in-house public relations training. (SR)

  10. Public and nonprofit funding for research on mental disorders in France, the United Kingdom, and the United States.

    PubMed

    Chevreul, Karine; McDaid, David; Farmer, Carrie M; Prigent, Amélie; Park, A-La; Leboyer, Marion; Kupfer, David J; Durand-Zaleski, Isabelle

    2012-07-01

    To document the investments made in research on mental disorders by both government and nonprofit nongovernmental organizations in France, the United Kingdom, and the United States. An exhaustive survey was conducted of primary sources of public and nonprofit organization funding for mental health research for the year 2007 in France and the United Kingdom and for fiscal year 2007-2008 in the United States, augmented with an examination of relevant Web sites and publications. In France, all universities and research institutions were identified using the Public Finance Act. In the United Kingdom, we scrutinized Web sites and hand searched annual reports and grant lists for the public sector and nonprofit charitable medical research awarding bodies. In the United States, we included the following sources: the National Institutes of Health, other administrative entities within the Department of Health and Human Services (eg, Centers for Disease Control and Prevention), the Department of Education, the Department of Veterans Affairs, the Department of Defense, and the National Science Foundation and, for nonprofit funding, The Foundation Center. We included research on all mental disorders and substance-related disorders using the same keywords. We excluded research on mental retardation and dementia and on the promotion of mental well-being. We used the same algorithm in each country to obtain data for only mental health funding in situations in which funding had a broader scope. France spent $27.6 million (2%) of its health research budget on mental disorders, the United Kingdom spent $172.6 million (7%), and the United States spent $5.2 billion (16%). Nongovernmental funding ranged from 1% of total funding for mental health research in France and the United States to 14% in the United Kingdom. Funding for research on mental disorders accounts for low proportions of research budgets compared with funding levels for research on other major health problems, whereas the expected return on investment is potentially high. © Copyright 2012 Physicians Postgraduate Press, Inc.

  11. Creating an innovative youth mental health service in the United Kingdom: The Norfolk Youth Service.

    PubMed

    Wilson, Jon; Clarke, Tim; Lower, Rebecca; Ugochukwu, Uju; Maxwell, Sarah; Hodgekins, Jo; Wheeler, Karen; Goff, Andy; Mack, Robert; Horne, Rebecca; Fowler, David

    2017-08-04

    Young people attempting to access mental health services in the United Kingdom often find traditional models of care outdated, rigid, inaccessible and unappealing. Policy recommendations, research and service user opinion suggest that reform is needed to reflect the changing needs of young people. There is significant motivation in the United Kingdom to transform mental health services for young people, and this paper aims to describe the rationale, development and implementation of a novel youth mental health service in the United Kingdom, the Norfolk Youth Service. The Norfolk Youth Service model is described as a service model case study. The service rationale, national and local drivers, principles, aims, model, research priorities and future directions are reported. The Norfolk Youth Service is an innovative example of mental health transformation in the United Kingdom, comprising a pragmatic, assertive and "youth-friendly" service for young people aged 14 to 25 that transcends traditional service boundaries. The service was developed in collaboration with young people and partnership agencies and is based on an engaging and inclusive ethos. The service is a social-recovery oriented, evidence-based and aims to satisfy recent policy guidance. The redesign and transformation of youth mental health services in the United Kingdom is long overdue. The Norfolk Youth Service represents an example of reform that aims to meet the developmental and transitional needs of young people at the same time as remaining youth-oriented. © 2017 John Wiley & Sons Australia, Ltd.

  12. A critical evaluation of the UK SunSmart campaign and its relevance to Black and minority ethnic communities.

    PubMed

    Oyebanjo, Evelyn; Bushell, Fiona

    2014-05-01

    Skin cancer is the most common cancer in the United Kingdom and is rising to epidemic proportions. While the majority of skin cancers are treatable, malignant melanoma kills over 2,000 people in the United Kingdom each year, with all skin cancers killing a total of more than 2,500 people annually. SunSmart, the United Kingdom's major skin cancer public health initiative, was implemented to raise awareness about sun exposure and to promote sun safety behaviours. However, it has failed to curb the incidence and mortality rates. Furthermore, while Australia has the highest skin cancer incidence rates globally, the mortality rates are lower than those in the United Kingdom. There has also been a growing amount of evidence demonstrating ethnic disparities in skin cancer survival rates. Even though incidence rates of skin cancer among Black and minority ethnic (BME) groups are significantly lower, it is often diagnosed late, resulting in higher mortality rates. This, coupled with climate change and the proportion of BME groups expected to rise in the United Kingdom from 8% to 20% by 2051, raises public health concerns. This article aims to critically analyse the UK SunSmart campaign's success in addressing skin cancer in the population and in particular its relevance to BME communities. It also compares this approach with the Australian campaign. This article demonstrates that Australia's campaign has been more successful than the United Kingdom's due to their more comprehensive application of health promotion and public health principles.

  13. Critical Concerns for Oral Communication Education in the United States and the United Kingdom

    ERIC Educational Resources Information Center

    Emanuel, Richard

    2011-01-01

    An examination of oral communication education in the United States (U.S.) and United Kingdom (U.K.) identified four critical concerns: (1) Today's college students are not getting adequate oral communication education; (2) Oral communication education is being relegated to a "module" in another discipline-specific course; (3) When an…

  14. Applying to University with Criminal Convictions: A Comparative Study of Admissions Policies in the United States and United Kingdom

    ERIC Educational Resources Information Center

    Custer, Bradley D.

    2018-01-01

    Higher education institutions in the United States and the United Kingdom increasingly require prospective students to disclose past criminal history on admissions applications. However, a social movement aimed at improving opportunities for people with criminal records may force higher education to reconsider this practice. This paper offers a…

  15. Possible Futures for Social Work with Children and Families in Australia, the United Kingdom and the United States

    ERIC Educational Resources Information Center

    Spratt, Trevor

    2008-01-01

    There has been considerable interest in recent years in comparing the operation of social work services for children and families internationally, particularly between Australia, the United Kingdom and the United States. Reviewing the respective policy environments and drawing on recent research experience in these three nations, the author…

  16. 22 CFR 120.34 - Defense Trade Cooperation Treaty between the United States and the United Kingdom.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 22 Foreign Relations 1 2012-04-01 2012-04-01 false Defense Trade Cooperation Treaty between the United States and the United Kingdom. 120.34 Section 120.34 Foreign Relations DEPARTMENT OF STATE INTERNATIONAL TRAFFIC IN ARMS REGULATIONS PURPOSE AND DEFINITIONS § 120.34 Defense Trade Cooperation Treaty...

  17. 22 CFR 120.34 - Defense Trade Cooperation Treaty between the United States and the United Kingdom.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 22 Foreign Relations 1 2014-04-01 2014-04-01 false Defense Trade Cooperation Treaty between the United States and the United Kingdom. 120.34 Section 120.34 Foreign Relations DEPARTMENT OF STATE INTERNATIONAL TRAFFIC IN ARMS REGULATIONS PURPOSE AND DEFINITIONS § 120.34 Defense Trade Cooperation Treaty...

  18. United Kingdom Automobile Insurance Market

    DOT National Transportation Integrated Search

    1979-05-01

    The report represents a limited study of the United Kingdom Automobile Insurance Industry: (1) the structure, size, and relationships within the industry; (2) the basis of premium calculation, rate structure, types of policies, and payment of compens...

  19. Karl Marx, Ludwig Wittgenstein, and Black Underachievement in the United States and United Kingdom

    ERIC Educational Resources Information Center

    Tomlin, Carol; Wright, Cecile; Mocombe, Paul C.

    2013-01-01

    This article synthesizes Marxian conceptions of identity construction within capitalist relations of production with the Wittgensteinian notion of "language games" to offer a more appropriate relational framework within which scholars ought to understand the Black-White academic achievement gap in America, the United Kingdom, and…

  20. Professionalism in Public Relations Pedagogy: A Comparative Analysis of Public Relations Curricula among the United States, the United Kingdom, and South Korea

    ERIC Educational Resources Information Center

    Chung, Wonjun; Choi, Jinbong

    2012-01-01

    Based on a concept of professionalism, this study analyzed and compared current public relations curricula of higher education among the United States, the United Kingdom, and South Korea. In terms of three educational orientations, results indicated that public relations education in the United States is the most balanced among theoretical,…

  1. Political Science Journals in Comparative Perspective: Evaluating Scholarly Journals in the United States, Canada, and the United Kingdom

    ERIC Educational Resources Information Center

    Garand, James C.; Giles, Micheal W.; Blais, Andre; McLean, Iain

    2009-01-01

    In this article we report the results from a new survey of political scientists regarding their evaluations of journals in the political science discipline. Unlike previous research that has focused on data from the United States, we conducted an Internet survey of political scientists in the United States, Canada, and the United Kingdom. We…

  2. Guidelines for Descriptive Cataloging of Reports: A Revision of COSATI Standard for Descriptive Cataloging of Government Scientific and Technical Reports

    DTIC Science & Technology

    1985-01-01

    Pennsylvania - PA SKentucky - K Puerto Rico - PR Louisiana - LA Rhode Island - RI ൒ *%%% * .-. * * -..- ! X . 2.3.2.s (cont.) South Carolina - SC Virgin...Company, New Orleans, LA . Orleans, LA . * 2.3.3.b(l) .. - .• -Major bureaus and services of the U.S. Government are l.isted as one-V1 element headings...shire Scotland United Kingdom-UK Lancashire England United Kingdom-UK Laos Laos Laos- LA Larne Northern Ireland United Kingdom-UK p Latvia USSR USSR-UR

  3. Cancer Drugs: An International Comparison of Postlicensing Price Inflation.

    PubMed

    Savage, Philip; Mahmoud, Sarah; Patel, Yogin; Kantarjian, Hagop

    2017-06-01

    The cost of cancer drugs forms a rising proportion of health care budgets worldwide. A number of studies have examined international comparisons of initial cost, but there is little work on postlicensing price increases. To examine this, we compared cancer drug prices at initial sale and subsequent price inflation in the United States and United Kingdom and also reviewed relevant price control mechanisms. The 10 top-selling cancer drugs were selected, and their prices at initial launch and in 2015 were compared. Standard nondiscounted prices were obtained from the relevant annual copies of the RED BOOK and the British National Formulary. At initial marketing, prices were on average 42% higher in the United States than in the United Kingdom. After licensing in the United States, all 10 drugs had price rises averaging an overall annual 8.8% (range, 1.4% to 24.1%) increase. In comparison, in the United Kingdom, six drugs had unchanged prices, two had decreased prices, and two had modest price increases. The overall annual increase in the United Kingdom was 0.24%. Cancer drug prices are rising substantially, both at their initial marketing price and, in the United States, at postlicensing prices. In the United Kingdom, the Pharmaceutical Price Regulation Scheme, an agreement between the government and the pharmaceutical industry, controls health care costs while allowing a return on investment and funds for research. The increasing costs of cancer drugs are approaching the limits of sustainability, and a similar government-industry agreement may allow stability for both health care provision and the pharmaceutical industry in the United States.

  4. Collaboration with the United Kingdom on Air Quality Research

    EPA Pesticide Factsheets

    To initiate research collaboration among the United States Environmental Protection Agency (EPA), the Unitd Kingdom's (UK) Department for Environment, Food and Rural Affairs (Defra), and the Environment Agency for England and Wales (EA) on exposure science

  5. An Exploration of Administrative Heuristics in the United States and the United Kingdom

    ERIC Educational Resources Information Center

    English, Fenwick W.; Bolton, Cheryl L.

    2008-01-01

    This article is a report on a study of the use of heuristics, shortcuts, and rules of thumb by middle-line managers in institutions of higher education in the United States and the United Kingdom. Using a nonprobability convenience sample, the coinvestigators interviewed 13 middle-line managers over 5 months from eight institutions. The results…

  6. Emergence and Growth of Professional Doctorates in the United States, United Kingdom, Canada and Australia: A Comparative Analysis

    ERIC Educational Resources Information Center

    Kot, Felly Chiteng; Hendel, Darwin D.

    2012-01-01

    This article examines the development and growth of professional doctorates in the United States, United Kingdom, Canada, and Australia. It provides an overview of the development of the doctoral degree from its establishment at the universities of Paris and Bologna, and highlights the emergence of new forms of doctorates that have challenged the…

  7. Legal Teaching Methods to Diverse Student Cohorts: A Comparison between the United Kingdom, the United States, Australia and New Zealand

    ERIC Educational Resources Information Center

    Kraal, Diane

    2017-01-01

    This article makes a comparison across the unique educational settings of law and business schools in the United Kingdom, the United States, Australia and New Zealand to highlight differences in teaching methods necessary for culturally and ethnically mixed student cohorts derived from high migration, student mobility, higher education rankings…

  8. Fighting Poverty: Attentive Policy Can Make a Huge Difference

    ERIC Educational Resources Information Center

    Smeeding, Timothy M.; Waldfogel, Jane

    2010-01-01

    This article discusses the implication of the implementation of anti-poverty policy in both the United Kingdom and the United States. International studies of child poverty usually find that the United States and United Kingdom are at the bottom of the league table in terms of child poverty. Indeed, the U.S. and U.K do not fare well in…

  9. From gold-medal glory to prohibition: the early evolution of cocaine in the United Kingdom and the United States

    PubMed Central

    Gilchrist, Dawna

    2013-01-01

    As reported in the 2011 World Drug Report, cocaine is likely to be the most problematic drug worldwide in terms of trafficking-related violence and second only to heroin in terms of negative health consequences and drug deaths. Over a period of 60 years, cocaine evolved from the celebrated panacea of the 1860s to outlawed street drug of the 1920s. As demonstrated by the evolution of cocaine use and abuse in the United Kingdom and United States during this time period, cultural attitudes influenced both the acceptance of cocaine into the medical field and the reaction to the harmful effects of cocaine. Our review of articles on cocaine use in the United Kingdom and the United States from 1860 to 1920 reveals an attitude of caution in the United Kingdom compared with an attitude of progressivism in the United States. When the trends in medical literature are viewed in the context of the development of drug regulations, our analysis provides insight into the relationship between cultural attitudes and drug policy, supporting the premise that it is cultural and social factors which shape drug policy, rather than drug regulations changing culture. PMID:23772315

  10. The impact of changing nicotine replacement therapy licensing laws in the United Kingdom: findings from the International Tobacco Control Four Country Survey.

    PubMed

    Shahab, Lion; Cummings, K Michael; Hammond, David; Borland, Ron; West, Robert; McNeill, Ann

    2009-08-01

    To evaluate the impact of a new licence for some nicotine replacement therapy products (NRT) for cutting down to stop (CDTS) on changes in the pattern of NRT use. Quasi-experimental design comparing changes in NRT use across two waves of a population-based, replenished-panel, telephone survey conducted before and after the introduction of new licensing laws in the United Kingdom with changes in NRT use in three comparison countries (Australia, Canada and United States) without a licensing change. A total of 7386 and 7013 smokers and recent ex-smokers participating in the 2004 and/or 2006/7 survey. Data were collected on demographic and smoking characteristics as well as NRT use and access. In order to account for interdependence resulting from some participants being present in both waves, generalized estimation equations with an exchangeable correlation matrix were used to assess within-country changes and linear and logistic regressions to assess between-country differences in adjusted analyses. NRT use was more prevalent in the United Kingdom and increased across waves in all countries but no wave x country interaction was observed. There was no evidence that the licensing change increased the prevalence of CDTS or the use of NRT (irrespective of how it was accessed) for CDTS in the United Kingdom relative to comparison countries. There was also no evidence for a change in concurrent smoking and NRT use among smokers not attempting to stop in the United Kingdom relative to comparison countries. The addition of the CDTS licence for some NRT products in the United Kingdom appears to have had very limited, if any, impact on NRT use in the first year after the licence change.

  11. Skills, Competencies and Gender: Issues for Pay and Training.

    ERIC Educational Resources Information Center

    Strebler, Marie; And Others

    The extent to which skill and competency-based systems used by work organizations in the United Kingdom may contribute to maintenance of the pay gap between men and women was examined through a review of the following: pertinent literature from the United Kingdom and United States; 15 published case studies; current Institute for Employment…

  12. International collaboration in pediatric nursing: mutual learning success.

    PubMed

    Metcalfe, Sharon Elizabeth

    2010-01-01

    This article describes an innovative international collaboration between a children's hospital in the United Kingdom and a university school of nursing in the United States that created opportunities for networking among nurses in similar specialties. Nurses from two countries joined in an educational partnership to share dialogue and clinical experience in the United Kingdom.

  13. Assessing the Risks of West Nile Virus–Infected Mosquitoes from Transatlantic Aircraft: Implications for Disease Emergence in the United Kingdom

    PubMed Central

    Brown, Eleanor B.E.; Adkin, Amie; Fooks, Anthony R.; Stephenson, Ben; Medlock, Jolyon M.

    2012-01-01

    Abstract The number of West Nile virus (WNV)–infected mosquitoes aboard aircraft from the United States that arrive in the United Kingdom each summer was determined using a quantitative risk assessment. In the worst-case scenario, when WNV levels in mosquitoes are high (at epidemic levels) the probability of at least one WNV-infected mosquito being introduced into the United Kingdom was predicted to be 0.99. During these periods, a mean of 5.2 infected mosquitoes were estimated to be aboard flights from the United States to the United Kingdom during May to October, with 90% certainty that the exact value lies between one and ten mosquitoes. Heathrow airport was predicted to receive the majority of the infected mosquitoes (72.1%). Spatial analysis revealed the region surrounding Heathrow satisfies the criteria for potential WNV exposure as both WNV-competent mosquitoes and susceptible wild bird species are present. This region is, therefore, recommended for targeted, risk-based surveillance of WNV-infected mosquitoes in addition to an increased awareness of the risks to horses, birds and humans. PMID:22217181

  14. The Printout: Computers and Reading in the United Kingdom.

    ERIC Educational Resources Information Center

    Ewing, James M.

    1988-01-01

    Offers an overview of some reading and language arts computer projects in the United Kingdom, including language teaching and intelligent knowledge-based systems, assessment of written style by computer, and desktop publishing in the primary school. (ARH)

  15. Case Studies of Internationalization in Adult and Higher Education: Inside the Processes of Four Universities in the United States and the United Kingdom

    ERIC Educational Resources Information Center

    Coryell, Joellen Elizabeth; Durodoye, Beth A.; Wright, Robin Redmon; Pate, P. Elizabeth; Nguyen, Shelbee

    2012-01-01

    This report outlines a method for learning about the internationalization processes at institutions of adult and higher education and then provides the analysis of data gathered from the researchers' own institution and from site visits to three additional universities in the United States and the United Kingdom. It was found that campus…

  16. Undergraduate Game Degree Programs in the United Kingdom and United States: A Comparison of the Curriculum Planning Process

    ERIC Educational Resources Information Center

    McGill, Monica M.

    2010-01-01

    Digital games are marketed, mass-produced, and consumed by an increasing number of people and the game industry is only expected to grow. In response, post-secondary institutions in the United Kingdom (UK) and the United States (US) have started to create game degree programs. Though curriculum theorists provide insight into the process of…

  17. Image of the United States as a travel destination: a case study of United Kingdom college students

    Treesearch

    Sung Hee Park; Pavlina Latkova; Sarah Nicholls

    2007-01-01

    The youth travel market is a major growth segment of international tourism. The purpose of this study was to explore the travel behaviors and perceptions of United Kingdom college students with regards to the United States as a travel destination. Two objectives were formulated, to determine whether image dimensions differed based on (1) travel behavior, and (2) socio-...

  18. Direct Job Creation in the Public Sector. Evaluation of National Experience in Canada, Denmark, Norway, United Kingdom, United States.

    ERIC Educational Resources Information Center

    Organisation for Economic Cooperation and Development, Paris (France).

    This report examines selected public sector direct job creation schemes that were in operation in 1977-1978 in Canada, Denmark, Norway, the United Kingdom, and the United States. Based on responses to a questionnaire and discussions with officials in the five countries, the information presented in the report is not intended to evaluate any one…

  19. Postindustrial Capitalism and the Problems with Bourdieu's Social and Cultural Capital in Understanding the Black/White Achievement Gap in the United States and United Kingdom

    ERIC Educational Resources Information Center

    Mocombe, Paul C.

    2015-01-01

    This hermeneutical essay demonstrates why and how Pierre Bourdieu's social reproduction theory is neither an adequate explanation for understanding praxis nor the Black/White academic achievement gap in contemporary postindustrial economies like that of the United States and the United Kingdom. The underlining hypothesis of the work is that the…

  20. Support for Development of Electronics and Materials Technologies by the Governments of the United States, Japan, West Germany, France, and the United Kingdom.

    ERIC Educational Resources Information Center

    General Accounting Office, Washington, DC.

    The governments of the United States, Japan, West Germany, France, and the United Kingdom each have large research and development efforts involving government agencies, universities and industry. This document provides a comparative overview of policies and programs which contribute to the development of technologies in the general area of…

  1. Transplant tourism in the United States: a single-center experience.

    PubMed

    Gill, Jagbir; Madhira, Bhaskara R; Gjertson, David; Lipshutz, Gerald; Cecka, J Michael; Pham, Phuong-Thu; Wilkinson, Alan; Bunnapradist, Suphamai; Danovitch, Gabriel M

    2008-11-01

    Transplant "tourism" typically refers to the practice of traveling outside the country of residence to obtain organ transplantation. This study describes the characteristics and outcomes of 33 kidney transplant recipients who traveled abroad for transplant and returned to University of California, Los Angeles (UCLA) for follow-up. Posttransplantation outcomes were compared between tourists and a matched cohort of patients who underwent transplantation at UCLA (matched for age, race, transplant year, dialysis time, previous transplantation, and donor type). Median follow-up time was 487 d (range 68 to 3056). Compared with all patients who underwent transplantation at UCLA, tourists included more Asians and had shorter dialysis times. Most patients traveled to their region of ethnicity with the majority undergoing transplantation in China (44%), Iran (16%), and the Philippines (13%). Living unrelated transplants were most common. Tourists presented to UCLA a median of 35 d after transplantation. Four patients required urgent hospitalization, three of whom lost their grafts. Seventeen (52%) patients had infections, with nine requiring hospitalization. One patient lost her graft and subsequently died from complications related to donor-contracted hepatitis B. One-year graft survival was 89% for tourists and 98% for the matched UCLA cohort (P = 0.75). The rate of acute rejection at 1 yr was 30% in tourists and 12% in the matched cohort. Tourists had a more complex posttransplantation course with a higher incidence of acute rejection and severe infectious complications.

  2. Xeroderma pigmentosum in the United kingdom.

    PubMed

    Lehmann, Alan R

    2015-01-01

    The seminal discovery by James Cleaver of defective DNA repair in xeroderma pigmentosum (XP) opened up an ever-expanding field of DNA repair-related disorders. In addition, it put XP on the map and has led to improved diagnosis, care and management of affected patients. In the United Kingdom, we recently established a multidisciplinary specialist clinic for XP patients. All XP patients in the United Kingdom are able to visit the clinic where they are examined and advised by a team of specialists with detailed knowledge of the different aspects of XP. © 2014 The American Society of Photobiology.

  3. Leadership for learning: a literature study of leadership for learning in clinical practice.

    PubMed

    Allan, Helen T; Smith, Pamela A; Lorentzon, Maria

    2008-07-01

    To report a literature study of leadership for learning in clinical practice in the United Kingdom. Background Previous research in the United Kingdom showed that the ward sister was central to creating a positive learning environment for student nurses. Since the 1990s, the ward mentor has emerged as the key to student nurses' learning in the United Kingdom. A literature study of new leadership roles and their influence on student nurse learning (restricted to the United Kingdom) which includes an analysis of ten qualitative interviews with stakeholders in higher education in the United Kingdom undertaken as part of the literature study. Learning in clinical placements is led by practice teaching roles such as mentors, clinical practice facilitators and practice educators rather than new leadership roles. However, workforce changes in clinical placements has restricted the opportunities for trained nurses to role model caring activities for student nurses and university based lecturers are increasingly distant from clinical practice. Leadership for learning in clinical practice poses three unresolved questions for nurse managers, practitioners and educators - what is nursing, what should student nurses learn and from whom? Leadership for student nurse learning has passed to new learning and teaching roles with Trusts and away from nursing managers. This has implications for workforce planning and role modelling within the profession.

  4. Marine debris on beaches of Arraial do Cabo, RJ, Brazil: An important coastal tourist destination.

    PubMed

    Silva, Melanie Lopes da; Castro, Rebeca Oliveira; Sales, Alessandro Souza; Araújo, Fábio Vieira de

    2018-05-01

    Arraial do Cabo, RJ, Brazil, is known as the diving capital due to its clear waters and great biodiversity, a consequence of the upwelling phenomenon. This feature attracts tourists tripling their population during holidays, causing increase in the amount of debris on beaches and waters endangering marine biodiversity. To evaluate the amount of solid waste found on beaches in two different holiday period, eight people in each beach collected macrodebris (≥2 cm) in a transect covering an 20 m wide area, during 20 min, in winter/2015 and summer/2017. The materials were weighed, quantified and characterized. In the summer, when the number of tourists is greater, a larger total amount of waste in units were found. Plastic and cigarette butts were the most abundant. The results show that the city does not have adequate planning to receive a large amount of tourists, being vulnerable to socioeconomic and environmental damages. Copyright © 2018 Elsevier Ltd. All rights reserved.

  5. Is more neonatal intensive care always better? Insights from a cross-national comparison of reproductive care.

    PubMed

    Thompson, Lindsay A; Goodman, David C; Little, George A

    2002-06-01

    Despite high per capita health care expenditure, the United States has crude infant survival rates that are lower than similarly developed nations. Although differences in vital recording and socioeconomic risk have been studied, a systematic, cross-national comparison of perinatal health care systems is lacking. To characterize systems of reproductive care for the United States, Australia, Canada, and the United Kingdom, including a detailed analysis of neonatal intensive care and mortality. Comparison of selected indicators of reproductive care and mortality from 1993-2000 through a systematic review of journal and government publications and structured interviews of leaders in perinatal and neonatal care. Compared with the other 3 countries, the United States has more neonatal intensive care resources yet provides proportionately less support for preconception and prenatal care. Unlike the United States, the other countries provided free family planning services and prenatal and perinatal physician care, and the United Kingdom and Australia paid for all contraception. The United States has high neonatal intensive care capacity, with 6.1 neonatologists per 10 000 live births; Australia, 3.7; Canada, 3.3; and the United Kingdom, 2.7. For intensive care beds, the United States has 3.3 per 10 000 live births; Australia and Canada, 2.6; and the United Kingdom, 0.67. Greater neonatal intensive care resources were not consistently associated with lower birth weight-specific mortality. The relative risk (United States as reference) of neonatal mortality for infants <1000 g was 0.84 for Australia, 1.12 for Canada, and 0.99 for the United Kingdom; for 1000 to 2499 g infants, the relative risk was 0.97 for Australia, 1.26 for Canada, and 0.95 for the United Kingdom. As reported elsewhere, low birth weight rates were notably higher in the United States, partially explaining the high crude mortality rates. The United States has significantly greater neonatal intensive care resources per capita, compared with 3 other developed countries, without having consistently better birth weight-specific mortality. Despite low birth weight rates that exceed other countries, the United States has proportionately more providers per low birth weight infant, but offers less extensive preconception and prenatal services. This study questions the effectiveness of the current distribution of US reproductive care resources and its emphasis on neonatal intensive care.

  6. Social Media and Men's Health: A Content Analysis of Twitter Conversations During the 2013 Movember Campaigns in the United States, Canada, and the United Kingdom.

    PubMed

    Bravo, Caroline A; Hoffman-Goetz, Laurie

    2017-11-01

    The Movember Foundation raises awareness and funds for men's health issues such as prostate and testicular cancers in conjunction with a moustache contest. The 2013 Movember campaigns in the United States, Canada, and the United Kingdom shared the same goal of creating conversations about men's health that lead to increased awareness and understanding of the health risks men face. Our objective was to explore Twitter conversations to identify whether the 2013 Movember campaigns sparked global conversations about prostate cancer, testicular cancer, and other men's health issues. We conducted a content analysis of 12,666 tweets posted during the 2013 Movember campaigns in the United States, Canada, and the United Kingdom (4,222 tweets from each country) to investigate whether tweets were health-related or non-health-related and to determine what topics dominated conversations. Few tweets ( n = 84, 0.7% of 12,666 tweets) provided content-rich or actionable health information that would lead to awareness and understanding of men's health risks. While moustache growing and grooming was the most popular topic in U.S. tweets, conversations about community engagement were most common in Canadian and U.K. tweets. Significantly more tweets co-opted the Movember campaign to market products or contests in the United States than Canada and the United Kingdom ( p < .05). Findings from this content analysis of Twitter suggest that the 2013 Movember campaigns in the United States, Canada, and the United Kingdom sparked few conversations about prostate and testicular cancers that could potentially lead to greater awareness and understanding of important men's health issues.

  7. Cameron's Dimensions of Effectiveness in Higher Education in the U.K.: A Cross-Cultural Comparison.

    ERIC Educational Resources Information Center

    Lysons, Art; Hatherly, David

    1992-01-01

    An approach to organizational effectiveness in higher education developed in the United States was applied to institutions in the United Kingdom and Australia to establish a basis for policy and organizational analysis. Higher reliability was found for the United Kingdom than for Australia, apparently related to cultural differences regarding…

  8. 75 FR 59745 - In the Matter of: Certain Components for Installation of Marine Autopilots With GPS or IMU...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-28

    .... Strandvelen 18, Lysaker, Norway. Navico UK, Ltd., Premier Way, Abbey Park, Romsey Hampshire, United Kingdom..., Southampton Road. Portsmouth Hampshire, PO6 4QB, United Kingdom. Raymarine Inc., 21 Manchester Street... violations of section 337 based upon the importation into the United States, the sale for importation, and...

  9. What the United Kingdom Can Teach the United States about School Uniforms

    ERIC Educational Resources Information Center

    Walmsley, Angela

    2011-01-01

    School uniforms are commonplace in the United Kingdom and seem to help promote students' respect for the teachers, the school, and themselves. Parents like the uniforms because they see it as a less expensive alternative. Teachers say they appreciate school uniforms because they help students focus on school and not each other's clothes. However,…

  10. Real-time PCR assay to distinguish the four Phytophthora ramorum lineages using cellulose binding elicitor lectin (CBEL) locus

    USDA-ARS?s Scientific Manuscript database

    Phytophthora ramorum is a pathogenic oomycete responsible for causing sudden oak death in the Western United States and sudden larch death in the United Kingdom. This pathogen has so far caused extensive mortality of oak and tanoak in California and of Japanese larch in the United Kingdom. Until rec...

  11. The Rise and Decline of the International Baccalaureate Diploma Programme in the United Kingdom

    ERIC Educational Resources Information Center

    Bunnell, Tristan

    2015-01-01

    The three main programmes of the Geneva-registered International Baccalaureate (IB) have grown substantially worldwide over the past decade, although the programmes have found a natural "home" in the United States. This paper charts the growth of the IB in the United Kingdom (UK) revealing that involvement there, mainly in England and…

  12. [Information on student counseling center websites in Japan, the United States, the United Kingdom, and Taiwan].

    PubMed

    Ito, Naoki

    2017-04-01

    This study aimed to compare information provided on student counseling center websites of universities and colleges in Japan, the United States, the United Kingdom, and Taiwan. A survey was conducted on websites of 315 centers in Japan, 282 centers in the United States, 70 centers in the United Kingdom and 61 centers in Taiwan. Trends in the provision of information on websites in each country were analyzed and compared for the rate and quantity of information published. Results of multiple correspondence analyses indicated two basic dimensions of information that could effectively distinguish information provided in the four countries. These were provision of necessary information and provision of information for use of individual counseling or support of community. Finally, issues related to websites in student counseling centers of Japanese universities and colleges are discussed.

  13. Kenya: The Myth of East Africa’s Democratic City on a Hill

    DTIC Science & Technology

    2011-03-21

    Vhitfield, eds, Turning Points in African Democracy, (Suffolk, United Kingdom: Boydell & Brewer Ltd., 2009), 102. 53. British Broadcasting...Mustapha, Abdul Raufu and Lindsay Whitfield, eds. Turning Points in African Democracy. Suffolk, United Kingdom: Boydell & Brewer Ltd., 2009. Mwaura

  14. Capital Provision for University Libraries in the United Kingdom--Comments on the Atkinson Report

    ERIC Educational Resources Information Center

    Taylor, Colin R.

    1977-01-01

    United Kingdom norms for libraries are reviewed and the effect they would have on Australian university libraries is examined. Focus is on book storage, future growth provision, reader places, administration, reserve storage, and special collections. (LBH)

  15. Innovative United Kingdom Approaches To Measuring Service Quality.

    ERIC Educational Resources Information Center

    Winkworth, Ian

    2001-01-01

    Reports on approaches to measuring the service quality of academic libraries in the United Kingdom. Discusses the role of government and the national background of quality measurement; measurement frameworks; better use of statistics; benchmarking; measuring user satisfaction; and possible future development. (Author/LRW)

  16. Educational and Nonprofit Institutions Receiving Prime Contract Awards for RDT&E (Research, Development, Test and Evaluation), Fiscal Year 1981.

    DTIC Science & Technology

    1981-01-01

    SCIENCE & TECH 162 - UNITED KINGDOM MINISTRY OF DEFENCE 2,670 - UN KINGDOM 162 UN KINGDOM 2,670 INSTITUT FUER ATMOSPHAERISCHE 25 - UNIVERSITE RENE ... DESCARTES 10 - GERMANY 25 FRANCE 10 INVERESK RESEARCH INTERNATIONAL 106 - 8,602 UN KINGDOM 106 ISRAEL INSTITUTE OF TECHNOLOGY 55 - ISRAEL 55 KEELE UNIVERSITY

  17. A national register for surveillance of inherited disorders: beta thalassaemia in the United Kingdom.

    PubMed Central

    Modell, B.; Khan, M.; Darlison, M.; King, A.; Layton, M.; Old, J.; Petrou, M.; Varnavides, L.

    2001-01-01

    OBJECTIVE: To demonstrate the value of a national register for surveillance of services for an inherited disorder. METHODS: Data from the United Kingdom Thalassaemia Register and the United Kingdom Register of Prenatal Diagnosis for Haemoglobin Disorders were combined in a database; these registers include all fetuses known to have been diagnosed with beta thalassaemia major, beta thalassaemia intermedia, or haemoglobin E/beta thalassaemia in the United Kingdom. Data were extracted to show outcomes (selective abortion or live birth) of all fetuses and the status of those born with a disorder (alive, dead, successful bone marrow transplant, or lost to follow-up) by parents' region of residence and ethnicity. FINDINGS: At the end of 1999 the register included 1074 patients, 807 of whom were alive and residing in the United Kingdom. A successful bone marrow transplant has been performed for 117 out of 581 (20%) patients born since 1975. Residents of Pakistani origin are now the main group at risk in the United Kingdom, replacing residents of Cypriot origin. This has led to a marked shift in the need for services from the south-east of England to the Midlands and the north of England. Despite the acceptability of prenatal diagnosis, the proportion of affected births remains 50% higher than would be expected, reflecting a widespread failure to deliver timely screening and counselling to carriers. Even though effective treatment is available the annual number of deaths is rising, indicating that better tolerated treatments are needed. CONCLUSION: A national diagnosis register is a powerful instrument for monitoring the treatment and prevention of inherited disorders and for highlighting correctable shortcomings. In view of the increasing possibilities for genetic screening there is a strong case for central funding for such databases within modern health services. PMID:11731807

  18. Integrating acute stroke telemedicine consultations into specialists' usual practice: a qualitative analysis comparing the experience of Australia and the United Kingdom.

    PubMed

    Bagot, Kathleen L; Cadilhac, Dominique A; Bladin, Christopher F; Watkins, Caroline L; Vu, Michelle; Donnan, Geoffrey A; Dewey, Helen M; Emsley, Hedley C A; Davies, D Paul; Day, Elaine; Ford, Gary A; Price, Christopher I; May, Carl R; McLoughlin, Alison S R; Gibson, Josephine M E; Lightbody, Catherine E

    2017-11-21

    Stroke telemedicine can reduce healthcare inequities by increasing access to specialists. Successful telemedicine networks require specialists adapting clinical practice to provide remote consultations. Variation in experiences of specialists between different countries is unknown. To support future implementation, we compared perceptions of Australian and United Kingdom specialists providing remote acute stroke consultations. Specialist participants were identified using purposive sampling from two new services: Australia's Victorian Stroke Telemedicine Program (n = 6; 2010-13) and the United Kingdom's Cumbria and Lancashire telestroke network (n = 5; 2010-2012). Semi-structured interviews were conducted pre- and post-implementation, recorded and transcribed verbatim. Deductive thematic and content analysis (NVivo) was undertaken by two independent coders using Normalisation Process Theory to explore integration of telemedicine into practice. Agreement between coders was M = 91%, SD = 9 and weighted average κ = 0.70. Cross-cultural similarities and differences were found. In both countries, specialists described old and new consulting practices, the purpose and value of telemedicine systems, and concerns regarding confidence in the assessment and diagnostic skills of unknown colleagues requesting telemedicine support. Australian specialists discussed how remote consultations impacted on usual roles and suggested future improvements, while United Kingdom specialists discussed system governance, policy and procedures. Australian and United Kingdom specialists reported telemedicine required changes in work practice and development of new skills. Both groups described potential for improvements in stroke telemedicine systems with Australian specialists more focused on role change and the United Kingdom on system governance issues. Future research should examine if cross-cultural variation reflects different models of care and extends to other networks.

  19. Sharing the Costs of Higher Education. Student Financial Assistance in the United Kingdom, the Federal Republic of Germany, France, Sweden, and the United States.

    ERIC Educational Resources Information Center

    Johnstone, D. Bruce

    The educational and living costs of undergraduate studies and the ways these costs are shared among parents, students, taxpayers, and philanthropists/donors are considered for five countries: the United States, the United Kingdom, the Federal Republic of Germany, France, and Sweden. Five policy issues that are linked to how costs are shared by…

  20. A Cross-National Review of Evidence-Based Psychosocial Treatments for Children and Adolescents with Autistic Spectrum Disorders in the United Kingdom, Ireland, and United States

    ERIC Educational Resources Information Center

    Robinson, Lee; Bond, Caroline

    2017-01-01

    The most thoroughly researched topic in relation to autistic spectrum disorders (ASDs) is the evaluation of interventions. Educational psychology in the United Kingdom and Ireland is the most closely allied profession to school psychology in the United States. In considering what is published by and for the profession, it is important to include…

  1. Online marketing strategies of plastic surgeons and clinics: a comparative study of the United Kingdom and the United States.

    PubMed

    Nassab, Reza; Navsaria, Harshad; Myers, Simon; Frame, James

    2011-07-01

    The cosmetic surgery market is a rapidly growing sector of healthcare, and the use of marketing strategies is now an integral part of any cosmetic surgery practice. In this study, the authors review 50 Web sites from practitioners in London and New York to quantify the utilization of online marketing, comparing results between the United Kingdom and the United States.

  2. Education Policy Outlook: United Kingdom

    ERIC Educational Resources Information Center

    Geva, Oren; Pont, Beatriz; Figueroa, Diana Toledo; Albiser, Etienne; Wittenberg, Désirée; Maghnouj, Soumaya; Fraccola, Sylvain

    2015-01-01

    This policy profile on education in the United Kingdom (UK) is part of the new "Education Policy Outlook series," which presents comparative analysis of education policies and reforms across the Organisation for Economic Co-operation and Development (OECD) countries. Building on the substantial comparative and sectorial policy knowledge…

  3. 76 FR 72686 - 36(b)(1) Arms Sales Notification

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-25

    ... Electromagnetic Aircraft Launch System/Advanced Arresting Gear (EMALS/AAG). The EMALS long lead sub-assemblies... United Kingdom--Electromagnetic Aircraft Launch System Long Lead Sub- Assemblies The Government of the United Kingdom (UK) has requested the long lead sub-assemblies for the Electromagnetic Aircraft Launch...

  4. Differences between British and Japanese perspectives on forensic mental health systems: A preliminary study

    PubMed Central

    Shiina, Akihiro; Tomoto, Aika; Omiya, Soichiro; Sato, Aiko; Iyo, Masaomi; Igarashi, Yoshito

    2017-01-01

    AIM To clarify the differences in views on forensic mental health (FMH) systems between the United Kingdom and Japan. METHODS We conducted a series of semi-structured interviews with six leading forensic psychiatrists. Based on a discussion by the research team, we created an interview form. After we finished conducting all the interviews, we qualitatively analyzed their content. RESULTS In the United Kingdom the core domain of FMH was risk assessment and management; however, in Japan, the core domain of FMH was psychiatric testimony. In the United Kingdom, forensic psychiatrists were responsible for ensuring public safety, and psychopathy was identified as a disease but deemed as not suitable for medical treatment. On the other hand, in Japan, psychopathy was not considered a mental illness. CONCLUSION In conclusion, there are considerable differences between the United Kingdom and Japan with regard to the concepts of FMH. Some ideas taken from both cultures for better FMH practice were suggested. PMID:28401045

  5. Prevalence and Correlates of the Belief That Electronic Cigarettes are a Lot Less Harmful Than Conventional Cigarettes Under the Different Regulatory Environments of Australia and the United Kingdom

    PubMed Central

    Borland, Ron; Balmford, James; Hitchman, Sara C.; Cummings, K. Michael; Driezen, Pete; Thompson, Mary E.

    2017-01-01

    Introduction: The rapid rise in electronic cigarettes (ECs) globally has stimulated much debate about the relative risk and public health impact of this new emerging product category as compared to conventional cigarettes. The sale and marketing of ECs containing nicotine are banned in many countries (eg, Australia) but are allowed in others (eg, United Kingdom). This study examined prevalence and correlates of the belief that ECs are a lot less harmful than conventional cigarettes under the different regulatory environments in Australia (ie, more restrictive) and the United Kingdom (ie, less restrictive). Methods: Australian and UK data from the 2013 survey of the International Tobacco Control Four-Country project were analyzed. Results: More UK than Australian respondents (58.5% vs. 35.2%) believed that ECs are a lot less harmful than conventional cigarettes but more respondents in Australia than in the United Kingdom selected “Don’t Know” (36.5% vs. 17.1%). The proportion that responded “A little less, equally or more harmful” did not differ between countries. Correlates of the belief that ECs are “A lot less harmful” differed between countries, while correlates of “Don’t Know” response did not differ. Conclusions: Consistent with the less restrictive regulatory environment affecting the sale and marketing of ECs, smokers and recent ex-smokers in the United Kingdom were more likely to believe ECs were less harmful relative to conventional cigarettes compared to those in Australia. Implications: What this study adds: Among smokers and ex-smokers, this study found that the belief that ECs are (a lot) less harmful than conventional cigarettes was considerably higher in the United Kingdom than in Australia in 2013. The finding is consistent with the less restrictive regulatory environment for ECs in the United Kingdom, suggesting that the regulatory framework for ECs adopted by a country can affect smokers’ perceptions about the relative harmfulness of ECs, the group that stands to gain the most from having an accurate belief about the relative harms of ECs. PMID:27190403

  6. Prevalence and Correlates of the Belief That Electronic Cigarettes are a Lot Less Harmful Than Conventional Cigarettes Under the Different Regulatory Environments of Australia and the United Kingdom.

    PubMed

    Yong, Hua-Hie; Borland, Ron; Balmford, James; Hitchman, Sara C; Cummings, K Michael; Driezen, Pete; Thompson, Mary E

    2017-02-01

    The rapid rise in electronic cigarettes (ECs) globally has stimulated much debate about the relative risk and public health impact of this new emerging product category as compared to conventional cigarettes. The sale and marketing of ECs containing nicotine are banned in many countries (eg, Australia) but are allowed in others (eg, United Kingdom). This study examined prevalence and correlates of the belief that ECs are a lot less harmful than conventional cigarettes under the different regulatory environments in Australia (ie, more restrictive) and the United Kingdom (ie, less restrictive). Australian and UK data from the 2013 survey of the International Tobacco Control Four-Country project were analyzed. More UK than Australian respondents (58.5% vs. 35.2%) believed that ECs are a lot less harmful than conventional cigarettes but more respondents in Australia than in the United Kingdom selected "Don't Know" (36.5% vs. 17.1%). The proportion that responded "A little less, equally or more harmful" did not differ between countries. Correlates of the belief that ECs are "A lot less harmful" differed between countries, while correlates of "Don't Know" response did not differ. Consistent with the less restrictive regulatory environment affecting the sale and marketing of ECs, smokers and recent ex-smokers in the United Kingdom were more likely to believe ECs were less harmful relative to conventional cigarettes compared to those in Australia. What this study adds: Among smokers and ex-smokers, this study found that the belief that ECs are (a lot) less harmful than conventional cigarettes was considerably higher in the United Kingdom than in Australia in 2013. The finding is consistent with the less restrictive regulatory environment for ECs in the United Kingdom, suggesting that the regulatory framework for ECs adopted by a country can affect smokers' perceptions about the relative harmfulness of ECs, the group that stands to gain the most from having an accurate belief about the relative harms of ECs. © The Author 2016. Published by Oxford University Press on behalf of the Society for Research on Nicotine and Tobacco.

  7. A Closer Look at the Junior Doctor Crisis in the United Kingdom's National Health Services: Is Emigration Justifiable?

    PubMed

    Teo, Wendy Zi Wei

    2018-07-01

    This article attempts to tackle the ethically and morally troubling issue of emigration of physicians from the United Kingdom, and whether it can be justified. Unlike most research that has already been undertaken in this field, which looks at migration from developing countries to developed countries, this article takes an in-depth look at the migration of physicians between developed countries, in particular from the United Kingdom (UK) to other developed countries such as Canada, Australia, New Zealand, and the United States (US). This examination was written in response to a current and critical crisis in the National Health Service (NHS), where impending contract changes may bring about a potential exodus of junior doctors.

  8. Urban air quality of kathmandu valley "Kingdom of Nepal"

    NASA Astrophysics Data System (ADS)

    Sharma, C. K.

    The oval shaped tectonic basin of Kathmandu valley, occupying about 656 sq.km is situated in the middle sector of Himalayan range. There are three districts in the valley, i.e. Kathmandu, Lalitpur and Bhaktapur. Out of the three, the most populated is Kathmandu city (the capital of Kingdom of Nepal) which has a population of 668,00 in an area of approximately 50 km 2. The energy consumption of the city population is about 1/3 of the total import to Nepal of gasoline, diesel, kerosene, furnace oil and cooking gas. This has resulted heavy pollution of air in the city leading to bronchitis, and throat and chest diseases. Vehicles have increased several fold in recent months and there are 100,000 in number on the road and they have 900 km of road, out of which only 25% is metalled. Most of the two and three wheelers are polluting the air by emission of gases as well as dust particulate. SO 2 has been found to go as high as 202 μg cm -3 and NO 2 to 126 μg cm -3 particularly in winter months when a thick layer of fog covers the valley up to 10 am in the morning. All the gases are mixed within the limited air below the fog and the ground. This creates the problem. Furthermore, municipal waste of 500 m 3 a day and also liquid waste dumped directly into the Bagmati river at the rate of 500,000 ℓ d -1 makes the city ugly and filthy. Unless pollution of air, water and lard are controlled in time, Nepal will lose much of its foreign exchange earnings from the tourist industry. It is found that tourist arrivals have considerably reduced in recent years and most of hotels occupancy is 50-60% in peak time. Nepal is trying to introduce a legal framework for pollution control but it will take time to become effective.

  9. Teenage Cancer Trust education & advocacy program: 'lets talk about it' a United Kingdom approach.

    PubMed

    Harding, Amy

    2012-01-01

    Cancer in the United Kingdom is viewed as a taboo subject, particularly with young people, who can enter adulthood with little knowledge about cancer and are often misinformed about the facts. Evidence suggests this lack of information can lead to significant delays in cancer diagnosis. Within the education system in the United Kingdom, there is no provision for cancer education, but as cancer is likely to affect more people each year, the Teenage Cancer Trust education program 'Let's talk about it' aims to improve knowledge and awareness of cancer in secondary schools and offers advice on healthy living to all young people.

  10. Lessons from the United Kingdom: fightback on workplace hazards, 1979-1992.

    PubMed

    Dalton, A J

    1992-01-01

    For the past 13 years there has been an aggressive anti-union government in the United Kingdom. Yet despite this fact, very real advances have been made in the area of working-class activity over the issue of workplace hazards. Trade unions, because of membership concern and activity, have been forced to keep this topic on their agenda. The European Community has been a big factor in these advances. This article describes some of the issues and elements of the fightback. In the 1990s, with the rediscovery of environmental issues, the hazards movement of the United Kingdom, and elsewhere, is here to stay and set to expand.

  11. 48 CFR 229.402-70 - Additional provisions and clauses.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... clause at 252.229-7006, Value Added Tax Exclusion (United Kingdom), in solicitations and contracts when... from Customs Duty and Value Added Tax on Fuel (Passenger Vehicles) (United Kingdom), in solicitations... REGULATIONS SYSTEM, DEPARTMENT OF DEFENSE GENERAL CONTRACTING REQUIREMENTS TAXES Contract Clauses 229.402-70...

  12. 48 CFR 229.402-70 - Additional clauses.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... Value Added Tax on Fuel (Passenger Vehicles) (United Kingdom), in solicitations issued and contracts... contain the clause at 252.229-7005, Tax Exemptions (Spain). (f) Use the clause at 252.229-7006, Value Added Tax Exclusion (United Kingdom), in solicitations and contracts when contract performance will be...

  13. Estimating the returns to United Kingdom publicly funded musculoskeletal disease research in terms of net value of improved health outcomes.

    PubMed

    Glover, Matthew; Montague, Erin; Pollitt, Alexandra; Guthrie, Susan; Hanney, Stephen; Buxton, Martin; Grant, Jonathan

    2018-01-10

    Building on an approach applied to cardiovascular and cancer research, we estimated the economic returns from United Kingdom public- and charitable-funded musculoskeletal disease (MSD) research that arise from the net value of the improved health outcomes in the United Kingdom. To calculate the economic returns from MSD-related research in the United Kingdom, we estimated (1) the public and charitable expenditure on MSD-related research in the United Kingdom between 1970 and 2013; (2) the net monetary benefit (NMB), derived from the health benefit in quality adjusted life years (QALYs) valued in monetary terms (using a base-case value of a QALY of £25,000) minus the cost of delivering that benefit, for a prioritised list of interventions from 1994 to 2013; (3) the proportion of NMB attributable to United Kingdom research; and (4) the elapsed time between research funding and health gain. The data collected from these four key elements were used to estimate the internal rate of return (IRR) from MSD-related research investments on health benefits. We analysed the uncertainties in the IRR estimate using a one-way sensitivity analysis. Expressed in 2013 prices, total expenditure on MSD-related research from 1970 to 2013 was £3.5 billion, and for the period used to estimate the rate of return, 1978-1997, was £1.4 billion. Over the period 1994-2013 the key interventions analysed produced 871,000 QALYs with a NMB of £16 billion, allowing for the net NHS costs resulting from them and valuing a QALY at £25,000. The proportion of benefit attributable to United Kingdom research was 30% and the elapsed time between funding and impact of MSD treatments was 16 years. Our best estimate of the IRR from MSD-related research was 7%, which is similar to the 9% for CVD and 10% for cancer research. Our estimate of the IRR from the net health gain to public and charitable funding of MSD-related research in the United Kingdom is substantial, and justifies the research investments made between 1978 and 1997. We also demonstrated the applicability of the approach previously used in assessing the returns from cardiovascular and cancer research. Inevitably, with a study of this kind, there are a number of important assumptions and caveats that we highlight, and these can inform future research.

  14. Mapping Investments and Published Outputs in Norovirus Research: A Systematic Analysis of Research Funded in the United States and United Kingdom During 1997–2013

    PubMed Central

    Head, Michael G.; Fitchett, Joseph R.; Lichtman, Amos B.; Soyode, Damilola T.; Harris, Jennifer N.; Atun, Rifat

    2016-01-01

    Background. Norovirus accounts for a considerable portion of the global disease burden. Mapping national or international investments relating to norovirus research is limited. Methods. We analyzed the focus and type of norovirus research funding awarded to institutions in the United States and United Kingdom during 1997–2013. Data were obtained from key public and philanthropic funders across both countries, and norovirus-related research was identified from study titles and abstracts. Included studies were further categorized by the type of scientific investigation, and awards related to vaccine, diagnostic, and therapeutic research were identified. Norovirus publication trends are also described using data from Scopus. Results. In total, US and United Kingdom funding investment for norovirus research was £97.6 million across 349 awards; 326 awards (amount, £84.9 million) were received by US institutions, and 23 awards (£12.6 million) were received by United Kingdom institutions. Combined, £81.2 million of the funding (83.2%) was for preclinical research, and £16.4 million (16.8%) was for translational science. Investments increased from £1.7 million in 1997 to £11.8 million in 2013. Publication trends showed a consistent temporal increase from 48 in 1997 to 182 in 2013. Conclusions. Despite increases over time, trends in US and United Kingdom funding for norovirus research clearly demonstrate insufficient translational research and limited investment in diagnostics, therapeutics, or vaccine research. PMID:26744430

  15. Mapping Investments and Published Outputs in Norovirus Research: A Systematic Analysis of Research Funded in the United States and United Kingdom During 1997-2013.

    PubMed

    Head, Michael G; Fitchett, Joseph R; Lichtman, Amos B; Soyode, Damilola T; Harris, Jennifer N; Atun, Rifat

    2016-02-01

    Norovirus accounts for a considerable portion of the global disease burden. Mapping national or international investments relating to norovirus research is limited. We analyzed the focus and type of norovirus research funding awarded to institutions in the United States and United Kingdom during 1997-2013. Data were obtained from key public and philanthropic funders across both countries, and norovirus-related research was identified from study titles and abstracts. Included studies were further categorized by the type of scientific investigation, and awards related to vaccine, diagnostic, and therapeutic research were identified. Norovirus publication trends are also described using data from Scopus. In total, US and United Kingdom funding investment for norovirus research was £97.6 million across 349 awards; 326 awards (amount, £84.9 million) were received by US institutions, and 23 awards (£12.6 million) were received by United Kingdom institutions. Combined, £81.2 million of the funding (83.2%) was for preclinical research, and £16.4 million (16.8%) was for translational science. Investments increased from £1.7 million in 1997 to £11.8 million in 2013. Publication trends showed a consistent temporal increase from 48 in 1997 to 182 in 2013. Despite increases over time, trends in US and United Kingdom funding for norovirus research clearly demonstrate insufficient translational research and limited investment in diagnostics, therapeutics, or vaccine research. © The Author 2016. Published by Oxford University Press for the Infectious Diseases Society of America. All rights reserved. For permissions, e-mail journals.permissions@oup.com.

  16. Transplant Tourism in the United States: A Single-Center Experience

    PubMed Central

    Gill, Jagbir; Madhira, Bhaskara R.; Gjertson, David; Lipshutz, Gerald; Cecka, J. Michael; Pham, Phuong-Thu; Wilkinson, Alan; Bunnapradist, Suphamai; Danovitch, Gabriel M.

    2008-01-01

    Background and objectives: Transplant “tourism” typically refers to the practice of traveling outside the country of residence to obtain organ transplantation. This study describes the characteristics and outcomes of 33 kidney transplant recipients who traveled abroad for transplant and returned to University of California, Los Angeles (UCLA) for follow-up. Design, settings, participants, & measurements: Posttransplantation outcomes were compared between tourists and a matched cohort of patients who underwent transplantation at UCLA (matched for age, race, transplant year, dialysis time, previous transplantation, and donor type). Median follow-up time was 487 d (range 68 to 3056). Results: Compared with all patients who underwent transplantation at UCLA, tourists included more Asians and had shorter dialysis times. Most patients traveled to their region of ethnicity with the majority undergoing transplantation in China (44%), Iran (16%), and the Philippines (13%). Living unrelated transplants were most common. Tourists presented to UCLA a median of 35 d after transplantation. Four patients required urgent hospitalization, three of whom lost their grafts. Seventeen (52%) patients had infections, with nine requiring hospitalization. One patient lost her graft and subsequently died from complications related to donor-contracted hepatitis B. One-year graft survival was 89% for tourists and 98% for the matched UCLA cohort (P = 0.75). The rate of acute rejection at 1 yr was 30% in tourists and 12% in the matched cohort. Conclusions: Tourists had a more complex posttransplantation course with a higher incidence of acute rejection and severe infectious complications. PMID:18922987

  17. Employability Skills Development in the United Kingdom.

    ERIC Educational Resources Information Center

    Turner, Dave

    For the last 15 years, a series of policy initiatives have advocated for development of employability skills by young and unemployed people in the United Kingdom. The call for these employability skills has been championed by these two distinct but related movements: the Key Skills Development Movement (KSDM) and the Enterprising Skills…

  18. Similar Demands, Different Responses: Teacher Evaluation in the United Kingdom and Singapore

    ERIC Educational Resources Information Center

    Weinstein, Tracey L.; Struthers, Kathryn S.

    2012-01-01

    Using a conceptual framework grounded in globalization and the knowledge economy, this paper addresses teacher evaluation policy reform in the United Kingdom*** and Singapore. Specifically, the authors discuss similar demands faced by both countries: maintaining economic competitiveness in a globalized society, preparing citizens to participate in…

  19. Human Resource Development in the United Kingdom.

    ERIC Educational Resources Information Center

    1999

    These four papers are from a symposium on human resource development (HRD) in the United Kingdom. "HRD and Psychological Contracts: A Case Study of Lifelong Learning" (Graeme Martin, Judy Pate, Jim McGoldrick) explores the influence of a lifelong learning program on employee perceptions of their psychological contracts in a longitudinal…

  20. The Education Systems of the United Kingdom. Oxford Studies in Comparative Education.

    ERIC Educational Resources Information Center

    Phillips, David, Ed.

    Little current research focuses on the whole educational systems of England, Wales, Scotland, and Northern Ireland. Chapter 1, "The Educational Systems of the United Kingdom," points to shared cultural influences, broadly similar policy aims, and political, functional, and cultural interdependence to explain relatively modest…

  1. Early Detection and Diagnosis of Hearing Impairment: A United Kingdom Perspective.

    ERIC Educational Resources Information Center

    Bamford, John M.; McSporran, Eileen

    1993-01-01

    The incidence of congenital hearing loss in the United Kingdom is noted, and the use of a universal behavioral hearing screen at the age of seven or eight months, implemented by Health Visitors, is described. Procedures involved in identification, diagnosis, and management are discussed. (JDD)

  2. 48 CFR 229.402-70 - Additional provisions and clauses.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... Value Added Tax on Fuel (Passenger Vehicles) (United Kingdom), in solicitations issued and contracts... contain the clause at 252.229-7005, Tax Exemptions (Spain). (f) Use the clause at 252.229-7006, Value Added Tax Exclusion (United Kingdom), in solicitations and contracts when contract performance will be...

  3. An Update on Asset Management Plans in the United Kingdom.

    ERIC Educational Resources Information Center

    Patel, Mukund

    1999-01-01

    Describes a current project in the United Kingdom designed to improve school buildings. The use of Asset Management Plans (AMPs) in providing the means through which likely future needs are assessed, criteria for prioritization are set, and informed decisions on local spending are made are examined. (GR)

  4. A Year in the Life of an Open University Student in the United Kingdom.

    ERIC Educational Resources Information Center

    Ismail, Nazira

    1988-01-01

    Describes a Ugandan student's first-year experiences at the Open University in the United Kingdom. Discusses how the University operates; comments on course texts and supplementary materials; and presents a month-by-month breakdown of university and course activities and requirements. (GEA)

  5. Research Governance and the Role of Evaluation: A Comparative Study

    ERIC Educational Resources Information Center

    Molas-Gallart, Jordi

    2012-01-01

    Through a comparative study of the United Kingdom and Spain, this article addresses the effect of different research governance structures on the functioning and uses of research evaluation. It distinguishes three main evaluation uses: distributive, improvement, and controlling. Research evaluation in the United Kingdom plays important…

  6. International Reports on Literacy Research: France, United Kingdom, Brazil

    ERIC Educational Resources Information Center

    Malloy, Jacquelynn A., Comp.; Botza, Stergios, Comp.

    2005-01-01

    This is a compilation of reports on international literacy research. The report includes 3 separate reports on France, United Kingdom and Brazil. In the first report, research correspondent Jacques Fijalkow presents research into variations of reading motivation related to students' socioeconomic status (SES), age, and gender. Three of these…

  7. Getting Skills Right: United Kingdom

    ERIC Educational Resources Information Center

    OECD Publishing, 2017

    2017-01-01

    This report identifies effective strategies to tackle skills imbalances in the United Kingdom. It provides an assessment of practices and policies in the following areas: the collection and use of information on skill needs to foster a better alignment between skills acquisition and labour market needs; education and training policies targeting…

  8. Spotlight: David Wood, MD, MSc, FRCP, FESC. A journey from a remote area of Scotland to the capital of the United Kingdom. Interview by Hannah Brown.

    PubMed

    Wood, David

    2007-12-04

    The death of an ambulance driver prompted David Wood, MD, MSc, FRCP, FESC, now Garfield Weston Professor of Cardiovascular Medicine at Imperial College, London, United Kingdom, to pursue cardiology as a career.

  9. Hazard Response Modeling Uncertainty (A Quantitative Method)

    DTIC Science & Technology

    1988-10-01

    was conducted by the National Maritime Institute under contract to the United Kingdom Health and Safety Executive. Instantaneous releases of 2000...the National Maritime Institute under contract to the United Kingdom Health and Safety Executive with the sponsorship of numerous international...WORK UNIT ELEMENT NO. NO. NO. ACESSION NO. _____________________65502F I 00O ne I " 11. TITLE (incl& e Security Oauffication) Hazard Response

  10. Kongo: A Kingdom Divided. A Unit of Study for Grades 7-11.

    ERIC Educational Resources Information Center

    O'Roark, Ernest L.; Wood, Eileen E.

    This unit uses a case study of the Kingdom of the Kongo (Congo) to answer questions about the trans-Atlantic slave trade from an African perspective. The unit is appropriate for use in any study of the history of sub-Saharan Africa. Because it focuses on the African perspective of events surrounding the slave trade, it supports in-depth studies of…

  11. Hard Hearts and Open Minds? Governance, Identity, and Counterinsurgency Strategy

    DTIC Science & Technology

    2008-05-01

    by a foreign power. The cases considered will be the United Kingdom in Malaya (1948-1960); France in Algeria (1954-1962); and the United States in...cases presented here are those of the United Kingdom in Malaya from 1948- 1960, France in Algeria from 1954-1962, and the United States in South Vietnam...supported counterinsurgencies in history in terms of resources and manpower committed. (Though France was not technically a “foreign” power in Algeria

  12. Still a Special Relationship? The Significance of United States-United Kingdom Relations in the Twenty-First Century

    DTIC Science & Technology

    2011-12-01

    Anglo - Saxon ally over Nasser and the canal.55 In 2010, in a speech at Chatham House, Liberal Democrat Nick Clegg suggested that “what...strategic culture, and as an expression of shared values and institutions the character of which is vital for those charged with service in an Anglo ...American context as well as NATO. 14. SUBJECT TERMS United Kingdom, United States, Special Relationship, Anglo - American Relations, Iraq, Afghanistan

  13. Using Adult Mosquitoes to Transfer Insecticides to Aedes Aegypti Larval Habitats

    DTIC Science & Technology

    2009-07-14

    Playa , a municipality belonging to Ciudad de La Habana, Cuba. Rev Panam Salud Publica Pan Am J Public Health 19:379–384. 33. Harrington LC, et al...United Kingdom; bLaboratorio de Salud Publica, Iquitos, Peru; cIfakara Health Institute, Dar es Salaam, United Republic of Tanzania; dVector Group...Liverpool School of Tropical Medicine, Liverpool L3 5QA, United Kingdom; eNaval Medical Research Center Detachment, United States Navy, Lima , Peru; and f

  14. Assets, Aliens or Asylum Seekers? Immigration and the United Kingdom

    ERIC Educational Resources Information Center

    Haste, Helen

    2006-01-01

    British attitudes toward immigrants are complex. The United Kingdom has received regular waves of immigrants, both political and economic asylum seekers and, especially in recent decades, recruited labor from the former nations of the British Empire. Throughout its history, ambivalence among the Britons is seen due to these developments. In this…

  15. The FE/HE Interface: A UK Perspective. A Report to the CVCP. IES Report 316.

    ERIC Educational Resources Information Center

    Rawlinson, S.; And Others

    The interface between further education (FE) and higher education (HE) in the United Kingdom was examined by analyzing information from the following sources: available literature; all United Kingdom (UK) data sources regarding student enrollment, funding, objectives, and modes of study; interviews with representatives of national bodies concerned…

  16. Achieving Interfaith Maturity through University Interfaith Programmes in the United Kingdom

    ERIC Educational Resources Information Center

    Allen, Kristen

    2016-01-01

    Given the recent surge in acts of violent, religious extremism around the world, this report investigates whether and how institutes of higher education in the United Kingdom are developing interfaith maturity in their student population. Using King and Baxter Magolda's framework for intercultural maturity, I analyze three case studies: The…

  17. Reasoning about Emotional Contents Following Shocking Terrorist Attacks: A Tale of Three Cities

    ERIC Educational Resources Information Center

    Blanchette, Isabelle; Richards, Anne; Melnyk, Laura; Lavda, Anastasia

    2007-01-01

    The authors examined reasoning following the terrorist attacks carried out in London in July 2005. They tested participants in London (United Kingdom), Manchester (United Kingdom), and London (Canada) within 1 week of the attacks and again 6 months later. Participants reasoned about syllogisms of 3 types: neutral, generally emotional, and…

  18. Further Education and Training of the Labour Force. Country Report: United Kingdom.

    ERIC Educational Resources Information Center

    Organisation for Economic Cooperation and Development, Paris (France).

    Further education is provided by local authorities in the United Kingdom in fulfillment of their statutory duties under the Education Reform Act (ERA) of 1988. Through the ERA and its counterparts in Scotland and Northern Ireland, the government aims to increase the efficiency and effectiveness of further education colleges. Educational finance…

  19. Teaching Games for Understanding: The Difficulties and Challenges Experienced by Participation Cricket Coaches

    ERIC Educational Resources Information Center

    Roberts, Simon John

    2011-01-01

    Background: Recent changes in the structure and delivery of formalised coach education courses such as the United Kingdom Coaching Framework (UKCF) and the United Kingdom Coaching Certificate (UKCC) has manifested in an increased importance on sports coaches adopting holistic and player-centred coaching pedagogy. For one National Governing Body of…

  20. Human and Porcine Hepatitis E Virus Strains, United Kingdom

    PubMed Central

    Bendall, Richard; Grierson, Sylvia; Heath, Graham; Mitchell, Jonathon; Dalton, Harry

    2004-01-01

    We describe a case of acquired infection of a strain of hepatitis E virus (HEV)with a 100% amino acid identity to the analogous region in strains of HEV circulating in a United Kingdom pig herd. This case further supports the theory that autochthonous HEV infection in industrialized countries is zoonotic. PMID:15200841

  1. 48 CFR 252.229-7008 - Relief from import duty (United Kingdom).

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 48 Federal Acquisition Regulations System 3 2010-10-01 2010-10-01 false Relief from import duty (United Kingdom). 252.229-7008 Section 252.229-7008 Federal Acquisition Regulations System DEFENSE ACQUISITION REGULATIONS SYSTEM, DEPARTMENT OF DEFENSE CLAUSES AND FORMS SOLICITATION PROVISIONS AND CONTRACT CLAUSES Text of Provisions And Clauses...

  2. The Role of the Social Partners in Vocational Education and Training in the United Kingdom.

    ERIC Educational Resources Information Center

    Mason, Charlie; Russell, Russ

    This document studies the role of unions, management, and education agencies (the social partners) in vocational education and training in the United Kingdom. Through an analysis of existing and historical structures governing cooperation and coordination between the social partners and the public bodies responsible for vocational education and…

  3. Student Ambassadors: "Role-Models", Learning Practices and Identities

    ERIC Educational Resources Information Center

    Gartland, Clare

    2015-01-01

    Employing students to market higher education (HE) and widen access is established practice in the United Kingdom and other developed countries. In the United Kingdom, student ambassadors are held to be effective in aspiration and attainment-raising work and cited as "role-models" for pupils. The focus of this paper is student ambassador…

  4. Union Learning Representatives: Facilitating Professional Development for Scottish Teachers

    ERIC Educational Resources Information Center

    Alexandrou, Alex; O'Brien, Jim

    2007-01-01

    In the United Kingdom, teachers' professional associations and labor organizations, notably in the form of trade unions have historically been involved in education and training in the workplace. Recently, in the United Kingdom this activity has gained greater credence and importance due to the emergence of trade union learning representatives who…

  5. Situation Report - Bulgaria, Greece, Finland, Hungary, Sweden, Turkey, United Kingdom, and Yugoslavia.

    ERIC Educational Resources Information Center

    International Planned Parenthood Federation, London (England).

    Data relating to population and family planning in eight foreign countries are presented in these situation reports. Countries included are Bulgaria, Greece, Finland, Hungary, Sweden, Turkey, United Kingdom, and Yugoslavia. Information is provided in the following areas where appropriate and if it is available: (1) statistics on population, birth…

  6. Higher Education Provision in a Crowded Marketplace

    ERIC Educational Resources Information Center

    Schofield, Cathy; Cotton, Debby; Gresty, Karen; Kneale, Pauline; Winter, Jennie

    2013-01-01

    Current changes to policy around higher education in the United Kingdom are leading to an increasingly marketised system. As funding is transferred from the United Kingdom government to the individual student, universities will be required to pay more attention to marketing. This paper draws on the literature relating to marketing of services to…

  7. Interprofessional Anatomy Education in the United Kingdom and Ireland: Perspectives from Students and Teachers

    ERIC Educational Resources Information Center

    Smith, Claire F.; Hall, Samuel; Border, Scott; Adds, Philip J.; Finn, Gabrielle M.

    2015-01-01

    There is increasing recognition of multiprofessional learning in anatomy and its role in medical and healthcare professions. This study utilized two components to investigate anatomy interprofessional education (AIPE) in the United Kingdom and Ireland. First, a survey involving qualitative and quantitative components asked Heads of Anatomy to…

  8. Increase in scarlet fever notifications in the United Kingdom, 2013/2014.

    PubMed

    Guy, R; Williams, C; Irvine, N; Reynolds, A; Coelho, J; Saliba, V; Thomas, D; Doherty, L; Chalker, V; von Wissmann, B; Chand, M; Efstratiou, A; Ramsay, M; Lamagni, T

    2014-03-27

    Increases in scarlet fever above usual seasonal levels are currently being seen across the United Kingdom. Medical practitioners have been alerted to the exceptional increase in incidence. Given the potential for this to signal a population increase in invasive group A streptococcal disease, close monitoring of invasive disease is essential.

  9. Monitoring and Evaluation of Public Policies for Educational Infrastructure.

    ERIC Educational Resources Information Center

    Wilkinson, Richard

    This paper provides an overview of how the Department for Education and Skills (the Ministry of Education of the United Kingdom) is managing, monitoring, and evaluating investment in school accommodation in England. School infrastructure in the United Kingdom is going through a period of significant change as the government seeks dramatic…

  10. Vocational Training of Young Migrants in the United Kingdom.

    ERIC Educational Resources Information Center

    Cross, Malcolm

    This study looked at the overall situation of the immigrant population, and young immigrants in particular, and analyzed such problem areas as the transition from school to working life and the inadequacies of initial training with relation to the situation in the United Kingdom. The study identified the following problem areas: (1) problems…

  11. Intervening against "Racial" Disadvantage: Educational Policy and Labor-Market Outcomes in the United Kingdom.

    ERIC Educational Resources Information Center

    Jenkins, Richard

    1988-01-01

    Argues that education can not guarantee social or occupational mobility, or even work, for minority groups in the United Kingdom. Presents evidence that labor market disadvantage for minority groups arises from direct racist discrimination, ethnocentric notions of "acceptability," and word-of-mouth recruitment of employees. Contains 54…

  12. Television and Reading in the United Kingdom.

    ERIC Educational Resources Information Center

    Gardner, Keith

    Television output in the United Kingdom is limited to three main channels. Two of these are controlled by a public corporation, the British Broadcasting Corporation (BBC); one is operated by a number of commercial companies under the Independent Broadcasting Authority (IBA). Both the BBC and IBA have expanded their educational output in recent…

  13. 75 FR 26920 - Ball Bearings and Parts Thereof from France, Germany, Italy, Japan, and the United Kingdom...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-13

    ... DEPARTMENT OF COMMERCE International Trade Administration [A-427-801, A-428-801, A-475-801, A-588-804, A-412-801] Ball Bearings and Parts Thereof from France, Germany, Italy, Japan, and the United Kingdom: Preliminary Results of Antidumping Duty Administrative Reviews, Preliminary Results of Changed...

  14. Factors Influencing the Use of Psychotropic Medication for Challenging Behaviour in the United Kingdom: A Q Method Investigation

    ERIC Educational Resources Information Center

    Wastell, Sarah; Skirrow, Paul; Hare, Dougal Julian

    2016-01-01

    Objectives: The use of pharmacological interventions to manage challenging behaviour displayed by adults with intellectual disabilities remains controversial, with current clinical guidelines in the United Kingdom advocating the use of less invasive psychological interventions. This exploratory study aimed to discover what views and beliefs are…

  15. Economic Objects: How Policy Discourse in the United Kingdom Represents International Students

    ERIC Educational Resources Information Center

    Lomer, Sylvie

    2014-01-01

    Despite the significant and increasing presence of international students in the United Kingdom, on a national level there has been a lack of formal policy towards international students. Instead, in policy discourse, international students are represented in economic terms to the exclusion of other dimensions of experience and action. This…

  16. National Vocational Qualifications in the United Kingdom: Their Origins and Legacy

    ERIC Educational Resources Information Center

    Young, Michael

    2011-01-01

    National Vocational Qualifications (NVQs) were launched in the United Kingdom (excluding Scotland) in 1987 as a framework for rationalising what was described at the time as the "jungle" of existing vocational qualifications. They were never intended to be the basis for a comprehensive NQF for all qualifications; however, successive…

  17. Electricity Reform Abroad and U.S. Investment

    EIA Publications

    1997-01-01

    Reviews and analyzes the recent electricity reforms in Argentina, Australia, and the United Kingdom in an attempt to better understand how different models of privatization and reform have worked in practice. This report also analyzes the motivations of the U.S. companies who have invested in the electricity industries of Argentina, Australia, and the United Kingdom.

  18. Enrolled Nurses: A Study for the UKCC.

    ERIC Educational Resources Information Center

    Seccombe, I.; Smith, G.; Buchan, J.; Ball, J.

    Selected issues of concern to second-level enrolled (registered) nurses in the United Kingdom were examined through national surveys of two groups: (1) a random sample of 21,762 of the 115,459 nurses holding second-level registration in the United Kingdom, and (2) 700 employers who, included nurse executive directors in all National Health Service…

  19. Men and Health Promotion in the United Kingdom: 20 Years Further Forward?

    ERIC Educational Resources Information Center

    Robertson, Steve; Baker, Peter

    2017-01-01

    Despite overall improvements in life expectancy, rates of premature male mortality, particularly for men in areas of socioeconomic deprivation, remain an important issue of concern in the United Kingdom. Interventions to engage men and promote their health and wellbeing have developed, albeit sporadically, over recent decades in response to this…

  20. Distance Education and Training for Small Firms--United Kingdom.

    ERIC Educational Resources Information Center

    Dey, Ian; Harrison, Jean

    This document on the United Kingdom (UK) is one of a series of five monographs published by the European Centre for the Development of Vocational Training (CEDEFOP). The document includes seven chapters, three appendices, and a section of case studies. The first chapter describes small and medium-sized business enterprises in the UK. Vocational…

  1. European Mobility of United Kingdom Educated Graduates. Who Stays, Who Goes?

    ERIC Educational Resources Information Center

    Behle, Heike

    2014-01-01

    Official figures from the Home Office show an increase in mobility of the highly-skilled from the United Kingdom (UK) to other European countries. This paper analyses the social composition of intra-European mobile graduates from the UK in the context of recent political developments (Bologna-Process, European Higher Education Area). Using…

  2. An international perspective: supporting adolescents with speech, language, and communication needs in the United Kingdom.

    PubMed

    Joffe, Victoria

    2015-02-01

    This article provides an overview of the education system in the United Kingdom, with a particular focus on the secondary school context and supporting older children and young people with speech, language, and communication needs (SLCNs). Despite the pervasive nature of speech, language, and communication difficulties and their long-term impact on academic performance, mental health, and well-being, evidence suggests that there is limited support to older children and young people with SLCNs in the United Kingdom, relative to what is available in the early years. Focus in secondary schools is predominantly on literacy, with little attention to supporting oral language. The article provides a synopsis of the working practices of pediatric speech and language therapists working with adolescents in the United Kingdom and the type and level of speech and language therapy support provided for older children and young people with SLCNs in secondary and further education. Implications for the nature and type of specialist support to adolescents and adults with SLCNs are discussed. Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

  3. Emotional eating and eating psychopathology in nonclinical groups: a cross-cultural comparison of women in Japan and the United Kingdom.

    PubMed

    Waller, G; Matoba, M

    1999-11-01

    Emotional eating is associated with eating psychopathology among Western populations. It is not known whether the same conclusions hold in non-Western cultures, where norms for emotional expression differ. This study examined whether emotional eating has the same eating psychopathology correlates in different cultures. Three groups of nonclinical women were compared-Japanese living in Japan; Japanese living in the United Kingdom; and British living in the United Kingdom. They completed an Emotional Eating Scale and the Eating Disorders Inventory. There were different patterns of association between emotional eating and eating attitudes in the three groups. British women showed a strong linkage, Japanese women living in Japan showed no association, and Japanese women in the United Kingdom showed an intermediate pattern. Emotional eating may be less of an index of eating psychopathology in non-Western cultures. However, there appears to be an acculturative process, linking the two when one enters a Western culture. This cross-cultural difference may have implications for the targeting of therapies, although this conclusion requires support from further research. Copyright 1999 by John Wiley & Sons, Inc.

  4. The effect of the European Clinical Trials Directive on published drug research in anaesthesia.

    PubMed

    Walker, E; Hankins, M C; White, S M

    2009-09-01

    The clinical indications for anaesthetic drugs are developed through peer-reviewed publication of clinical trials. We performed a bibliometric analysis of all human research papers reported in nine general anaesthesia journals over 6 years (n = 6489), to determine any effects of the 2004 European Clinical Trials Directive on reported drug research in anaesthesia originating from Europe and the United Kingdom. We found 89% studies involved patients and 11% volunteers. Of 3234 (50%) drug studies, 96% were phase IV (post-marketing) trials. Worldwide, the number of research papers fell by 3.6% (p < 0.004) in the 3 years following introduction of the European Clinical Trials Directive (5% Europe, 18% United Kingdom), and drug research papers fell by 12% (p < 0.001; 15% Europe, 29% United Kingdom). The introduction of the Clinical Trials Directive has therefore coincided with a decline in European drug research, particularly that originating from the United Kingdom. We suggest a number of measures researchers could take in response, and we propose a simplification of the application process for phase IV clinical trials, emphasising patient risk assessment.

  5. Risk factors for toxoplasmosis in pregnant women in Kent, United Kingdom.

    PubMed Central

    Nash, J. Q.; Chissel, S.; Jones, J.; Warburton, F.; Verlander, N. Q.

    2005-01-01

    The aim of this study was to establish the relative importance of various risk factors for toxoplasmosis in a United Kingdom antenatal population. Toxoplasma immune status was determined by an immunoassay and linked to a questionnaire exploring dietary and environmental exposure to toxoplasmosis. The overall seroprevalence found was 9.1% (172/1897). A significantly higher seroprevalence was associated with rural location of the childhood home, childhood home in Europe excluding the United Kingdom, feeding a dog raw meat and increased age. A non-significant higher prevalence of toxoplasmosis was observed in women who had lived with a cat or kitten as a child. In contrast to recent European studies only weak associations between diet and toxoplasmosis were found. Gardening activity was not associated with seropositivity but a non-significant lower seroprevalence was seen in gardeners who always wore gloves. This study confirms that toxoplasma prevalence in the United Kingdom has continued to decline since the 1960s. The increasing seroprevalence with age found in this study, highlights the continuing need to educate women of childbearing age about the risk factors for toxoplasmosis. PMID:15962554

  6. How Can Improvements Be Made to the United States Metrorail System (With a Focus on the Washington Metropolitan Area Transit Authority Metrorail System) to Enhance Safety for Its Riders

    DTIC Science & Technology

    2016-06-10

    involved, whether it is citizens commuting to work, families traveling into the National Capital Region, or tourists that are traveling to visit the...Nations Capital . The public opinion of the WMATA Metrorail system has been on a gradual decline over the years due to the accidents, current system...National Capital Region, or tourists that are traveling to visit the Nations Capital . The public opinion of the WMATA Metrorail system has been on a

  7. EDEX Educational Expansion and Labour Market: A Comparative Study of Five European Countries--France, Germany, Italy, Spain and the United Kingdom with Special Reference to the United States. CEDEFOP Reference Series.

    ERIC Educational Resources Information Center

    Beduwe, Catherine; Planas, Jordi

    The long-term economic and social impacts of the rise in levels of education on mechanisms of access to employment and on human resources management were examined in a comparative study of educational expansion and the labor markets of France, Germany, Italy, Spain, and the United Kingdom, with special reference to the United States. Five teams of…

  8. History of the Joint Chiefs of Staff: The Joint Chiefs of Staff and the First Indochina War, 1947-1954

    DTIC Science & Technology

    2004-10-01

    ad hoc committee representing the three powers, plus Australia, and New Zealand , who since September 1951 had been allied with the United States in...On 6 October, the military representatives of the United Kingdom, France, Aus- tralia, and New Zealand met with the United States delegation, headed...same interests, attitudes, and fears described by Admiral Davis in Feb- ruary. Australia and New Zealand adhered in general to the United Kingdom

  9. Survey of Salmonella contamination of non-United Kingdom-produced raw shell eggs on retail sale in the northwest of England and London, 2005 to 2006.

    PubMed

    Little, C L; Walsh, S; Hucklesby, L; Surman-Lee, S; Pathak, K; Gatty, Y; Greenwood, M; De Pinna, E; Threlfall, E J; Maund, A; Chan, C H

    2007-10-01

    This survey was prompted by a change in the epidemiology of Salmonella Enteritidis infections in England and Wales and elsewhere in Europe and, to our knowledge, is the first survey to provide information on Salmonella contamination of non-United Kingdom eggs on retail sale. Based on 10,464 non-United Kingdom eggs (1744 pooled samples of six eggs) purchased between March 2005 and July 2006, the total weighted prevalence estimate for all Salmonella detected in non-United Kingdom eggs was 3.3%. Of the eggs sampled, most were produced in Spain (66.3%), France (20.0%), or The Netherlands (7.4%). Salmonella was detected from 4.4 and 0.3% of eggs produced in Spain and France, respectively, with weighted prevalence estimates. Eight different Salmonella serotypes were recovered from non-United Kingdom eggs, of which Salmonella Enteritidis predominated, with an estimated prevalence of 2.6%. Salmonella Enteritidis was obtained only from Spanish eggs. Nine different phage types of Salmonella Enteritidis were identified, with phage type 1 found to be the predominant phage type. Most of the Salmonella Enteritidis isolates obtained from Spanish eggs in the survey were resistant to nalidixic acid with concomitant decreased susceptibility to ciprofloxacin (0.125 to 1.0 mg/liter) or ampicillin (8.0 mg/liter). Salmonella Enteritidis phage type 1 until now had not been detected in eggs examined as part of previous United Kingdom egg surveys but has been detected in eggs of Spanish origin examined during recent national outbreaks of Salmonella Enteritidis non-phage type 4 infections in England and Wales. Eggs are a commonly consumed food that may occasionally be contaminated with Salmonella. The rates of contamination may be linked to the origin of the eggs. Consumers and caterers need to be aware of this continuing hazard, adopt appropriate control measures, and follow advice provided by national food agencies in order to reduce the risk of infection.

  10. Jamaica: A Development Perspective.

    ERIC Educational Resources Information Center

    Scott, Rosalind; And Others

    Jamaica is known mainly as a tourist playground and the home of Reggae music. This Jamaican teaching unit dispels stereotypes and shows Jamaica for what it really is--an economically-troubled, developing nation. The unit illustrates the challenges this island nation is facing in its struggle toward economic development. Contents are: Teacher…

  11. Medical tourism in Thailand: a cross-sectional study.

    PubMed

    Noree, Thinakorn; Hanefeld, Johanna; Smith, Richard

    2016-01-01

    To investigate the magnitude and characteristics of medical tourism in Thailand and the impact of such tourism on the Thai health system and economy. In 2010, we checked the records of all visits to five private hospitals that are estimated to cover 63% of all foreign patients. We reviewed hospital records of foreign patients and obtained data on their countries of origin, diagnoses and interventions. We surveyed 293 medical tourists to collect demographic characteristics and information on their expenditure and travelling companions. To help understand the impact of medical tourism on the Thai health system, we also interviewed 15 hospital executives and 28 service providers from the private hospitals. We obtained 911,913 records of hospital visits, of which 324,906 came from 104,830 medical tourists. We estimated that there were 167,000 medical tourists in Thailand in 2010. Of the medical tourists who attended our study hospitals, 67,987 (64.8%) came from the eastern Mediterranean region or Asia and 109,509 (34%) of them were treated for simple and uncomplicated conditions - i.e. general check-ups and medical consultations. The mean self-reported non-medical expenditure was 2750 United States dollars. According to the hospital staff interviewed, medical tourism in 2010 brought benefits to - and apparently had no negative impacts on - the Thai health system and economy. We estimate that the total number of medical tourists visiting Thailand is about 10% of previous national government estimates of 1.2 million. Such tourists appear to bring economic benefits to Thailand and to have negligible effects on the health system.

  12. Integration of a Miniaturized Conductivity Sensor into an Animal-Borne Instrument

    DTIC Science & Technology

    2015-09-30

    an Animal -Borne Instrument Lars Boehme Sea Mammal Research Unit Scottish Oceans Institute University of St Andrews St Andrews, KY16 8LB United... Kingdom phone: +44 1334-462677 fax: +44 1334-463443 email: lb284@st-andrews.ac.uk Robin Pascal Sensors Development Group National...Oceanography Centre Southampton, SO14 3ZY United Kingdom phone: +44 2380-596138 fax: +44 2380-593029 email: rwp@nerc.ac.uk Phil Lovell

  13. United Kingdom: Medical Laboratory Science, Occupational Therapy, Physiotherapy. A Study of These Programs and a Guide to the Academic Placement of Students from These Programs in Educational Institutions of the United States.

    ERIC Educational Resources Information Center

    Margolis, Alan M.; Monahan, Thomas J.

    Medical laboratory science, occupational therapy, and physiotherapy programs in the United Kingdom (U.K.) are described, and guidelines concerning the academic placement of students from these programs who wish to study in U.S. institutions are provided. For each of the programs, attention is directed to the relevant professional bodies, career…

  14. Education and Leisure in North European Urban Spaces, with Emphasis on Less Privileged Areas, Particularly in the United Kingdom. A Seminar (London, England, United Kingdom, April 13, 1989). Educational Buildings and Equipment 11.

    ERIC Educational Resources Information Center

    International Union of Architects, Paris (France).

    This collection was gathered from a seminar entitled "Education and Leisure in North European Urban Spaces," which was the result of cooperation between the Sports, Leisure, and Tourism Work Group of the International Union of Architects and the United Nations Educational, Scientific, and Cultural Organization (UNESCO). Papers were given…

  15. Dimensions of patient safety culture in family practice.

    PubMed

    Palacios-Derflingher, Luz; O'Beirne, Maeve; Sterling, Pam; Zwicker, Karen; Harding, Brianne K; Casebeer, Ann

    2010-01-01

    Safety culture has been shown to affect patient safety in healthcare. While the United States and United Kingdom have studied the dimensions that reflect patient safety culture in family practice settings, to date, this has not been done in Canada. Differences in the healthcare systems between these countries and Canada may affect the dimensions found to be relevant here. Thus, it is important to identify and compare the dimensions from the United States and the United Kingdom in a Canadian context. The objectives of this study were to explore the dimensions of patient safety culture that relate to family practice in Canada and to determine if differences and similarities exist between dimensions found in Canada and those found in previous studies undertaken in the United States and the United Kingdom. A qualitative study was undertaken applying thematic analysis using focus groups with family practice offices and supplementary key stakeholders. Analysis of the data indicated that most of the dimensions from the United States and United Kingdom are appropriate in our Canadian context. Exceptions included owner/managing partner/leadership support for patient safety, job satisfaction and overall perceptions of patient safety and quality. Two unique dimensions were identified in the Canadian context: disclosure and accepting responsibility for errors. Based on this early work, it is important to consider differences in care settings when understanding dimensions of patient safety culture. We suggest that additional research in family practice settings is critical to further understand the influence of context on patient safety culture.

  16. Growth, Pathways and Groundwork: Community Music in the United Kingdom

    ERIC Educational Resources Information Center

    Higgins, Lee

    2007-01-01

    This article suggests that community music in the United Kingdom emerged as a sub-strand of the community arts movement during the political and cultural changes of the late 1960s and the early 1970s. Through five themes: musicians in residence, music animateur, music collectives and punk rock, definitions, and training, Part 1 of this article…

  17. United Kingdom: Skills Development for the Twenty-First Century

    ERIC Educational Resources Information Center

    Baines, John; Cohen, Judith; Martin, Stephen

    2005-01-01

    The Learning and Skills Development Agency (LSDA), together with the British Council, provides the leadership for the UNEVOC centre in the United Kingdom (UK). LSDA is a strategic national agency whose mission is to improve the quality of post-16 education and training in England, Wales and Northern Ireland. It does this by conducting research to…

  18. Skills Standards, British Style. Linking Assessment and Training in the United Kingdom. NOICC Occasional Paper 6.

    ERIC Educational Resources Information Center

    Newton, Wendy M.

    A major review of vocational education and training has occurred across the United Kingdom since 1986. Employment requirements are being identified in the form of occupational standards that provide the foundation for the new system of vocational qualifications, National Vocational Qualifications (NVQs). Standards describe what people need to be…

  19. The Structure of Professional Profiles for Tourism in the United Kingdom.

    ERIC Educational Resources Information Center

    Cooper, Chris; And Others

    The tourism and leisure industries are among the fastest growing in the United Kingdom, generating jobs and spending and stimulating economic development. The hotel and catering sector is by far the best documented of the tourism industry and is the major employer. It is also an underqualified sector, despite a range of courses from craft to…

  20. Training in the Motor Vehicle Repair and Sales Sector in the United Kingdom. Report for the FORCE Programme. First Edition.

    ERIC Educational Resources Information Center

    Rhys, Garel

    An international team of researchers studied the following aspects of training in the United Kingdom's motor vehicle repair and sales sector: structure and characteristics; institutional and social context; relationship to the labor market; changing structural, economic, and organizational conditions; and training/recruitment and relationship to…

  1. Review of Research for People with ID and Mental Health Problems: A View from the United Kingdom

    ERIC Educational Resources Information Center

    Hemmings, Colin; Deb, Shoumitro; Chaplin, Eddie; Hardy, Steve; Mukherjee, Rittick

    2013-01-01

    This review of research into mental disorders in people with intellectual disabilities (ID) focuses on research in this field that has originated from the United Kingdom in the last 2 decades. It considers research developments into the epidemiology of mental disorders and problem behaviors, psychopharmacology, psychosocial interventions, and…

  2. Monitoring of natural outbreaks of Phytophthora ramorum in the United Kingdom.

    Treesearch

    Judith Turner; Alex Appiah; Philip Jennings; Gilli Humphries; Debbie Liddell; Sam McDonough; Jackie Stonehouse; David Lockley; Stephen Eales

    2006-01-01

    Over 40 outbreaks of Phytophthora ramorum have occurred in managed gardens in the United Kingdom. Three of these sites, one in the southeast of England and two in the southwest, have been closely monitored since October 2003. These sites represented differing disease scenarios at the start of monitoring, as eradication action had already taken...

  3. Musical Preference, Identification, and Familiarity: A Multicultural Comparison of Secondary Students from Singapore and the United Kingdom

    ERIC Educational Resources Information Center

    Teo, Timothy; Hargreaves, David J.; Lee, June

    2008-01-01

    The authors investigate whether there were significant differences in preferences for, familiarity with, and identification of Chinese, Malay, and Indian music between adolescent students from Singapore (n = 78) and the United Kingdom (n = 53). Also explored are the relationships among these three variables. Students were asked to rate their…

  4. Asymptomatic Lymphogranuloma Venereum in Men who Have Sex with Men, United Kingdom.

    PubMed

    Saxon, Cara; Hughes, Gwenda; Ison, Catherine

    2016-01-01

    We investigated prevalence of lymphogranuloma venereum (LGV) among men who have sex with men who were tested for chlamydia at 12 clinics in the United Kingdom during 10 weeks in 2012. Of 713 men positive for Chlamydia trachomatis, 66 (9%) had LGV serovars; 15 (27%) of 55 for whom data were available were asymptomatic.

  5. Counselors' Experience of Providing Services to Looked-After Children in the United Kingdom: A Generic Qualitative Inquiry

    ERIC Educational Resources Information Center

    Ina-Egbe, Esther Funmilayo

    2017-01-01

    This study was conducted to examine counselors' experience of providing services to looked-after children in the United Kingdom. The generic qualitative design was used. A purposeful sample of 15 counselors was used and semi-structured interviews were conducted. Interviews were transcribed and analyzed using thematic analysis and constant…

  6. Databases in the United Kingdom.

    ERIC Educational Resources Information Center

    Chadwyck-Healey, Charles

    This overview of the status of online databases in the United Kingdom describes online users' attitudes and practices in light of two surveys conducted in the past two years. The Online Information Centre at ASLIB sampled 325 users, and Chadwyck-Healey, Ltd., conducted a face-to-face survey of librarians in a broad cross-section of 76 libraries.…

  7. Claims Against a University: The Role of Administrative Review in Australia and the United Kingdom

    ERIC Educational Resources Information Center

    Rochford, Francine

    2005-01-01

    The recent decision of the High Court of Australia in "Griffith University v. Tang" denied judicial review to a student aggrieved by the decision of a university to exclude her. This article analyses the role of judicial review of university decision-making in the United Kingdom and Australia, analysing the justification for…

  8. Mediation with Families in Separation and Divorce in the United Kingdom: Links with Family Therapy.

    ERIC Educational Resources Information Center

    Robinson, Margaret

    1988-01-01

    Gives a brief account of recent developments in matrimonial law related to divorce, custody, and visitation to the children of divorcing couples. Discusses the development of mediation, its organizational structure, and its place within the context of the legal system of the United Kingdom. Outlines the principles of conciliation. (Author/ABL)

  9. Comparative Study of Cognitive Styles in Egypt, Greece, Hong Kong and the UK.

    ERIC Educational Resources Information Center

    Savvas, Michael; El-Kot, Ghada; Sadler-Smith, Eugene

    2001-01-01

    Cognitive Style Inventory scores for business undergraduates in Greece (n=48), Egypt (n=45), and the United Kingdom (n=42) and postgraduates/managers in Egypt (n=20), Hong Kong (n=38) and the United Kingdom (n=21) indicated that, among undergraduates of different cultures, there were no significant style differences. Some differences in the…

  10. OCCASIONAL PAPERS ON PROGRAMED INSTRUCTION, I. PROGRAMED INSTRUCTION IN OTHER COUNTRIES.

    ERIC Educational Resources Information Center

    SCHRAMM, W.; AND OTHERS

    REPORTS WERE PRESENTED ON THE DEVELOPMENT AND STATE-OF-THE-ART OF PROGRAMED INSTRUCTION IN THE UNITED KINGDOM, JAPAN, FRANCE, AND THE SOVIET UNION. KENNETH AUSTWICK, UNIVERSITY OF SHEFFIELD, HIGHLIGHTS THE PICTURE IN THE UNITED KINGDOM WHERE INTEREST HAS GROWN RAPIDLY SINCE 1961. THE AUTHOR POINTS OUT THAT PERHAPS THE MOST EXCITING WORK IS BEING…

  11. Text Communication Preferences of Deaf People in the United Kingdom

    ERIC Educational Resources Information Center

    Pilling, Doria; Barrett, Paul

    2008-01-01

    This study is the only comprehensive survey to date of the text communication preferences of deaf people who cannot or prefer not to use voice telephony in the United Kingdom. Respondents covered a wide age range, became deaf or hard of hearing at different ages, and had different communication preferences. Generally, respondents used several…

  12. WWW.Raising Achievement: Internet Research Resources on Raising Achievement in Post-Compulsory Education. The Agency Comments.

    ERIC Educational Resources Information Center

    Sawbridge, Stephen J.

    This document is intended to help practitioners and researchers in the United Kingdom find and use Internet-based research resources dealing with raising achievement. The introduction discusses the state of research into school effectiveness in the United Kingdom and elsewhere. Part A, which reviews available World Wide Web sites devoted to…

  13. The Gendered Shaping of University Leadership in Australia, South Africa and the United Kingdom

    ERIC Educational Resources Information Center

    White, Kate; Bagilhole, Barbara; Riordan, Sarah

    2012-01-01

    This article analyses career trajectories into university management in Australia, South Africa and the United Kingdom (UK), skills required to operate effectively and the power of vice-chancellors (VCs) and their impact on the gendered shaping of university leadership. It is based on qualitative research with 56 male and female senior managers.…

  14. The Market for U.S. Hardwoods in the United Kingdom: Market Characteristics

    Treesearch

    Robert J. Bush; Philip A. Araman

    1993-01-01

    Importers of hardwood lumber in the United Kingdom were studied to determine the characteristics of the market and U.S. hardwood product preferences. Importers were mostly channel intermediaries that supplied end users and secondary manufacturers. Eighty percent of importers purchased North American lumber and the majority of importers dealt with both temperate and...

  15. Longer Term Impact of Cigarette Package Warnings in Australia Compared with the United Kingdom and Canada

    ERIC Educational Resources Information Center

    Li, Lin; Borland, Ron; Yong, Hua; Cummings, Kenneth M.; Thrasher, James F.; Hitchman, Sara C.; Fong, Geoffrey T.; Hammond, David; Bansal-Travers, Maansi

    2015-01-01

    This study examines the effects of different cigarette package warnings in Australia, Canada and the United Kingdom up to 5 years post-implementation. The data came from the International Tobacco Control Surveys. Measures included salience of warnings, cognitive responses, forgoing cigarettes and avoiding warnings. Although salience of the UK…

  16. Training Teachers in the United Kingdom for a Multicultural Society--The Rhetoric and the Reality.

    ERIC Educational Resources Information Center

    Watson, Keith

    1984-01-01

    Urges the introduction of more courses in multiracial and multicultural education in training institutions in the United Kingdom, rather than blaming the teachers for being racist and/or ethnocentric. In addition, a survey of teacher training institutions indicates that little is done in comparative education which would change ethnocentric…

  17. Institutional Churn: Institutional Change in United Kingdom Higher Education

    ERIC Educational Resources Information Center

    Tight, Malcolm

    2013-01-01

    This article considers how higher education institutions change over time, using the United Kingdom system as an exemplar, and focusing on the 15-year period between 1994/95 and 2009/10. While there are many aspects of institutional change worthy of study, the focus here is on how institutions appear to others. Thus, the article examines the…

  18. Chinese Voices: Chinese Learners and Their Experiences of Living and Studying in the United Kingdom

    ERIC Educational Resources Information Center

    McMahon, Patrick

    2011-01-01

    Higher institutions in the United Kingdom (UK) have responded enthusiastically to two prime ministers' "Initiatives for International Education" to promote Britain as a destination for overseas students and international fees from Chinese students now play an important role in the funding of the UK university sector. Yet it is not clear…

  19. Informed Choice? How the United Kingdom's Key Information Set Fails to Represent Pedagogy to Potential Students

    ERIC Educational Resources Information Center

    Barefoot, Helen; Oliver, Martin; Mellar, Harvey

    2016-01-01

    This paper explores the ways in which information about course pedagogy has been represented to potential students through national descriptors and specifications such as the United Kingdom's Key Information Set. It examines the extent to which such descriptors provide helpful information about pedagogy, for example innovative uses of technology.…

  20. Training in the Food and Beverages Sector in the United Kingdom. Report for the FORCE Programme. First Edition.

    ERIC Educational Resources Information Center

    Burns, Jim A.; King, Richard

    An international team of researchers studied the following aspects of training in the United Kingdom's food and beverage sector: structure and characteristics, business and social context, training and recruitment, and future training requirements. Data were collected from an analysis of social and labor/employment statistics, literature review,…

  1. Student Destination Choices in Higher Education: Exploring Attitudes of Brazilian Students to Study in the United Kingdom

    ERIC Educational Resources Information Center

    Foster, Monika

    2014-01-01

    Cross-border education provides evidence about international student destination choice including the push and pull model of international student choice. The research upon which this article is based, into Brazilian students' decisions to study at universities in the United Kingdom, reveals some particular barriers such as cost, negative past…

  2. The Need for European Union Information amongst Women in the United Kingdom: Results of a Survey.

    ERIC Educational Resources Information Center

    Marcella, Rita

    2001-01-01

    Describes the results of an exploratory survey by questionnaire distributed through a variety of information agencies, designed to investigate United Kingdom women's information needs and patterns of information-seeking behavior in relation to the European Union. Results explore women's attitudes to information and its value in a variety of life…

  3. 75 FR 2108 - Ball Bearings and Parts Thereof from France, Germany, Italy, Japan, and the United Kingdom...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-01-14

    ...-804, A-412-801] Ball Bearings and Parts Thereof from France, Germany, Italy, Japan, and the United Kingdom: Extension of Time Limit for Preliminary Results of Antidumping Duty Administrative Reviews AGENCY... reviews of the antidumping duty orders on ball bearings and parts thereof from France, Germany, Italy...

  4. 76 FR 2647 - Ball Bearings and Parts Thereof From France, Germany, Italy, Japan, and the United Kingdom...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-01-14

    ...-804, A-412-801] Ball Bearings and Parts Thereof From France, Germany, Italy, Japan, and the United Kingdom: Extension of Time Limit for Preliminary Results of Antidumping Duty Administrative Reviews AGENCY... administrative reviews of the antidumping duty orders on ball bearings and parts thereof from France, Germany...

  5. "Learning in Fellowship": Encounters between Christian Socialists and Social Democratic Influences in Adult Education, 1900-1930.

    ERIC Educational Resources Information Center

    Hake, Barry J.

    1998-01-01

    Explores the meeting ground between Christian Socialist and Social Democratic ideas and practices in the development of adult education between 1900 and 1930 in the United Kingdom and Scandinavia, focusing on cross-cultural dissemination and reception of Christian Socialism and the influence of the Woodbrooke Settlement in the United Kingdom and…

  6. The Causal Effect of Education on Health: Evidence from the United Kingdom

    ERIC Educational Resources Information Center

    Silles, Mary A.

    2009-01-01

    Numerous economic studies have shown a strong positive correlation between health and years of schooling. The question at the centre of this research is whether the correlation between health and education represents a causal relation. This paper uses changes in compulsory schooling laws in the United Kingdom to test this hypothesis. Multiple…

  7. Reasoning about emotional contents following shocking terrorist attacks: a tale of three cities.

    PubMed

    Blanchette, Isabelle; Richards, Anne; Melnyk, Laura; Lavda, Anastasia

    2007-03-01

    The authors examined reasoning following the terrorist attacks carried out in London in July 2005. They tested participants in London (United Kingdom), Manchester (United Kingdom), and London (Canada) within 1 week of the attacks and again 6 months later. Participants reasoned about syllogisms of 3 types: neutral, generally emotional, and emotionally related to terrorism. Participants also provided self-reports of emotion and risk estimates. Participants generally reasoned more accurately on neutral problems, compared with generally emotional and terrorism-related problems. However, participants in London (United Kingdom) provided more logically valid answers when reasoning about problems related to terrorism and were less likely to answer on the basis of beliefs, despite reporting higher levels of emotions. ((c) 2007 APA, all rights reserved).

  8. Organochlorine pesticide residues in human fat in the United Kingdom 1976-7.

    PubMed Central

    Abbott, D C; Collins, G B; Goulding, R; Hoodless, R A

    1981-01-01

    Between May 1976 and August 1977 samples of human body fat were taken during routine necropsies in the United Kingdom on 236 subjects aged over 5 years and four infants aged under 4 months. Comparison with results from earlier studies showed a further decline in residues of pp'-dichlorodiphenyltrichloroethane (pp'-DDT) and dieldrin (HEOD) and increased amounts of hexachlorobenzene residues; concentrations of other compounds were similar to those observed in the studies carried out in 1963-4, 1965-7, and 1969-71. Comparison of the data with those from other countries, showed that the concentrations of organochlorine pesticide residues and polychlorobiphenyls in human fat samples from residents of the United Kingdom remain among the lowest in Europe and, indeed, the world. PMID:6797569

  9. Re-defining nursing expertise in the United kingdom.

    PubMed

    Hardy, Sally; Titchen, Angie; Manley, Kim; McCormack, Brendan

    2006-07-01

    There is now international recognition of the importance of practice expertise in modern and effective health services. The Expertise in Practice Project in the United Kingdom began in May 1998 and continued to 2004. It included nurses working in all four countries of the United Kingdom, and it covered clinical specialists from pediatrics to palliative care. The project added to the current understanding of what nursing practice expertise is, through the identification and verification of attributes and factors which enable expert practice. The proposed framework offers a language for sharing what constitutes practice expertise and offers insight into what occurs between the expert practitioner and the people that experience their care. The Expertise in Practice Project demonstrates that nurses affect change and facilitate performance and organizational development.

  10. Walory przyrodnicze i kulturowe a rozwój turystyki w gminie Nielisz

    NASA Astrophysics Data System (ADS)

    Sawicki, Bogusław; Antoszek, Jadwiga

    2009-01-01

    In the analysis the author presented the natural and cultural potential of the Nielisz commune, a current state of fitting it in the basic tourist facilities, and the degree to which they are used by the tourist movement. The authors also carried out the analysis of perspectives of tourist development in the Nielisz commune. The methods used in the paper were based on a survey, an interview and the analysis of documents. In the period of political transformation, the Nielisz commune, similarly to other units in Lubelskie voivodeship, got involved in the course of social-economic changes. Moreover, it has also gained a stimulus to economic revival due to the biggest in the Lubelskie voivodeship water body. On the basis of carried out research one can draw the conclusion that the Nielisz commune possesses high quality recreation, tourist and specialist areas that allow to enhance the development of all kinds of tourism. Furthermore, quite important is the growth of initiatives of local authorities and country inhabitants in the creation of multifunctional development of the commune. Needless to say, quite important is local inhabitants' positive approach to tourism. The residents themselves were also interested in the opportunities to develop this form of outside agricultural form of activity. The major identified problem concerned the lack of specific, local tourist product characteristic of the commune.

  11. The geomorphology and hydrogeology of the karstic Islands Maratua, East Kalimantan, Indonesia: the potential and constraints for tourist destination development

    NASA Astrophysics Data System (ADS)

    Haryono, E.; Sasongko, M. H. D.; Barianto, D. H.; Setiawan, J. B.; Hakim, A. A.; Zaenuri, A.

    2018-04-01

    Maratua Island is one of the islands of Berau District, East Kalimantan which has great potential of natural beauty for tourism development. The area currently is one of famous tourist destination in East Kalimantan which is a carbonate reef built-up or so-called karst island. This paper is an endeavor 1) to unveil geomorphological and hydrogeological characteristics of the island, and 2) to recommend Island development as a tourist destination. Maratua Island is a V shape atoll with the open lagoon. Six geomorphological units were found on the island, i.e., fringing reef, beach, marine terrace, karst ridge, structural valley, and lagoon. Caves are also found in the karst ridge and the coast as an inundated passage. Three structural depressions in the karst ridge are other unique geomorphological feature in the area of which a marine lake environment with jellyfish is inhabited. The island is typified by two different aquifer units, i.e., porous media and fractured media aquifer. Porous aquifer lies on the beach of Boibukut area. Fractured-aquifer characterizes the other geomorphological units in the area. Freshwater accordingly is found in the beach area with a limited amount. Unfortunately, the groundwater in the marine terrace and karst ridge are saline. Maratua Island has enormous potential for tourism destination development. The major tourist activities in the area based on the geomorphological unit are snorkeling and diving (in fringing reef and lagoo n), hiking, cave exploration and marine lake exploration and cave diving (in karst ridge and structural valley); recreation and picnic (beach). The major limitation in the area is a shortage of freshwater resource and land. Limited water supply should be extracted from the beach area of Bohe Bukut village. Groundwater extraction from the beach area of Bohe Bukut must be for drinking water only. Supply of drinking water should be substituted from collected rainwater or desalination from sea water and water in the cave. Restrictions in the number of visitors and lodging development should also be considered.

  12. Beliefs about hypertension among Nigerian immigrants to the United Kingdom: A qualitative study

    PubMed Central

    Akinlua, James Tosin; Meakin, Richard; Freemantle, Nick

    2017-01-01

    Objective The aim of the study was to elicit beliefs about hypertension among Nigerian immigrants in the United Kingdom. Background The distributions of cardiovascular risk factors and diseases are not shared equally across ethnic and economic groups in the United Kingdom. Its burden is more clustered among minority ethnic populations and migrant groups including black African Nigerian migrants. Similar patterns have been reported across Europe, Australia, Canada, Nordic countries and the United States of America. There are about 300 distinct ethnic groups in Nigeria and reliable information about their beliefs about hypertension is not available. Given that the United Kingdom has a large community of Nigerian immigrants from these different ethno-cultural backgrounds, understanding their unique beliefs about hypertension may help promote appropriate care for this population in the United Kingdom and Nigeria. Setting A single Pentecostal church community in West London Participants Twenty-seven Nigerian migrant members of the church entered and completed the study Methods and outcome measure A qualitative interview study was conducted. The interviews were analysed using thematic framework analysis. The outcome measures were emerging themes from the thematic framework analysis. Results Participants expressed beliefs in four major areas related to hypertension: (1) The Meaning of the term hypertension, (2) Perceptions of causation, (3) Effects of hypertension, and (4) Perceptions of treatment. The study revealed a diversity of beliefs about hypertension which incorporated both orthodox and culturally framed ideas. Conclusions This study identified important beliefs among Nigerian migrants about hypertension that can contribute to our understanding of the management of hypertension in this group and suggests the need for further research to determine whether these beliefs may be representative of this group. PMID:28750080

  13. Protective mechanical ventilation in United Kingdom critical care units: A multicentre audit

    PubMed Central

    Martin, Matthew J; Richardson, Neil; Bourdeaux, Christopher P

    2016-01-01

    Lung protective ventilation is becoming increasingly used for all critically ill patients being mechanically ventilated on a mandatory ventilator mode. Compliance with the universal application of this ventilation strategy in intensive care units in the United Kingdom is unknown. This 24-h audit of ventilation practice took place in 16 intensive care units in two regions of the United Kingdom. The mean tidal volume for all patients being ventilated on a mandatory ventilator mode was 7.2(±1.4) ml kg−1 predicted body weight and overall compliance with low tidal volume ventilation (≤6.5 ml kg−1 predicted body weight) was 34%. The mean tidal volume for patients ventilated with volume-controlled ventilation was 7.0(±1.2) ml kg−1 predicted body weight and 7.9(±1.8) ml kg−1 predicted body weight for pressure-controlled ventilation (P < 0.0001). Overall compliance with recommended levels of positive end-expiratory pressure was 72%. Significant variation in practice existed both at a regional and individual unit level. PMID:28979556

  14. Protective mechanical ventilation in United Kingdom critical care units: A multicentre audit.

    PubMed

    Newell, Christopher P; Martin, Matthew J; Richardson, Neil; Bourdeaux, Christopher P

    2017-05-01

    Lung protective ventilation is becoming increasingly used for all critically ill patients being mechanically ventilated on a mandatory ventilator mode. Compliance with the universal application of this ventilation strategy in intensive care units in the United Kingdom is unknown. This 24-h audit of ventilation practice took place in 16 intensive care units in two regions of the United Kingdom. The mean tidal volume for all patients being ventilated on a mandatory ventilator mode was 7.2(±1.4) ml kg -1 predicted body weight and overall compliance with low tidal volume ventilation (≤6.5 ml kg -1 predicted body weight) was 34%. The mean tidal volume for patients ventilated with volume-controlled ventilation was 7.0(±1.2) ml kg -1 predicted body weight and 7.9(±1.8) ml kg -1 predicted body weight for pressure-controlled ventilation ( P  < 0.0001). Overall compliance with recommended levels of positive end-expiratory pressure was 72%. Significant variation in practice existed both at a regional and individual unit level.

  15. Cooperation on the uses of atomic energy between the United States and the United Kingdom of Great Britain and Northern Ireland for mutual defense purposes. A message from the President of the United States

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Not Available

    1984-01-01

    President Reagan approves an amendment to the agreement between the US Government and that of the United Kingdom and Northern Ireland which would extend for 10 years permission to transfer nonnuclear materials and technology needed for nuclear weapons and military reactors. The volume includes the nine articles of the amendment, the President's message of transmittal, and correspondence between the President and Secretaries of Energy and Defense.

  16. Participation in medicine by graduates of medical schools in the United Kingdom up to 25 years post graduation: national cohort surveys.

    PubMed

    Goldacre, Michael J; Lambert, Trevor W

    2013-05-01

    To determine--as a guide to assess outcomes of medical education, and for medical workforce planning--whether the great majority of graduates from UK medical schools eventually practice medicine. The authors estimated the level of participation in medicine, in selected years after graduation, of nine cohorts (graduating between 1974 and 2002, inclusive) of graduates from medical schools in the United Kingdom. Their estimation is based on survey-garnered data combined with national employment data, and it uses the statistical method of capture-recapture analysis. This method provides both a lower likely limit and an upper likely limit of the percentage of doctors practicing in medicine. The lower and upper limits depend, essentially, on a range of assumptions about nonresponders. The authors estimate that at least 90% of graduates from UK medical schools work in medicine for many years after graduation. Women are only slightly less likely than men to follow a medical career. To illustrate, of the doctors who lived in the United Kingdom before medical school, at 10 years after graduation, between 95.6% and 98.8% of men were in medicine, as were between 91.9% and 93.3% of women. UK medical graduates from homes outside the United Kingdom were less likely to work in the National Health Service and more likely to pursue a career outside the United Kingdom, but were not appreciably less likely than graduates from UK homes to work in medicine. UK-trained doctors rarely give up a medical career within 25 years of graduation.

  17. Salmonella and raw shell eggs: results of a cross-sectional study of contamination rates and egg safety practices in the United Kingdom catering sector in 2003.

    PubMed

    Elson, R; Little, C L; Mitchell, R T

    2005-02-01

    This study was prompted by epidemiological investigations of the unusual number of Salmonella Enteritidis outbreaks associated with the use of eggs in catering premises in England and Wales during 2002. The aims of the study, performed between April and May 2003, were to establish the rate of Salmonella contamination in raw shell eggs from catering premises, investigate any correlation between the origin and type of eggs and the presence of particular serotypes or phage types (PTs) of Salmonella, and examine the use of raw shell eggs in catering premises in the United Kingdom. A total of 34,116 eggs (5,686 pooled samples of six eggs) were collected from 2,104 catering premises, most of which were eggs produced in the United Kingdom (88%). Salmonella was isolated from 17 pools (0.3%) of eggs. Of these, 15 were Salmonella Enteritidis, which were further characterized to PTs as follows: PT6 (0.1%), PT4 (0.07%), PT12 (0.04%), PT1 (0.04%), and PT14b (0.02%). Salmonella Livingstone and Salmonella Typhimurium definitive type 7 resistant to ampicillin, streptomycin, sulfonamides, and tetracycline were also isolated. The Salmonella contamination rate of eggs produced in the United Kingdom appears to have decreased significantly since 1995 and 1996. This trend is reflected in the decrease of Salmonella Enteritidis and, in particular, Salmonella Enteritidis PT4. The impact of the United Kingdom Food Standards Agency's advice on the use of eggs, issued in January 2003, is discussed.

  18. Survey of the State-of-the-Art and Likely Future Trends of University Management in Europe: Denmark-Ireland-Norway-Sweden-United Kingdom.

    ERIC Educational Resources Information Center

    Lockwood, G.; Prosser, E.

    Trends in university management in Denmark, Ireland, Norway, Sweden, and the United Kingdom were studied as part of a larger study of European universities. The survey instrument collected information on basic facts on the institution, the organizational system, the decision-making system, the administrative structure, management techniques and…

  19. An Exploratory Study into the Use of Psychology Participant Panels in Psychology Departments in the United Kingdom

    ERIC Educational Resources Information Center

    Perham, Nick; Hodgetts, Helen; Sanders, Lalage D.; Heggs, Daniel

    2017-01-01

    Psychology Participant Pools (PPP) are known to be used within psychology departments in the United Kingdom as a way to promote understanding of psychological research and as a means to aid students and researchers to collect data. However, there is currently no information regarding the different practices undertaken in each department. This…

  20. Community Intellectual Disability Nurses' Public Health Roles in the United Kingdom: An Exploratory Documentary Analysis

    ERIC Educational Resources Information Center

    Mafuba, Kay; Gates, Bob; Cozens, Maria

    2018-01-01

    The aim of this study was to explore how public health policy in the United Kingdom was reflected in community intellectual disability nurses' (CIDNs)' job descriptions and person's specifications. The role of CIDNs has evolved due to policy changes. As these roles evolve, job descriptions and person specifications are important in highlighting…

  1. A Tale from Three Countries: The Classroom Management Practices of Pre-Service Teachers from Australia, Canada and the United Kingdom

    ERIC Educational Resources Information Center

    Woodcock, Stuart; Reupert, Andrea

    2017-01-01

    The purpose of this research was to (i) identify Australian, Canadian and United Kingdom (UK) pre-service teachers' use, confidence and success of various classroom management strategies and (ii) to ascertain any significant differences between the three cohorts. Significant differences were found amongst the cohort with the UK pre-service…

  2. "Turning the Tap on and Off": The Recruitment of Overseas Trained Teachers to the United Kingdom

    ERIC Educational Resources Information Center

    McNamara, Olwen; Lewis, Sarah; Howson, John

    2007-01-01

    A common strategy employed by wealthy industrial nations for dealing with short-term skill deficits is to recruit internationally; such was the case, around the millennium, when a teacher supply crisis occurred in the United Kingdom (UK). That immediate crisis is now over; yet irrespective of peaks and troughs, international teacher migration is…

  3. Asymptomatic Lymphogranuloma Venereum in Men who Have Sex with Men, United Kingdom

    PubMed Central

    Saxon, Cara; Ison, Catherine

    2016-01-01

    We investigated prevalence of lymphogranuloma venereum (LGV) among men who have sex with men who were tested for chlamydia at 12 clinics in the United Kingdom during 10 weeks in 2012. Of 713 men positive for Chlamydia trachomatis, 66 (9%) had LGV serovars; 15 (27%) of 55 for whom data were available were asymptomatic. PMID:26691688

  4. German in the United Kingdom: Problems and Prospects. CILT Reports and Papers, 13.

    ERIC Educational Resources Information Center

    Centre for Information on Language Teaching, London (England).

    Papers are presented from a colloquium on the teaching of German in the United Kingdom. Following an introduction by C.V. James, the following papers on the schools are presented: "A General View" by M. Lodge; "A Regional View" by R. Sheppard and G. Turner; "As the Teacher-Trainer Sees Them" by A. Hornsey;…

  5. Designing and Constructing an Exemplar Zero Carbon Primary School in the City of Exeter, United Kingdom

    ERIC Educational Resources Information Center

    Tatchell, Arthur

    2012-01-01

    The United Kingdom's (UK) 2008 Budget announced the government's ambition that all new non-domestic buildings should be zero carbon from 2016. In order to take this goal forward, the Department for Children, Schools and Families (DCSF) established the Zero Carbon Task Force (ZCTF); its objective was to advise on how England can achieve this…

  6. Research Assessment Exercise Results and Research Funding in the United Kingdom: A Comparative Analysis

    ERIC Educational Resources Information Center

    Chatterji, Monojit; Seaman, Paul

    2006-01-01

    A considerable sum of money is allocated to UK universities on the basis of Research Assessment Exercise performance. In this paper we analyse the two main funding models used in the United Kingdom and discuss their strengths and weaknesses. We suggest that the benchmarking used by the two main models have significant weaknesses, and propose an…

  7. A new tree improvement programme for black walnut in the United Kingdom

    Treesearch

    Karen Russell; Gabriel E. Hemery

    2004-01-01

    Black walnut is an introduced species in the United Kingdom (UK) and economically one of the more productive broadleaved species. Currently it is not widely planted in the UK as there is insufficient knowledge about the species among foresters and very little, if any, improved material is available. A research programme was initiated in 2001 to address both these...

  8. Threat to Valued Elements of Life: The Experience of Dementia across Three Ethnic Groups

    ERIC Educational Resources Information Center

    Lawrence, Vanessa; Samsi, Kritika; Banerjee, Sube; Morgan, Craig; Murray, Joanna

    2011-01-01

    Purpose: There is a fundamental knowledge gap regarding the experience of dementia within minority ethnic groups in the United Kingdom and elsewhere. The present study examined the subjective reality of living with dementia from the perspective of people with dementia within the 3 largest ethnic groups in the United Kingdom. Design and Methods:…

  9. The Challenges Faced by Eastern European Students within a 16-19 Education Setting in the United Kingdom

    ERIC Educational Resources Information Center

    Babalola, Shade

    2015-01-01

    To examine the challenges encountered by Eastern European students within a sixth form college in the United Kingdom. This paper aims to consider the difficulties encountered by this particular ethnic group examining the impact the challenges may have on their performance, success and achievement. This paper will also highlight equality and…

  10. The Cost-Effectiveness of Supported Employment for Adults with Autism in the United Kingdom

    ERIC Educational Resources Information Center

    Mavranezouli, Ifigeneia; Megnin-Viggars, Odette; Cheema, Nadir; Howlin, Patricia; Baron-Cohen, Simon; Pilling, Stephen

    2014-01-01

    Adults with autism face high rates of unemployment. Supported employment enables individuals with autism to secure and maintain a paid job in a regular work environment. The objective of this study was to assess the cost-effectiveness of supported employment compared with standard care (day services) for adults with autism in the United Kingdom.…

  11. Student Accommodation in Higher Education in the United Kingdom: Changing Post-War Attitudes

    ERIC Educational Resources Information Center

    Tight, Malcolm

    2011-01-01

    This article explores the changing attitudes towards student accommodation in higher education in the United Kingdom since the end of the Second World War. In the first part of this period there was a firm assumption, in universities and teacher training colleges, that the accommodation of students in or close to their university or college,…

  12. Unified English Braille in the United Kingdom: Part 2--Examination by Literary Braille Users, Braille Teachers, and Transcribers

    ERIC Educational Resources Information Center

    Cryer, Heather; Home, Sarah; Morley Wilkins, Sarah

    2013-01-01

    To inform decision-making around the adoption of the Unified English Braille (UEB) code in the United Kingdom, a suite of research was carried out. This study involved a variety of braille stakeholders--student braille readers (in full time education), adult braille readers, braille teachers, and braille transcribers. Participants were sent…

  13. Differential Social and Political Influences on Girls and Boys through Education Out of Doors in the United Kingdom.

    ERIC Educational Resources Information Center

    Cook, Lynn

    2001-01-01

    A historical review of outdoor education in the United Kingdom discusses early objectives of preparing young men for war, improving physical health and moral character, and preventing juvenile delinquency; girls' outdoor courses of the 1950s that emphasized hygiene, homemaking, and child care skills; and outdoor education's reflection of sex-role…

  14. Emergent Cultural Change: Unintended Consequences of a Strategic Information Technology Services Implementation in a United Kingdom University

    ERIC Educational Resources Information Center

    Waring, Teresa; Skoumpopoulou, Dimitra

    2013-01-01

    Over the past 20 years, universities in the United Kingdom have been undergoing a dramatic period of transformation and change which can be attributed to the expansion of the higher education sector, the growth in student numbers and the development of an ideological approach to public service management referred to as "new…

  15. Affordable and Sustainable Energy in the Borough of Woking in the United Kingdom

    ERIC Educational Resources Information Center

    Thorp, John P.; Curran, Lara

    2009-01-01

    Woking Borough Council in the United Kingdom has long been committed to protecting the environment, a goal explicitly stated as one of the borough's top three priorities. Woking is also known for its pioneering approach in operating an extensive networked electricity and district heating system based on co- and trigeneration, as well as what is…

  16. The market for U. S. hardwoods in the United Kingdom: market needs and satisfaction with U. S. Products

    Treesearch

    Robert J. Bush; Philip A. Araman

    1993-01-01

    Importers of hardwood lumber in the United Kingdom were studied to determine the product and supplier attributes that most influenced their purchase decisions. Importers of North American hardwoods were least satisfied with Lumber Straightness. Straightness, Absence of Stain and the Absence of Surface Checks were the most important lumber attributes. On Time Shipment...

  17. Developing and Implementing an Accreditation Scheme for Disability Services Staff in Post-Compulsory Education in the United Kingdom

    ERIC Educational Resources Information Center

    Hurst, Alan

    2015-01-01

    In the United Kingdom (UK), policy and provision for students with disabilities in post-compulsory education has made considerable progress in a relatively short time. This growth has been aided by several factors, arguably the most significant being the introduction of legal requirements in 1995. Many institutions and organisations have tried to…

  18. Occupational and Qualification Structures in the Field of Environmental Protection in the Metal and Chemical Industries in the United Kingdom.

    ERIC Educational Resources Information Center

    European Centre for the Development of Vocational Training, Berlin (Germany).

    A study analyzed the occupational structure and qualifications associated with the field of environmental protection in the metal and chemical industries in the United Kingdom. The analysis included nine case studies based on interviews with firms in the chemicals and metals sectors. Information was gathered within an analytical framework that…

  19. Early Maternal Employment and Children's Academic and Behavioral Skills in Australia and the United Kingdom

    ERIC Educational Resources Information Center

    Lombardi, Caitlin McPherran; Coley, Rebekah Levine

    2017-01-01

    This study assessed the links between early maternal employment and children's later academic and behavioral skills in Australia and the United Kingdom. Using representative samples of children born in each country from 2000 to 2004 (Australia N = 5,093, U.K. N = 18,497), OLS regression models weighted with propensity scores assessed links between…

  20. "Normal" and "Inappropriate" Childhood Sexual Behaviours: Findings from a Delphi Study of Professionals in the United Kingdom

    ERIC Educational Resources Information Center

    Vosmer, Susanne; Hackett, Simon; Callanan, Margie

    2009-01-01

    This paper presents the results of a three-stage Delphi study examining the current level of consensus among 24 professionals in the United Kingdom regarding definitions of and distinctions between normal, inappropriate and sexually abusive behaviours in children under 10 years, as well as factors influencing their views. Although firm conclusions…

  1. Public policies on healthcare-associated infections: a Brazil and UK case study.

    PubMed

    Padoveze, Maria Clara; Melo, Sara; Bishop, Simon; Poveda, Vanessa de Brito; Fortaleza, Carlos Magno Castelo Branco

    2017-12-11

    To summarize the historical events and drivers underlying public policy for the prevention and control of healthcare-associated infections in Brazil and in the United Kingdom. In doing so, the article aims to identify lessons and recommendations for future development of public policy. The analysis is based on a historical overview of national healthcare-associated infections programs taken from previously published sources. Findings highlight how the development of healthcare-associated infections prevention and control policies followed similar trajectories in Brazil and the United Kingdom. This can be conceptualized around four sequential phases: Formation, Consolidation, Standardization, and Monitoring and Evaluation. However, while we identified similar phases of development in Brazil and the United Kingdom, it can be seen that the former entered each stage around 20 years after the latter.

  2. Medical tourism in Thailand: a cross-sectional study

    PubMed Central

    Noree, Thinakorn; Hanefeld, Johanna; Smith, Richard

    2016-01-01

    Abstract Objective To investigate the magnitude and characteristics of medical tourism in Thailand and the impact of such tourism on the Thai health system and economy. Methods In 2010, we checked the records of all visits to five private hospitals that are estimated to cover 63% of all foreign patients. We reviewed hospital records of foreign patients and obtained data on their countries of origin, diagnoses and interventions. We surveyed 293 medical tourists to collect demographic characteristics and information on their expenditure and travelling companions. To help understand the impact of medical tourism on the Thai health system, we also interviewed 15 hospital executives and 28 service providers from the private hospitals. Findings We obtained 911 913 records of hospital visits, of which 324 906 came from 104 830 medical tourists. We estimated that there were 167 000 medical tourists in Thailand in 2010. Of the medical tourists who attended our study hospitals, 67 987 (64.8%) came from the eastern Mediterranean region or Asia and 109 509 (34%) of them were treated for simple and uncomplicated conditions – i.e. general check-ups and medical consultations. The mean self-reported non-medical expenditure was 2750 United States dollars. According to the hospital staff interviewed, medical tourism in 2010 brought benefits to – and apparently had no negative impacts on – the Thai health system and economy. Conclusion We estimate that the total number of medical tourists visiting Thailand is about 10% of previous national government estimates of 1.2 million. Such tourists appear to bring economic benefits to Thailand and to have negligible effects on the health system. PMID:26769994

  3. Making Social Work Count: A Curriculum Innovation to Teach Quantitative Research Methods and Statistical Analysis to Undergraduate Social Work Students in the United Kingdom

    ERIC Educational Resources Information Center

    Teater, Barbra; Roy, Jessica; Carpenter, John; Forrester, Donald; Devaney, John; Scourfield, Jonathan

    2017-01-01

    Students in the United Kingdom (UK) are found to lack knowledge and skills in quantitative research methods. To address this gap, a quantitative research method and statistical analysis curriculum comprising 10 individual lessons was developed, piloted, and evaluated at two universities The evaluation found that BSW students' (N = 81)…

  4. Hepatitis E Virus in Pork Food Chain, United Kingdom, 2009–2010

    PubMed Central

    Berto, Alessandra; Martelli, Francesca; Grierson, Sylvia

    2012-01-01

    We investigated contamination by hepatitis E virus (HEV) in the pork production chain in the United Kingdom. We detected HEV in pig liver samples in a slaughterhouse, in surface samples from a processing plant, and in pork sausages and surface samples at point of sale. Our findings provide evidence for possible foodborne transmission of HEV during pork production. PMID:22840183

  5. Childcare Market Management: How the United Kingdom Government Has Reshaped Its Role in Developing Early Childhood Education and Care

    ERIC Educational Resources Information Center

    Penn, Helen

    2007-01-01

    This article reviews early education and care policies in the United Kingdom since 1997, when a Labour Government came to power, and sets them in the wider context of international changes. It argues that the Labour Government has, by intention and by default, supported the development of private sector, and especially corporate sector childcare.…

  6. Chemical control of Phytophthora ramorum causing foliar disease in hardy nursery stock in the United Kingdom

    Treesearch

    Judith Turner; Philip Jennings; Sam McDonough; Debbie Liddell; Jackie Stonehouse

    2006-01-01

    A range of fungicides have been tested for activity against P. ramorum using both in vitro and in vivo tests. All fungicides had proven activity against Phytophthora species and either had full approval for use on hardy ornamental nursery stock in the United Kingdom, or could be used under the Revised Long Term Arrangements for Extension of Use (2002...

  7. Survey on the Policy of Continuing Training in Large Firms. Case Studies in Belgium, Spain, France, the Netherlands, and the United Kingdom.

    ERIC Educational Resources Information Center

    Dupont, Georges; Reis, Fernanda

    A study examined employee training policies and their implementation in four or five large companies in five countries (Belgium, Spain, France, the Netherlands, and the United Kingdom). Data were gathered through interviews by an expert in each of the countries using an interviewer's guide developed for the project (resulting in approximately 30…

  8. The Impact of New Technologies on Occupational Profiles in the Banking Sector. Case Studies in Luxembourg, the Netherlands, the United Kingdom and France. CEDEFOP Panorama.

    ERIC Educational Resources Information Center

    Vitali, Laurence; Freiche, Jeanine; Matthews, Alison; Warmerdam, John

    The impact of new technologies on occupational profiles in the banking sector was examined through case studies in four European countries: Luxembourg, the Netherlands, the United Kingdom, and France. In each country, three types of banking institutions were studied: merchant (Eurobank); "counter" (universal) bank; and telebank (bank…

  9. 78 FR 48706 - Expansion of Global Entry Eligibility to Certain Citizens of the Republic Of Korea, the Federal...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-09

    ... Germany, the State of Qatar, and the United Kingdom AGENCY: U.S. Customs and Border Protection; Department... citizens of the State of Qatar; and a limited number of citizens of the United Kingdom who frequently... citizens of the Federal Republic of Germany, all citizens of the State of Qatar and all citizens of the...

  10. A Historical Overview of Psychiatric/Mental Health Nursing Education in the United Kingdom: Going around in Circles or on the Straight and Narrow?

    ERIC Educational Resources Information Center

    Cutcliffe, John

    2003-01-01

    Addresses historical issues in psychiatric/mental health nursing in the United Kingdom including attempts to integrate it with general nursing, the balance of theory/research and practice, and tensions over the recent shift to university-level nurse preparation. Discusses needs for the future. (Contains 42 references and commentary by Sheri…

  11. Comparisons in the Organisation, Methods, and Results of the Universidad Nacional de Educacion a Distancia (Spain) and The Open University of The United Kingdom.

    ERIC Educational Resources Information Center

    James, Arthur

    The organization, methods, and outcomes of the distance education systems at the Universidad Nacional de Educacion a Distancia (UNED) in Spain and The Open University of the United Kingdom are compared. The following topics are covered: higher education in Spain, UNED's ideology, student characteristics in both universities, organization,…

  12. Wildfire in the United Kingdom: status and key issues

    Treesearch

    Julia McMorrow

    2011-01-01

    This paper reviews the status of wildfire risk in the United Kingdom and examines some of the key issues in U.K. wildfire management. Wildfires challenge the resources of U.K. Fire and Rescue Services (FRSs), especially in dry years, yet FRSs are poorly equipped and trained to deal with wildfire. A brief geography of U.K. wildfires is presented using fire statistics...

  13. The Effects of Single Parenthood on Educational Aspiration: A Comparative Study of Children in the United Kingdom and Hong Kong

    ERIC Educational Resources Information Center

    Wang, Miao; Ngai, Steven Sek-Yum

    2011-01-01

    Using data collected by the Organization for Economic Co-operation and Development's Program for International Student Assessment in 2003, this study examines the gap in the educational aspirations of children from single-parent families and two-parent families in the United Kingdom (UK) and Hong Kong. Consistent with previous research on the…

  14. Franchising Education: Challenges and Opportunities for Coping with the Economic Recession and the Provision of Higher Education in the United Kingdom

    ERIC Educational Resources Information Center

    Miller, Paul; Shotte, Gertrude

    2010-01-01

    When the global economic recession hit the world some 18 months ago, very few could predict the impact this would have on government spending on higher education. Higher education institutions in the United Kingdom face spending cuts. Notwithstanding, they are expected to deliver quality education with fewer resources. This article discusses…

  15. Effect of UK policy on medical migration: a time series analysis of physician registration data

    PubMed Central

    2012-01-01

    Background Economically developed countries have recruited large numbers of overseas health workers to fill domestic shortages. Recognition of the negative impact this can have on health care in developing countries led the United Kingdom Department of Health to issue a Code of Practice for National Health Service (NHS) employers in 1999 providing ethical guidance on international recruitment. Case reports suggest this guidance had limited influence in the context of other NHS policy priorities. Methods The temporal association between trends in new professional registrations from doctors qualifying overseas and relevant United Kingdom government policy is reported. Government policy documents were identified by a literature review; further information was obtained, when appropriate, through requests made under the Freedom of Information Act. Data on new professional registration of doctors were obtained from the General Medical Council (GMC). Results New United Kingdom professional registrations by doctors trained in Africa and south Asia more than doubled from 3105 in 2001 to 7343 in 2003, as NHS Trusts sought to achieve recruitment targets specified in the 2000 NHS Plan; this occurred despite ethical guidance to avoid active recruitment of doctors from resource-poor countries. Registration of such doctors declined subsequently, but in response to other government policy initiatives. A fall in registration of South African-trained doctors from 3206 in 2003 to 4 in 2004 followed a Memorandum of Understanding with South Africa signed in 2003. Registrations from India and Pakistan fell from a peak of 4626 in 2004 to 1169 in 2007 following changes in United Kingdom immigration law in 2005 and 2006. Since 2007, registration of new doctors trained outside the European Economic Area has remained relatively stable, but in 2010 the United Kingdom still registered 722 new doctors trained in Africa and 1207 trained in India and Pakistan. Conclusions Ethical guidance was ineffective in preventing mass registration by doctors trained in resource-poor countries between 2001 and 2004 because of competing NHS policy priorities. Changes in United Kingdom immigration laws and bilateral agreements have subsequently reduced new registrations, but about 4000 new doctors a year continue to register who trained in Africa, Asia and less economically developed European countries. PMID:23009665

  16. Effect of UK policy on medical migration: a time series analysis of physician registration data.

    PubMed

    Blacklock, Claire; Heneghan, Carl; Mant, David; Ward, Alison M

    2012-09-25

    Economically developed countries have recruited large numbers of overseas health workers to fill domestic shortages. Recognition of the negative impact this can have on health care in developing countries led the United Kingdom Department of Health to issue a Code of Practice for National Health Service (NHS) employers in 1999 providing ethical guidance on international recruitment. Case reports suggest this guidance had limited influence in the context of other NHS policy priorities. The temporal association between trends in new professional registrations from doctors qualifying overseas and relevant United Kingdom government policy is reported. Government policy documents were identified by a literature review; further information was obtained, when appropriate, through requests made under the Freedom of Information Act. Data on new professional registration of doctors were obtained from the General Medical Council (GMC). New United Kingdom professional registrations by doctors trained in Africa and south Asia more than doubled from 3105 in 2001 to 7343 in 2003, as NHS Trusts sought to achieve recruitment targets specified in the 2000 NHS Plan; this occurred despite ethical guidance to avoid active recruitment of doctors from resource-poor countries. Registration of such doctors declined subsequently, but in response to other government policy initiatives. A fall in registration of South African-trained doctors from 3206 in 2003 to 4 in 2004 followed a Memorandum of Understanding with South Africa signed in 2003. Registrations from India and Pakistan fell from a peak of 4626 in 2004 to 1169 in 2007 following changes in United Kingdom immigration law in 2005 and 2006. Since 2007, registration of new doctors trained outside the European Economic Area has remained relatively stable, but in 2010 the United Kingdom still registered 722 new doctors trained in Africa and 1207 trained in India and Pakistan. Ethical guidance was ineffective in preventing mass registration by doctors trained in resource-poor countries between 2001 and 2004 because of competing NHS policy priorities. Changes in United Kingdom immigration laws and bilateral agreements have subsequently reduced new registrations, but about 4000 new doctors a year continue to register who trained in Africa, Asia and less economically developed European countries.

  17. Does fortification of staple foods improve vitamin D intakes and status of groups at risk of deficiency? A United Kingdom modeling study.

    PubMed

    Allen, Rachel E; Dangour, Alan D; Tedstone, Alison E; Chalabi, Zaid

    2015-08-01

    More than one-fifth of the United Kingdom population has poor vitamin D status (serum 25-hydroxyvitamin D [25(OH)D] concentration <25 nmol/L), particularly individuals with low sun exposure or poor dietary intake. We identified the fortification vehicle and concentration most likely to safely increase population vitamin D intakes and vitamin D status. Wheat flour and milk were identified as primary fortification vehicles for their universal consumption in population groups most at risk of vitamin D deficiency including children aged 18-36 mo, females aged 15-49 y, and adults aged ≥65 y. With the use of data from the first 2 y (2008-2010) of the National Diet and Nutrition Survey Rolling Program, we simulated the effect of fortifying wheat flour and milk with vitamin D on United Kingdom food consumption. Empirically derived equations for the relation between vitamin D intake and the serum 25(OH)D concentration were used to estimate the population serum 25(OH)D concentration for each fortification scenario. At a simulated fortification of 10 μg vitamin D/100 g wheat flour, the proportion of at-risk groups estimated to have vitamin D intakes below United Kingdom Reference Nutrient Intakes was reduced from 93% to 50%, with no individual exceeding the United Kingdom Tolerable Upper Intake Level; the 2.5th percentile of the population winter serum 25(OH)D concentration rose from 20 to 27 nmol/L after fortification. The simulation of the fortification of wheat flour at this concentration was more effective than that of the fortification of milk (at concentrations between 0.25 and 7 mg vitamin D/100 L milk) or of the fortification of milk and flour combined. To our knowledge, this study provides new evidence that vitamin D fortification of wheat flour could be a viable option for safely improving vitamin D intakes and the status of United Kingdom population groups at risk of deficiency without increasing risk of exceeding current reference thresholds. © 2015 American Society for Nutrition.

  18. Commentary: recent reforms in the British National Health Service--lessons for the United States.

    PubMed Central

    Holland, W W; Graham, C

    1994-01-01

    President Clinton recently announced his reform plan for health care in the United States. The United Kingdom, along with other countries, has already enacted reforms in an effort to overcome the basic problem of having insufficient funds to provide a health service to meet modern demands. This paper briefly describes the recent health reforms in the United Kingdom and highlights some lessons for the United States, which include the need to choose procedures that should be universally provided. Health reforms that involve some fundamental restructuring need to be evaluated everywhere and agreed to by the staff in advance. PMID:8296937

  19. Exploring Fog Water Harvesting Potential and Quality in the Asir Region, Kingdom of Saudi Arabia

    NASA Astrophysics Data System (ADS)

    Gandhidasan, P.; Abualhamayel, H. I.

    2012-05-01

    During the last decade, the exploitation of the existing water resources in the Asir region of the Kingdom of Saudi Arabia has considerably increased due to both the decrease in annual precipitation and the added population pressures from the growing tourist industry. To face the conventional water shortage, attention has been mainly focused on desalination of water. To save the region from severe water shortage, additional new water sources that are low-cost and renewable must be identified. There exists an alternative source of water such as fog water harvesting. Fog forms in the Asir Region more frequently between December and February compared to the other months of the year. This paper presents the study of the climatic conditions in the Asir region of the Kingdom to identify the most suitable location for fog water collection as well as design and testing of two large fog collectors (LFCs) of size 40 m2 along with standard fog collectors (SFCs) of 1 m2 in that region. During the period from 27 December 2009 to 9 March 2010, a total of 3,128.4 and 2,562.4 L of fog water were collected by the LFC at two sites in the Al-Sooda area of the Asir region, near Abha. Experimental results indicate that fog water collection can be combined with rain water harvesting systems to increase water yield during the rainy season. The quality of the collected fog water was analyzed and compared to the World Health Organization (WHO) drinking water standards and found to be potable. An economic analysis was carried out for the proposed method of obtaining fresh water from the fog. The study suggests a clear tendency that in terms of both quality and magnitude of yield, fog is a viable source of water and can be successfully used to supplement water supplies in the Asir region of the Kingdom.

  20. Diagnoses of HIV-1 and HIV-2 in England, Wales, and Northern Ireland associated with west Africa.

    PubMed

    Dougan, S; Patel, B; Tosswill, J H; Sinka, K

    2005-08-01

    To describe HIV diagnoses, including those of HIV-2 infection, made in England, Wales, and Northern Ireland (E,W&NI) among those probably infected in west Africa, and to consider whether there is evidence for ongoing heterosexual transmission within the United Kingdom. Reports of new HIV diagnoses received at the Communicable Disease Surveillance Centre were analysed. Individuals probably infected in west Africa and those infected through heterosexual intercourse within the United Kingdom by a heterosexual partner infected in west Africa were included. Between 1985 and 2003 inclusive, 1324 individuals diagnosed and reported with HIV had probably been infected in west Africa, with 222 diagnoses made in 2003. 917 (69%) were HIV-1 infected and 52 (6%) HIV-2 or HIV-1/HIV-2 co-infected. For 355 (27%) the HIV type was not reported. The proportion of HIV-2 and HIV-1/HIV-2 infections varied by country of infection (p<0.001): ranging from the Gambia (11.7%-15.2%) to Nigeria (0.7%-1.0%). A further 130 individuals were probably infected through heterosexual intercourse within the United Kingdom by a heterosexual partner infected in west Africa. 89 (68%) were HIV-1 infected and three (2%) HIV-2 infected or HIV-1/HIV-2 co-infected. For 38 (29%) HIV type was not reported. The number of people infected with HIV in west Africa and diagnosed in E,W&NI has increased in recent years, and there is evidence of heterosexual transmission within the United Kingdom from people infected in west Africa. While numbers of HIV-2 diagnoses remain relatively low, an appreciable proportion of people infected in some west African countries and diagnosed in the United Kingdom may be HIV-2 positive, with implications for prognosis and treatment.

  1. The working lives of nurse teachers in mainland China and the United Kingdom: a questionnaire survey.

    PubMed

    Gui, Li; Gu, Shen; Barriball, K Louise; While, Alison E; Chen, Guoliang

    2014-05-01

    Nurse education has undergone considerable changes creating new opportunities and challenges for nurse teachers. Limited comparative research of the working lives of nurse teachers has been reported, thus similarities and differences that may exist are unidentified. This paper reports a study of the working lives of nurse teachers in mainland China and the United Kingdom. A cross-sectional questionnaire survey. Census sample of nurse teachers working in four nursing schools in mainland China (n=3) and the United Kingdom (n=1). The overall response rate was 56.8% (China=61, 61.0%, UK=60, 53.1%). Completion of questionnaire specifically developed for the study but comprising six validated tools to collecting data on: job satisfaction, sense of coherence, role conflict and role ambiguity, work empowerment and professional identification. Data on self-reported roles and personal details were also collected. Data were collected between September 2008 and January 2009. Both samples were satisfied with their jobs overall but reported low levels of satisfaction with promotion. Chinese nurse teachers working full-time reported the lowest level for sense of coherence and professional identification. Nurse teachers working full-time in the United Kingdom reported the highest role conflict score. Sense of coherence and work empowerment were significantly and positively correlated to job satisfaction. Role conflict and role ambiguity were negatively correlated (but not always significantly) to job satisfaction and its facets. For respondents in mainland China, professional identification was significantly and positively correlated with overall job satisfaction and its facets. Strategies to improve job satisfaction with promotion opportunities for both samples are indicated. Respondents working full-time in both mainland China and the United Kingdom experienced greater challenges at work than their part-time colleagues. © 2013.

  2. Nurse prescribing for inpatient pain in the United Kingdom: a national questionnaire survey.

    PubMed

    Stenner, Karen L; Courtenay, Molly; Cannons, Karin

    2011-07-01

    Nurses make a valuable contribution to pain services and have the potential to improve the safety and effectiveness of pain management. A recent addition to the role of the specialist pain nurse in the United Kingdom has been the introduction of prescribing rights, however there is a lack of literature about their role in prescribing pain medication. The aim of this study was to develop a profile of the experience, role and prescribing practice of these nurses. A descriptive questionnaire survey. 192 National Health Service public hospital inpatient pain services across the United Kingdom. 161 qualified nurse prescribers were invited to participate, representing 98% of known nurse prescribers contributing to inpatient pain services. The survey was completed in November 2009 by 137 nurses; a response rate of 85%. Compared with nurse prescribers in the United Kingdom in general, participants were highly qualified and experienced pain specialists. Fifty-six percent had qualified as a prescriber in the past 3 years and 22% reported that plans were underway for more nurses to undertake a nurse prescribing qualification. Although all participants worked in inpatient pain services, 35% also covered chronic pain (outpatient) services and 90% treated more than one pain type. A range of pain medications were prescribed, averaging 19.5 items per week. The role contained a strong educational component and contributed to informing organisational policy on pain management. Prescribing was said to improve nurses' ability to promote evidence-based practice but benefits were limited by legislation on prescribing controlled drugs. Findings demonstrate that pain nurses are increasingly adopting prescribing as part of their advanced nurse role. This has implications for the development needs of pain nurses in the United Kingdom and the future role development of nurses in other countries. Copyright © 2011 Elsevier Ltd. All rights reserved.

  3. Trends in E-Cigarette Awareness, Trial, and Use Under the Different Regulatory Environments of Australia and the United Kingdom.

    PubMed

    Yong, Hua-Hie; Borland, Ron; Balmford, James; McNeill, Ann; Hitchman, Sara; Driezen, Pete; Thompson, Mary E; Fong, Geoffrey T; Cummings, K Michael

    2015-10-01

    E-cigarettes (ECs) have gained significant attention in recent years. They have been introduced in jurisdictions with divergent existing laws that affect their legality. This provides the opportunity for natural experiments to assess effects of such laws in some cases independent of any formulated government policy. We compare patterns of EC awareness and use over a 3 year period in Australia where laws severely restrict EC availability, with awareness and use in the United Kingdom where ECs are readily available. Data analyzed come from Waves 8 and 9 (collected in 2010 and 2013, respectively) of the International Tobacco Control surveys in Australia and the United Kingdom (approximately 1,500 respondents per wave per country). Across both waves, EC awareness, trial, and use among current and former smokers were significantly greater in the United Kingdom than in Australia, but all 3 of these measures increased significantly between 2010 and 2013 in both countries, and the rate of increase was equivalent between countries. Seventy-three percent of U.K. respondents reported that their current brands contained nicotine as did 43% in Australia even though sale, possession and/or use of nicotine-containing ECs without a permit are illegal in Australia. EC use was greater among smokers in both countries, at least in part due to less uptake by ex-smokers. EC awareness and use have risen rapidly between 2010 and 2013 among current and former smokers in both Australia and the United Kingdom despite different EC regulatory environments. Substantial numbers in both countries are using ECs that contain nicotine. © The Author 2014. Published by Oxford University Press on behalf of the Society for Research on Nicotine and Tobacco. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  4. EUROPEAN VOLCANOES' NIGHT: building a link between general public and volcanologists in a relaxed and welcoming setting

    NASA Astrophysics Data System (ADS)

    Calvo, David; González-Cárdenas, María E.; Baldrich, Laura; Solana, Carmen; Nave, Rosella; Calvari, Sonia; Harangi, Szabolcs; Chouraqui, Floriane; Dionis, Samara; Silva, Sonia V.; Forjaz, Victor H.; D'Auria, Luca; Pérez, Nemesio M.

    2017-04-01

    European Volcanoes' Night (www.volcanoesnight.com) is a "volcanic eruption" of art, culture, music, gastronomy, school activities, geotourism, exhibitions and scientific debates. The event aims to bring together members of the general public with scientists who work on the study of volcanoes, in order to meet and ask questions in a relaxed and welcoming setting. It is open to both locals and tourists who appreciate the beauty and power of this natural phenomena. This celebration gives attendees, and in particular young people, the opportunity to meet researchers in a relaxed and festive setting, which will feature many activities and which will be used to highlight the attractiveness of a career research on one of the most attractive natural phenomena; volcanoes. The 2016 European Volcanoes' Night was held at 16 different municipalities of Spain, France, Hungary, Italy, Portugal, United Kingdom and Cape Verde on September 30, 2016, coinciding with the celebration of "European Researchers' Night" held annually throughout Europe and neighbouring countries the last Friday of September. The spirit of the European VolcanoeśNight fits perfectly in the aim of the ERN, trying to close the gap between the scientific community and the rest of the society. In this case, volcanoes are the driving force of this event, celebrating the singularity of living on volcanoes, and how these affect our daily lives, our culture and our heritage. European VolcanoeśNight also celebrates volcano science, with avantgarde talks and presentations on different volcanic topics and becomes a meeting point for children discovering volcanoes as a pastime or a leisure topic, making this event a must for tourists and locals wherever has been held. At the end of 2016 European VolcanoeśNight, almost 150 activities were performed for thousands of spectators, a big success that confirms something as crucial as science as a communication issue, and as a tool to strengthen the ties between researchers and their communities. Now we are planning the 2017 European Volcanoes' Night and looking for additional institutions and municipalities to join this volcano adventure.

  5. The work of the American emergency physician.

    PubMed Central

    Wyatt, J P; Weber, J E; Chudnofsky, C

    1998-01-01

    The organisation of the American emergency health care system has changed rapidly during recent years, but it remains very different to the system in the United Kingdom. American emergency departments are organised around an attending physician based service, rather than a consultant led service. As a result, the work of the American emergency physician differs considerably from that of the United Kingdom A&E consultant. The problems associated with working in an attending physician based service include antisocial hours of work, sleep deprivation, decreased job satisfaction, and "burn out," all in the context of a relatively hostile medicolegal climate. Although there appear to be no easy answers to some of these problems, the A&E specialist should be aware of the potential future difficulties for A&E medicine as it develops within the United Kingdom. PMID:9639179

  6. Article 8 of the human rights act 1998: a review of case law related to forensic psychiatry and prisoners in the United Kingdom.

    PubMed

    Curtice, Martin J R; Sandford, John J

    2009-01-01

    The Human Rights Act 1998 (HRA) was introduced into United Kingdom domestic law in 2000 and incorporated most of the European Convention on Human Rights. Article 8 of the HRA provides the right to respect for private and family life, home, and correspondence. It is a qualified right, underpinned by the core HRA principle of proportionality and therefore can be dynamically interpreted. The forensic and prison settings in the United Kingdom have produced numerous cases based on perceived infringements that may or may not have breached Article 8. These cases, when analyzed, help both to demonstrate how Article 8 may be breached in clinical practice and to illustrate key Article 8 principles that can be used and implemented in clinical practice to safeguard both clinicians and patients.

  7. The "decline and fall" of nontyphoidal salmonella in the United kingdom.

    PubMed

    O'Brien, Sarah J

    2013-03-01

    Remarkable changes in the epidemiology of human nontyphoidal salmonellosis have occurred in the United Kingdom over the last century. Between 1981 and 1991, the incidence of nontyphoidal salmonellosis in the United Kingdom rose by >170%, driven primarily by an epidemic of Salmonella enterica subspecies enterica serovar Enteritidis phage type (PT) 4, which peaked in 1993. Measures introduced to control this epidemic included legislation, food safety advice, and an industry-led vaccination program in broiler-breeder and laying poultry flocks. The incidence of Salmonella Enteritidis has been falling since 1997, and levels of Salmonella Enteritidis PT4 have fallen to preepidemic levels and have stayed low. The temporal relationship between vaccination programs and the reduction in human disease is compelling and suggests that these programs have made a major contribution to improving public health.

  8. The “Decline and Fall” of Nontyphoidal Salmonella in the United Kingdom

    PubMed Central

    O'Brien, Sarah J.

    2013-01-01

    Remarkable changes in the epidemiology of human nontyphoidal salmonellosis have occurred in the United Kingdom over the last century. Between 1981 and 1991, the incidence of nontyphoidal salmonellosis in the United Kingdom rose by >170%, driven primarily by an epidemic of Salmonella enterica subspecies enterica serovar Enteritidis phage type (PT) 4, which peaked in 1993. Measures introduced to control this epidemic included legislation, food safety advice, and an industry-led vaccination program in broiler-breeder and laying poultry flocks. The incidence of Salmonella Enteritidis has been falling since 1997, and levels of Salmonella Enteritidis PT4 have fallen to preepidemic levels and have stayed low. The temporal relationship between vaccination programs and the reduction in human disease is compelling and suggests that these programs have made a major contribution to improving public health. PMID:23166188

  9. Can inbound and domestic medical tourism improve your bottom line? Identifying the potential of a U.S. tourism market.

    PubMed

    Fottler, Myron D; Malvey, Donna; Asi, Yara; Kirchner, Sarah; Warren, Natalia A

    2014-01-01

    In large part due to current economic conditions and the political uncertainties of healthcare reform legislation, hospitals need to identify new sources of revenue. Two potentially untapped sources are inbound (international) and domestic (within the United States) medical tourists. This case study uses data from a large, urban healthcare system in the southeastern United States to quantify its potential market opportunities for medical tourism. The data were mined from electronic health records, and descriptive frequency analysis was used to provide a preliminary market assessment. This approach permits healthcare systems to move beyond anecdotal information and assess the relative market potential of their particular geographic area and the diagnostic services they offer for attracting inbound and domestic medical tourists. Implications for healthcare executives and guidance on how they can focus marketing efforts are discussed.

  10. The Ethics of Organ Tourism: Role Morality and Organ Transplantation.

    PubMed

    Adams, Marcus P

    2017-11-15

    Organ tourism occurs when individuals in countries with existing organ transplant procedures, such as the United States, are unable to procure an organ by using those transplant procedures in enough time to save their life. In this paper, I am concerned with the following question: When organ tourists return to the United States and need another transplant, do US transplant physicians have an obligation to place them on a transplant list? I argue that transplant physicians have a duty not to relist organ tourists. Specifically, I contend that we should locate physicians' duties in these cases within the new role of "transplant physician." This role results from transplant physicians' participation in a system that depends on organ donors' voluntary act of donation. © The Author 2017. Published by Oxford University Press, on behalf of the Journal of Medicine and Philosophy Inc. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  11. Tourism demand in the Algarve region: Evolution and forecast using SVARMA models

    NASA Astrophysics Data System (ADS)

    Lopes, Isabel Cristina; Soares, Filomena; Silva, Eliana Costa e.

    2017-06-01

    Tourism is one of the Portuguese economy's key sectors, and its relative weight has grown over recent years. The Algarve region is particularly focused on attracting foreign tourists and has built over the years a large offer of diversified hotel units. In this paper we present multivariate time series approach to forecast the number of overnight stays in hotel units (hotels, guesthouses or hostels, and tourist apartments) in Algarve. We adjust a seasonal vector autoregressive and moving averages model (SVARMA) to monthly data between 2006 and 2016. The forecast values were compared with the actual values of the overnight stays in Algarve in 2016 and led to a MAPE of 15.1% and RMSE= 53847.28. The MAPE for the Hotel series was merely 4.56%. These forecast values can be used by a hotel manager to predict their occupancy and to determine the best pricing policy.

  12. Cascading the Use of Web 2.0 Technology in Secondary Schools in the United Kingdom: Identifying the Barriers beyond Pre-Service Training

    ERIC Educational Resources Information Center

    Boulton, Helen; Hramiak, Alison

    2014-01-01

    This paper reports on research that took place at two universities in the United Kingdom, over two years. The research focuses on the use of Web 2.0 technology, specifically blogs, with pre-service teachers, both during their university programme and the first year of teaching as full-time newly qualified teachers (NQTs). The purpose of this…

  13. Developing an Inclusive Learning Environment for Students with Visual Impairment in Higher Education: Progressive Mutual Accommodation and Learner Experiences in the United Kingdom

    ERIC Educational Resources Information Center

    Hewett, Rachel; Douglas, Graeme; McLinden, Michael; Keil, Sue

    2017-01-01

    Drawing on the findings of a unique longitudinal qualitative study, this article investigates the experiences of 32 young people with visual impairment (VI) in higher education (HE) in the United Kingdom (UK) to explore how well they were able to participate on their courses. We propose and apply a Bioecological Model of Inclusive HE to interpret…

  14. Forest nursery production in the United Kingdom: Case study Maelor Nurseries Ltd.

    Treesearch

    Jacqueline L. Fisher

    2002-01-01

    Forest policy in the United Kingdom does not list timber production as a main objective, despite the fact that the country is heavily reliant on imports of timber products. The level of new conifer planting has been much reduced over the last ten years; timber prices are very low due to the high rate of sterling; competition from imports is high; devolution plus the...

  15. Shared Rights--Shared Responsibilities. European Consultation on Collaboration between Government Sectors, Nongovernmental Organizations and Ethnic Minority Organizations in AIDS Prevention, Support and Care (London, United Kingdom, October 5-9, 1995).

    ERIC Educational Resources Information Center

    Naz Foundation, London (England).

    A consultation was sponsored by the European Commission, the World Health Organization's Global Programme on AIDS, and the United Kingdom Department of Health to explore the specific needs of ethnic minority communities in European countries for culturally and linguistically appropriate Human Immunodeficiency Virus (HIV) and Acquired Immune…

  16. Use of the EFPA Test Review Model by the UK and Issues Relating to the Internationalization of Test Standards

    ERIC Educational Resources Information Center

    Lindley, Patricia A.; Bartram, Dave

    2012-01-01

    In this article, we present the background to the development of test reviewing by the British Psychological Society (BPS) in the United Kingdom. We also describe the role played by the BPS in the development of the EFPA test review model and its adaptation for use in test reviewing in the United Kingdom. We conclude with a discussion of lessons…

  17. Competence and Human Resource Development in Multinational Companies in Three European Union Member States: A Comparative Analysis between Austria, the Netherlands and the United Kingdom. CEDEFOP Panorama Series.

    ERIC Educational Resources Information Center

    Markowitsch, Jorg; Kollinger, Iris; Warmerdam, John; Moerel, Hans; Konrad, John; Burell, Catherine; Guile, David

    A comparative analysis of human resources development and management in the subsidiaries of three multinational companies (Xerox, Glaxo Wellcome, and AXA Nordstern Colonia) was conducted in these three European Union (EU) member states: Austria, the United Kingdom, and the Netherlands. Case studies were used, focusing on competence needs and…

  18. Making Higher Education Work: A Comparison of Discourses in the United Kingdom's Conservative and Labour Parties' General Election Manifestos between 1979 and 2010

    ERIC Educational Resources Information Center

    Souto-Otero, Manuel

    2011-01-01

    This article elaborates a model of social democratic and conservative discourses in relation to access, financing, management, and results of higher education. The model is contrasted with the position of the Conservative Party and the Labour Party in the United Kingdom from the late 1970s to 2010 as expressed in their electoral manifestos. The…

  19. How Many Universities Are There in the United Kingdom? How Many Should There Be?

    ERIC Educational Resources Information Center

    Tight, Malcolm

    2011-01-01

    While the first of the questions posed in the title of this article may seem to involve a simple matter of enumeration, it is more complex than that, as the number of institutions in the United Kingdom that perform at least some of the functions of a university has grown significantly in recent years. The answer given (for the end of the year…

  20. "Education Makes You Have More Say in the Way Your Life Goes": Indian Women and Arranged Marriages in the United Kingdom

    ERIC Educational Resources Information Center

    Bhopal, Kalwant

    2011-01-01

    This paper explores Indian women's views on arranged marriages in the United Kingdom. It is based on research carried out with 32 Indian women studying at a university in the South East of England, UK. The article draws on Wenger's social theory of learning to explore how Indian women's participation in communities of practice in higher education…

  1. Congressionally-Direct Homeland Defense and Civil Support Threat Information Collection

    DTIC Science & Technology

    2008-09-01

    Colombia , France, and the United Kingdom. The primary byproducts of the study consisted of two published books. Entitled: “State Open Government...statutes of the 50 states as well as selected changes in national public information laws in Colombia , France, Israel, and the United Kingdom. The...government, and security. In addition, the conference included analysis of the open government approaches of Israel, France, Colombia , and the

  2. The Open University of the United Kingdom. An Evaluation of an Innovative Experience in the Democratisation of Higher Education. DERG Papers Numer 6.

    ERIC Educational Resources Information Center

    Rumble, Greville

    This 10-section report on the activities of the Open University of the United Kingdom as an innovative institution with a concern for democratization of higher education begins with a discussion of the criteria for an innovative organization. The origins of the University and the intentions of its early planners are then discussed, followed by a…

  3. Getting Skills Right: Good Practice in Adapting to Changing Skill Needs. A Perspective on France, Italy, Spain, South Africa and the United Kingdom

    ERIC Educational Resources Information Center

    OECD Publishing, 2017

    2017-01-01

    This report identifies effective strategies to tackle skills imbalances, based on five country-specific policy notes for France, Italy, Spain, South Africa and the United Kingdom. It provides a comparative assessment of practices and policies in the following areas: the collection and use of information on skill needs to foster a better alignment…

  4. Exploring Strategies of Assessment and Results in the Spanish Universidad Nacional de Educacion a Distancia and the United Kingdom Open University.

    ERIC Educational Resources Information Center

    James, Arthur

    The strategies of student evaluation and the patterns of results are compared for The Universidad Nacional de Educacion a Distancia (UNED) in Spain and The Open University of The United Kingdom. Both universities operate a system of undergraduate subject credits leading to a degree, but the length of the courses of the two systems differ. UNED…

  5. Participation in Lifelong Learning: Reality or Myth? Issues Arising from a United Kingdom Coalfield Closure

    ERIC Educational Resources Information Center

    Thursfield, Denise; Henderson, Roger

    2004-01-01

    In the spring of 2004, the Selby Coalfield, the largest of the remaining coal mines in the United Kingdom (UK) will close and 2071 employees will lose their jobs. The impact of the closure will be severe in the surrounding area, and will present a challenge to local employment services and training agencies. It will also test the UK government's…

  6. The Implications of the National Minimum Wage for Training Practices and Skill Utilisation in the United Kingdom Hospitality Industry

    ERIC Educational Resources Information Center

    Norris, Gill; Williams, Steve; Adam-Smith, Derek

    2003-01-01

    Two key issues thrown up by the 1999 introduction of the National Minimum Wage (NMW) in the United Kingdom are its likely impact on employers' training practices in low paying sectors of the economy and the implications for skills. Based on a study of the hospitality industry, this article assesses the limited significance of the differential,…

  7. "As a Country We Do Expect": The Further Extension of Language Testing Regimes in the United Kingdom

    ERIC Educational Resources Information Center

    Blackledge, Adrian

    2009-01-01

    In recent times debates about language and languages have increasingly become the battleground on which debates about immigration to the United Kingdom (U.K.) are fought. Since 2002 a series of legislative measures has been introduced to ensure that those who wish to become naturalized as citizens of the U.K. or to settle permanently in the U.K.…

  8. Comparative Labor Market Policies of Japan, West Germany, United Kingdom, France, Australia. Conference Proceedings of the National Council on Employment Policy (Washington, DC, April 25, 1985).

    ERIC Educational Resources Information Center

    Rosen, Howard, Ed.

    These five papers underscore the fact that the labor market policies of Japan, West Germany, the United Kingdom, France, and Australia are similar in many ways. The papers are "Japanese Labor Market Policies" (Koji Taira), "The Labor Market Policies of West Germany" (Deborah R. Cichon), "The Management of the U.K. Labour…

  9. Understanding the Experiences and Needs of South Asian Families Caring for a Child with Learning Disabilities in the United Kingdom: An Experiential-Contextual Framework

    ERIC Educational Resources Information Center

    Heer, Kuljit; Rose, John; Larkin, Michael

    2012-01-01

    The prevalence of learning disabilities amongst South Asian communities in the United Kingdom is thought to be almost three times higher than in any other community. Despite this, service utilisation amongst this group remains low and working cross-culturally can pose unique challenges for service providers. The experiences of South Asian families…

  10. Support Policies for Business Start-ups and the Role of Training. National Reports from France, Italy, Spain, United Kingdom, and Synthesis Report.

    ERIC Educational Resources Information Center

    Prieto, Jose Maria; And Others

    This publication contains four national studies, conducted in Spain, France, the United Kingdom, and Italy, that collected data on the role of training as an element of support for business start-up and as an essential factor for the survival of newly established businesses. The study of the Spanish situation examines public and private bodies…

  11. Role of Raman spectroscopy and surface enhanced Raman spectroscopy in colorectal cancer

    PubMed Central

    Jenkins, Cerys A; Lewis, Paul D; Dunstan, Peter R; Harris, Dean A

    2016-01-01

    Colorectal cancer (CRC) is the fourth most common cancer in the United Kingdom and is the second largest cause of cancer related death in the United Kingdom after lung cancer. Currently in the United Kingdom there is not a diagnostic test that has sufficient differentiation between patients with cancer and those without cancer so the current referral system relies on symptomatic presentation in a primary care setting. Raman spectroscopy and surface enhanced Raman spectroscopy (SERS) are forms of vibrational spectroscopy that offer a non-destructive method to gain molecular information about biological samples. The techniques offer a wide range of applications from in vivo or in vitro diagnostics using endoscopic probes, to the use of micro-spectrometers for analysis of biofluids. The techniques have the potential to detect molecular changes prior to any morphological changes occurring in the tissue and therefore could offer many possibilities to aid the detection of CRC. The purpose of this review is to look at the current state of diagnostic technology in the United Kingdom. The development of Raman spectroscopy and SERS in clinical applications relation for CRC will then be discussed. Finally, future areas of research of Raman/SERS as a clinical tool for the diagnosis of CRC are also discussed. PMID:27190582

  12. Foreign trade and early industrialisation in the Habsburg Monarchy and the United Kingdom - Two extremes in comparison.

    PubMed

    Gingrich, Simone

    2011-05-15

    The concept of socio-ecological transitions is used to analyse the quantitative importance of physical imports and exports for the Habsburg Empire and the United Kingdom in the 19th and early 20th centuries. For the Habsburg Empire, a new dataset of foreign trade and social metabolism is presented. For the United Kingdom, the analysis relies on previously published data. Foreign trade volumes increased in both countries in the long run. Total trade volumes were much higher in the United Kingdom throughout the entire time period, on average by around a factor four. Physical factors explaining the disparities in structure and volume of foreign trade in the two countries are differences in (1) the temporal patterns of the socio-ecological transition and (2) domestic resource endowments. In both countries, energy carrying materials, i.e. fossil fuels and biomass, were the dominant resources in physical foreign trade. The analysis focuses on the physically most important material groups: coal, wood and cereals, and discusses the role of imports and exports in relation to domestic resource provision and environmental pressures. Physical foreign trade increased at a faster pace than domestic resource extraction and consumption. The socio-ecological transition was thus accompanied by rising international integration of resource supply.

  13. Foreign trade and early industrialisation in the Habsburg Monarchy and the United Kingdom — Two extremes in comparison

    PubMed Central

    Gingrich, Simone

    2011-01-01

    The concept of socio–ecological transitions is used to analyse the quantitative importance of physical imports and exports for the Habsburg Empire and the United Kingdom in the 19th and early 20th centuries. For the Habsburg Empire, a new dataset of foreign trade and social metabolism is presented. For the United Kingdom, the analysis relies on previously published data. Foreign trade volumes increased in both countries in the long run. Total trade volumes were much higher in the United Kingdom throughout the entire time period, on average by around a factor four. Physical factors explaining the disparities in structure and volume of foreign trade in the two countries are differences in (1) the temporal patterns of the socio-ecological transition and (2) domestic resource endowments. In both countries, energy carrying materials, i.e. fossil fuels and biomass, were the dominant resources in physical foreign trade. The analysis focuses on the physically most important material groups: coal, wood and cereals, and discusses the role of imports and exports in relation to domestic resource provision and environmental pressures. Physical foreign trade increased at a faster pace than domestic resource extraction and consumption. The socio–ecological transition was thus accompanied by rising international integration of resource supply. PMID:21760665

  14. A comparison of the information needs of women newly diagnosed with breast cancer in Malaysia and the United kingdom.

    PubMed

    Gopal, Raja Lexshimi Raja; Beaver, Kinta; Barnett, Tony; Ismail, Nik Safiah Nik

    2005-01-01

    Little is known about the information needs of women with breast cancer in non-Western societies. This study examined the priority information needs of 100 women with breast cancer in Malaysia and compared the findings to previous work involving 150 women diagnosed with breast cancer in the United Kingdom. The study used a valid and reliable measure, the Information Needs Questionnaire (INQ). The INQ contained 9 items of information related to physical, psychological, and social care, used successfully in Canada and the United Kingdom. The INQ was shown to have cross-cultural relevance and sensitivity. For Malaysian women, information about likelihood of cure, sexual attractiveness, and spread of disease were the most important information needs. For UK women, similar priorities were evident, apart from the item on sexual attractiveness, which was ranked much lower by women in the United Kingdom. The cultural similarities and differences that emerged from this study have implications for nurses in the cancer field caring for people from a diversity of cultural backgrounds. Breast care nurses are not a feature of the Malaysian healthcare system, although the findings from this study support the view that specialist nurses have a vital role to play in meeting the psychosocial needs of women with breast cancer in non-Western societies.

  15. Social inclusion of the people with mental health issues: Compare international results.

    PubMed

    Santos, Jussara Carvalho Dos; Barros, Sônia; Huxley, Peter John

    2018-06-01

    Social inclusion of people with mental health issues is an aim of the World Health Organisation. Many countries have adopted that objective, including Brazil and the United Kingdom and both have focused treatment in the community. The aim of this article is to compare international results using the same inclusion instrument. The samples in this study were 225 people with mental health issues in community services in São Paulo, Brazil. Their results are compared to findings from 168 people with similar mental health issues in Hong Kong, China, and from the United Kingdom - a nationally representative sample of 212 people without mental health issues. The instrument used to measure a social inclusion called Social and Communities Opportunities Profile (SCOPE) has been validated for use in the United Kingdom, China and Brazil. The results are that people with mental health issues have worse social inclusion when compared to general population. Between the people with mental health issues, the sample of São Paulo has the lowest social inclusion index but, in relation to access to the Brazilian revised mental health services, that sample has a similarly high inclusion rating to the general population of the United Kingdom. Findings are important to understand mental health in the community context, as well as their adversities and potentialities.

  16. The cost-effectiveness of supported employment for adults with autism in the United Kingdom

    PubMed Central

    Megnin-Viggars, Odette; Cheema, Nadir; Howlin, Patricia; Baron-Cohen, Simon; Pilling, Stephen

    2014-01-01

    Adults with autism face high rates of unemployment. Supported employment enables individuals with autism to secure and maintain a paid job in a regular work environment. The objective of this study was to assess the cost-effectiveness of supported employment compared with standard care (day services) for adults with autism in the United Kingdom. Thus, a decision-analytic economic model was developed, which used outcome data from the only trial that has evaluated supported employment for adults with autism in the United Kingdom. The main analysis considered intervention costs, while cost-savings associated with changes in accommodation status and National Health Service and personal social service resource use were examined in secondary analyses. Two outcome measures were used: the number of weeks in employment and the quality-adjusted life year. Supported employment resulted in better outcomes compared with standard care, at an extra cost of £18 per additional week in employment or £5600 per quality-adjusted life year. In secondary analyses that incorporated potential cost-savings, supported employment dominated standard care (i.e. it produced better outcomes at a lower total cost). The analysis suggests that supported employment schemes for adults with autism in the United Kingdom are cost-effective compared with standard care. Further research needs to confirm these findings. PMID:24126866

  17. Projected cancer risks potentially related to past, current, and future practices in paediatric CT in the United Kingdom, 1990-2020.

    PubMed

    Journy, Neige M Y; Lee, Choonsik; Harbron, Richard W; McHugh, Kieran; Pearce, Mark S; Berrington de González, Amy

    2017-01-03

    To project risks of developing cancer and the number of cases potentially induced by past, current, and future computed tomography (CT) scans performed in the United Kingdom in individuals aged <20 years. Organ doses were estimated from surveys of individual scan parameters and CT protocols used in the United Kingdom. Frequencies of scans were estimated from the NHS Diagnostic Imaging Dataset. Excess lifetime risks (ELRs) of radiation-related cancer were calculated as cumulative lifetime risks, accounting for survival probabilities, using the RadRAT risk assessment tool. In 2000-2008, ELRs ranged from 0.3 to 1 per 1000 head scans and 1 to 5 per 1000 non-head scans. ELRs per scan were reduced by 50-70% in 2000-2008 compared with 1990-1995, subsequent to dose reduction over time. The 130 750 scans performed in 2015 in the United Kingdom were projected to induce 64 (90% uncertainty interval (UI): 38-113) future cancers. Current practices would lead to about 300 (90% UI: 230-680) future cancers induced by scans performed in 2016-2020. Absolute excess risks from single exposures would be low compared with background risks, but even small increases in annual CT rates over the next years would substantially increase the number of potential subsequent cancers.

  18. Warnings in the International Event Flow: EFI and ROZ as Threat Indicators

    DTIC Science & Technology

    1976-07-15

    INSTRUCTIONS BEFORE COMPLETING PORN ) RECIPIENT’S CATALOG NUMBCR S TY^E OF «C^OdT * PimoD COVCRtO 7-1-75 to 9-30-76 Technical Report PCft’ORMINC...Kingdom initiated i*.S%, France k%, Poland 5.2%, Czechoslovakia k%, Italy 2.k%, Rumania 1.2%, the Soviet Union 15.91, the United Arab Republic 5.2...being 19.2^). So, too, were the United Arab Republic (3.8| 10 year average) and North Vietnam (6.7%). A little "above par" were the United Kingdom

  19. E. coli O157 outbreaks in the United Kingdom: past, present, and future

    PubMed Central

    Pennington, Thomas Hugh

    2014-01-01

    This review describes Escherichia coli O157 outbreaks in the United Kingdom, beginning from the first, in the 1980s, to those recorded in 2013. We point out that the United Kingdom differs from other countries, particularly the United States, in that it has had a considerable number of outbreaks associated with butchers, but very few caused by contaminated burgers. Two of the butcher-associated outbreaks (in central Scotland in 1996 and South Wales in 2005) were very large and are considered here in detail; the reviewer conducted detailed investigations into both outbreaks. Also considered is the very large outbreak that occurred in visitors to an open farm in Surrey in 2009. Detailed descriptions of some milk-borne outbreaks and incidents connected with camping and childrens’ nurseries have been published, and these are also considered in this review. Large outbreaks in the United Kingdom have sometimes led to policy developments regarding food safety, and these are considered, together with public reactions to them, their health effect, and their value, as examples to follow or eschew in terms of the procedures to be adopted in response to incidents of this kind. Regulatory and legal consequences are also considered. As a wise man said, making predictions is difficult, particularly about the future. This review follows this position but points out that although human infections caused by E. coli O157 are rare in the United Kingdom, their incidence has not changed significantly in the last 17 years. This review points out that although a response to an outbreak is to say “lessons must be learned”, this response has been tempered by forgetfulness. Accordingly, this review restricts its recommendations regarding outbreaks to two: the crucial importance of a rapid response and the importance of experience, and even “gut feeling”, when an inspector is evaluating the safety of a food business. PMID:25187729

  20. Is that dog a pit bull? A cross-country comparison of perceptions of shelter workers regarding breed identification.

    PubMed

    Hoffman, Christy L; Harrison, Natalie; Wolff, London; Westgarth, Carri

    2014-01-01

    Bull breeds are commonly kept as companion animals, but the pit bull terrier is restricted by breed-specific legislation (BSL) in parts of the United States and throughout the United Kingdom. Shelter workers must decide which breed(s) a dog is. This decision may influence the dog's fate, particularly in places with BSL. In this study, shelter workers in the United States and United Kingdom were shown pictures of 20 dogs and were asked what breed each dog was, how they determined each dog's breed, whether each dog was a pit bull, and what they expected the fate of each dog to be. There was much variation in responses both between and within the United States and United Kingdom. UK participants frequently labeled dogs commonly considered by U.S. participants to be pit bulls as Staffordshire bull terriers. UK participants were more likely to say their shelters would euthanize dogs deemed to be pit bulls. Most participants noted using dogs' physical features to determine breed, and 41% affected by BSL indicated they would knowingly mislabel a dog of a restricted breed, presumably to increase the dog's adoption chances.

  1. Is That Dog a Pit Bull? A Cross-Country Comparison of Perceptions of Shelter Workers Regarding Breed Identification

    PubMed Central

    Hoffman, Christy L.; Harrison, Natalie; Wolff, London; Westgarth, Carri

    2014-01-01

    Bull breeds are commonly kept as companion animals, but the pit bull terrier is restricted by breed-specific legislation (BSL) in parts of the United States and throughout the United Kingdom. Shelter workers must decide which breed(s) a dog is. This decision may influence the dog's fate, particularly in places with BSL. In this study, shelter workers in the United States and United Kingdom were shown pictures of 20 dogs and were asked what breed each dog was, how they determined each dog's breed, whether each dog was a pit bull, and what they expected the fate of each dog to be. There was much variation in responses both between and within the United States and United Kingdom. UK participants frequently labeled dogs commonly considered by U.S. participants to be pit bulls as Staffordshire bull terriers. UK participants were more likely to say their shelters would euthanize dogs deemed to be pit bulls. Most participants noted using dogs' physical features to determine breed, and 41% affected by BSL indicated they would knowingly mislabel a dog of a restricted breed, presumably to increase the dog's adoption chances. PMID:24673506

  2. Virus Genomes Reveal the Factors that Spread and Sustained the West African Ebola Epidemic

    DTIC Science & Technology

    2016-08-09

    Highfield, Southampton SO17 1BJ, UK, 4Flowminder Foundation, Stockholm, Sweden, 5Department of Microbiology and Immunology, Rega Institute, KU Leuven...Sierra Leone, 27Institute of Microbiology , Chinese Academy of Sciences, Beijing 100101, China, 28University of Bristol, BS8 1TD, United Kingdom...29Institute of Microbiology and Infection, University of Birmingham, Birmingham B15 2TT, United Kingdom, 30University of Nebraska Medical Center, Omaha

  3. Success Criteria for MIS Implementation and the Use of DSS as a Management Aid in Small Colleges in the United Kingdom. AIR 1986 Annual Forum Paper. Coombe Lodge Femis Paper, Information Bank Number 2106.

    ERIC Educational Resources Information Center

    Gibson, Dudley; Wickham, Derek

    Successful strategies for implementing and operating the Further Education Management Information System (FEMIS) at colleges of further education in the United Kingdom are discussed, along with the development of associated microcomputer-based decision support systems. FEMIS has been targeted at the smaller institutions that do not generally have…

  4. Promoting the Mental Well-Being of Older People from Black and Minority Ethnic Communities in United Kingdom Rural Areas: Findings from an Interview Study

    ERIC Educational Resources Information Center

    Manthorpe, Jill; Moriarty, Jo; Stevens, Martin; Hussein, Shereen; Sharif, Nadira

    2012-01-01

    Drawing from 81 interviews with practitioners in social care and housing with care services in the United Kingdom, this paper explores practice issues in rural areas when supporting the mental health and well-being of older people from Black and minority ethnic groups. The paper begins with a review of the literature which provides evidence that…

  5. External quality assessment of clinical laboratories in the United Kingdom

    PubMed Central

    Whitehead, TP; Woodford, FP

    1981-01-01

    A review is given of the National External Quality Assessment Schemes (NEQASs) in various pathology disciplines in the United Kingdom, with a discussion of the relative roles of the DHSS, individual laboratory scientists, and the relevant professional bodies. Principles of operation and scientific problems in the design of NEQASs in different disciplines are described and contrasted, and some comparisons with the experience in other European countries and the USA are drawn. PMID:7024326

  6. Equality of Opportunity and Vocational Training. Creation and Management of Enterprises by Women. The Situation in the United Kingdom. Rapport National Royaume-Uni. Synthesis Report.

    ERIC Educational Resources Information Center

    May, Annie

    This document contains three reports: (1) a report on women entrepreneurs in the United Kingdom (UK) in English; (2) the same report in French; and (3) a synthesis report of 12 national reports and 4 related reports. The report on women entrepreneurs in the UK includes an introduction, a description of the methodology, five sections of findings,…

  7. Foreign Conversion. An Annex to Adjusting to the Drawdown

    DTIC Science & Technology

    1993-02-01

    words, the firms receiving most of the military contract work in the U.S., France, and the UK tend to produce mainly for the military market , while... market . (There are, of course, significant exceptions in most of these countries.) Figure 2. Defense Industry Diversification UK, France, Germany...industry is owned by the state. -4- THE UNITED KINGDOM The defense industry of the United Kingdom is the second largest of the market economies

  8. Young People's Academic Buoyancy and Adaptability: A Cross-Cultural Comparison of China with North America and the United Kingdom

    ERIC Educational Resources Information Center

    Martin, Andrew J.; Yu, Kai; Ginns, Paul; Papworth, Brad

    2017-01-01

    We investigated academic buoyancy (a response to challenge) and adaptability (a response to change) among a sample of 12-16-year-olds in China (N = 3617) compared with same-aged youth from North America (N = 989) and the United Kingdom (UK; N = 1182). We found that Chinese students reported higher mean levels of buoyancy and adaptability. We also…

  9. CALL in a Climate of Change: Adapting to Turbulent Global Conditions. Short Papers from EUROCALL 2017 (25th, Southampton, United Kingdom, August 23-26, 2017)

    ERIC Educational Resources Information Center

    Borthwick, Kate, Ed.; Bradley, Linda, Ed.; Thouësny, Sylvie, Ed.

    2017-01-01

    The 25th European Association of Computer-Assisted Language Learning (EUROCALL) conference was hosted by Modern Languages and Linguistics at the University of Southampton, in the United Kingdom, from the 23rd to the 26th of August 2017. The theme of the conference was "CALL in a climate of change." The theme encompassed the notion of how…

  10. Life Histories and Learning. Language, the Self and Education. Papers from an Interdisciplinary Residential Conference at the University of Sussex (Brighton, England, United Kingdom, September 19-21, 1994).

    ERIC Educational Resources Information Center

    Hoar, Mary, Comp.; And Others

    These 31 papers illustrate and reflect on the application of autobiographical/life history techniques in research and teaching in higher and adult education institutions in the United Kingdom and from Western and Eastern Europe. The papers are: "Writing and Rewriting Writer Identity" (Aitchison et al.); "In Search of the Meaning of Education"…

  11. Occupational cancer in the United Kingdom.

    PubMed Central

    Coggon, D

    1999-01-01

    Most of the known occupational hazards of cancer have occurred in the United Kingdom. Over recent decades a contraction of manufacturing industry and legal controls on carcinogens have led to reductions in exposure, but cases continue to occur, often as a consequence of exposures 20 or more years ago. By far the most important occupational cause of cancer in the United Kingdom is asbestos, which currently accounts for some 600 cases of mesothelioma and perhaps 100 cases of bronchial carcinoma per year. Recent trends suggest that the number of mesothelioma cases attributable to asbestos will increase over the next few decades. Exposure to sunlight in outdoor work may cause several hundred cases of nonmelanomatous skin cancer per year, and occupational exposure to polycyclic aromatic hydrocarbons could be responsible for a similar number of skin and lung tumors. Other known occupational hazards of cancer are unlikely to account for more than 100 cases per year in total. PMID:10350506

  12. Community intellectual disability nurses' public health roles in the United Kingdom: An exploratory documentary analysis.

    PubMed

    Mafuba, Kay; Gates, Bob; Cozens, Maria

    2018-03-01

    The aim of this study was to explore how public health policy in the United Kingdom was reflected in community intellectual disability nurses' (CIDNs)' job descriptions and person's specifications. The role of CIDNs has evolved due to policy changes. As these roles evolve, job descriptions and person specifications are important in highlighting employer's expectations staff, priorities, and professional values of their employees. This study involved an exploratory documentary analysis of n = 203 CIDNs' job descriptions and person specifications in the context of role theory. The CIDNs' public health roles identified in this study are health education, health protection, health prevention, health surveillance, and health promotion. Key policies themes were intellectual disability health access, public health strategies, policy evaluation/redesign, and public health policy. There is a lack of public health role clarity and inconsistency in role expectations across organizational boundaries in the United Kingdom.

  13. Experiences of Racial Microaggression Among Migrant Nurses in the United Kingdom

    PubMed Central

    Estacio, Emee Vida; Saidy-Khan, Sirandou

    2014-01-01

    In this article, we explore the experiences of racial microaggression among migrant nurses in the United Kingdom. Eleven migrant nurses kept a reflective diary for 6 weeks to record and reflect on their experiences of living and working in the United Kingdom. The diary entries were then thematically analyzed. The results suggest that migrant nurses experienced racial microaggression from patients and colleagues through racial preferences and bullying. Institutional racism also hindered their opportunities for further training and promotion. As a result, some experienced feelings of anger, frustration, and even paranoia. Despite the negative consequences of racial microaggression on their emotional well-being, incidents were downplayed as trivial because of their vague and subtle nature. To encourage better multicultural interactions in the workplace, supportive organizational infrastructures need to be in place to enhance diversity awareness and to improve mechanisms for reporting and dealing with cases of racial microaggression. PMID:28462288

  14. Transcultural stress factors of Japanese mothers living in the United Kingdom.

    PubMed

    Ozeki, Nobuko

    2008-01-01

    The aim of this study was to describe the stressors experienced by Japanese mothers living in the United Kingdom. An ethnomethodological design was used by means of an openended, in-depth interview. Semistructured interviews were conducted with 10 Japanese mothers living in the United Kingdom. Analysis was performed using the KJ (Kawakito Jiro) method, equivalent to content analysis and data reduction. The main stressors were participation in the small hierarchical society of the Japanese business climate, isolation, language and cultural barriers, and raising Japanese children in a British cultural context. Unsatisfactory experiences of childbirth, child rearing, and contacts with medical services were reported. Recognizing cultural differences and the difficulties that may be experienced by Japanese clients is a first step. Resources may be provided to help these clients widen their social contacts and improve communication with providers of health care and education for their children.

  15. Economic and Sociological Correlates of Suicides: Multilevel Analysis of the Time Series Data in the United Kingdom.

    PubMed

    Sun, Bruce Qiang; Zhang, Jie

    2016-03-01

    For the effects of social integration on suicides, there have been different and even contradictive conclusions. In this study, the selected economic and social risks of suicide for different age groups and genders in the United Kingdom were identified and the effects were estimated by the multilevel time series analyses. To our knowledge, there exist no previous studies that estimated a dynamic model of suicides on the time series data together with multilevel analysis and autoregressive distributed lags. The investigation indicated that unemployment rate, inflation rate, and divorce rate are all significantly and positively related to the national suicide rates in the United Kingdom from 1981 to 2011. Furthermore, the suicide rates of almost all groups above 40 years are significantly associated with the risk factors of unemployment and inflation rate, in comparison with the younger groups. © 2016 American Academy of Forensic Sciences.

  16. A comparison of career satisfaction amongst dental healthcare professionals across three health care systems: Comparison of data from the United Kingdom, New Zealand and Trinidad & Tobago

    PubMed Central

    Naidu, Rahul; Newton, J Tim; Ayers, Katie

    2006-01-01

    Background The aim of this study was to compare the expressed levels of career satisfaction of three groups of comparable dental healthcare professionals, working in Trinidad, the United Kingdom and New Zealand. Methods Three questionnaire surveys were carried out of comparable dental healthcare professionals. Dental nurses in Trinidad and dental therapists in the UK and New Zealand. Questionnaires were sent to all registered dental nurses or dental therapists. Results Career satisfaction was lowest amongst Dental Therapists working in Trinidad and Tobago. Approximately 59% of the Therapists working in New Zealand reported stated that they felt they were not a valued member of the dental team, the corresponding proportion in the United Kingdom was 32%, and for Trinidad 39%. Conclusion Dental therapists working in different healthcare systems report different levels of satisfaction with their career. PMID:16536870

  17. What can health care professionals in the United Kingdom learn from Malawi?

    PubMed Central

    Neville, Ron; Neville, Jemma

    2009-01-01

    Debate on how resource-rich countries and their health care professionals should help the plight of sub-Saharan Africa appears locked in a mind-set dominated by gloomy statistics and one-way monetary aid. Having established a project to link primary care clinics based on two-way sharing of education rather than one-way aid, our United Kingdom colleagues often ask us: "But what can we learn from Malawi?" A recent fact-finding visit to Malawi helped us clarify some aspects of health care that may be of relevance to health care professionals in the developed world, including the United Kingdom. This commentary article is focused on encouraging debate and discussion as to how we might wish to re-think our relationship with colleagues in other health care environments and consider how we can work together on a theme of two-way shared learning rather than one-way aid. PMID:19327137

  18. Restaurant Cooking Trends and Increased Risk for Campylobacter Infection.

    PubMed

    Jones, Anna K; Rigby, Dan; Burton, Michael; Millman, Caroline; Williams, Nicola J; Jones, Trevor R; Wigley, Paul; O'Brien, Sarah J; Cross, Paul

    2016-07-01

    In the United Kingdom, outbreaks of Campylobacter infection are increasingly attributed to undercooked chicken livers, yet many recipes, including those of top chefs, advocate short cooking times and serving livers pink. During 2015, we studied preferences of chefs and the public in the United Kingdom and investigated the link between liver rareness and survival of Campylobacter. We used photographs to assess chefs' ability to identify chicken livers meeting safe cooking guidelines. To investigate the microbiological safety of livers chefs preferred to serve, we modeled Campylobacter survival in infected chicken livers cooked to various temperatures. Most chefs correctly identified safely cooked livers but overestimated the public's preference for rareness and thus preferred to serve them more rare. We estimated that 19%-52% of livers served commercially in the United Kingdom fail to reach 70°C and that predicted Campylobacter survival rates are 48%-98%. These findings indicate that cooking trends are linked to increasing Campylobacter infections.

  19. Interim 2001-based national population projections for the United Kingdom and constituent countries.

    PubMed

    Shaw, Chris

    2003-01-01

    This article describes new 2001-based national population projections which were carried out following the publication in September 2002 of the first results of the 2001 Census. These "interim" projections, carried out by the Government Actuary in consultation with the Registrars General, take preliminary account of the results of the Census which showed that the base population used in previous projections was overestimated. The interim projections also incorporate a reduced assumption of net international migration to the United Kingdom, informed by the first results of the 2001 Census and taking account of more recent migration information. The population of the United Kingdom is now projected to increase from an estimated 58.8 million in 2001 to reach 63.2 million by 2026. The projected population at 2026 is about 1.8 million (2.8 per cent) lower than in the previous (2000-based) projections.

  20. Impact of the removal of misleading terms on cigarette pack on smokers' beliefs about 'light/mild' cigarettes: cross-country comparisons.

    PubMed

    Yong, Hua-Hie; Borland, Ron; Cummings, K Michael; Hammond, David; O'Connor, Richard J; Hastings, Gerard; King, Bill

    2011-12-01

    This paper examines how smokers' beliefs about 'light/mild' cigarettes in Australia, Canada and the United Kingdom were affected by the removal of misleading 'light/mild' terms from packs.   The data come from the first seven waves (2002-09) of the International Tobacco Control Policy Evaluation (ITC) Four-Country Survey, an annual cohort telephone survey of adult smokers in Canada, the United States, the United Kingdom and Australia (21 613 individual cases). 'Light' and 'mild' descriptors were removed in 2003 in the United Kingdom, in 2006 in Australia and in 2007 in Canada. We compare beliefs about 'light' cigarettes both before and after the bans, with those of smokers in the United States serving as the control condition.   Smokers' beliefs about 'light' cigarettes were assessed using a set of statements rated on a five-point 'agree'-'disagree' scale.   The proportions of respondents reporting misperceptions about light cigarettes declined between 2002 and 2009 in all four countries. There were marked temporary reductions in reported misperceptions in the United Kingdom and Australia, but not in Canada, following the removal of 'light/mild' descriptors.   Removal of 'light/mild' descriptors and tar, nicotine and carbon monoxide yield information from cigarette packs is insufficient to effectively eliminate false beliefs. The combination of alternative descriptors and design features that produce differences in taste strength and harshness, independent of actual intakes, are sufficient to produce or sustain the same misbeliefs. © 2011 The Authors, Addiction © 2011 Society for the Study of Addiction.

  1. 'You can't stay away from your family': a qualitative study of the ongoing ties and future plans of South African health workers in the United Kingdom.

    PubMed

    Taylor, Katherine; Blacklock, Claire; Hayward, Gail; Bidwell, Posy; Laxmikanth, Pallavi; Riches, Nicholas; Willcox, Merlin; Moosa, Shabir; Mant, David

    2015-01-01

    Migration of African-trained health workers to countries with higher health care worker densities adds to the severe shortage of health personnel in many African countries. Policy initiatives to reduce migration levels are informed by many studies exploring the reasons for the original decision to migrate. In contrast, there is little evidence to inform policies designed to facilitate health workers returning home or providing other forms of support to the health system of their home country. This study explores the links that South African-trained health workers who now live and work in the United Kingdom maintain with their country of training and what their future migration plans may be. Semi-structured interviews were conducted with South African trained health workers who are now living in the United Kingdom. Data extracts from the interviews relating to current links with South Africa and future migration plans were studied. All 16 participants reported strong ongoing ties with South Africa, particularly through active communication with family and friends, both face-to-face and remotely. Being South African was a significant part of their personal identity, and many made frequent visits to South Africa. These visits sometimes incorporated professional activities such as medical work, teaching, and charitable or business ventures in South Africa. The presence and location of family and spouse were of principal importance in helping South African-trained health care workers decide whether to return permanently to work in South Africa. Professional aspirations and sense of duty were also important motivators to both returning and to being involved in initiatives remotely from the United Kingdom. The main barrier to returning home was usually the development of stronger family ties in the United Kingdom than in South Africa. The issues that prompted the original migration decision, such as security and education, also remained important reasons to remain in the United Kingdom as long as they were perceived as unresolved at home. However, the strong residual feeling of identity and regular ongoing communication meant that most participants expressed a sense of duty to their home country, even if they were unlikely to return to live there full-time. This is a resource for training and short-term support that could be utilised to the benefit of African health care systems.

  2. Bovine spongiform encephalopathy: "mad cow disease".

    PubMed

    1996-07-01

    Bovine spongiform encephalopathy (BSE), also known as "mad cow disease," is a fatal brain disease of cattle first recognized in the United Kingdom. In humans, the most common transmissible spongiform encephalopathy is Creutzfeldt-Jacob Disease (CJD). Although no cases of CJD have been directly linked to beef consumption, an advisory committee has reported that 10 recent cases of a CJD variant may be associated with BSE. This announcement has alarmed consumers well beyond the borders of the United Kingdom.

  3. The practical implementation of fatigue requirements to military aircraft and helicopters in the United Kingdom

    NASA Technical Reports Server (NTRS)

    Maxwell, R. D. J.

    1972-01-01

    The methods adopted in the United Kingdom to ensure the structural integrity of military aeroplanes and helicopters from the fatigue point of view are described. The procedure adopted from the writing of the specification to the monitoring of fatigue life in service are presented along with the requirements to be met and the way in which they are satisfied. Some of the outstanding problems that remain to be solved are indicated.

  4. The status of podiatry in the United Kingdom.

    PubMed

    Mandy, Phil

    2008-12-01

    This paper reviews the sources of professional status and analyses these in relation to the podiatry profession in the United Kingdom. It is argued that the nature and act of professional practice and the patient/professional relationship are of particular importance in defining the status of the profession. These effects are discussed in relation to podiatry and compared to a high status professional group, that of dentistry. Finally the effects of attempting to change professional status are discussed.

  5. The Supply and Demand of High Technology Skills in United Kingdom, Norway and Netherlands: A Report from the European Science and Technology Observatory (ESTO).

    ERIC Educational Resources Information Center

    Ekeland, Anders; Tomlinson, Mark

    This document reports a study of the possibility of making indicators of demand and supply of high skilled labor based on the Labor Force Survey (LFS), a data source available in all European countries. Part 1 is a summary of a pilot study of three countries: United Kingdom (UK), Netherlands, and Norway. It concludes LFS is a limited data source…

  6. Plan Representations for Distributed Planning and Execution

    DTIC Science & Technology

    2011-08-01

    Edinburgh AIAI, School of Informatics Appleton Tower, Crichton Street Edinburgh, Scotland, United Kingdom EH8 9LE EOARD GRANT 09-3090...Edinburgh Appleton Tower, Crichton Street Edinburgh, Scotland , United Kingdom EH8 9LE 8. PERFORMING ORGANIZATION REPORT NUMBER N/A...α → abandon α 5 4 pe rf or m in g 8 7 pe rf or m in g → abandon α 6 Figure 14: Abandoning Execution pecially negative effects, e.g. when a robot

  7. The United Kingdom’s Naval Shipbuilding Industrial Base: The Next Fifteen Years

    DTIC Science & Technology

    2005-01-01

    the United Kingdom 71 Lauder College are developing improved procedures for selecting and training craft modern apprentices, as well as programmes...Next 15 Years for the names of the suppliers, information on what they provided, and the amount of money spent on them. We also asked the ship- yards...analysis on all money spent on suppliers; (2) ration- alise the supply base, consolidating contracts where possible (and where this fits the legal

  8. Malaria in the United Kingdom

    PubMed Central

    Bruce-Chwatt, L. J.; Southgate, B. A.; Draper, C. C.

    1974-01-01

    Over the past decade the United Kingdom had the second highest number of cases of imported malaria among European countries. There has been a substantial rise in recorded cases of malaria during the past three years though some of it may be due to improved notification. Fatal cases of malaria in visitors to Africa have averaged 6.5% of reported infections due to Plasmodium falciparum. Attacks of vivax malaria may occur several months after travellers return from a malarious country. PMID:4604717

  9. Cross-Sectional and Longitudinal Relations among Peer-Reported Trustworthiness, Social Relationships, and Psychological Adjustment in Children and Early Adolescents from the United Kingdom and Canada

    ERIC Educational Resources Information Center

    Rotenberg, Ken J.; McDougall, Patricia; Boulton, Michael J.; Vaillancourt, Tracy; Fox, Claire; Hymel, Shelley

    2004-01-01

    Trustworthiness was examined in children and early adolescents from two countries. In Study 1,505 children in the fifth and sixth school years in the United Kingdom (mean age = 9 years 7 months) were tested across an 8-month period. In Study 2,350 sixth- through eighth-grade Canadian children and early adolescents (mean age = 12 years 11 months)…

  10. Projected cancer risks potentially related to past, current, and future practices in paediatric CT in the United Kingdom, 1990–2020

    PubMed Central

    Journy, Neige M Y; Lee, Choonsik; Harbron, Richard W; McHugh, Kieran; Pearce, Mark S; Berrington de González, Amy

    2017-01-01

    Background: To project risks of developing cancer and the number of cases potentially induced by past, current, and future computed tomography (CT) scans performed in the United Kingdom in individuals aged <20 years. Methods: Organ doses were estimated from surveys of individual scan parameters and CT protocols used in the United Kingdom. Frequencies of scans were estimated from the NHS Diagnostic Imaging Dataset. Excess lifetime risks (ELRs) of radiation-related cancer were calculated as cumulative lifetime risks, accounting for survival probabilities, using the RadRAT risk assessment tool. Results: In 2000–2008, ELRs ranged from 0.3 to 1 per 1000 head scans and 1 to 5 per 1000 non-head scans. ELRs per scan were reduced by 50–70% in 2000–2008 compared with 1990–1995, subsequent to dose reduction over time. The 130 750 scans performed in 2015 in the United Kingdom were projected to induce 64 (90% uncertainty interval (UI): 38–113) future cancers. Current practices would lead to about 300 (90% UI: 230–680) future cancers induced by scans performed in 2016–2020. Conclusions: Absolute excess risks from single exposures would be low compared with background risks, but even small increases in annual CT rates over the next years would substantially increase the number of potential subsequent cancers. PMID:27824812

  11. A Cross-Sectional Study on Attitudes to and Understanding of Risk of Acquisition of HIV: Design, Methods and Participant Characteristics

    PubMed Central

    Speakman, Andrew; Phillips, Andrew N; Lampe, Fiona C; Miltz, Ada; Gilson, Richard; Asboe, David; Nwokolo, Nneka; Scott, Christopher; Day, Sara; Clarke, Amanda; Anderson, Jane; O'Connell, Rebecca; Apea, Vanessa; Dhairyawan, Rageshri; Gompels, Mark; Farazmand, Paymaneh; Allan, Sris; Mann, Susan; Dhar, Jyoti; Tang, Alan; Sadiq, S Tariq; Taylor, Stephen; Collins, Simon; Sherr, Lorraine; Hart, Graham; Johnson, Anne M; Miners, Alec; Elford, Jonathan; Rodger, Alison

    2016-01-01

    Background The annual number of new human immunodeficiency virus (HIV) infections in the United Kingdom among men who have sex with men (MSM) has risen, and remains high among heterosexuals. Increasing HIV transmission among MSM is consistent with evidence of ongoing sexual risk behavior in this group, and targeted prevention strategies are needed for those at risk of acquiring HIV. Objective The Attitudes to and Understanding of Risk of Acquisition of HIV (AURAH) study was designed to collect information on HIV negative adults at risk of HIV infection in the United Kingdom, based on the following parameters: physical and mental health, lifestyle, patterns of sexual behaviour, and attitudes to sexual risk. Methods Cross-sectional questionnaire study of HIV negative or undiagnosed sexual health clinic attendees in the United Kingdom from 2013-2014. Results Of 2630 participants in the AURAH study, 2064 (78%) were in the key subgroups of interest; 580 were black Africans (325 females and 255 males) and 1484 were MSM, with 27 participants belonging to both categories. Conclusions The results from AURAH will be a significant resource to understand the attitudes and sexual behaviour of those at risk of acquiring HIV within the United Kingdom. AURAH will inform future prevention efforts and targeted health promotion initiatives in the HIV negative population. PMID:27091769

  12. Incidental non-benign gallbladder histopathology after cholecystectomy in an United Kingdom population: Need for routine histological analysis?

    PubMed Central

    Patel, Krashna; Dajani, Khaled; Iype, Satheesh; Chatzizacharias, Nikolaos A; Vickramarajah, Saranya; Singh, Prateush; Davies, Susan; Brais, Rebecca; Liau, Siong S; Harper, Simon; Jah, Asif; Praseedom, Raaj K; Huguet, Emmanuel L

    2016-01-01

    AIM To analyse the range of histopathology detected in the largest published United Kingdom series of cholecystectomy specimens and to evaluate the rational for selective histopathological analysis. METHODS Incidental gallbladder malignancy is rare in the United Kingdom with recent literature supporting selective histological assessment of gallbladders after routine cholecystectomy. All cholecystectomy gallbladder specimens examined by the histopathology department at our hospital during a five year period between March 2008 and March 2013 were retrospectively analysed. Further data was collected on all specimens demonstrating carcinoma, dysplasia and polypoid growths. RESULTS The study included 4027 patients. The majority (97%) of specimens exhibited gallstone or cholecystitis related disease. Polyps were demonstrated in 44 (1.09%), the majority of which were cholesterol based (41/44). Dysplasia, ranging from low to multifocal high-grade was demonstrated in 55 (1.37%). Incidental primary gallbladder adenocarcinoma was detected in 6 specimens (0.15%, 5 female and 1 male), and a single gallbladder revealed carcinoma in situ (0.02%). This large single centre study demonstrated a full range of gallbladder disease from cholecystectomy specimens, including more than 1% neoplastic histology and two cases of macroscopically occult gallbladder malignancies. CONCLUSION Routine histological evaluation of all elective and emergency cholecystectomies is justified in a United Kingdom population as selective analysis has potential to miss potentially curable life threatening pathology. PMID:27830040

  13. Does smoke-free Ireland have more smoking inside the home and less in pubs than the United Kingdom? Findings from the international tobacco control policy evaluation project.

    PubMed

    Hyland, Andrew; Higbee, Cheryl; Hassan, Louise; Fong, Geoffrey T; Borland, Ron; Cummings, K Michael; Hastings, Gerard

    2008-02-01

    In March 2004, Ireland implemented comprehensive smoke-free regulations. Some were concerned this would cause pub patrons to move their smoking and drinking from inside pubs to inside homes. This article aims to assess whether nationwide smoke-free policies are associated with more smoking or drinking inside the home. Participants were 1917 adult smokers (> 18-years old) from Ireland (n = 582), Scotland (n = 507) and the rest of the United Kingdom (n = 828), which did not have smoke-free laws at the time of the interview, who completed a random digit-dialed telephone survey in February to March 2006. The percentage of alcoholic drinks consumed in the home versus pubs was compared by country as well as the percentage of daily cigarette consumption occurring in the home after work. Irish respondents reported a significantly lower percentage of alcoholic drinks consumed in the home compared to Scotland and the rest of the United Kingdom, and cigarette consumption in the home was comparable in all three regions. Smoking and drinking in the home was not greater in smoke-free Ireland than in the United Kingdom, where there was not a smoke-free law at the time of the survey. These findings add further support to the enactment of comprehensive smoke-free laws, as called for in the Framework Convention on Tobacco Control.

  14. Empowerment of nursing students in the United Kingdom and Japan: a cross-cultural study.

    PubMed

    Bradbury-Jones, Caroline; Irvine, Fiona; Sambrook, Sally

    2007-08-01

    This paper is a report of a study to explore the phenomenon of empowerment cross-culturally by comparing the situations in which nursing students from the United Kingdom and Japan experienced empowerment and disempowerment in clinical practice. Empowerment has been the focus of many studies, but most focus on the experience of Registered Nurses and few have explored the phenomenon cross-culturally. This was a cross-cultural, comparative study using the critical incident technique. Anonymous written data were collected from nursing students in Japan and United Kingdom between November 2005 and January 2006. Japanese data were translated and back-translated. Analysis of the transcripts revealed three themes: Learning in Practice, Team Membership, Power. Nursing students in these countries are exposed to different educational and clinical environments, but their experiences of empowerment and disempowerment are similar. For both, learning in practice, team membership and power are associated with either empowerment or disempowerment; depending on the context. United Kingdom students are aware of the importance of acting as patient advocates, although they cannot always find the voice to perform this. Japanese students however, appear to be unaware of the concept of advocacy. Student nurse empowerment may transcend cultural differences, and learning in practice, team membership and power may be important for the empowerment of nursing students globally. Further cross-cultural exploration is required into the association between advocacy and empowerment.

  15. Cataract surgery in the United Kingdom: a postal survey.

    PubMed

    Olali, Carpi A; Priya, Anita; Gupta, Mohit; Ahmed, Sohail

    2010-01-01

    A postal questionnaire study to evaluate the current practice of cataract surgery delivery in the United Kingdom including strategies for postoperative review was performed. A cataract questionnaire was sent to all hospital departments delivering ophthalmic services in the United Kingdom based on a list from the Royal College of Ophthalmologists. It included questions about the staffing level, number of cases operated on per list, and the different strategies employed postoperatively. The results were statistically analyzed. A total of 248 questionnaires were sent and 106 (43%) replies were received. The mean number of consultant teams was 11 (2-20). The average number of cases per list was 6-7 (range 4-9). In 65 hospitals, all patients are reviewed postoperatively in the hospital and some consultant teams review patients postoperatively in 18 hospitals. In 15 hospitals, patients were seen by the community optician. Most hospitals review their patients postoperatively within the first 3 weeks with more hospitals seeing them at 2-3 weeks. A wide variety of health professionals review the postoperative cases and they include doctors, nurses, and opticians (in house and community). There are varied practices for cataract surgery in the United Kingdom including the number of cases on the list and postoperative review protocols. There is room for better service organization in some hospitals in terms of patient flow and better use of medical staff time to improve output.

  16. Can property values capture changes in environmental health risks? Evidence from a stated preference study in Italy and the United Kingdom.

    PubMed

    Guignet, Dennis; Alberini, Anna

    2015-03-01

    Hedonic models are a common nonmarket valuation technique, but, in practice, results can be affected by omitted variables and whether homebuyers respond to the assumed environmental measure. We undertake an alternative stated preference approach that circumvents these issues. We examine how homeowners in the United Kingdom and Italy value mortality risk reductions by asking them to choose among hypothetical variants of their home that differ in terms of mortality risks from air pollution and price. We find that Italian homeowners hold a value of a statistical life (VSL) of €6.4 million, but U.K. homeowners hold a much lower VSL (€2.1 million). This may be because respondents in the United Kingdom do not perceive air pollution where they live to be as threatening, and actually live in cities with relatively low air pollution. Italian homeowners value a reduction in the risk of dying from cancer more than from other causes, but U.K. respondents do not hold such a premium. Lastly, respondents who face higher baseline risks, due to greater air pollution where they live, hold a higher VSL, particularly in the United Kingdom. In both countries, the VSL is twice as large among individuals who perceive air pollution where they live as high. © 2014 Society for Risk Analysis.

  17. The proposed changes for DSM-5 for SLD and ADHD: international perspectives--Australia, Germany, Greece, India, Israel, Italy, Spain, Taiwan, United Kingdom, and United States.

    PubMed

    Al-Yagon, Michal; Cavendish, Wendy; Cornoldi, Cesare; Fawcett, Angela J; Grünke, Matthias; Hung, Li-Yu; Jiménez, Juan E; Karande, Sunil; van Kraayenoord, Christina E; Lucangeli, Daniela; Margalit, Malka; Montague, Marjorie; Sholapurwala, Rukhshana; Sideridis, Georgios; Tressoldi, Patrizio E; Vio, Claudio

    2013-01-01

    This article presents an international perspective of the proposed changes to the DSM-5 for learning disabilities (LD) and attention-deficit/hyperactivity disorders (ADHD) across ten countries: Australia, Germany, Greece, India, Israel, Italy, Spain, Taiwan, the United Kingdom, and the United States. We provide perspectives of the present situation for youth with LD and youth with ADHD and describe the legislation, prevalence rates, and educational systems that serve students with disabilities in the respective countries. We also present a discussion of the expected impact of the proposed changes for the diagnosis of LD and ADHD in each country.

  18. Technology-based innovation for independent living: policy and innovation in the United Kingdom, Scandinavia, and the United States.

    PubMed

    Berridge, Clara; Furseth, Peder Inge; Cuthbertson, Richard; Demello, Steven

    2014-01-01

    Interest in utilizing technology to help older adults remain living at home is growing; however, uptake remains low. We present a conceptual framework for understanding independent living technology innovation within health and social services. Public policy and innovation in the United States, the United Kingdom, and Scandinavia are profiled as case studies. In all profiled countries, independent living technology is more rapidly advancing than associated state policy, regulation, and payment systems. The findings from this comparative analysis reveal areas for further exploration, including policy subsystem environments in which technologies and services are regulated, as well as trends and desires of older adults and their caregivers within particular cultural contexts.

  19. Case-control study of prostatic cancer in employees of the United Kingdom Atomic Energy Authority.

    PubMed Central

    Rooney, C; Beral, V; Maconochie, N; Fraser, P; Davies, G

    1993-01-01

    OBJECTIVE--To investigate the relation between risk of prostatic cancer and occupational exposures, especially to radionuclides, in employees of the United Kingdom Atomic Energy Authority. DESIGN--Case-control study of men with prostatic cancer and matched controls. Information about sociodemographic factors and exposures to radionuclides and other substances was abstracted and classified for each subject from United Kingdom Atomic Energy Authority records without knowledge of who had cancer. SUBJECTS--136 men with prostatic cancer diagnosed between 1946 and 1986 and 404 matched controls, all employees of United Kingdom Atomic Energy Authority. MAIN OUTCOME MEASURES--Documented or possible contamination with specific radionuclides. RESULTS--Risk of prostatic cancer was significantly increased in men who were internally contaminated with or who worked in environments potentially contaminated by tritium, chromium-51, iron-59, cobalt-60, or zinc-65. Internal contamination with at least one of the five radionuclides was detected in 14 men with prostatic cancer (10%) and 12 controls (3%) (relative risk 5.32 (95% confidence interval 1.87 to 17.24). Altogether 28 men with prostatic cancer (21%) and 46 controls (11%) worked in environments potentially contaminated by at least one of the five radionuclides (relative risk 2.36 (1.26 to 4.43)); about two thirds worked at heavy water reactors (19 men with prostatic cancer and 32 controls (relative risk 2.13 (1.00 to 4.52)). Relative risk of prostatic cancer increased with increasing duration of work in places potentially contaminated by these radionuclides and with increasing level of probable contamination. Prostatic cancer was not associated with exposure to plutonium, uranium, cadmium, boron, beryllium, or organic or inorganic chemicals. CONCLUSIONS--Risk of prostatic cancer risk was increased in United Kingdom Atomic Energy Authority workers who were occupationally exposed to tritium, 51Cr, 59Fe, 60Co, or 65Zn. Exposure to these radionuclides was infrequent, and their separate effects could not be evaluated. PMID:8274891

  20. Joseph S. Weiner and the foundation of post-WW II human biology in the United Kingdom.

    PubMed

    Little, Michael A; Collins, Kenneth J

    2012-01-01

    Both the United States and the United Kingdom experienced a transformation in the science of physical anthropology from the period before World War II until the post-war period. In the United States, Sherwood L. Washburn is credited with being a leading figure in this transformation. In the United Kingdom, two individuals were instrumental in bringing about a similar change in the profession. These were Joseph S. Weiner at the University of Oxford and Nigel Barnicot at the University of London, with Weiner playing the principal role as leader in what Washburn called the "New Physical Anthropology," that is, the application of evolutionary theory, the de-emphasis on race classification, and the application of the scientific method and experimental approaches to problem solving. Weiner's contributions to physical anthropology were broad-based--climatic and work physiology, paleoanthropology, and human variation--in what became known as human biology in the U.K. and human adaptability internationally. This biographical essay provides evidence for the significant influence of J.S. Weiner on the post-war development of human biology (biological or physical anthropology) inthe U.K. Copyright © 2012 Wiley Periodicals, Inc.

  1. Teaching Taxonomy: How Many Kingdoms?

    ERIC Educational Resources Information Center

    Case, Emily

    2008-01-01

    Taxonomy, the identification, naming, and classification of living things, is an indispensable unit in any biology curriculum and indeed, an integral part of biological science. Taxonomy catalogues life's diversity and is an essential tool for communication. Textbook discussions of taxonomy range anywhere from three to eight domains of kingdoms.…

  2. An Investigation into the Feasibility of Using Risk Assessment Methodology for Licensing Explosives Handling Ports

    DTIC Science & Technology

    1992-08-01

    Executive Magdalen House Stanley Precinct, Bootle Merseyside L20 3QZ United Kingdom P. A. MORETON SRD of AEA Technology Wigshaw Lane Culcheth...Cheshire WA3 4NE United Kingdom INTRODUCTION The system of control imposed on explosives movements through ports in Great Britain is based on...regulations). Regulation 7 of CIMAH requires a person in control of a ’top-tier’ industrial activity to submit to the HSE a written safety report. Such a

  3. Non-fatal case of Crimean-Congo haemorrhagic fever imported into the United Kingdom (ex Bulgaria), June 2014.

    PubMed

    Lumley, S; Atkinson, B; Dowall, Sd; Pitman, Jk; Staplehurst, S; Busuttil, J; Simpson, Aj; Aarons, Ej; Petridou, C; Nijjar, M; Glover, S; Brooks, Tj; Hewson, R

    2014-07-31

    Crimean-Congo haemorrhagic fever (CCHF) was diagnosed in a United Kingdom traveller who returned from Bulgaria in June 2014. The patient developed a moderately severe disease including fever, headaches and petechial rash. CCHF was diagnosed following identification of CCHF virus (CCHFV) RNA in a serum sample taken five days after symptom onset. Sequence analysis of the CCHFV genome showed that the virus clusters within the Europe 1 clade, which includes viruses from eastern Europe.

  4. Lakenheath, United Kingdom. Revised Uniform Summary of Surface Weather Observations (RUSSWO). Parts A-F.

    DTIC Science & Technology

    1984-03-01

    035831625 N 52 24 E 000 34 ELEV 32 FT EGUL PARTS A-F HOURS 5UM04RIZEDs OOOOZ - 230OZ 06 aR IERIOD OF RECORD: HOURLY OBSERVATIONSt JUN 73 - MAY 83 SIM4&R! OF...Summary of Surface Weather Observations (RUSSWO)- Lakenheath- Final rept. United Kingdom. S. PERFORMING ORG. REPORT NUMBER 7. AUTHOR( e ) S. CONTRACT...Ceiling Versus Visibility; Sky Cover; ( E ) Psychr metric SECURITY CLASSIFICATION OF THIS PAGE(When Date Entered) 19. Percentqge frequency of distribution

  5. Developments in medical law in the United Kingdom in 2005 and 2006.

    PubMed

    Gertz, Renate; Harmon, Shawn; Laurie, Graeme; Pradella, Geoff

    2006-06-01

    This article highlights and summarises the key developments in medical law in the jurisdictions of the United Kingdom in 2005 and to April 2006. Topics are mental health and mental capacity, data protection, freedom of information and the impact on health data, the Human Tissue Act, genetic research databanks, Human Fertilisation and Embryology Act--Review of the legislation, consultations and related case law, developments in embryo and embryonic stem cell research, clinical trials and human subject research, medical futility, and physician assisted dying.

  6. Investigating the Predictive Validity of "TOEFL iBT"® Test Scores and Their Use in Informing Policy in a United Kingdom University Setting. "TOEFL iBT"® Research Report. TOEFL iBT-30. ETS Research Report. RR-17-41

    ERIC Educational Resources Information Center

    Harsch, Claudia; Ushloda, Ema; Ladroue, Christophe

    2017-01-01

    The project examined the predictive validity of the "TOEFL iBT"® test with a focus on the relationship between TOEFL iBT scores and students' subsequent academic success in postgraduate studies in one leading university in the United Kingdom, paying specific attention to the role of linguistic preparedness as perceived by students and…

  7. Measles outbreak linked to European B3 outbreaks, Wales, United Kingdom, 2017.

    PubMed

    Currie, Jonny; Davies, Llion; McCarthy, Joanne; Perry, Malorie; Moore, Catherine; Cottrell, Simon; Bowley, Mererid; Williams, Chris; Shankar, Ananda Giri; Stiff, Rhianwen

    2017-10-01

    The United Kingdom achieved interrupted endemic measles transmission for 36 months in 2016. Despite this, ongoing challenges from sporadic measles cases typically imported from abroad remain. We summarise a B3 measles genotype outbreak in south-east Wales occurring between May and September 2017, linked with other European outbreaks, and lessons learnt. Seventeen confirmed cases and one probable case occurred principally in education and healthcare-settings. Six confirmed cases attended healthcare settings when infectious, without being isolated.

  8. Rapid increase in lymphogranuloma venereum in men who have sex with men, United Kingdom, 2003 to September 2015.

    PubMed

    Childs, Tristan; Simms, Ian; Alexander, Sarah; Eastick, Kirstine; Hughes, Gwenda; Field, Nigel

    2015-01-01

    United Kingdom (UK) national data show a sharp increase in diagnoses of lymphogranuloma venereum (LGV) since 2012. Most cases are in men who have sex with men (MSM) living in London, with high rates of co-infection with HIV and other sexually transmitted infections. In light of these data, and the recent finding that one quarter of LGV infections may be asymptomatic, clinicians should be vigilant in testing for LGV, including in asymptomatic HIV-positive MSM.

  9. A Cross-Sectional Survey of Near-Infrared Spectroscopy Use in Pediatric Cardiac ICUs in the United Kingdom, Ireland, Italy, and Germany.

    PubMed

    Hoskote, Aparna U; Tume, Lyvonne N; Trieschmann, Uwe; Menzel, Christoph; Cogo, Paola; Brown, Katherine L; Broadhead, Michael W

    2016-01-01

    Despite the increasing use of near-infrared spectroscopy across pediatric cardiac ICUs, there is significant variability and equipoise with no universally accepted management algorithms. We aimed to explore the use of near-infrared spectroscopy in pediatric cardiac ICUs in the United Kingdom, Ireland, Italy, and Germany. A cross-sectional multicenter, multinational electronic survey of one consultant in each pediatric cardiac ICU. Pediatric cardiac ICUs in the United Kingdom and Ireland (n = 13), Italy (n = 12), and Germany (n = 33). Questionnaire targeted to establish use, targets, protocols/thresholds for intervention, and perceived usefulness of near-infrared spectroscopy monitoring. Overall, 42 of 58 pediatric cardiac ICUs (72%) responded: United Kingdom and Ireland, 11 of 13 (84.6%); Italy, 12 of 12 (100%); and Germany, 19 of 33 (57%, included all major centers). Near-infrared spectroscopy usage varied with 35% (15/42) reporting that near-infrared spectroscopy was not used at all (7/42) or occasionally (8/42); near-infrared spectroscopy use was much less common in the United Kingdom (46%) when compared with 78% in Germany and all (100%) in Italy. Only four units had a near-infrared spectroscopy protocol, and 18 specifically used near-infrared spectroscopy in high-risk patients; 37 respondents believed that near-infrared spectroscopy added value to standard monitoring and 23 believed that it gave an earlier indication of deterioration, but only 19 would respond based on near-infrared spectroscopy data alone. Targets for absolute values and critical thresholds for intervention varied widely between units. The reasons cited for not or occasionally using near-infrared spectroscopy were expense (n = 6), limited evidence and uncertainty on how it guides management (n = 4), difficulty in interpretation, and unreliability of data (n = 3). Amongst the regular or occasional near-infrared spectroscopy users (n = 35), 28 (66%) agreed that a multicenter study is warranted to ascertain its use. Although most responding units used near-infrared spectroscopy for high-risk patients, the majority (31/35 [88%]) did not have any protocols or guidelines for intervention. Target thresholds and intervention algorithms are needed to support the use of near-infrared spectroscopy in pediatric cardiac ICUs; an international multicenter study is warranted.

  10. Inappropriate asthma therapy—a tale of two countries: a parallel population-based cohort study

    PubMed Central

    Belhassen, Manon; Nibber, Anjan; Van Ganse, Eric; Ryan, Dermot; Langlois, Carole; Appiagyei, Francis; Skinner, Derek; Laforest, Laurent; Soriano, Joan B; Price, David

    2016-01-01

    Against recurrent controversies around the safety of short- and long-acting β2-agonists (SABA and LABA), and the National Review of Asthma Deaths inquiry in the United Kingdom, we investigated the prevalence of inappropriate therapy in asthma. Our study aimed to determine the prevalence of inappropriate use of asthma therapy in the United Kingdom and in France. Two interval, parallel, population-based cohorts (2007 and 2013) were developed in each country by using the UK OPCRD and the French EGB databases. Patients aged 6–40 years were studied over the 12-month period following inclusion, regarding overuse (⩾12 units) of SABA, use of LABA without inhaled corticosteroids (ICS) and ⩾2-fold higher use of LABA compared with that of ICS. Overall, 39,743 UK and 4,910 French patients were included in 2007, and 14,036 and 5,657 patients, respectively, were included in 2013. UK adults were more frequently exposed to SABA overuse compared with those in France in both periods, with an upward trend in the United Kingdom (P<0.05). In 2013, LABA use without ICS occurred in 0.1% and 1.5% of United Kingdom and French adults, respectively. Unbalanced use of LABA relative to ICS became marginal in both countries in 2013. Inappropriate use of therapy was less marked, but present, in children. Inappropriate therapy remains a common issue in asthma. Based on our figures, it may be estimated that >210,000 British and >190,000 French asthmatics aged 6–40 years were inappropriately treated in 2013. PMID:27735927

  11. Inappropriate asthma therapy-a tale of two countries: a parallel population-based cohort study.

    PubMed

    Belhassen, Manon; Nibber, Anjan; Van Ganse, Eric; Ryan, Dermot; Langlois, Carole; Appiagyei, Francis; Skinner, Derek; Laforest, Laurent; Soriano, Joan B; Price, David

    2016-10-13

    Against recurrent controversies around the safety of short- and long-acting β 2 -agonists (SABA and LABA), and the National Review of Asthma Deaths inquiry in the United Kingdom, we investigated the prevalence of inappropriate therapy in asthma. Our study aimed to determine the prevalence of inappropriate use of asthma therapy in the United Kingdom and in France. Two interval, parallel, population-based cohorts (2007 and 2013) were developed in each country by using the UK OPCRD and the French EGB databases. Patients aged 6-40 years were studied over the 12-month period following inclusion, regarding overuse (⩾12 units) of SABA, use of LABA without inhaled corticosteroids (ICS) and ⩾2-fold higher use of LABA compared with that of ICS. Overall, 39,743 UK and 4,910 French patients were included in 2007, and 14,036 and 5,657 patients, respectively, were included in 2013. UK adults were more frequently exposed to SABA overuse compared with those in France in both periods, with an upward trend in the United Kingdom (P<0.05). In 2013, LABA use without ICS occurred in 0.1% and 1.5% of United Kingdom and French adults, respectively. Unbalanced use of LABA relative to ICS became marginal in both countries in 2013. Inappropriate use of therapy was less marked, but present, in children. Inappropriate therapy remains a common issue in asthma. Based on our figures, it may be estimated that >210,000 British and >190,000 French asthmatics aged 6-40 years were inappropriately treated in 2013.

  12. Quality of doctoral nursing education in the United Kingdom: exploring the views of doctoral students and staff based on a cross-sectional questionnaire survey.

    PubMed

    McKenna, Hugh; Keeney, Sinead; Kim, Mi Ja; Park, Chang Gi

    2014-07-01

    To evaluate the quality of doctoral education in nursing in the United Kingdom. In recent decades, doctoral education programmes in nursing are increasing worldwide. There are many reasons for this and concerns have been raised regarding the quality of provision in and across countries. To date, the quality of doctoral education on a global level has not been reported in the literature. This United Kingdom study is part of a seven country investigation into the quality of doctoral education in nursing (Australia, Japan, Korea, South Africa, Thailand, United Kingdom and United States of America). A quantitative study using a cross-sectional comparative survey design. An online survey was administered to collect the views of doctoral students and staff members on four domains: programme, faculty/staff, resource and evaluation. The study was carried out between 2010-2012. In most cases, staff perceived these more positively than students and the differences in perception were often statistically significant. Interestingly, many students rated the quality of supervision as excellent, whereas no staff member rated supervision this highly. The crucial importance of resources was confirmed in the path analysis of the four Quality of Doctoral Nursing Education domains. This demonstrates that investment in resources is much more cost-effective than investment in the other domains in relation to improving the overall quality of doctoral education in nursing. This study has wide-ranging implications for how the quality of doctoral education is monitored and enhanced. © 2013 John Wiley & Sons Ltd.

  13. Unexpected diversity of sandflies (Diptera: Psychodidae) in tourist caves in Northern Thailand.

    PubMed

    Sukantamala, Jedsada; Sing, Kong-Wah; Jaturas, Narong; Polseela, Raxsina; Wilson, John-James

    2017-11-01

    Certain species of Phlebotomine sandflies (Diptera: Psychodidae) are vectors of the protozoa which causes leishmaniasis. Sandflies are found breeding in enclosed places like caves. Thailand is a popular tourist destination, including for ecotourism activities like caving, which increases the risk of contact between tourists and sandflies. Surveillance of sandflies is important for monitoring this risk but identification of species based on morphology is challenged by phenotypic plasticity and cryptic diversity. DNA barcodes have been used for the identification of sandflies in Thailand. We collected sandflies using CDC light trap from four tourist caves in Northern Thailand. Female sandflies were provisionally sorted into 13 morphospecies and 19 unidentified specimens. DNA was extracted from the thorax and legs of sandflies and the DNA barcode region of cytochrome c oxidase I mtDNA amplified and sequenced. The specimens were sorted into 22 molecular operational taxonomic units (MOTU) based on the 145 DNA barcodes, which is significantly more than the morphospecies. Several of the taxa thought to be present in multiple caves, based on morphospecies sorting, split into cave-specific MOTU which likely represent cryptic species. Several MOTU reported in an earlier study from Wihan Cave, Thailand, were also found in these caves. This supports the use of DNA barcodes to investigate species diversity of sandflies and their useful role in surveillance of sandflies in Thailand.

  14. Caribbean Tourism.

    ERIC Educational Resources Information Center

    Prosser, Robert

    1983-01-01

    Describes a teaching unit which explores the concept of development in a study of the Caribbean tourist industry. Intended for use by high school students, its purpose is to make students aware that development must not be equated with economic growth alone and that tourism brings both costs and benefits. (CS)

  15. Tuberculosis Among Temporary Visa Holders Working in the Tourism Industry - United States, 2012-2014.

    PubMed

    Weinberg, Meghan P; Cherry, Cara; Lipnitz, Julie; Nienstadt, Linus; King-Todd, April; Haddad, Maryam B; Russell, Michelle; Wong, David; Davidson, Peter; McFadden, Jevon; Miller, Corinne

    2016-03-25

    Tuberculosis (TB) is a contagious bacterial disease of global concern. During 2013, an estimated nine million incident TB cases occurred worldwide (1). The majority (82%) were diagnosed in 22 countries, including South Africa and the Philippines, where annual incidence was 860 TB cases per 100,000 persons and 292 TB cases per 100,000 persons, respectively (1). The 2013 TB incidence in the United States was three cases per 100,000 persons (2). Under the Immigration and Nationality Act, TB screening is required for persons seeking permanent residence in the United States (i.e., immigrants and refugees), but it is not routinely required for nonimmigrants who are issued temporary visas for school or work (3). A portion of the U.S. tourism industry relies on temporary visa holders to accommodate seasonal and fluctuating demand for service personnel (4). This report describes three foreign-born persons holding temporary visas who had infectious TB while working at tourist destinations in the United States during 2012-2014. Multiple factors, including dormitory-style housing, transient work patterns, and diagnostic delays might have contributed to increased opportunity for TB transmission. Clinicians in seasonally driven tourist destinations should be aware of the potential for imported TB disease in foreign-born seasonal workers and promptly report suspected cases to health officials.

  16. Continuing medical education and professional revalidation in Europe: five case examples.

    PubMed

    Maisonneuve, Hervé; Matillon, Yves; Negri, Alfonso; Pallarés, Luis; Vigneri, Ricardo; Young, Howard L

    2009-01-01

    Since reliable information is scarce to describe continuing medical education (CME) and revalidation in Europe, we carried out a survey in 5 selected countries (France, Germany, Italy, Spain, and the United Kingdom). A tested questionnaire was sent to 2 experts per country (except in Germany), during August-September 2004. In the analyzed countries medical societies, medical associations, and employers are the main CME providers. Pharmaceutical industry sponsorship accounts on the average for more than 50% of the CME financing in those countries. In all 5 countries, CME accreditation systems exist; the national health authorities and medical associations are mainly responsible for them. In France, Italy, and Germany CME is mandatory; in Spain and the United Kingdom it is voluntary. CME credits/points are mainly used for professional career purposes. Revalidation systems have not been introduced in any of these countries, although in the United Kingdom it is being introduced as part of a relicensing process. Recommendations for the implementation of a European system of CME/CPD harmonization are made by the authors.

  17. Restaurant Cooking Trends and Increased Risk for Campylobacter Infection

    PubMed Central

    Jones, Anna K.; Rigby, Dan; Burton, Michael; Millman, Caroline; Williams, Nicola J.; Jones, Trevor R.; Wigley, Paul; Cross, Paul

    2016-01-01

    In the United Kingdom, outbreaks of Campylobacter infection are increasingly attributed to undercooked chicken livers, yet many recipes, including those of top chefs, advocate short cooking times and serving livers pink. During 2015, we studied preferences of chefs and the public in the United Kingdom and investigated the link between liver rareness and survival of Campylobacter. We used photographs to assess chefs’ ability to identify chicken livers meeting safe cooking guidelines. To investigate the microbiological safety of livers chefs preferred to serve, we modeled Campylobacter survival in infected chicken livers cooked to various temperatures. Most chefs correctly identified safely cooked livers but overestimated the public’s preference for rareness and thus preferred to serve them more rare. We estimated that 19%–52% of livers served commercially in the United Kingdom fail to reach 70°C and that predicted Campylobacter survival rates are 48%–98%. These findings indicate that cooking trends are linked to increasing Campylobacter infections. PMID:27314748

  18. Efficiency of Executive Function: A Two-Generation Cross-Cultural Comparison of Samples From Hong Kong and the United Kingdom.

    PubMed

    Ellefson, Michelle R; Ng, Florrie Fei-Yin; Wang, Qian; Hughes, Claire

    2017-05-01

    Although Asian preschoolers acquire executive functions (EFs) earlier than their Western counterparts, little is known about whether this advantage persists into later childhood and adulthood. To address this gap, in the current study we gave four computerized EF tasks (providing measures of inhibition, working memory, cognitive flexibility, and planning) to a large sample ( n = 1,427) of 9- to 16-year-olds and their parents. All participants lived in either the United Kingdom or Hong Kong. Our findings highlight the importance of combining developmental and cultural perspectives and show both similarities and contrasts across sites. Specifically, adults' EF performance did not differ between the two sites; age-related changes in executive function for both the children and the parents appeared to be culturally invariant, as did a modest intergenerational correlation. In contrast, school-age children and young adolescents in Hong Kong outperformed their United Kingdom counterparts on all four EF tasks, a difference consistent with previous findings from preschool children.

  19. Executive impunity and parallel justice? The United Kingdom debate on secret inquests and inquiries.

    PubMed

    Bray, Rebecca Scott

    2012-03-01

    At the beginning of 2008, the United Kingdom Government rolled into the Counter-Terrorism Bill some controversial proposals to reform coronial inquest processes, namely clauses that would provide for "secret inquests". The provisions were heavily criticised both inside and outside Parliament, and took a rocky passage through both the House of Commons and the House of Lords before eventually being abandoned by the government. In 2009 the government again tried to introduce "secret inquests" with the Coroners and Justice Bill, instead ultimately succeeding in establishing what critics have termed a "parallel" system of justice through provisions around "secret inquiries". This move has been seen as subverting the principles of transparency and open justice in the investigation of contentious deaths. This article examines the government's efforts to introduce "secret inquests" and thereafter "secret inquiries" in the context of the United Kingdom's coronial law and purpose, human rights obligations and the ongoing issues around sensitive intelligence, and examines the clash of laws that gave rise to the controversial proposals.

  20. Analysis of Factors Relating to Companion Rabbits Relinquished to Two United Kingdom Rehoming Centers.

    PubMed

    Ellis, Clare F; McCormick, Wanda; Tinarwo, Ambrose

    2017-01-01

    Rabbits are a common companion animal in the United Kingdom, and some reports have suggested that large numbers are relinquished to rehoming centers each year. This study aimed to investigate the characteristics of rabbits relinquished to 2 UK rehoming centers and explore reasons given for relinquishment. The centers contributed data for all rabbits who entered their center during 2013 (n = 205). Most rabbits (59.5%) were relinquished by a guardian. Similar numbers of males and females were relinquished, and a larger number of rabbits were not neutered (72.4%) and adults (56%). Most rabbits were healthy on arrival (61.5%). The most common reasons for relinquishment were: "too many rabbits/unplanned litters" (30.3%) and "housing problems" (23.8%). Rabbit-related reasons accounted for 12.2% of rabbits relinquished. Reasons for relinquishment were associated with 1 of the recorded rabbit characteristics. Further detailed studies are needed to explore the dynamics of companion rabbit ownership and factors that affect the breakdown of rabbit-guardian relationships in the United Kingdom.

  1. Creutzfeldt-Jakob disease in United Kingdom patients treated with human pituitary growth hormone.

    PubMed

    Swerdlow, A J; Higgins, C D; Adlard, P; Jones, M E; Preece, M A

    2003-09-23

    To investigate risk factors for Creutzfeldt-Jakob disease (CJD) in patients in the United Kingdom treated with human pituitary growth hormone (hGH). Incidence rates of CJD, based on person-year denominators, were assessed in a cohort of 1,848 patients treated with hGH in the United Kingdom from 1959 through 1985 and followed to the end of 2000. CJD developed in 38 patients. Risk of CJD was significantly increased by treatment with hGH prepared by the Wilhelmi method of extraction from human pituitaries. Risk was further raised if this treatment was administered at ages 8 to 10 years. The peak risk of CJD was estimated to occur 20 years after first exposure, and the estimated lifetime cumulative risk of CJD in Wilhelmi-treated patients was 4.5%. Size-exclusion chromatography, used in non-Wilhelmi preparation methods, may prevent CJD infection. Susceptibility to CJD may vary with age, and susceptibility may be present in only a few percent of the population.

  2. Understanding the impact of Hib conjugate vaccine on transmission, immunity and disease in the United Kingdom

    PubMed Central

    McVERNON, J.; RAMSAY, M. E.; McLEAN, A. R.

    2008-01-01

    SUMMARY A rise in invasive Haemophilus influenzae type b (Hib) infections occurred 8 years after vaccine introduction in the United Kingdom. Aspects of Hib vaccine delivery unique to the United Kingdom have been implicated. The authors developed a fully age-structured deterministic susceptible–infected–resistant–susceptible mathematical model, expressed as a set of partial differential equations, to better understand the causes of declining vaccine effectiveness. We also investigated the consequences of the vaccine's impact on reducing Hib transmission for maintenance of immunity. Our findings emphasized the importance of maintaining high post-immunization antibody titres among age groups at greatest risk of invasive infections. In keeping with UK population-based estimates, low direct efficacy of immunological memory against disease was found, cautioning against over-reliance on evidence of priming alone as a correlate of population protection. The contribution of herd immunity to disease control was reinforced. Possible intervention strategies will be explored in subsequent work. PMID:17678559

  3. Microscopy of semiconducting materials

    NASA Astrophysics Data System (ADS)

    Pennycook, S. J.

    1991-04-01

    The purpose of the trip was to present an invited talk at the 7th Oxford Conference on Microscopy of Semiconducting Materials entitled, High-Resolution Z-Contrast Imaging of Heterostructures and Superlattices, (Oxford, United Kingdom) and to visit VG Microscopes, East Grinstead, for discussions on the progress of the Oak Ridge National Laboratory (ORNL) 300-kV high-resolution scanning transmission electron microscope (STEM), which is currently on order. The traveler also visited three other institutions with 100-kV STEMs that either have or intend to purchase the necessary modifications to provide Z-contrast capability similar to that of the existing ORNL machine. Specifically, Max-Planck Institut fuer Metallforschung (Stuttgart, Germany); Cambridge University, Department of Materials Science and Metallurgy (Cambridge, United Kingdom); and Cavendish Laboratory, Cambridge University (Cambridge, United Kingdom) were visited. In addition, discussions were held with C. Humphreys on the possibility of obtaining joint funding for collaborative research involving electron beam writing and Z-contrast imaging in the Cambridge and Oak Ridge STEMs, respectively.

  4. Earth observations taken by the Expedition 14 crew

    NASA Image and Video Library

    2006-10-30

    ISS014-E-06812 (30 Oct. 2006) --- Gibraltar Bay, located near the southernmost tip of the Iberian Peninsula in the western Mediterranean Sea, is featured in this image photographed by an Expedition 14 crewmember on the International Space Station. According to scientists, the famous Rock of Gibraltar that forms the northeastern border of the Bay is formed of Jurassic seafloor sediments that were lithified to form limestone (a rock formed predominantly of the mineral calcite) and subsequently uplifted as a result of collision of the African and Eurasian tectonic plates. The cities of La Linea and Algeciras bordering the Bay -- together with petroleum-processing facilities along the northern Bay shoreline -- are part of Spain, whereas the city of Gibraltar itself (to the west of and including the Rock) is under the jurisdiction of the United Kingdom. The protected waters of the Bay and its proximity to Africa and the Strait of Gibraltar as the gateway between the Atlantic and Mediterranean contribute to the region's past and current strategic and economic importance. Numerous ships and several ship wakes are visible within the Bay; the majority of these are freighters and cargo tankers accessing the petroleum facilities. Ships nearer to the Rock are more likely cruise ships, as Gibraltar is a popular destination for tourists. Partial sunglint within the Bay highlights surface water roughened by winds funneled into the Bay by the surrounding highlands -- one such area is visible directly to the west of La Linea.

  5. I Still Haven't Found What I'm Looking For... Bono, Google and Glaucoma Awareness.

    PubMed

    Lyons, C; Ellard, R; McElnea, E; Townley, D

    2017-05-10

    The effect of celebrity diagnosis on public awareness of health conditions has already been well documented. In October 2014, Bono, the lead singer with U2, revealed publicly for the first time that he has glaucoma. This study aimed to analyze the impact of Bono's announcement on public awareness of glaucoma using Google Search trends as an indicator of public interest in the disease. Google Trends was used to examine Google Search activity for the term 'Glaucoma' between 2009 and 2015 in both Ireland and the United Kingdom. Trend analyses were performed using Microsoft Excel Version 14.3.5. Increased Google Search activity for 'Glaucoma' in October 2014 was found in both Ireland and the United Kingdom. A five-fold increase from the mean Google Search activity for this term was found in Ireland and a two-fold increase from the mean Google Search activity for this term was found in the United Kingdom. No such increase in Google Search activity occurred during each country's 2014 Glaucoma Awareness week. Google Trends is useful in medical research as a means of assessing public awareness of, and/or interest in, health related topics. Current approaches to glaucoma related health promotion in both Ireland and the United Kingdom have failed to yield an increase in on-line Google Search activity. While there was an increase in interest in glaucoma it is unclear whether this led to an increase in health seeking behaviour.

  6. Understanding Revenge Pornography: A National Survey of Police Officers and Staff in England and Wales.

    PubMed

    Bond, Emma; Tyrrell, Katie

    2018-02-01

    Online abuse, facilitated via social media and mobile technologies, has recently attracted considerable academic attention. The nonconsensual sharing of intimate images-revenge pornography-can have a devastating effect on victims, is a global problem, and constitutes interpersonal violence. The national helpline in the United Kingdom has now received over 7,000 calls. In the United Kingdom, new legislation making revenge pornography a crime was introduced in 2014, yet the police do not always respond appropriately to victims. This article presents the findings of a national online survey of police understanding of revenge pornography, undertaken in the United Kingdom in March 2017. The study set out to investigate police knowledge of revenge pornography legislation, their confidence in responding to cases of revenge pornography, and what level of training they had received. A total of 783 members of the police force responded to the survey and, to the authors' knowledge, this the first study to seek to quantify the understanding of revenge pornography by police officers and staff in England and Wales. The findings suggest that the police in the United Kingdom have a limited understanding of revenge pornography legislation and lack confidence both in investigating cases and in effectively responding to victims. The implications of the study demonstrate that there is an urgent need for training across police forces to ensure that cases of revenge pornography are appropriately responded to, victims are safeguarded, and offenders brought to justice.

  7. 200 years of soil carbon nitrogen and phosphorus change across the United Kingdom

    NASA Astrophysics Data System (ADS)

    Tipping, Ed; Quinton, John; Davies, Jessica; Bell, Vicky; Carnell, Ed; Dragosits, Ulli; Muhammed, Shibu; Naden, Pam; Stuart, Marianne; Tomlinson, Sam; Whitmore, Andy; Wu, Lianhai

    2015-04-01

    Human intervention over the last 200 years has resulted in vast changes to the fluxes of nitrogen (N) and phosphorus (P) entering the United Kingdom's landscape. Industrialisation has resulted in N deposition, agricultural intensification has seen widespread use of N and P fertilizers and societal actions have resulted in extensive land use change. To understand the consequences of these anthropogenic inputs for our soils, freshwaters and ecosystems it is necessary to take an integrated long term large scale approach. Integration across the compartments of the critical zone - from atmosphere, plants to soil and stream - is necessary in order to trace the effects of deposition, fertilization, cultivation and land use change. Coherent integration of C, N and P dynamics is also crucial, as biological processes tightly couple these cycles, so that in unison C N and P control the generation of biomass and consequent production of soil organic matter, having knock on effects for dissolved and particulate fluxes and ecosystem function. The Long-Term Large-Scale (LTLS) project is developing an integrated model that simulates the pools and fluxes of carbon, nitrogen and phosphorus (C, N, and P) between atmospheric, vegetation, soil and aquatic systems for the whole of the United Kingdom for a period spanning from the onset of the industrial revolution up until the present day. In this paper we will present results demonstrating the changes in the soil macronutrient cycles in response to agrarian and social change in the United Kingdom over the last 200 years

  8. Predicted shortage of vascular surgeons in the United Kingdom: A matter for debate?

    PubMed

    Harkin, D W; Beard, J D; Shearman, C P; Wyatt, M G

    2016-10-01

    Vascular surgery became a new independent surgical specialty in the United Kingdom (UK) in 2013. In this matter for debate we discuss the question, is there a "shortage of vascular surgeons in the United Kingdom?" We used data derived from the "Vascular Surgery United Kingdom Workforce Survey 2014", NHS Employers Electronic Staff Records (ESR), and the National Vascular Registry (NVR) surgeon-level public report to estimate current and predict future workforce requirements. We estimate there are approximately 458 Consultant Vascular Surgeons for the current UK population of 63 million, or 1 per 137,000 population. In several UK Regions there are a large number of relatively small teams (3 or less) of vascular surgeons working in separate NHS Trusts in close geographical proximity. In developed countries, both the number and complexity of vascular surgery procedures (open and endovascular) per capita population is increasing, and concerns have been raised that demand cannot be met without a significant expansion in numbers of vascular surgeons. Additional workforce demand arises from the impact of population growth and changes in surgical work-patterns with respect to gender, working-life-balance and 7-day services. We predict a future shortage of Consultant Vascular Surgeons in the UK and recommend an increase in training numbers and an expansion in the UK Consultant Vascular Surgeon workforce to accommodate population growth, facilitate changes in work-patterns and to create safe sustainable services. Crown Copyright © 2015. Published by Elsevier Ltd. All rights reserved.

  9. Evolution and Epidemiology of Multidrug-Resistant Klebsiella pneumoniae in the United Kingdom and Ireland

    PubMed Central

    Moradigaravand, Danesh; Martin, Veronique; Peacock, Sharon J.

    2017-01-01

    ABSTRACT Klebsiella pneumoniae is a human commensal and opportunistic pathogen that has become a leading causative agent of hospital-based infections over the past few decades. The emergence and global expansion of hypervirulent and multidrug-resistant (MDR) clones of K. pneumoniae have been increasingly reported in community-acquired and nosocomial infections. Despite this, the population genomics and epidemiology of MDR K. pneumoniae at the national level are still poorly understood. To obtain insights into these, we analyzed a systematic large-scale collection of invasive MDR K. pneumoniae isolates from hospitals across the United Kingdom and Ireland. Using whole-genome phylogenetic analysis, we placed these in the context of previously sequenced K. pneumoniae populations from geographically diverse countries and identified their virulence and drug resistance determinants. Our results demonstrate that United Kingdom and Ireland MDR isolates are a highly diverse population drawn from across the global phylogenetic tree of K. pneumoniae and represent multiple recent international introductions that are mainly from Europe but in some cases from more distant countries. In addition, we identified novel genetic determinants underlying resistance to beta-lactams, gentamicin, ciprofloxacin, and tetracyclines, indicating that both increased virulence and resistance have emerged independently multiple times throughout the population. Our data show that MDR K. pneumoniae isolates in the United Kingdom and Ireland have multiple distinct origins and appear to be part of a globally circulating K. pneumoniae population. PMID:28223459

  10. Developing information systems for the driving tourist : a literature review

    DOT National Transportation Integrated Search

    1996-02-01

    Table of contents: Introduction; General Overview of Tourism; Tourism and the Tourist Role; Travel Motivation and Tourist Preferences; Tourist Health; Social and Cultural Impacts of Tourism; Tourist Information Use and Preferences; and, Scenic Byways...

  11. Potencjał turystyczny województwa zachodniopomorskiego

    NASA Astrophysics Data System (ADS)

    Kubicki, Robert

    2009-01-01

    Tourism is a factor which can significantly influence economical development of regions. Strength of influence depends on number and variety of tourist values. Zachodniopomorskie voivodeship, which is placed in the north-west part of Poland, has good conditions for tourist development. Refering to landscape values there are five tourist regions in Zachodniopomorskie voivodeship: the seaside area, Drawsko Lakeland, Myślibórz Lakeland, Wałcz Lakeland, Wełtyń Lakeland. Besides landscape values it is a tourist arrangement that creates tourist potential in a particular region. To estimate stage of tourist arrangement indirectly, accommodation base and intensity of tourist flows can be analyzed. In the article, using a synthetic measure, estimation of tourist potential in five chosen regions of zachodniopomorskie voivodeship was carried out. This procedure made it possible to divide the regions into a part which fulfill tourist functions (the seaside area) and regions with inconsiderable tourist arrangement (lake districts).

  12. Approaches to Global Education in the United States, The United Kingdom and Japan

    NASA Astrophysics Data System (ADS)

    Fujikane, Hiroko

    2003-03-01

    This paper analyses approaches to global education in the United States, the United Kingdom and Japan. The paper begins by looking at movements that preceded global education, such as education for international understanding, development education, multicultural education, and peace education. The rise and fall of these earlier movements is analysed in terms of the interplay between the international and domestic politics of particular countries. To identify the world views which underpinned these pedagogic forms, the author discusses various discontinuities between the period up to the 1990s and thereafter. It is suggested that fresh forms of global education are emerging in - and because of - the changed world of the late 20th and early 21st century.

  13. 47 CFR 73.788 - Service; commercial or sponsored programs.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... commodity, utility or service, or attraction advertised. (2) In case of advertising a commodity, the... of advertising an international attraction (such as a world fair, resort, spa, etc.) to prospective tourists or visitors to the United States, the oral continuity concerning such attraction is consistent...

  14. Experienced and potential medical tourists' service quality expectations.

    PubMed

    Guiry, Michael; Scott, Jeannie J; Vequist, David G

    2013-01-01

    The paper's aim is to compare experienced and potential US medical tourists' foreign health service-quality expectations. Data were collected via an online survey involving 1,588 US consumers engaging or expressing an interest in medical tourism. The sample included 219 experienced and 1,369 potential medical tourists. Respondents completed a SERVQUAL questionnaire. Mann-Whitney U-tests were used to determine significant differences between experienced and potential US medical tourists' service-quality expectations. For all five service-quality dimensions (tangibles, reliability, responsiveness, assurance and empathy) experienced medical tourists had significantly lower expectations than potential medical tourists. Experienced medical tourists also had significantly lower service-quality expectations than potential medical tourists for 11 individual SERVQUAL items. Results suggest using experience level to segment medical tourists. The study also has implications for managing medical tourist service-quality expectations at service delivery point and via external marketing communications. Managing medical tourists' service quality expectations is important since expectations can significantly influence choice processes, their experience and post-consumption behavior. This study is the first to compare experienced and potential US medical tourist service-quality expectations. The study establishes a foundation for future service-quality expectations research in the rapidly growing medical tourism industry.

  15. Perceptions of a Healthy Diet

    PubMed Central

    Bailey, Regan L.; Denby, Nigel; Haycock, Bryan; Sherif, Katherine; Steinbaum, Suzanne; von Schacky, Clemens

    2015-01-01

    Limited data exist on consumer beliefs and practices on the role of omega-3 fatty acid and vitamin D dietary supplements and health. For this reason, the Global Health and Nutrition Alliance conducted an online survey in 3 countries (n = 3030; United States = 1022, Germany = 1002, United Kingdom = 1006) of a convenience sample of adults (aged 18–66 years) who represented the age, gender, and geographic composition within each country. More than half of the sample (52%) believed they consume all the key nutrients needed for optimal nutrition through food sources alone; fewer women (48%) than men (57%), and fewer middle-aged adults (48%) than younger (18–34 years [56%]) and older (≥55 years [54%]) adults agreed an optimal diet could be achieved through diet alone. Overall, 32% reported using omega-3s (45% in United States, 29% in United Kingdom, and 24% in Germany), and 42% reported using vitamin D dietary supplements (62% in United States, 32% in United Kingdom, and 31% in Germany). Seventy eight percent of the sample agreed that omega-3 fatty acids are beneficial for heart health; however, only 40% thought that their diet was adequate in omega-3 fatty acids. Similarly, 84% agreed that vitamin D was beneficial to overall, and 55% of adults from all countries were unsure or did not think they consume enough vitamin D in their diet. For most findings in our study, US adults reported more dietary supplement use and had stronger perceptions about the health effects of omega-3s and vitamin D than their counterparts in the United Kingdom and Germany. Nevertheless, the consistent findings across all countries were that adults are aware of the importance of nutrition, and most adults believe their diet is optimal for health. Our data serve to alert dietitians and health professionals that consumers may have an elevated sense of the healthfulness of their own diets and may require guidance and education to achieve optimal diets. PMID:26663954

  16. Postgraduate training in orthodontics in the UK

    PubMed Central

    Shah, Anwar Ali; Sandler, Jonathan

    2011-01-01

    This article briefly describes the postgraduate pathways in orthodontics in the United Kingdom. It is hoped that this will assist potential trainees who want to pursue postgraduate training to understand the different career pathways available to them. It may also add to the knowledge of some senior colleagues who can explain these career opportunities to their students, as not all potential trainees will have the opportunity to read this article. In the following pages we will discuss the different pathways leading to specialist qualification in orthodontics, in the United Kingdom. PMID:23960517

  17. Chickenpox, chickenpox vaccination, and shingles

    PubMed Central

    Welsby, P D

    2006-01-01

    Chickenpox in the United Kingdom, where vaccination is not undertaken, has had a stable epidemiology for decades and is a routine childhood illness. Because of vaccination, chickenpox is now a rarity in the USA. In the UK vaccination is not done because introduction of a routine childhood vaccination might drive up the age at which those who are non‐immune get the illness (chickenpox tends to be more severe the older you are), and the incidence of shingles may increase. The United Kingdom is waiting to see what happens in countries where vaccination is routine. PMID:16679476

  18. Increase in Legionnaires’ disease cases associated with travel to Dubai among travellers from the United Kingdom, Sweden and the Netherlands, October 2016 to end August 2017

    PubMed Central

    Dabrera, Gavin; Brandsema, Petra; Lofdahl, Margareta; Naik, Falguni; Cameron, Ross; McMenamin, Jim; Pebody, Richard; Phin, Nick

    2017-01-01

    Between 1 October 2016 and 31 August 2017, 51 Legionnaires’ disease (LD) cases from the United Kingdom, Sweden and the Netherlands were identified with associated travel to Dubai. Cases did not all stay in the same accommodation, indicating that no single accommodation could be the source for all these infections. While local investigations continue into other potential sources, clinicians should remain alert to the possibility of LD among travellers returning from Dubai with respiratory illness. PMID:28935023

  19. Detection of livestock-associated meticillin-resistant Staphylococcus aureus CC398 in retail pork, United Kingdom, February 2015

    PubMed Central

    Hadjirin, N F; Lay, E M; Paterson, G K; Harrison, E M; Peacock, S J; Parkhill, J; Zadoks, R N

    2016-01-01

    Livestock-associated meticillin-resistant Staphylococcus aureus belonging to clonal complex 398 (LA-MRSA CC398) is an important cause of zoonotic infections in many countries. Here, we describe the isolation of LA-MRSA CC398 from retail meat samples of United Kingdom (UK) farm origin. Our findings indicate that this lineage is probably established in UK pig farms and demonstrate a potential pathway for the transmission of LA-MRSA CC398 from livestock to humans in the UK. PMID:26111237

  20. Two bright fireballs over Great Britain

    NASA Astrophysics Data System (ADS)

    Koukal, Jakub; Káčerek, Richard

    2018-02-01

    On November 24, 2017 shortly before midnight and on November 25, 2017 shortly before sunrise, two very bright fireballs lit up the sky over the United Kingdom. The UKMON (United Kingdom Meteor Observation Network) cameras and onboard cameras in the automobiles recorded their flight. The fireballs paths in the Earth's atmosphere were calculated, as well as the orbits of bodies in the Solar System. The flight of both bodies, the absolute magnitude of which approached the brightness of the full Moon, was also observed by numerous random observers from the public in Great Britain, Ireland and France.

  1. Unraveling the Georgian Knot: The United States, Russia, and Georgia and the New Great Game in the Caucasus

    DTIC Science & Technology

    2009-12-01

    the degree of MASTER OF SCIENCE IN DEFENSE ANALYSIS From the NAVAL POSTGRADUATE SCHOOL December 2009 Author: C. Tim...rich agricultural production of wines , alcoholic beverages, and citrus fruits combined with its Black Sea coast tourist industry and black market...This U.S. assistance includes Freedom Support Act (FSA) programs, food aid (United States Department of Agriculture (USDA), Peace Corps, and security

  2. Academic Productivity of Neurosurgeons Working in the United Kingdom: Insights from the H-Index and Its Variants.

    PubMed

    Jamjoom, Aimun A B; Wiggins, A N; Loan, J J M; Emelifeoneu, J; Fouyas, I P; Brennan, P M

    2016-02-01

    Academic metrics can be used to compare the productivity of researchers. We aimed to use a variety of bibliometric parameters to assess the productivity of neurosurgeons working in the United Kingdom. Neurosurgical consultants working in the United Kingdom were identified using the Society of British Neurosurgeons' Audit Programme website. Baseline data collected included year of entry to specialist register, academic position and award of higher degree. Google Scholar was used to compute a range of academic metrics for each consultant including the h-index, hi-norm, e-index and g-index. Non-parametric tests were used to compare median results. Median metrics for the whole cohort were: h-index (5), hi-norm (3), g-index (10.4) and e-index (9). The top 3 units based on h-index were Addenbrookes (13), Great Ormond Street (12.5) and Queen's Square (11.5). The h-index correlated with academic position [Prof (17.5), Senior Lecturer (10.5) and non-academic (5); P < 0.0001], higher degree [PhD (10), MD (6) and none (4.5); P < 0.0001] and consultant experience [> 10 year (7), < 10 years (4); P < 0.0001]. No difference was found based on gender [male (5), female (4); P = 0.12]. The same trends were seen across the following other metrics: hi-norm, e-index and g-index. This study details the academic impact of United Kingdom-based neurosurgeons through the analysis of a number of citation metrics. It provides a benchmark bibliometric profile and we advocate future comparative assessments as a means to assess impact of and guide academic policy. Copyright © 2016 Elsevier Inc. All rights reserved.

  3. Evaluation and Utilization as a Public Health Tool of a National Molecular Epidemiological Tuberculosis Outbreak Database within the United Kingdom from 1997 to 2001

    PubMed Central

    Drobniewski, F. A.; Gibson, A.; Ruddy, M.; Yates, M. D.

    2003-01-01

    The aim of this study was to develop a national model and analyze the value of a molecular epidemiological Mycobacterium tuberculosis DNA fingerprint-outbreak database. Incidents were investigated by the United Kingdom PHLS Mycobacterium Reference Unit (MRU) from June 1997 to December 2001, inclusive. A total of 124 incidents involving 972 tuberculosis cases, including 520 patient cultures from referred incidents and 452 patient cultures related to two population studies, were examined by using restriction fragment length polymorphism IS6110 fingerprinting and rapid epidemiological typing. Investigations were divided into the following three categories, reflecting different operational strategies: retrospective passive analysis, retrospective active analysis, and retrospective prospective analysis. The majority of incidents were in the retrospective passive analysis category, i.e., the individual submitting isolates has a suspicion they may be linked. Outbreaks were examined in schools, hospitals, farms, prisons, and public houses, and laboratory cross-contamination events and unusual clinical presentations were investigated. Retrospective active analysis involved a major outbreak centered on a high school. Contact tracing of a teenager with smear-positive pulmonary tuberculosis matched 14 individuals, including members of his class, and another 60 cases were identified in schools clinically and radiologically and by skin testing. Retrospective prospective analysis involved an outbreak of 94 isoniazid-resistant tuberculosis cases in London, United Kingdom, that began after cases were identified at one hospital in January 2000. Contact tracing and comparison with MRU databases indicated that the earliest matched case had occurred in 1995. Subsequently, the MRU changed to an active prospective analysis targeting linked isoniazid-monoresistant isolates for follow up. The patients were multiethnic, born mainly in the United Kingdom, and included professionals, individuals from the music industry, intravenous drug abusers, and prisoners. PMID:12734218

  4. Evaluation and utilization as a public health tool of a national molecular epidemiological tuberculosis outbreak database within the United Kingdom from 1997 to 2001.

    PubMed

    Drobniewski, F A; Gibson, A; Ruddy, M; Yates, M D

    2003-05-01

    The aim of this study was to develop a national model and analyze the value of a molecular epidemiological Mycobacterium tuberculosis DNA fingerprint-outbreak database. Incidents were investigated by the United Kingdom PHLS Mycobacterium Reference Unit (MRU) from June 1997 to December 2001, inclusive. A total of 124 incidents involving 972 tuberculosis cases, including 520 patient cultures from referred incidents and 452 patient cultures related to two population studies, were examined by using restriction fragment length polymorphism IS6110 fingerprinting and rapid epidemiological typing. Investigations were divided into the following three categories, reflecting different operational strategies: retrospective passive analysis, retrospective active analysis, and retrospective prospective analysis. The majority of incidents were in the retrospective passive analysis category, i.e., the individual submitting isolates has a suspicion they may be linked. Outbreaks were examined in schools, hospitals, farms, prisons, and public houses, and laboratory cross-contamination events and unusual clinical presentations were investigated. Retrospective active analysis involved a major outbreak centered on a high school. Contact tracing of a teenager with smear-positive pulmonary tuberculosis matched 14 individuals, including members of his class, and another 60 cases were identified in schools clinically and radiologically and by skin testing. Retrospective prospective analysis involved an outbreak of 94 isoniazid-resistant tuberculosis cases in London, United Kingdom, that began after cases were identified at one hospital in January 2000. Contact tracing and comparison with MRU databases indicated that the earliest matched case had occurred in 1995. Subsequently, the MRU changed to an active prospective analysis targeting linked isoniazid-monoresistant isolates for follow up. The patients were multiethnic, born mainly in the United Kingdom, and included professionals, individuals from the music industry, intravenous drug abusers, and prisoners.

  5. Assessment of the Microbiological Safety of Precut Fruit from Retail and Catering Premises in the United Kingdom.

    PubMed

    Willis, Caroline; McLauchlin, Jim; Amar, Corinne; Sadler-Reeves, Lorraine; Elviss, Nicola; Aird, Heather; Fox, Andrew; Kaye, Moira

    2016-04-01

    Fresh fruit has been associated with a number of foodborne outbreaks in recent years. In particular, a large outbreak of listeriosis in the United States in 2011 was associated with consumption of cantaloupe melon, and an outbreak of Salmonella Newport in the United Kingdom and Europe (also in 2011) was linked to watermelon consumption. A study of precut fruit products from catering and retail premises in the United Kingdom was, therefore, carried out to assess their microbiological safety. Between January and March 2012, samples (1,188) of ready-to-eat precut fruit were collected from retail and catering premises in the United Kingdom, and 99% were of satisfactory microbiological quality. However, four samples (0.3%) were of an unsatisfactory quality (one with 800 CFU/g Listeria monocytogenes and three with >100 CFU/g Escherichia coli), and five samples (0.4%) were of a borderline quality owing to the presence of E. coli (two samples with a level of 20 CFU/g), Staphylococcus aureus (two samples with levels of >50 CFU/g), or L. monocytogenes (one sample with a level of 80 CFU/g). L. monocytogenes or other Listeria species were detected in a further 54 samples (4.5%) at levels below the threshold considered to be borderline or unsatisfactory. A significantly larger proportion of samples from one national supermarket chain was contaminated with L. monocytogenes than other supermarkets, and two types were, in this study, unique to this supermarket. This study shows that overall, the microbiological quality of ready-to-eat precut fruit was good. However, the presence of Listeria species in 5% of samples highlights the need for good hygiene during preparation and satisfactory temperature and time control during storage of these food products.

  6. [Constrained competition in parallel drug importation: the case of simvastatin in Germany, the Netherlands, and the United Kingdom].

    PubMed

    Costa-Font, Joan; Kanavos, Panos

    2007-01-01

    To examine the effects of parallel simvastatin importation on drug price in three of the main parallel importing countries in the European Union, namely the United Kingdom, Germany, and the Netherlands. To estimate the market share of parallel imported simvastatin and the unit price -both locally produced and parallel imported- adjusted by defined daily dose in the importing country and in the exporting country (Spain). Ordinary least squares regression was used to examine the potential price competition resulting from parallel drug trade between 1997 and 2002. The market share of parallel imported simvastatin progressively expanded (especially in the United Kingdom and Germany) in the period examined, although the price difference between parallel imported and locally sourced simvastatin was not significant. Prices tended to rise in the United Kingdom and Germany and declined in the Netherlands. We found no evidence of pro-competitive effects resulting from the expansion of parallel trade. The development of parallel drug importation in the European Union produced unexpected effects (limited competition) on prices that differ from those expected by the introduction of a new competitor. This is partially the result of drug price regulation scant incentives to competition and of the lack of transparency in the drug reimbursement system, especially due to the effect of informal discounts (not observable to researchers). The case of simvastatin reveals that savings to the health system from parallel trade are trivial. Finally, of the three countries examined, the only country that shows a moderate downward pattern in simvastatin prices is the Netherlands. This effect can be attributed to the existence of a system that claws back informal discounts.

  7. Parental involvement and kangaroo care in European neonatal intensive care units: a policy survey in eight countries.

    PubMed

    Pallás-Alonso, Carmen R; Losacco, Valentina; Maraschini, Alice; Greisen, Gorm; Pierrat, Veronique; Warren, Inga; Haumont, Dominique; Westrup, Björn; Smit, Bert J; Sizun, Jacques; Cuttini, Marina

    2012-09-01

    To compare, in a large representative sample of European neonatal intensive care units, the policies and practices regarding parental involvement and holding babies in the kangaroo care position as well as differences in the tasks mothers and fathers are allowed to carry out. Prospective multicenter survey. Neonatal intensive care units in eight European countries (Belgium, Denmark, France, Italy, The Netherlands, Spain, Sweden, and the United Kingdom). Patients were not involved in this study. None. A structured questionnaire was mailed to 362 units (response rate 78%); only units with ≥50 very-low-birth-weight annual admissions were considered for this study. Facilities for parents such as reclining chairs near the babies' cots, beds, and a dedicated room were common, but less so in Italy and Spain. All units in Sweden, Denmark, the United Kingdom, and Belgium reported encouraging parental participation in the care of the babies, whereas policies were more restrictive in Italy (80% of units), France (73%), and Spain (41%). Holding babies in the kangaroo care position was widespread. However, in the United Kingdom, France, Italy, and Spain, many units applied restrictions regarding its frequency (sometimes or on parents request only, rather than routinely), method (conventional rather than skin-to-skin), and clinical conditions (especially mechanical ventilation and presence of umbilical lines) that would prevent its practice. In these countries, fathers were routinely offered kangaroo care less frequently than mothers (p < .001) and less often it was skin-to-skin (p < .0001). This study showed that, although the majority of units in all countries reported a policy of encouraging both parents to take part in the care of their babies, the intensity and ways of involvement as well as the role played by mothers and fathers varied within and between countries.

  8. Bicentennial Offers Opportunities for Tourism and Good Will.

    ERIC Educational Resources Information Center

    Yellow Bird, Dorreen

    2003-01-01

    Discusses the Tribal Tourism Project at United Tribes Technical College (UTTC), which is preparing for the tourist influx during the Lewis and Clark Bicentennial. Reports that the UTTC is developing economic strategies and employment opportunities for tribes in tourism. Discusses conflict between negative Indian perceptions of Lewis and Clark, and…

  9. 27 CFR 26.163 - General requirements.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ..., DEPARTMENT OF THE TREASURY LIQUORS LIQUORS AND ARTICLES FROM PUERTO RICO AND THE VIRGIN ISLANDS Records and Reports of Liquors From Puerto Rico § 26.163 General requirements. Except as provided in § 26.164, every person, other than a tourist, bringing liquor into the United States from Puerto Rico shall keep records...

  10. 27 CFR 26.163 - General requirements.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ..., DEPARTMENT OF THE TREASURY LIQUORS LIQUORS AND ARTICLES FROM PUERTO RICO AND THE VIRGIN ISLANDS Records and Reports of Liquors From Puerto Rico § 26.163 General requirements. Except as provided in § 26.164, every person, other than a tourist, bringing liquor into the United States from Puerto Rico shall keep records...

  11. 27 CFR 26.163 - General requirements.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ..., DEPARTMENT OF THE TREASURY ALCOHOL LIQUORS AND ARTICLES FROM PUERTO RICO AND THE VIRGIN ISLANDS Records and Reports of Liquors From Puerto Rico § 26.163 General requirements. Except as provided in § 26.164, every person, other than a tourist, bringing liquor into the United States from Puerto Rico shall keep records...

  12. 27 CFR 26.163 - General requirements.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ..., DEPARTMENT OF THE TREASURY LIQUORS LIQUORS AND ARTICLES FROM PUERTO RICO AND THE VIRGIN ISLANDS Records and Reports of Liquors From Puerto Rico § 26.163 General requirements. Except as provided in § 26.164, every person, other than a tourist, bringing liquor into the United States from Puerto Rico shall keep records...

  13. 27 CFR 26.163 - General requirements.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ..., DEPARTMENT OF THE TREASURY ALCOHOL LIQUORS AND ARTICLES FROM PUERTO RICO AND THE VIRGIN ISLANDS Records and Reports of Liquors From Puerto Rico § 26.163 General requirements. Except as provided in § 26.164, every person, other than a tourist, bringing liquor into the United States from Puerto Rico shall keep records...

  14. InterCon Travel Health: Case B

    ERIC Educational Resources Information Center

    Truman, Gregory E.; Pachamanova, Dessislava A.; Goldstein, Michael A.

    2010-01-01

    InterCon provides services to health insurers of foreign tourists who travel to the United States and Canada. Management wants to implement a new information system that will deal with several operational problems, but it is having difficulty securing the capital resources to fund the system's development. After an initial failure, the chief…

  15. The Impact of Levant Basin Oil and Natural Gas Discoveries on Lebanese-Israeli Relations

    DTIC Science & Technology

    2014-12-12

    leak, could pollute Israeli beaches (which are vital to its tourist industry) and even endanger its marine natural life. The Israeli government ...has twelve member countries: Iran, Iraq, Kuwait, Saudi Arabia, Venezuela, Qatar, Libya, the United Arab Emirates, Algeria, Nigeria, Ecuador , and...

  16. Impact of point-of-sale tobacco display bans: findings from the International Tobacco Control Four Country Survey

    PubMed Central

    Li, Lin; Borland, Ron; Fong, Geoffrey T.; Thrasher, James F.; Hammond, David; Cummings, Kenneth M.

    2013-01-01

    This study examined the impact of point-of-sale (POS) tobacco marketing restrictions in Australia and Canada, in relation to the United Kingdom and the United States where there were no such restrictions during the study period (2006–10). The data came from the International Tobacco Control Four Country Survey, a prospective multi-country cohort survey of adult smokers. In jurisdictions where POS display bans were implemented, smokers’ reported exposure to tobacco marketing declined markedly. From 2006 to 2010, in Canada, the percentages noticing POS tobacco displays declined from 74.1 to 6.1% [adjusted odds ratio (OR) = 0.26, P < 0.001]; and reported exposure to POS tobacco advertising decreased from 40.3 to 14.1% (adjusted OR = 0.61, P < 0.001). Similarly, in Australia, noticing of POS displays decreased from 73.9 to 42.9%. In contrast, exposure to POS marketing in the United States and United Kingdom remained high during this period. In parallel, there were declines in reported exposures to other forms of advertising/promotion in Canada and Australia, but again, not in the United States or United Kingdom. Impulse purchasing of cigarettes was lower in places that enacted POS display bans. These findings indicate that implementing POS tobacco display bans does result in lower exposure to tobacco marketing and less frequent impulse purchasing of cigarettes. PMID:23640986

  17. Occupational therapy students' attitudes towards inclusion education in Australia, United Kingdom, United States and Taiwan.

    PubMed

    Mu, Keli; Brown, Ted; Peyton, Claudia G; Rodger, Sylvia; Huang, Yan-Hua; Wu, Chin-Yu; Watson, Callie; Stagnitti, Karen; Hutton, Eve; Casey, Jackie; Hong, Chia Swee

    2010-03-01

    This international, cross-cultural study investigated the attitudes of occupational therapy students from Australia, United Kingdom, United States and Taiwan towards inclusive education for students with disabilities. The possible impact of professional education on students' attitudes was also explored. A total of 485 students from 11 entry-level occupational therapy education programmes from Australia, the United Kingdom, the United States and Taiwan participated in the study. Among them, 264 were freshmen (first-year students) and 221 were seniors (final-year students). Data collected from a custom-designed questionnaire were analysed both quantitatively and qualitatively. In general, the occupational therapy students reported having positive attitudes towards inclusion. Considerable differences, however, existed among the student groups from the four countries. Professional education appeared to have a significant impact on students' attitudes towards inclusion from first year to senior year. Although students were in favour of inclusion, they also cautioned that their support for inclusive practices depended on various factors such as adequate preparation, support and assistance to students with disabilities. Limitations of the study included the small, convenience sample and different degree structures of the participating programmes. Future research studies need to compare occupational therapy students' attitudes with students from other health care professions. A longitudinal study on the impact of the professional education programme on students' attitudes towards inclusive education is warranted.

  18. Impact of point-of-sale tobacco display bans: findings from the International Tobacco Control Four Country Survey.

    PubMed

    Li, Lin; Borland, Ron; Fong, Geoffrey T; Thrasher, James F; Hammond, David; Cummings, Kenneth M

    2013-10-01

    This study examined the impact of point-of-sale (POS) tobacco marketing restrictions in Australia and Canada, in relation to the United Kingdom and the United States where there were no such restrictions during the study period (2006-10). The data came from the International Tobacco Control Four Country Survey, a prospective multi-country cohort survey of adult smokers. In jurisdictions where POS display bans were implemented, smokers' reported exposure to tobacco marketing declined markedly. From 2006 to 2010, in Canada, the percentages noticing POS tobacco displays declined from 74.1 to 6.1% [adjusted odds ratio (OR) = 0.26, P < 0.001]; and reported exposure to POS tobacco advertising decreased from 40.3 to 14.1% (adjusted OR = 0.61, P < 0.001). Similarly, in Australia, noticing of POS displays decreased from 73.9 to 42.9%. In contrast, exposure to POS marketing in the United States and United Kingdom remained high during this period. In parallel, there were declines in reported exposures to other forms of advertising/promotion in Canada and Australia, but again, not in the United States or United Kingdom. Impulse purchasing of cigarettes was lower in places that enacted POS display bans. These findings indicate that implementing POS tobacco display bans does result in lower exposure to tobacco marketing and less frequent impulse purchasing of cigarettes.

  19. A study of the demographic characteristics of domestic tourists.

    PubMed

    Wu, B; Liu, X; Zhao, R

    1996-01-01

    "A sample survey was conducted [in China]: more than 6,000 questionnaires were submitted and retrieved from domestic tourists in Shanghai, Xi'ian, Huangshan, and Huashan in order to provide data for demographic analysis of the special fluid population of tourists. The paper looks at the relationship between tourists' gender, age, income, occupation, education, and family structure, as well as their tourist activity, selection of destinations, shopping, and other tourist behaviors." excerpt

  20. [Recent case law about the right to die].

    PubMed

    Bascuñán R, Antonio

    2016-04-01

    This paper reviews the sentences dictated between 1993 and 2002 by the Supreme Courts of Canada and the Unites States, the House of Lords and Supreme Court of the United Kingdom and the European Human Rights Court, about the validity of the legal prohibition of assistance for suicide. These sentences constituted a judicial consensus about the right to die. This consensus recognized the legal right of patients to reject medical treatments but did not recognize the right to be assisted by a physician to commit suicide. This exclusion is changing in the recent case law of Canada and the United Kingdom, which accepts the fundamental right of terminal patients to medically assisted suicide.

  1. What about a Disability Rights Act for Canada?: Practices and lessons from America, Australia, and the United Kingdom.

    PubMed

    Prince, Michael J

    2010-01-01

    The Harper government and most national political parties are committed to a federal act for dealing with accessibility rights for persons with disabilities. The purpose of this article is to identify progressive lessons from countries with similar legislation for consideration by Canadian authorities. Countries surveyed are the United States, Australia, and the United Kingdom. While disability rights legislation is widely accepted to be a necessary policy initiative in light of ongoing barriers and exclusion, experience suggests that such laws are far from a sufficient response to promote access. Other policy instruments required include supportive employment programs, tax incentives, and the direct provision of basic supports.

  2. International migration to and from the United Kingdom, 1975-1999: consistency, change and implications for the labour market.

    PubMed

    Dobson, J; McLaughlan, G

    2001-01-01

    This article presents some findings of a recent study carried out for the Home Office by the Migration Research Unit (MRU) in the Department of Geography at UCL. The study was concerned with patterns and trends in international migration to and from the United Kingdom since 1975, with a particular focus on those in employment, and drew on many sources. The statistics analysed here derive from the International Passenger Survey, including hitherto unpublished tables provided by the Office for National Statistics on migration of the employed by citizenship. They indicate remarkable consistency in some aspects of migration flows and major change in others.

  3. Ideas for Studying About the United States in Europe.

    ERIC Educational Resources Information Center

    Wright, David

    1986-01-01

    Suggests six activities for teaching United Kingdom students about the United States and vice versa. Ideas include word associations, map and globe work to discover climate and habitation patterns, exchange of student projects, and relevant textbook passages. (JDH)

  4. The Development of Young Children of Immigrants in Australia, Canada, the United Kingdom and the United States

    PubMed Central

    Washbrook, Elizabeth; Waldfogel, Jane; Bradbury, Bruce; Corak, Miles; Ghanghro, Ali Akbar

    2012-01-01

    In spite of important differences in some of the resources immigrant parents have to invest in their children, and in immigrant selection rules and settlement policies, there are significant similarities in the relative positions of four and five year old children of immigrants in Australia, Canada, the United Kingdom, and the United States. Children of immigrants underperform their counterparts with native-born parents in vocabulary tests, particularly if a language other than the official language is spoken at home, but are not generally disadvantaged in nonverbal cognitive domains, nor are there notable behavioral differences. These findings suggest that the cross-country differences in cognitive outcomes during the teen years documented in the existing literature are much less evident during the early years. PMID:22966925

  5. The beliefs in the inheritance of risk factors for suicide scale (BIRFSS): cross-cultural validation in Estonia, Malaysia, Romania, the United Kingdom, and the United States.

    PubMed

    Voracek, Martin; Loibl, Lisa Mariella; Swami, Viren; Vintilă, Mona; Kõlves, Kairi; Sinniah, Dhachayani; Pillai, Subash Kumar; Ponnusamy, Subramaniam; Sonneck, Gernot; Furnham, Adrian; Lester, David

    2008-12-01

    The genetics of suicide is increasingly recognized and relevant for mental health literacy, but actual beliefs may lag behind current knowledge. We examined such beliefs in student samples (total N = 686) from Estonia, Malaysia, Romania, the United Kingdom, and the United States with the Beliefs in the Inheritance of Risk Factors for Suicide Scale. Cultural effects were small, those of key demographics nil. Several facets of construct validity were demonstrated. Marked differences in perceived plausibility of evidence about the genetics of suicide according to research design, observed in all samples, may be of general interest for investigating lay theories of abnormal behavior and communicating behavioral and psychiatric genetic research findings.

  6. Interhospital Transport of Critically Ill Children to PICUs in the United Kingdom and Republic of Ireland: Analysis of an International Dataset.

    PubMed

    Ramnarayan, Padmanabhan; Dimitriades, Konstantinos; Freeburn, Lynsey; Kashyap, Aravind; Dixon, Michaela; Barry, Peter W; Claydon-Smith, Kathryn; Wardhaugh, Allan; Lamming, Caroline R; Draper, Elizabeth S

    2018-06-01

    International data on characteristics and outcomes of children transported from general hospitals to PICUs are scarce. We aimed to 1) describe the development of a common transport dataset in the United Kingdom and Ireland and 2) analyze transport data from a recent 2-year period. Retrospective analysis of prospectively collected data. Specialist pediatric critical care transport teams and PICUs in the United Kingdom and Ireland. Critically ill children less than 16 years old transported by pediatric critical care transport teams to PICUs in the United Kingdom and Ireland. None. A common transport dataset was developed as part of the Paediatric Intensive Care Audit Network, and standardized data were collected from all PICUs and pediatric critical care transport teams from 2012. Anonymized data on transports (and linked PICU admissions) from a 2-year period (2014-2015) were analyzed to describe patient and transport characteristics, and in uni- and multivariate analyses, to study the association between key transport factors and PICU mortality. A total of 8,167 records were analyzed. Transported children were severely ill (median predicted mortality risk 4.4%) with around half being infants (4,226/8,167; 51.7%) and nearly half presenting with respiratory illnesses (3,619/8,167; 44.3%). The majority of transports were led by physicians (78.4%; consultants: 3,059/8,167, fellows: 3,344/8,167). The median time for a pediatric critical care transport team to arrive at the patient's bedside from referral was 85 minutes (interquartile range, 58-135 min). Adverse events occurred in 369 transports (4.5%). There were considerable variations in how transports were organized and delivered across pediatric critical care transport teams. In multivariate analyses, consultant team leader and transport from an intensive care area were associated with PICU mortality (p = 0.006). Variations exist in United Kingdom and Ireland services for critically ill children needing interhospital transport. Future studies should assess the impact of these variations on long-term patient outcomes taking into account treatment provided prior to transport.

  7. Greater accordance with the Dietary Approaches to Stop Hypertension dietary pattern is associated with lower diet-related greenhouse gas production but higher dietary costs in the United Kingdom.

    PubMed

    Monsivais, Pablo; Scarborough, Peter; Lloyd, Tina; Mizdrak, Anja; Luben, Robert; Mulligan, Angela A; Wareham, Nicholas J; Woodcock, James

    2015-07-01

    The Dietary Approaches to Stop Hypertension (DASH) diet is a proven way to prevent and control hypertension and other chronic disease. Because the DASH diet emphasizes plant-based foods, including vegetables and grains, adhering to this diet might also bring about environmental benefits, including lower associated production of greenhouse gases (GHGs). The objective was to examine the interrelation between dietary accordance with the DASH diet and associated GHGs. A secondary aim was to examine the retail cost of diets by level of DASH accordance. In this cross-sectional study of adults aged 39-79 y from the European Prospective Investigation into Cancer and Nutrition-Norfolk, United Kingdom cohort (n = 24,293), dietary intakes estimated from food-frequency questionnaires were analyzed for their accordance with the 8 DASH food and nutrient-based targets. Associations between DASH accordance, GHGs, and dietary costs were evaluated in regression analyses. Dietary GHGs were estimated with United Kingdom-specific data on carbon dioxide equivalents associated with commodities and foods. Dietary costs were estimated by using national food prices from a United Kingdom-based supermarket comparison website. Greater accordance with the DASH dietary targets was associated with lower GHGs. Diets in the highest quintile of accordance had a GHG impact of 5.60 compared with 6.71 kg carbon dioxide equivalents/d for least-accordant diets (P < 0.0001). Among the DASH food groups, GHGs were most strongly and positively associated with meat consumption and negatively with whole-grain consumption. In addition, higher accordance with the DASH diet was associated with higher dietary costs, with the mean cost of diets in the top quintile of DASH scores 18% higher than that of diets in the lowest quintile (P < 0.0001). Promoting wider uptake of the DASH diet in the United Kingdom may improve population health and reduce diet-related GHGs. However, to make the DASH diet more accessible, food affordability, particularly for lower income groups, will have to be addressed.

  8. Molecular Epidemiology and Phylogeny Reveal Complex Spatial Dynamics in Areas Where Canine Parvovirus Is Endemic ▿†

    PubMed Central

    Clegg, S. R.; Coyne, K. P.; Parker, J.; Dawson, S.; Godsall, S. A.; Pinchbeck, G.; Cripps, P. J.; Gaskell, R. M.; Radford, A. D.

    2011-01-01

    Canine parvovirus type 2 (CPV-2) is a severe enteric pathogen of dogs, causing high mortality in unvaccinated dogs. After emerging, CPV-2 spread rapidly worldwide. However, there is now some evidence to suggest that international transmission appears to be more restricted. In order to investigate the transmission and evolution of CPV-2 both nationally and in relation to the global situation, we have used a long-range PCR to amplify and sequence the full VP2 gene of 150 canine parvoviruses obtained from a large cross-sectional sample of dogs presenting with severe diarrhea to veterinarians in the United Kingdom, over a 2-year period. Among these 150 strains, 50 different DNA sequence types (S) were identified, and apart from one case, all appeared unique to the United Kingdom. Phylogenetic analysis provided clear evidence for spatial clustering at the international level and for the first time also at the national level, with the geographical range of some sequence types appearing to be highly restricted within the United Kingdom. Evolution of the VP2 gene in this data set was associated with a lack of positive selection. In addition, the majority of predicted amino acid sequences were identical to those found elsewhere in the world, suggesting that CPV VP2 has evolved a highly fit conformation. Based on typing systems using key amino acid mutations, 43% of viruses were CPV-2a, and 57% CPV-2b, with no type 2 or 2c found. However, phylogenetic analysis suggested complex antigenic evolution of this virus, with both type 2a and 2b viruses appearing polyphyletic. As such, typing based on specific amino acid mutations may not reflect the true epidemiology of this virus. The geographical restriction that we observed both within the United Kingdom and between the United Kingdom and other countries, together with the lack of CPV-2c in this population, strongly suggests the spread of CPV within its population may be heterogeneously subject to limiting factors. This cross-sectional study of national and global CPV phylogeographic segregation reveals a substantially more complex epidemic structure than previously described. PMID:21593180

  9. Extratropical Cyclone over the United Kingdom

    NASA Image and Video Library

    2014-02-14

    Soggy winters are not unusual in the United Kingdom, but this winter has been in a category of its own. UK Met Office meteorologists had just declared January 2014 the wettest month on record for parts of southern Britain when another series of storms swept across the area in early February. The Moderate Resolution Imaging Spectroradiometer (MODIS) on NASA’s Terra satellite captured this image of an extratropical cyclone bearing down on the United Kingdom on February 12, 2014. Mature extratropical cyclones often feature comma-shaped cloud patterns that are the product of “conveyor belt” circulation. While heavy precipitation is often present near the low-pressure head of the comma, a slot of dry air usually trails the west side of the tail. The storm brought the United Kingdom yet another round of heavy rain, as well as winds that exceeded 160 kilometers (100 miles) per hour. It snarled traffic, disrupted train service, and caused power outages for more than 700,000 people. The also exacerbated severe flooding in southern England. More than 5,800 homes have flooded since early December, according to media reports. Authorities have deployed thousands of soldiers to towns and cities in southern England to help with flood recovery. Meanwhile, the Met Office was forecasting more of the same. They warned that another system bearing heavy rain and winds was lining up to push into the United Kingdom from the southeast on Friday morning. NASA Earth Observatory image by Jesse Allen, using data from the Land Atmosphere Near real-time Capability for EOS (LANCE). Caption by Adam Voiland. More info: earthobservatory.nasa.gov/NaturalHazards/view.php?id=83127 Instrument: Terra - MODIS Credit: NASA Earth Observatory NASA image use policy. NASA Goddard Space Flight Center enables NASA’s mission through four scientific endeavors: Earth Science, Heliophysics, Solar System Exploration, and Astrophysics. Goddard plays a leading role in NASA’s accomplishments by contributing compelling scientific knowledge to advance the Agency’s mission. Follow us on Twitter Like us on Facebook Find us on Instagram

  10. Consumer access to clozapine in Australia: how does this compare to New Zealand and the United Kingdom?

    PubMed

    Knowles, Sally-Anne; Mcmillan, Sara S; Wheeler, Amanda J

    2016-01-01

    Clozapine is an antipsychotic medication used in treatment resistant schizophrenia. However, clozapine is associated with a significant adverse effect profile and extensive monitoring is required to optimise consumer safety. Traditionally, clozapine can only be prescribed by a psychiatrist and dispensed at a hospital or hospital affiliated pharmacy in Australia. These restrictions could result in significant treatment burden for consumers taking clozapine. To identify (1) the different models of supply that exist for people living in the community taking clozapine in Australia and compare to those in New Zealand and the United Kingdom, and (2) explore how these supply models may impact on consumer burden from the perspective of professionals involved in the supply of clozapine. Key informants were interviewed (n=8) from Australia, New Zealand and the United Kingdom regarding how consumers, who lived in the community, accessed clozapine. Data were analysed and led to the development of four clozapine supply models. These four models were further validated by an online survey of a wider sample (n=30). Data were analysed thematically and via simple descriptive statistics. Clozapine supply varied depending on location. A secondary care model was utilised in the United Kingdom compared to a community based (primary care) model in New Zealand; Australia utilised a mixture of both secondary and primary care. A key theme from all study participants was that community pharmacy should be utilised to dispense clozapine to consumers living in the community, provided adequate training and safeguards are in place. It was noted that the utilisation of community pharmacies could improve access and flexibility, thereby reducing treatment burden for these consumers. There are predominately two models for supply of clozapine to consumers living in the community in Australia, New Zealand and the United Kingdom. One model utilises secondary care facilities and the other community services. Community pharmacy is ideally placed to increase access to clozapine for consumers living in the community, provided appropriate training and support is given to pharmacists providing this professional service.

  11. Psychometric assessment of the Family Satisfaction in the Intensive Care Unit questionnaire in the United Kingdom.

    PubMed

    Harrison, David A; Ferrando-Vivas, Paloma; Wright, Stephen E; McColl, Elaine; Heyland, Daren K; Rowan, Kathryn M

    2017-04-01

    To establish the psychometric properties of the Family Satisfaction in the Intensive Care Unit 24-item (FS-ICU-24) questionnaire in the United Kingdom. The Family-Reported Experiences Evaluation study recruited family members of patients staying at least 24 hours in 20 participating intensive care units. Questionnaires were evaluated for nonresponse, floor/ceiling effects, redundancy, and construct validity. Internal consistency was evaluated with item-to-own scale correlations and Cronbach α. Confirmatory and exploratory factor analyses were used to explore the underlying structure. Twelve thousand three hundred forty-six family members of 6380 patients were recruited and 7173 (58%) family members of 4615 patients returned a completed questionnaire. One family member per patient was included in the psychometric assessment. Six items had greater than 10% nonresponse; 1 item had a ceiling effect; and 11 items had potential redundancy. Internal consistency was high (Cronbach α, overall .96; satisfaction with care, .94; satisfaction with decision making, .93). The 2-factor solution was not a good fit. Exploratory factor analysis indicated that satisfaction with decision making encompassed 2 constructs-satisfaction with information and satisfaction with the decision-making process. The Family Satisfaction in the Intensive Care Unit 24-item questionnaire demonstrated good psychometric properties in the United Kingdom setting. Construct validity could be improved by use of 3 domains and some scope for further improvement was identified. Copyright © 2016 Elsevier Inc. All rights reserved.

  12. Implementing medical revalidation in the United Kingdom: Findings about organisational changes and impacts from a survey of Responsible Officers

    PubMed Central

    Boyd, Alan; Bryce, Marie; Luscombe, Kayleigh; Tazzyman, Abigail; Tredinnick-Rowe, John; Archer, Julian

    2017-01-01

    Objective To describe the implementation of medical revalidation in healthcare organisations in the United Kingdom and to examine reported changes and impacts on the quality of care. Design A cross-sectional online survey gathering both quantitative and qualitative data about structures and processes for medical revalidation and wider quality management in the organisations which employ or contract with doctors (termed ‘designated bodies’) from the senior doctor in each organisation with statutory responsibility for medical revalidation (termed the ‘Responsible Officer’). Setting United Kingdom Participants Responsible Officers in designated bodies in the United Kingdom. Five hundred and ninety-five survey invitations were sent and 374 completed surveys were returned (63%). Main outcome measures The role of Responsible Officers, the development of organisational mechanisms for quality assurance or improvement, decision-making on revalidation recommendations, impact of revalidation and mechanisms for quality assurance or improvement on clinical practice and suggested improvements to revalidation arrangements. Results Responsible Officers report that revalidation has had some impacts on the way medical performance is assured and improved, particularly strengthening appraisal and oversight of quality within organisations and having some impact on clinical practice. They suggest changes to make revalidation less ‘one size fits all’ and more responsive to individual, organisational and professional contexts. Conclusions Revalidation appears primarily to have improved systems for quality improvement and the management of poor performance to date. There is more to be done to ensure it produces wider benefits, particularly in relation to doctors who already perform well. PMID:28084166

  13. Two-Year Systematic Study To Assess Norovirus Contamination in Oysters from Commercial Harvesting Areas in the United Kingdom

    PubMed Central

    Gustar, Nicole E.; Powell, Andrew L.; Hartnell, Rachel E.; Lees, David N.

    2012-01-01

    The contamination of bivalve shellfish with norovirus from human fecal sources is recognized as an important human health risk. Standardized quantitative methods for the detection of norovirus in molluscan shellfish are now available, and viral standards are being considered in the European Union and internationally. This 2-year systematic study aimed to investigate the impact of the application of these methods to the monitoring of norovirus contamination in oyster production areas in the United Kingdom. Twenty-four monthly samples of oysters from 39 United Kingdom production areas, chosen to represent a range of potential contamination risk, were tested for norovirus genogroups I and II by using a quantitative real-time reverse transcription (RT)-PCR method. Norovirus was detected in 76.2% (643/844) of samples, with all sites returning at least one positive result. Both prevalences (presence or absence) and norovirus levels varied markedly between sites. However, overall, a marked winter seasonality of contamination by both prevalence and quantity was observed. Correlations were found between norovirus contamination and potential risk indicators, including harvesting area classifications, Escherichia coli scores, and environmental temperatures. A predictive risk score for norovirus contamination was developed by using a combination of these factors. In summary, this study, the largest of its type undertaken to date, provides a systematic analysis of norovirus contamination in commercial oyster production areas in the United Kingdom. The data should assist risk managers to develop control strategies to reduce the risk of human illness resulting from norovirus contamination of bivalve molluscs. PMID:22685151

  14. The diversity and management of chronic hepatitis B virus infections in the United Kingdom: a wake-up call.

    PubMed

    Tedder, Richard S; Rodger, Alison J; Fries, Lori; Ijaz, Samreen; Thursz, Mark; Rosenberg, William; Naoumov, Nikolai; Banatvala, Jangu; Williams, Roger; Dusheiko, Geoffrey; Chokshi, Shilpa; Wong, Terry; Rosenberg, Gillian; Moreea, Sulleman; Bassendine, Margaret; Jacobs, Michael; Mills, Peter R; Mutimer, David; Ryder, Stephen D; Bathgate, Andrew; Hussaini, Hyder; Dillon, John F; Wright, Mark; Bird, George; Collier, Jane; Anderson, Michael; Johnson, Anne M

    2013-04-01

    Through migration, diversity of chronic hepatitis B virus (HBV) infection has changed, affecting disease burden and control. We describe clinical and viral characteristics of chronic HBV in the United Kingdom. A total of 698 individuals with chronic HBV infection were recruited from referral liver centers. Demographic, clinical, and laboratory data were collected. Sixty-one percent of patients were male, 80% were not born in the United Kingdom, and the largest ethnicity was East/Southeast Asian (36%). Twenty-two percent were hepatitis B e antigen (HBeAg) seropositive; 20.4% (59/289) had cirrhosis and 10 (1.7%) had hepatocellular carcinoma. Genotype D was most common (31%) followed by A, C, B, and E (20%, 20%, 19%, and 9%, respectively). Genotype was significantly associated with country of birth, length of time in the United Kingdom, HBeAg status, and precore and basal core promoter mutations. One-third were on treatment, with men independently more likely to be treated. Only 18% of those on treatment were on recommended first-line therapies, and 30% were on lamivudine monotherapy. Among treated individuals, 27% had antiviral drug resistance. Testing rates for human immunodeficiency virus, hepatitis C virus, and delta coinfections were low. We demonstrated diversity of chronic HBV infections in UK patients, suggesting that optimal management requires awareness of the variable patterns of chronic HBV in countries of origin. We also found less-than-optimal clinical management practices, possible gender-based treatment bias, and the need to improve testing for coinfections.

  15. Implementing medical revalidation in the United Kingdom: Findings about organisational changes and impacts from a survey of Responsible Officers.

    PubMed

    Walshe, Kieran; Boyd, Alan; Bryce, Marie; Luscombe, Kayleigh; Tazzyman, Abigail; Tredinnick-Rowe, John; Archer, Julian

    2017-01-01

    Objective To describe the implementation of medical revalidation in healthcare organisations in the United Kingdom and to examine reported changes and impacts on the quality of care. Design A cross-sectional online survey gathering both quantitative and qualitative data about structures and processes for medical revalidation and wider quality management in the organisations which employ or contract with doctors (termed 'designated bodies') from the senior doctor in each organisation with statutory responsibility for medical revalidation (termed the 'Responsible Officer'). Setting United Kingdom Participants Responsible Officers in designated bodies in the United Kingdom. Five hundred and ninety-five survey invitations were sent and 374 completed surveys were returned (63%). Main outcome measures The role of Responsible Officers, the development of organisational mechanisms for quality assurance or improvement, decision-making on revalidation recommendations, impact of revalidation and mechanisms for quality assurance or improvement on clinical practice and suggested improvements to revalidation arrangements. Results Responsible Officers report that revalidation has had some impacts on the way medical performance is assured and improved, particularly strengthening appraisal and oversight of quality within organisations and having some impact on clinical practice. They suggest changes to make revalidation less 'one size fits all' and more responsive to individual, organisational and professional contexts. Conclusions Revalidation appears primarily to have improved systems for quality improvement and the management of poor performance to date. There is more to be done to ensure it produces wider benefits, particularly in relation to doctors who already perform well.

  16. Research of the distribution of tourists’ attributes based on internet data: A case study of Kunming

    NASA Astrophysics Data System (ADS)

    Chen, Bingyang; Yang, Kun; Wang, Jiasheng

    2017-09-01

    With the development of the era of big data, the ever-growing user trajectory provides the basis for studying multi-scale tourist activity law. This paper selected 17 famous tourist attractions in Kunming. Sina Microblog, Ctrip Travel, Lvmama Travel Network and other platforms were used to extract 139727 records between Oct. 2015 and Sep. 2016. The methods of data mining and clustering analysis were used to explore the activity characteristics of tourists with different attributes in scenic spot and the activity differences of different age tourists in different scenic spots affected by season, not only considered gender, geographical, check-in time and other factors, but also the introduced age attributes. At the same time, the scenic area is divided into “Adolescent active pattern”, “Young and middle-aged women active pattern”, “Middle-aged and old men active pattern” and “General active pattern” according to different tourists’ activities law of different gender and age in spatial perspective. Research shows that female tourists are mainly distributed in the Green Lake Park, Nanping Street, Dounan Flower Market and other attractions, elderly male tourists are mainly distributed in Expo Park, Jindian area. Foreign tourists accounted for 86.32% of the total tourists, reflecting the rapid development of tourism in Kunming. The spatial distribution of tourist attractions has an impact on the distribution of tourists’ attributes. The number of tourists of Shilin, Jiuxiang, Guandu Ancient Town are accounted for 36.38% of the total tourists, which shows that the spatial distribution of tourist attributes is consistent with the development of key tourist areas in Kunming.

  17. Tourist health as a new branch of public health.

    PubMed

    Pasini, W

    1989-01-01

    Tourism has been steadily expanding in recent years and continues to do so, with the result that the health and social problems related to this new mass phenomenon are growing likewise. Urgent and serious attention to the various implications is now required on the part of relevant national and international bodies and of all sectors interested in the health and wellbeing of tourists, both in their place of origin and at their destination. Tourist health is a new branch of public health concerned with the protection and promotion of the health of tourists. The traditional role of medicine has always been to deal with the health aspects of the most important of life's activities, such as work and sport. The medical profession cannot therefore neglect a leisure-time pursuit such as tourism, in view of its wide-ranging health implications. The Italian Association for Tourist Medicine (IATM) and the Tourist Health Centre, with headquarters in Rimini, were founded in 1983 to assist in the creation of tourist health as a discipline and to promote its development. An international meeting on Prevention and control of infections in tourists in the Mediterranean area, organized in close collaboration with the World Health Organization (WHO) and the World Tourism Organization (WTO) was held in Rimini on 8-11 February 1988. The meeting recommended that the IATM act as focal point in the promotion of tourist health and tourist medicine, especially for countries in the Mediterranean area. In December 1988, the Tourist Health Centre, Rimini was designated as a WHO collaborating centre for tourist health and tourist medicine.(ABSTRACT TRUNCATED AT 250 WORDS)

  18. Promoting Protection Against a Threat That Evokes Positive Affect: The Case of Heat Waves in the United Kingdom

    PubMed Central

    2016-01-01

    Heat waves can cause death, illness, and discomfort, and are expected to become more frequent as a result of climate change. Yet, United Kingdom residents have positive feelings about hot summers that may undermine their willingness to protect themselves against heat. We randomly assigned United Kingdom participants to 1 of 3 intervention strategies intended to promote heat protection, or to a control group. The first strategy aimed to build on the availability heuristic by asking participants to remember high summer temperatures, but it elicited thoughts of pleasantly hot summer weather. The second strategy aimed to build on the affect heuristic by evoking negative affect about summer temperatures, but it evoked thoughts of unpleasantly cold summer weather. The third strategy combined these 2 approaches and succeeded in evoking thoughts of unpleasantly hot summer weather. Across 2 experiments, the third (combined) strategy increased participants’ expressed intentions to protect against heat compared with the control group, while performing at least as well as the 2 component strategies. We discuss implications for developing interventions about other “pleasant hazards.” PMID:27268282

  19. Social representation of hearing aids: cross-cultural study in India, Iran, Portugal, and the United Kingdom.

    PubMed

    Manchaiah, Vinaya; Danermark, Berth; Vinay; Ahmadi, Tayebeh; Tomé, David; Krishna, Rajalakshmi; Germundsson, Per

    2015-01-01

    The current study was aimed at understanding the social representation of hearing aids in India, Iran, Portugal, and the United Kingdom. We also compared these results to explore the cross-cultural differences and similarities among these countries. The study involved a cross-sectional design, and the data were collected from four different countries using the snowball sampling method. Data were analyzed using a content analysis to identify the most-similar categories of responses reported, a co-occurrences analysis to see which of these categories are reported commonly, and a chi-square analysis to study if there was any association between positive, neutral, and negative connotations among participants in different countries. The current study revealed four different social representations of hearing aids from India, Iran, Portugal, and the United Kingdom, and also a global index. The study results provide very useful insights into how hearing aids are represented in the society. These findings may have important implications for public education and also for manufacturers from the viewpoint of designing and marketing hearing aids in different countries.

  20. A comparative survey of missed initial and follow-up appointments to psychiatric specialties in the United kingdom.

    PubMed

    Mitchell, Alex J; Selmes, Thomas

    2007-06-01

    Missed appointments are common in psychiatry. Nonattendance at the initial appointment may have different prognostic significance than nonattendance at subsequent appointments. This study examined the frequency of missed appointments among 9,511 initial outpatient appointments and 7,700 follow-up appointments across ten psychiatric subspecialties in a publicly funded mental health service in the United Kingdom. The pooled missed appointment rate was 15.9%, higher than in previous studies on primary and secondary care attendance in the United Kingdom. Nonattendance was lowest on Fridays, in winter months, and in geriatric psychiatry and highest for substance abuse services and in community psychiatry. In most services, attendance improved after the initial appointment, but in psychosomatic medicine and geriatric psychiatry this pattern was reversed. There was a low rate of missed appointments in geriatric psychiatry, rehabilitation psychiatry, cognitive-behavioral therapy, and psychosocial medicine. A high nonattendance rate was found among persons with drug and alcohol difficulties and to a lesser extent in general adult psychiatry. Future studies should consider initial and follow-up appointments as distinct.

  1. A Perspective on Veterinary Forensic Pathology and Medicine in the United Kingdom.

    PubMed

    Newbery, S G; Cooke, S W; Martineau, H M

    2016-09-01

    Internationally, forensic medicine and pathology are increasingly recognized as an important aspect of work done by veterinary clinicians and veterinary pathologists. In this article, a forensic veterinary clinician, a forensic veterinary pathologist in private practice, and a forensic veterinary pathologist at a veterinary school discuss the interactions among veterinary clinicians, veterinary pathologists, and law enforcement agencies and how future interactions can be improved. The focus is on the United Kingdom, but many of the principles, challenges, and suggestions are applicable to other jurisdictions. Clinicians and pathologists require forensic training to enable them to apply their veterinary knowledge to suspected cases of animal abuse and to subsequently present their findings and conclusions to a court of law in a concise, professional, and unbiased manner, and some opportunities for such advanced training in the United Kingdom are indicated. It is important that forensic veterinary clinicians and pathologists interact in an unbiased and collegial manner to answer the questions posed by courts of law. Opportunities for improved training, communication, and interaction among forensic veterinarians, forensic scientists, and law enforcement are discussed. © The Author(s) 2016.

  2. Advertising Representations of Older People in the United Kingdom and Taiwan: A Comparative Analysis.

    PubMed

    Chen, Chin-Hui

    2015-01-01

    Cross-cultural studies of advertising representations of older people are relatively scarce. This article aims to fill in this gap via a comparison between Taiwan and the United Kingdom, employing a combination of quantitative content analysis and the qualitative grounded theory method. The content-analysis phase reveals underrepresentation of older people in both countries' advertising contexts, as well as representational differences between Taiwan and the United Kingdom in terms of older characters' role salience, the products, physical settings, and social networks they are associated with. The grounded-theory phase yields nine prototypes of older people along with subcategories to conceptualize the qualities of older people as they appear in TV ads in these countries. The findings are discussed in relation to the stereotyping of older people and transformed into hypothetical statements to be modified in future research. In conclusion, the Confucian tradition of filial piety is still found to be important in explaining the observed cross-cultural differences, but the emergence of new norms about aging in Taiwanese advertising also suggests that this tradition may be in decline. © The Author(s) 2015.

  3. Turning health research into health promotion: a study of causality and 'critical insights' in a United Kingdom health campaign.

    PubMed

    Piggin, Joe

    2012-10-01

    This article examines how important decisions about health can alter between public health policy formulation and eventual marketing implementation. Specifically, the article traces the development and production of a major United Kingdom social marketing campaign named Change4Life, and examines how ideas about the causes of and solutions to the obesity epidemic are produced in differing ways throughout the health promotion process. This study examines a variety of United Kingdom health research, policy, marketing strategy and marketing messages between 2008 and 2011. This research demonstrates that claims about causality oscillate and alter throughout the research, policy and Change4Life marketing process. These oscillations are problematic, since the Department of Health described the original consumer research as 'critical'. Given both the importance of the health issues being addressed and the amount of funding dedicated to Change4Life, that 'critical' research was directly contradicted in the campaign requires urgent review. To conclude, the article discusses the utility of social marketing when considering causal claims in health promotion. Copyright © 2012 Elsevier Ireland Ltd. All rights reserved.

  4. Social representation of hearing aids: cross-cultural study in India, Iran, Portugal, and the United Kingdom

    PubMed Central

    Manchaiah, Vinaya; Danermark, Berth; Vinay; Ahmadi, Tayebeh; Tomé, David; Krishna, Rajalakshmi; Germundsson, Per

    2015-01-01

    Background The current study was aimed at understanding the social representation of hearing aids in India, Iran, Portugal, and the United Kingdom. We also compared these results to explore the cross-cultural differences and similarities among these countries. Methods The study involved a cross-sectional design, and the data were collected from four different countries using the snowball sampling method. Data were analyzed using a content analysis to identify the most-similar categories of responses reported, a co-occurrences analysis to see which of these categories are reported commonly, and a chi-square analysis to study if there was any association between positive, neutral, and negative connotations among participants in different countries. Results The current study revealed four different social representations of hearing aids from India, Iran, Portugal, and the United Kingdom, and also a global index. Conclusion The study results provide very useful insights into how hearing aids are represented in the society. These findings may have important implications for public education and also for manufacturers from the viewpoint of designing and marketing hearing aids in different countries. PMID:26504376

  5. Emergency Preparedness technology support to the Health and Safety Executive (HSE), Nuclear Installations Inspectorate (NII) of the United Kingdom. Appendix A

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    O`Kula, K.R.

    1994-03-01

    The Nuclear Installations Inspectorate (NII) of the United Kingdom (UK) suggested the use of an accident progression logic model method developed by Westinghouse Savannah River Company (WSRC) and Science Applications International Corporation (SAIC) for K Reactor to predict the magnitude and timing of radioactivity releases (the source term) based on an advanced logic model methodology. Predicted releases are output from the personal computer-based model in a level-of-confidence format. Additional technical discussions eventually led to a request from the NII to develop a proposal for assembling a similar technology to predict source terms for the UK`s advanced gas-cooled reactor (AGR) type.more » To respond to this request, WSRC is submitting a proposal to provide contractual assistance as specified in the Scope of Work. The work will produce, document, and transfer technology associated with a Decision-Oriented Source Term Estimator for Emergency Preparedness (DOSE-EP) for the NII to apply to AGRs in the United Kingdom. This document, Appendix A is a part of this proposal.« less

  6. Cochlear implants and medical tourism.

    PubMed

    McKinnon, Brian J; Bhatt, Nishant

    2010-09-01

    To compare the costs of medical tourism in cochlear implant surgery performed in India as compared to the United States. In addition, the cost savings of obtaining cochlear implant surgery in India were compare d to those of other surgical interventions obtained as a medical tourist. Searches were conducted on Medline and Google using the search terms: 'medical tourism', 'medical offshoring', 'medical outsourcing', 'cochlear implants' and 'cochlear implantation'. The information regarding cost of medical treatment was obtained from personal communication with individuals familiar with India's cochlear implantation medical tourism industry. The range of cost depended on length of stay as well as the device chosen. Generally the cost, inclusive of travel, surgery and device, was in the range of $21,000-30,000, as compared to a cost range of $40,000-$60,000 in the US. With the escalating cost of healthcare in the United States, it is not surprising that some patients would seek to obtain surgical care overseas at a fraction of the cost. Participants in medical tourism often have financial resources, but lack health insurance coverage. While cardiovascular and orthopedic surgery performed outside the United States in India at centers that cater to medical tourists are often performed at one-quarter to one-third of the cost that would have been paid in the United States, the cost differential for cochlear implants is not nearly as favorable.

  7. Kidney transplant graft outcomes in 379 257 recipients on 3 continents.

    PubMed

    Merion, Robert M; Goodrich, Nathan P; Johnson, Rachel J; McDonald, Stephen P; Russ, Graeme R; Gillespie, Brenda W; Collett, David

    2018-03-24

    Kidney transplant outcomes that vary by program or geopolitical unit may result from variability in practice patterns or health care delivery systems. In this collaborative study, we compared kidney graft outcomes among 4 countries (United States, United Kingdom, Australia, and New Zealand) on 3 continents. We analyzed transplant and follow-up registry data from 1988-2014 for 379 257 recipients of first kidney-only transplants using Cox regression. Compared to the United States, 1-year adjusted graft failure risk was significantly higher in the United Kingdom (hazard ratio [HR] 1.22, 95% confidence interval [CI] 1.18-1.26, P < .001) and New Zealand (hazard ratio [HR] 1.29, 95% confidence interval [CI] 1.14-1.46, P < .001), but lower in Australia (HR 0.90, 95% CI 0.84-0.96, P = .001). In contrast, long-term adjusted graft failure risk (conditional on 1-year function) was significantly higher in the United States compared to Australia, New Zealand, and the United Kingdom (HR 0.74, 0.75, and 0.74, respectively; each P < .001). Thus long-term kidney graft outcomes are approximately 25% worse in the United States than in 3 other countries with well-developed kidney transplant systems. Case mix differences and residual confounding from unmeasured factors were found to be unlikely explanations. These findings suggest that identification of potentially modifiable country-specific differences in care delivery and/or practice patterns should be sought. © 2018 The American Society of Transplantation and the American Society of Transplant Surgeons.

  8. Worldwide orthopaedic research activity 2010-2014: Publication rates in the top 15 orthopaedic journals related to population size and gross domestic product.

    PubMed

    Hohmann, Erik; Glatt, Vaida; Tetsworth, Kevin

    2017-06-18

    To perform a bibliometric analysis of publications rates in orthopedics in the top 15 orthopaedic journals. Based on their 2015 impact factor, the fifteen highest ranked orthopaedic journals between January 2010 and December 2014 were used to establish the total number of publications; cumulative impact factor points (IF) per country were determined, and normalized to population size, GDP, and GDP/capita, comparison to the median country output and the global leader. Twenty-three thousand and twenty-one orthopaedic articles were published, with 66 countries publishing. The United States had 8149 publications, followed by the United Kingdom (1644) and Japan (1467). The highest IF was achieved by the United States (24744), United Kingdom (4776), and Japan (4053). Normalized by population size Switzerland lead. Normalized by GDP, Croatia was the top achiever. Adjusting GDP/capita, for publications and IF, China, India, and the United States were the leaders. Adjusting for population size and GDP, 28 countries achieved numbers of publications to be considered at least equivalent with the median academic output. Adjusting GDP/capita only China and India reached the number of publications to be considered equivalent to the current global leader, the United States. Five countries were responsible for 60% of the orthopaedic research output over this 5-year period. After correcting for GDP/capita, only 28 of 66 countries achieved a publication rate equivalent to the median country. The United States, United Kingdom, South Korea, Japan, and Germany were the top five countries for both publication totals and cumulative impact factor points.

  9. Newborn screening policy in the United Kingdom & the United States: two different communities of practice.

    PubMed

    Patch, Christine

    2006-01-01

    Newborn screening is a rapidly developing area driven by both technological advances and public pressure. If they are not yet, all nurses working with mothers and children will soon be involved with implementing newborn-screening programs, and it is therefore important that they appreciate both the benefits and potential harms of such programs. In the United Kingdom, policy regarding the implementation of newborn-screening programs is developed at national level, and consideration of the introduction of new tests is subject to a formalized evaluation framework. In the United States, by contrast, each state develops its own screening program. Knowledge of developments in newborn screening in different countries that have diverse types of healthcare systems helps to inform nurses about the totality of healthcare for newborns, and assists them in becoming more knowledgeable about how international standards differ from those in the United States.

  10. Partnering for success : techniques for working with partners to plan for alternative transportation in National Park Service units

    DOT National Transportation Integrated Search

    2003-01-01

    Americas national parks are among the most popular tourist destinations in the country, with more than 424 million visits in 2001 alone. But this very popularity, along with the fact that most visitors arrive by private passenger car, has led to a...

  11. Survey of Eastern U.S. native Rhododendron spp. for antagonistic endophytes towards Phytophthora ramorum

    Treesearch

    Timothy L. Widmer

    2013-01-01

    Rhododendron maximum L. and R. catawbiense Michx. are two species that are native to the eastern United States. They can be found throughout the Appalachian Mountain range and during bloom are very important tourist attractions. Phytophthora ramorum is known to be pathogenic to both species, although no...

  12. Human Trafficking and the Impact on National Security for the United States

    DTIC Science & Technology

    2006-03-15

    governments in Southeast Asia to crack down on pedophile sex tourism – and many nations in that region have made progress.34 There is also a problem...Protection Project at Johns Hopkins University found that Cuba has “replaced Southeast Asia as a destination for pedophiles and sex tourists.” As

  13. HIV and AIDS, other sexually transmitted diseases, and tuberculosis in ethnic minorities in United Kingdom: is surveillance serving its purpose?

    PubMed Central

    De Cock, K. M.; Low, N.

    1997-01-01

    Experience of disease differs across ethnic groups, and ethnicity is a relevant personal characteristic for descriptive epidemiology. Information about ethnicity and country of birth is omitted from the routine notification of many diseases. HIV infection and AIDS, other sexually transmitted diseases, and tuberculosis have different incidence rates in different ethnic groups in the United Kingdom. Omission of ethnic data from surveillance activities allows such differences in incidence to go undetected and unaddressed. Surveillance data that included ethnic details could guide interventions to reduce inequalities in health between different subpopulations. PMID:9202508

  14. Relationship of health workers with their organization and work: a cross-cultural study.

    PubMed

    Yepes-Baldó, Montserrat; Romeo, Marina; Berger, Rita

    2016-01-01

    We analyzed the differences, by Student's t-test and ANOVA, between nurses and physicians from Portugal, Poland, Spain, and United Kingdom regarding their relationship with their work and organization. In total, 1,401 professionals answered the HSA-QHPR questionnaire. There are different levels of connection between physicians and nurses. The United Kingdom has the lowest levels of connection with the work while Portugal has the highest levels of relationship with the organization. The results provide guidelines for the development of policies and differential strategies aimed at improving the quality of healthcare service.

  15. Contextual determinants and alcohol control policies in the United Kingdom.

    PubMed

    Plant, Moira; Allamani, Allaman; Massini, Giulia; Pepe, Pasquale

    2014-10-01

    In the United Kingdom, between 1960 and the 2000s, there were many sociodemographic and economic factors that played a part in the changing picture of alcohol consumption and its related harm. This paper describes some of these variables along with the political measures that were identified as correlated with changes in consumption and harm. The resulting picture is unclear. No consistent pattern was identified among the variables analyzed. Beverage choice changed over time with a reduction in beer consumption and an increase in wines and spirits. Nevertheless, the overall picture showed an increase in total alcohol consumption and resulting harm.

  16. A serological survey of accredited breeding colonies in the United Kingdom for common rodent viruses.

    PubMed

    Carthew, P; Verstraete, A

    1978-01-01

    This paper reports the results of a general survey, the first in the United Kingdom, carried out on accredited breeding colonies of mice, rats and guinea-pigs over a period of a year. While the results show the potential usefulness of a viral accreditation grading scheme, they also show that contamination of breeding colonies with inapparent viral infections is widespread. This situation can only be improved by the continuous monitoring of animal stocks for rodent viruses, with the aim of improving the standard of animals available for research and for pharmacological, toxicological and routine diagnostic procedures.

  17. Relationship of health workers with their organization and work: a cross-cultural study

    PubMed Central

    Yepes-Baldó, Montserrat; Romeo, Marina; Berger, Rita

    2016-01-01

    ABSTRACT We analyzed the differences, by Student’s t-test and ANOVA, between nurses and physicians from Portugal, Poland, Spain, and United Kingdom regarding their relationship with their work and organization. In total, 1,401 professionals answered the HSA-QHPR questionnaire. There are different levels of connection between physicians and nurses. The United Kingdom has the lowest levels of connection with the work while Portugal has the highest levels of relationship with the organization. The results provide guidelines for the development of policies and differential strategies aimed at improving the quality of healthcare service. PMID:27191154

  18. Designing Tiban island as tourist destination and sustainable coastal in Bleder village

    NASA Astrophysics Data System (ADS)

    Yuwanti, Sri; Setiawan, Agung

    2018-05-01

    This study is on tourism development process, which involves the function of local potential tourist attraction confronted to the needs for area natural conservation. The study location is a village called Bleder, or Kartika Jaya, in Patebon sub district, Kendal regency CentralJjava. The research unit is the management of a sandy island called “pulau tiban”or ‘suddenly appears island’, and village’s surrounding area. Qualitative methods approach is utilized in order to understand the village situation, community social economy activities toward the sandy island, and the meaning of thatt sandy island for the village sustainability. The study result shows that some problems have evident in the exploitation of natural potential for tourist attraction as confronted to environment conservation. Conflict of interests have also emerged among groups of people and group to group regarding the management of turism attraction. To deal with the problems, comprehensive program is proposed especially to increase community’s awareness on sustainable tourism, marine and coastal conservation, and the benefit and risk of ecotourism. For Bleder tourism development, the community need to concern to their village environmental safety more than on economic benefit purpose only. Introduction

  19. Comparing research investment to United Kingdom institutions and published outputs for tuberculosis, HIV and malaria: a systematic analysis across 1997-2013.

    PubMed

    Head, Michael G; Fitchett, Joseph R; Derrick, Gemma; Wurie, Fatima B; Meldrum, Jonathan; Kumari, Nina; Beattie, Benjamin; Counts, Christopher J; Atun, Rifat

    2015-11-04

    The "Unfinished Agenda" of infectious diseases is of great importance to policymakers and research funding agencies that require ongoing research evidence on their effective management. Journal publications help effectively share and disseminate research results to inform policy and practice. We assess research investments to United Kingdom institutions in HIV, tuberculosis and malaria, and analyse these by numbers of publications and citations and by disease and type of science. Information on infection-related research investments awarded to United Kingdom institutions across 1997-2010 were sourced from funding agencies and individually categorised by disease and type of science. Publications were sourced from the Scopus database via keyword searches and filtered to include only publications relating to human disease and containing a United Kingdom-based first and/or last author. Data were matched by disease and type of science categories. Investment (United Kingdom pounds) and publications were compared to generate an 'investment per publication' metric; similarly, an 'investment per citation' metric was also developed as a measure of the usefulness of research. Total research investment for all three diseases was £1.4 billion, and was greatest for HIV (£651.4 million), followed by malaria (£518.7 million) and tuberculosis (£239.1 million). There were 17,271 included publications, with 9,322 for HIV, 4,451 for malaria, and 3,498 for tuberculosis. HIV publications received the most citations (254,949), followed by malaria (148,559) and tuberculosis (100,244). According to UK pound per publication, tuberculosis (£50,691) appeared the most productive for investment, compared to HIV (£61,971) and malaria (£94,483). By type of science, public health research was most productive for HIV (£27,296) and tuberculosis (£22,273), while phase I-III trials were most productive for malaria (£60,491). According to UK pound per citation, tuberculosis (£1,797) was the most productive area for investment, compared to HIV (£2,265) and malaria (£2,834). Public health research was the most productive type of science for HIV (£2,265) and tuberculosis (£1,797), whereas phase I-III trials were most productive for malaria (£1,713). When comparing total publications and citations with research investment to United Kingdom institutions, tuberculosis research appears to perform best in terms of efficiency. There were more public health-related publications and citations for HIV and tuberculosis than other types of science. These findings demonstrate the diversity of research funding and outputs, and provide new evidence to inform research investment strategies for policymakers, funders, academic institutions, and healthcare organizations.

  20. Selected leisure lifestyles of residents in rural tourist and non-tourist communities in Massachusetts

    Treesearch

    Lawrence R., Jr. Klar; Rodney B. Warnick

    1995-01-01

    The Lifestyle Zip Code Analyst was used as a secondary data source to compare selected lifestyle characteristics of the adult populations in 21 tourist and 45 non-tourist towns in the commonwealth of Massachusetts. Towns were rural in nature, with populations under 25,000. All tourist communities within the state were included in the survey. Non-...

  1. Quels touristes sommes-nous? (Which Tourists Are We?)

    ERIC Educational Resources Information Center

    Arruda, Milton; And Others

    1984-01-01

    A game using student observational skills to match tourist "types" with comments, postcards, hotel and travel advertisements, souvenirs, guidebooks and sources of travel information, photos, travel styles, and tourist attractions is outlined and illustrated. (MSE)

  2. Variation in critical care services across North America and Western Europe.

    PubMed

    Wunsch, Hannah; Angus, Derek C; Harrison, David A; Collange, Olivier; Fowler, Robert; Hoste, Eric A J; de Keizer, Nicolette F; Kersten, Alexander; Linde-Zwirble, Walter T; Sandiumenge, Alberto; Rowan, Kathryn M

    2008-10-01

    Critical care represents a large percentage of healthcare spending in developed countries. Yet, little is known regarding international variation in critical care services. We sought to understand differences in critical care delivery by comparing data on the distribution of services in eight countries. Retrospective review of existing national administrative data. We identified sources of data in each country to provide information on acute care hospitals and beds, intensive care units and beds, intensive care admissions, and definitions of intensive care beds. Data were all referenced and from as close to 2005 as possible. United States, France, United Kingdom, Canada, Belgium, Germany, The Netherlands, and Spain. Not available. None. No standard definition existed for acute care hospital or intensive care unit beds across countries. Hospital beds varied three-fold from 221/100,000 population in the United States to 593/100,000 in Germany. Adult intensive care unit beds also ranged seven-fold from 3.3/100,000 population in the United Kingdom to 24.0/100,000 in Germany. Volume of intensive care unit admissions per year varied ten-fold from 216/100,000 population in the United Kingdom to 2353/100,000 in Germany. The ratio of intensive care unit beds to hospital beds was highly correlated across all countries except the United States (r = .90). There was minimal correlation between the number of intensive care unit beds per capita and health care spending per capita (r = .45), but high inverse correlation between intensive care unit beds and hospital mortality for intensive care unit patients across countries (r = -.82). Absolute critical care services vary dramatically between countries with wide differences in both numbers of beds and volume of admissions. The number of intensive care unit beds per capita is not strongly correlated with overall health expenditure, but does correlate strongly with mortality. These findings demonstrate the need for critical care data from all countries, as they are essential for interpretation of studies, and policy decisions regarding critical care services.

  3. 32 CFR 264.3 - Background.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ..., Greece, Italy, Japan, The Netherlands, Norway, Portugal, Spain, Turkey, and the United Kingdom. The... the Technical Property Committees in Europe. The J-4, Hq. United States Forces Japan, Tokyo, Japan is... Defense Advisor, USRO; guidance transmitted for the United States representative in Japan shall be...

  4. 32 CFR 264.3 - Background.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ..., Greece, Italy, Japan, The Netherlands, Norway, Portugal, Spain, Turkey, and the United Kingdom. The... the Technical Property Committees in Europe. The J-4, Hq. United States Forces Japan, Tokyo, Japan is... Defense Advisor, USRO; guidance transmitted for the United States representative in Japan shall be...

  5. 32 CFR 264.3 - Background.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ..., Greece, Italy, Japan, The Netherlands, Norway, Portugal, Spain, Turkey, and the United Kingdom. The... the Technical Property Committees in Europe. The J-4, Hq. United States Forces Japan, Tokyo, Japan is... Defense Advisor, USRO; guidance transmitted for the United States representative in Japan shall be...

  6. 32 CFR 264.3 - Background.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ..., Greece, Italy, Japan, The Netherlands, Norway, Portugal, Spain, Turkey, and the United Kingdom. The... the Technical Property Committees in Europe. The J-4, Hq. United States Forces Japan, Tokyo, Japan is... Defense Advisor, USRO; guidance transmitted for the United States representative in Japan shall be...

  7. Bibliographic Databases Outside of the United States.

    ERIC Educational Resources Information Center

    McGinn, Thomas P.; And Others

    1988-01-01

    Eight articles describe the development, content, and structure of databases outside of the United States. Features discussed include library involvement, authority control, shared cataloging services, union catalogs, thesauri, abstracts, and distribution methods. Countries and areas represented are Latin America, Australia, the United Kingdom,…

  8. 32 CFR 264.3 - Background.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ..., Greece, Italy, Japan, The Netherlands, Norway, Portugal, Spain, Turkey, and the United Kingdom. The... the Technical Property Committees in Europe. The J-4, Hq. United States Forces Japan, Tokyo, Japan is... Defense Advisor, USRO; guidance transmitted for the United States representative in Japan shall be...

  9. A Monetarist View.

    ERIC Educational Resources Information Center

    Friedman, Milton

    1983-01-01

    Examined are the quantity theory of money and the recent application of monetary policy in Japan, the United Kingdom, and the United States. In all three countries, the reduction of monetary growth has reduced inflation. (Author/RM)

  10. Find a Heart Rhythm Specialist

    MedlinePlus

    ... Taiwan Thailand Turkey United Arab Emirates United Kingdom Venezuela Vietnam Within 5 miles 10 miles 15 miles ... info@HRSonline.org © Heart Rhythm Society 2017 Privacy Policy | Linking Policy | Patient Education Disclaimer You are about ...

  11. A Shared Focus: Comparing the Australian, Canadian, United Kingdom and United States Pharmacy Learning Outcome Frameworks and the Global Competency Framework.

    PubMed

    Stupans, Ieva; Atkinson, Jeffrey; Meštrović, Arijana; Nash, Rose; Rouse, Michael J

    2016-09-10

    This paper presents an analysis of the end of degree expectations, expressed as learning outcomes, for pharmacy graduates from Australia, Canada, United Kingdom and United States. The authors compare the end of degree expectations, through mapping these requirements to the International Pharmaceutical Federation (FIP) Global Competency Framework (GbCF). The anticipated end of degree expectations are similar but also reveal some individual characteristics. Irrespective of degree title, achievement of learning outcomes specified in any one of the four jurisdictions should enable students to become pharmacists who are patient-orientated medicines experts. The mapping provides impetus for cross-border institutional networking to generate a dependable set of assessment tools across national borders developing a common metric for outcome assessment irrespective of different program delivery.

  12. Nudging the obese: a UK-US consideration.

    PubMed

    Oliver, Adam; Ubel, Peter

    2014-07-01

    Over recent years, nudge policies have become increasingly popular (if somewhat confused) internationally. This article attempts to clarify what a nudge entails, and critically summarises some of the nudge policies that have been proposed to motivate weight loss in the United Kingdom and the United States. Despite the fact that most of the evidence on nudge-related policy has so far been produced in the United States, and that the leading nudge champions are American, the United Kingdom, at least with respect to considering policy interventions of this kind at the national level, appears to be relatively advanced. That said, nudge interventions remain of marginal practical import everywhere, and are never going to solve completely the obesity problem. Nonetheless, even a marginal effect may extend and improve many lives, a result that would satisfy most behavioural economists.

  13. Significant variations in nutritional supplementation amongst neonates in the United Kingdom.

    PubMed

    Gordon, Morris; Isaji, Sahira; Tyacke, Fiona

    2016-08-08

    To ascertain United Kingdom adherence to European society of Paediatric Gastroenterology, Hepatology and Nutrition guidance (ESPGHAN). A national cross sectional questionnaire study of neonatal units across England was completed between January and March 2014. All 174 units in the country were attempted to be contacted to complete a telephone survey. This included all level 1, 2 and 3 units. They were initially contacted by phone and asking any senior member of the team about their current practice and procedures. The first ten telephone interviews were completed with two researchers present to ensure consistency of approach. If no response was received or no details were available, one further attempt was made to contact the unit. The results were recorded in a proforma and then collated and entered into a spreadsheet for analysis. Comparison to United Kingdom adherence to ESPGHAN guidance was completed. Response rate was 53%. There was variation in use of all supplements. The survey collected data from 91 neonatal units (53% response rate). It was found that 10% of neonatal units had no fixed policy on supplements. The protocols regarding supplementation involved predominantly folic acid, vitamin A, vitamin D and iron, with much variation in doses and regimens. The criteria for prescribing supplements was largely based on age (47%) with only 7% using a weight targets to initiate supplements. Summary data regarding the appropriateness of each nutritional supplement for a variety of different weights are presented, as well as comparison to ESPGHAN guidance which suggests issues with both underdoing of Breast Fed infants and overdosing of infants on several artificial formulas which already contain significant amounts of these nutritional elements. There is significant heterogeneity in neonatal policies when prescribing supplements to neonates. National policies which take international guidance into account are recommended.

  14. Gauging interest of the general public in laser-assisted in situ keratomileusis eye surgery.

    PubMed

    Stein, Joshua D; Childers, David M; Nan, Bin; Mian, Shahzad I

    2013-07-01

    To assess interest among members of the general public in laser-assisted in situ keratomileusis (LASIK) surgery and how levels of interest in this procedure have changed over time in the United States and other countries. Using the Google Trends Web site, we determined the weekly frequency of queries involving the term "LASIK" from January 1, 2007, through January 1, 2011, in the United States, United Kingdom, Canada, and India. We fit separate regression models for each of the countries to assess whether residents of these countries differed in their querying rates on specific dates and over time. Similar analyses were performed to compare 4 US states. Additional regression models compared general public interest in LASIK surgery before and after the release of a 2008 Food and Drug Administration report describing complaints associated with this procedure. During 2007 to 2011, the Google query rate for "LASIK" was highest among persons residing in India, followed by the United Kingdom, Canada, and the United States. During this time period, the query rate declined by 40% in the United States, 24% in India, and 22% in the United Kingdom, and it increased by 8% in Canada. In all 4 of the US states examined, the query rate declined-by 52% in Florida, 56% in New York, 54% in Texas, and 42% in California. Interest in LASIK declined further among US citizens after the Food and Drug Administration report release. Interest among the general public in LASIK surgery has been waning in recent years.

  15. Effects of New Technologies.

    ERIC Educational Resources Information Center

    Social and Labour Bulletin, 1983

    1983-01-01

    A series of articles looks at computerization and unions in Australia, France, and India; bargaining agreements about technological innovation in India, the United Kingdom, and the United States; and the effects of technology on the labor force in the Federal Republic of Germany, Japan, and the United States. (SK)

  16. Organisation Development through Management Development: The United Biscuits Example.

    ERIC Educational Resources Information Center

    Campbell, Andrew; Winterburn, Den

    1988-01-01

    The success of the strategic management program developed by United Biscuits (United Kingdom) for senior managers resulted from (1) tailoring the program to organizational and individual needs; (2) using company-specific material; (3) involving top management; and (4) using a follow-up program. (JOW)

  17. Clinical epidemiology of HIV-associated end-stage renal failure in the UK.

    PubMed

    Bansi, Loveleen; Hughes, Amelia; Bhagani, Sanjay; Mackie, Nicola E; Leen, Clifford; Levy, Jeremy; Edwards, Simon; Connolly, John; Holt, Steve G; Hendry, Bruce M; Sabin, Caroline; Post, Frank A

    2009-11-27

    To describe the clinical epidemiology of HIV-associated end-stage renal failure (HIV/ESRF) from 1998 to 2007 in the United Kingdom. Observational cohort study. Seven leading HIV centres and affiliated renal clinics in the United Kingdom. A total of 21 951 patients in whom renal function was measured. Development of end-stage renal failure (ESRF) as defined by initiation of permanent renal replacement therapy (pRRT). Sixty-eight (0.31%) patients had HIV/ESRF, 44 (64.7%) of whom were black. The prevalence of ESRF in black patients increased over time from 0.26% in 1998-1999 to 0.92% in 2006-2007 (P for trend = 0.001). Overall 5-year survival from starting pRRT was 70.3%, and significantly better for black patients compared to those of other ethnicities (85.2 vs. 43.4%, P = 0.001). In multivariable analysis, black ethnicity was associated with a higher risk of ESRF [HR 6.93, 95% confidence interval (CI) 3.56, 13.48], whereas a higher current CD4 cell count was associated with reduced risk (HR: 0.83, 95% CI 0.76, 0.95) per 50 cells higher). No association was seen between current viral load or current highly active antiretroviral therapy (HAART) status and ESRF. On the basis of these observations, we estimate that 231 HIV-infected patients required pRRT in the United Kingdom in 2007, and an HIV prevalence of 0.51% among the United Kingdom pRRT recipients in that year. The prevalence of HIV/ESRF increased during the HAART era to reach nearly 1% in black patients, in whom favourable survival rates were observed. Earlier HIV diagnosis will be an important strategy to stem the rising trend of HIV/ESRF.

  18. Survey of Salmonella contamination of raw shell eggs used in food service premises in the United Kingdom, 2005 through 2006.

    PubMed

    Little, C L; Rhoades, J R; Hucklesby, L; Greenwood, M; Surman-Lee, S; Bolton, F J; Meldrum, R; Wilson, I; McDonald, C; de Pinna, E; Threlfall, E J; Chan, C H

    2008-01-01

    This survey was launched after an unusual number of Salmonella Enteritidis outbreaks associated with the use of eggs in food service premises in England and Wales. Between November 2005 and December 2006, 9,528 eggs (1,588 pooled samples of 6 eggs) were collected from 1,567 food service premises in the United Kingdom, most of which (89%) were produced in the United Kingdom. Salmonella was isolated from 6 (0.38%) pools of eggs. Of these, 5 (0.31%) were Salmonella Enteritidis, which were further characterized to phage types (PTs): PT 4 (0.19%), PT 8 (0.06%), and PT 12 (0.06%). Salmonella Mbandaka was also isolated (0.06%). Salmonella was detected from five and one of pooled eggs samples that were produced in the United Kingdom and Germany, respectively; these were from different producers. The study showed evidence of poor egg storage and handling practices in food service premises, in that 55% did not store eggs under refrigerated conditions; 20.7% of eggs had expired "best before" dates or were in use after 3 weeks of lay, indicating poor stock rotation; and 37.1% pooled eggs not intended for immediate service. Eggs are a commonly consumed food that may occasionally be contaminated with Salmonella at different rates, according to their country of origin. The food service sector needs to be aware of this continuing hazard, receive appropriate food safety and hygiene training on storage and usage of raw shell eggs, adopt appropriate control measures, and follow advice provided by national food agencies in order to reduce the risk of infection.

  19. The potential health and economic effects of plant-based food patterns in Belgium and the United Kingdom.

    PubMed

    Schepers, Janne; Annemans, Lieven

    2018-04-01

    Policymakers increasingly require scientific evidence on both health and economic consequences of different nutritional patterns. The aim of this study was to assess health and economic effects of Mediterranean and soy-containing diets. Selected countries were Belgium and the United Kingdom. Cost-effectiveness of these plant-based food patterns was assessed in comparison with a "conventional" diet using an age- and sex-dependent prediction model. The model allowed the prediction of health outcomes and related health care costs for the food patterns over 20 y. A societal perspective was applied for cost calculation and health outcomes were expressed in quality-adjusted life-years (QALYs). For Belgium, a soy-containing diet is estimated to lead to 202 QALYs and 107 QALYs per 1000 women and men, respectively, whereas societal savings of €2 146 000 and €1 653 000 are predicted. For the United Kingdom, a gain of 159 QALYs and 100 QALYs per 1000 women and men, respectively, is estimated, as are a prediction of savings of £1 580 000 and £1 606 000. For the Mediterranean diet in the corresponding estimates for Belgium are 184 QALYs and 148 QALYs per 1000 women and men, respectively, and savings of €1 618 000 and €1 595 000. For the United Kingdom, these are 122 QALYs and 110 QALYs per 1000 women and men, respectively, and savings of £1 155 000 and £1 046 000, respectively. A wider implementation of plant-based eating would lead to large net economic gains for society and improved health outcomes for the population. Copyright © 2017 Elsevier Inc. All rights reserved.

  20. Caprine prion gene polymorphisms are associated with decreased incidence of classical scrapie in goat herds in the United Kingdom

    PubMed Central

    2011-01-01

    The application of genetic breeding programmes to eradicate transmissible spongiform encephalopathies in goats is an important aim for reasons of animal welfare as well as human food safety and food security. Based on the positive impact of Prnp genetics on sheep scrapie in Europe in the past decade, we have established caprine Prnp gene variation in more than 1100 goats from the United Kingdom and studied the association of Prnp alleles with disease phenotypes in 150 scrapie-positive goats. This investigation confirms the association of the Met142 encoding Prnp allele with increased resistance to preclinical and clinical scrapie. It reveals a novel association of the Ser127 encoding allele with a reduced probability to develop clinical signs of scrapie in goats that are already positive for the accumulation of disease-specific prion protein in brain or periphery. A United Kingdom survey of Prnp genotypes in eight common breeds revealed eleven alleles in over thirty genotypes. The Met142 encoding allele had a high overall mean allele frequency of 22.6%, whereas the Ser127 encoding allele frequency was considerably lower with 6.4%. In contrast, a well known resistance associated allele encoding Lys222 was found to be rare (0.9%) in this survey. The analysis of Prnp genotypes in Mexican Criollas goats revealed nine alleles, including a novel Phe to Leu substitution in codon 201, confirming that high genetic variability of Prnp can be found in scrapie-free populations. Our study implies that it should be feasible to lower scrapie prevalence in goat herds in the United Kingdom by genetic selection. PMID:22040234

  1. [Comparison of British and French expatriate doctors' characteristics and motivations].

    PubMed

    Abbas, R; Carnet, D; D'Athis, P; Fiet, C; Le Breton, G; Romestaing, M; Quantin, C

    2015-02-01

    Migration of medical practitioners is rarely studied despite its importance in medical demography: the objective of this study was to analyze the characteristics and motivations of the French doctors settled in the United Kingdom and of the British doctors settled in France. This cross-sectional study was conducted using a self-completed questionnaire sent to all French doctors practicing in the United Kingdom (in 2005) and all British medicine doctors practicing in France (in 2009). The doctors were identified with official data from the National Medical Councils: 244 French doctors practicing in the United Kingdom and 86 British doctors practicing in France. The questionnaire was specifically developed to determine the reasons of moving to the other country, and the level of satisfaction after expatriation. A total of 98 French doctors (out of 244) and 40 British doctors (out of 86) returned the questionnaire. Respondents were mainly general practitioners with a professional experience of 8 to 9 years. The sex ratio was near 1 for both groups with a majority of women among physicians under 50 years. The motivations were different between groups: French doctors were attracted by the conditions offered at the National Health Service, whereas British doctors were more interested in opportunities for career advancement, joining husband or wife, or favourable environmental conditions. Overall, the respondents considered expatriation as satisfactory: 84% of French doctors, compared with only 58% of British doctors, were satisfied with their new professional situation. This study, the first in its kind, leads to a clearer understanding of the migration of doctors between France and the United Kingdom. Copyright © 2014 Elsevier Masson SAS. All rights reserved.

  2. Variation in the Early Host-Pathogen Interaction of Bovine Macrophages with Divergent Mycobacterium bovis Strains in the United Kingdom.

    PubMed

    Jensen, Kirsty; Gallagher, Iain J; Johnston, Nicholas; Welsh, Michael; Skuce, Robin; Williams, John L; Glass, Elizabeth J

    2018-03-01

    Bovine tuberculosis has been an escalating animal health issue in the United Kingdom since the 1980s, even though control policies have been in place for over 60 years. The importance of the genetics of the etiological agent, Mycobacterium bovis , in the reemergence of the disease has been largely overlooked. We compared the interaction between bovine monocyte-derived macrophages (bMDM) and two M. bovis strains, AF2122/97 and G18, representing distinct genotypes currently circulating in the United Kingdom. These M. bovis strains exhibited differences in survival and growth in bMDM. Although uptake was similar, the number of viable intracellular AF2122/97 organisms increased rapidly, while G18 growth was constrained for the first 24 h. AF2122/97 infection induced a greater transcriptional response by bMDM than G18 infection with respect to the number of differentially expressed genes and the fold changes measured. AF2122/97 infection induced more bMDM cell death, with characteristics of necrosis and apoptosis, more inflammasome activation, and a greater type I interferon response than G18. In conclusion, the two investigated M. bovis strains interact in significantly different ways with the host macrophage. In contrast to the relatively silent infection by G18, AF2122/97 induces greater signaling to attract other immune cells and induces host cell death, which may promote secondary infections of naive macrophages. These differences may affect early events in the host-pathogen interaction, including granuloma development, which could in turn alter the progression of the disease. Therefore, the potential involvement of M. bovis genotypes in the reemergence of bovine tuberculosis in the United Kingdom warrants further investigation. Copyright © 2018 Jensen et al.

  3. Epidemiology, clinical management, and outcomes of dogs involved in road traffic accidents in the United Kingdom (2009-2014).

    PubMed

    Harris, Georgina L; Brodbelt, David; Church, David; Humm, Karen; McGreevy, Paul D; Thomson, Peter C; O'Neill, Dan

    2018-03-01

    To estimate the prevalence and risk factors for road traffic accidents (RTA) in dogs and describe the management and outcome of these dogs attending primary-care veterinary practices in the United Kingdom. Retrospective cross-sectional study. Primary-care veterinary practices in the United Kingdom. The study population included 199,464 dogs attending 115 primary-care clinics across the United Kingdom. Electronic patient records of dogs attending practices participating in the VetCompass Programme were assessed against selection criteria used to define RTA cases. Cases identified as RTAs were identified and manually verified to calculate prevalence. Univariable and multivariable logistic regression methods were used to evaluate associations between risk factors and RTA. The prevalence of RTA was 0.41%. Of the RTA cases, 615 (74.9%) were purebred, 322 (39.2%) were female, and 285 (54.8%) were insured. The median age at RTA was 2.5 years. After accounting for the effects of other factors, younger dogs had increased odds of an RTA event: dogs aged under 3 years showed 2.9 times the odds and dogs aged between 6-9 years showed 1.8 times the odds of an RTA event compared with dogs aged over 14 years. Males had 1.4 times the odds of an RTA event compared with females. Overall, 22.9% of cases died from a cause associated with RTA. Of dogs with information available, 34.0% underwent diagnostic imaging, 29.4% received intravenous fluid-therapy, 71.1% received pain relief, 46.0% were hospitalized, and 15.6% had surgery performed under general anesthetic. This study identified important demographic factors associated with RTA in dogs, notably being young and male. © Veterinary Emergency and Critical Care Society 2018.

  4. Career pathways and destinations 18 years on among doctors who qualified in the United Kingdom in 1977: postal questionnaire survey.

    PubMed

    Davidson, J M; Lambert, T W; Goldacre, M J

    1998-11-21

    To determine the career destinations, by 1995, of doctors who qualified in the United Kingdom in 1977; the relation between their destinations and early career choice; and their intentions regarding retirement age. Postal questionnaire. United Kingdom. All (n=3135) medical qualifiers of 1977. Current employment; year by year trends in the percentage of doctors who worked in the NHS, in other medical posts in the United Kingdom, abroad, in non-medical posts, outside medicine, and in part time work; intentions regarding retirement age. After about 12 years the distribution of respondents by type of employment, and, for women, the percentage of doctors in part time rather than full time medical work, had stabilised. Of all 2997 qualifiers from medical schools in Great Britain, 2399 (80.0% (95% confidence interval 79.5% to 80.6%)) were working in medicine in the NHS in Great Britain 18 years after qualifying. Almost half the women (318/656) worked in the NHS part time. Of 1714 doctors in the NHS, 1125 intended to work in the NHS until normal retirement age, 392 did not, and 197 were undecided. Of the 1548 doctors for whom we had sufficient information, career destinations at 18 years matched the choices made at 1, 3, and 5 years in 58.9% (912), 78.2% (1211), and 86.6% (1341) of cases respectively. Planning for the medical workforce needs to be supported by information about doctors' career plans, destinations, and whole time equivalent years of work. Postgraduate training needs to take account of doctors' eventual choice of specialty (and the timing of this choice).

  5. Burden of disease and costs of aneurysmal subarachnoid haemorrhage (aSAH) in the United Kingdom

    PubMed Central

    2010-01-01

    Background To estimate life years and quality-adjusted life years (QALYs) lost and the economic burden of aneurysmal subarachnoid haemorrhage (aSAH) in the United Kingdom including healthcare and non-healthcare costs from a societal perspective. Methods All UK residents in 2005 with aSAH (International Classification of Diseases 10th revision (ICD-10) code I60). Sex and age-specific abridged life tables were generated for a general population and aSAH cohorts. QALYs in each cohort were calculated adjusting the life tables with health-related quality of life (HRQL) data. Healthcare costs included hospital expenditure, cerebrovascular rehabilitation, primary care and community health and social services. Non-healthcare costs included informal care and productivity losses arising from morbidity and premature death. Results A total of 80,356 life years and 74,807 quality-adjusted life years were estimated to be lost due to aSAH in the UK in 2005. aSAH costs the National Health Service (NHS) £168.2 million annually with hospital inpatient admissions accounting for 59%, community health and social services for 18%, aSAH-related operations for 15% and cerebrovascular rehabilitation for 6% of the total NHS estimated costs. The average per patient cost for the NHS was estimated to be £23,294. The total economic burden (including informal care and using the human capital method to estimate production losses) of a SAH in the United Kingdom was estimated to be £510 million annually. Conclusion The economic and disease burden of aSAH in the United Kingdom is reported in this study. Decision-makers can use these results to complement other information when informing prevention policies in this field and to relate health care expenditures to disease categories. PMID:20423472

  6. Using a UK Virtual Supermarket to Examine Purchasing Behavior Across Different Income Groups in the United Kingdom: Development and Feasibility Study

    PubMed Central

    Waterlander, Wilma Elzeline; Rayner, Mike; Scarborough, Peter

    2017-01-01

    Background The majority of food in the United Kingdom is purchased in supermarkets, and therefore, supermarket interventions provide an opportunity to improve diets. Randomized controlled trials are costly, time-consuming, and difficult to conduct in real stores. Alternative approaches of assessing the impact of supermarket interventions on food purchases are needed, especially with respect to assessing differential impacts on population subgroups. Objective The aim of this study was to assess the feasibility of using the United Kingdom Virtual Supermarket (UKVS), a three-dimensional (3D) computer simulation of a supermarket, to measure food purchasing behavior across income groups. Methods Participants (primary household shoppers in the United Kingdom with computer access) were asked to conduct two shopping tasks using the UKVS and complete questionnaires on demographics, food purchasing habits, and feedback on the UKVS software. Data on recruitment method and rate, completion of study procedure, purchases, and feedback on usability were collected to inform future trial protocols. Results A total of 98 participants were recruited, and 46 (47%) fully completed the study procedure. Low-income participants were less likely to complete the study (P=.02). Most participants found the UKVS easy to use (38/46, 83%) and reported that UKVS purchases resembled their usual purchases (41/46, 89%). Conclusions The UKVS is likely to be a useful tool to examine the effects of nutrition interventions using randomized controlled designs. Feedback was positive from participants who completed the study and did not differ by income group. However, retention was low and needs to be addressed in future studies. This study provides purchasing data to establish sample size requirements for full trials using the UKVS. PMID:28993301

  7. Pregnancy incidence and outcomes in women with perinatal HIV infection.

    PubMed

    Byrne, Laura; Sconza, Rebecca; Foster, Caroline; Tookey, Pat A; Cortina-Borja, Mario; Thorne, Claire

    2017-07-31

    To estimate the incidence of first pregnancy in women living with perinatally acquired HIV (PHIV) in the United Kingdom and to compare pregnancy management and outcomes with age-matched women with behaviourally acquired HIV (BHIV). The National Study of HIV in Pregnancy and Childhood is a comprehensive, population-based surveillance study that collects demographic and clinical data on all pregnant women living with HIV, their children, and all HIV-infected children in the United Kingdom and Ireland. The incident rate ratio of first pregnancy was calculated for all women of reproductive age who had been reported to the National Study of HIV in Pregnancy and Childhood as vertically infected children. These women and their pregnancies were compared to age-matched pregnant women with BHIV. Of the 630 women with PHIV reported in the United Kingdom as children, 7% (45) went on to have at least one pregnancy, with 70 pregnancies reported. The incident rate ratio of first pregnancy was 13/1000 woman-years. The BHIV comparison group comprised 118 women (184 pregnancies). Women with PHIV were more likely to be on combined antiretroviral therapy at conception and have a lower baseline CD4 cell count (P < 0.01 for both). In adjusted analysis, PHIV and a low baseline CD4 cell count were risk factors for detectable viral load near delivery; older age at conception and being on combined antiretroviral therapy at conception reduced this risk. Women with PHIV in the United Kingdom have a low pregnancy incidence, but those who become pregnant are at risk of detectable viral load near delivery, reflecting their often complex clinical history, adherence, and drug resistance issues.

  8. K-means cluster analysis of tourist destination in special region of Yogyakarta using spatial approach and social network analysis (a case study: post of @explorejogja instagram account in 2016)

    NASA Astrophysics Data System (ADS)

    Iswandhani, N.; Muhajir, M.

    2018-03-01

    This research was conducted in Department of Statistics Islamic University of Indonesia. The data used are primary data obtained by post @explorejogja instagram account from January until December 2016. In the @explorejogja instagram account found many tourist destinations that can be visited by tourists both in the country and abroad, Therefore it is necessary to form a cluster of existing tourist destinations based on the number of likes from user instagram assumed as the most popular. The purpose of this research is to know the most popular distribution of tourist spot, the cluster formation of tourist destinations, and central popularity of tourist destinations based on @explorejogja instagram account in 2016. Statistical analysis used is descriptive statistics, k-means clustering, and social network analysis. The results of this research were obtained the top 10 most popular destinations in Yogyakarta, map of html-based tourist destination distribution consisting of 121 tourist destination points, formed 3 clusters each consisting of cluster 1 with 52 destinations, cluster 2 with 9 destinations and cluster 3 with 60 destinations, and Central popularity of tourist destinations in the special region of Yogyakarta by district.

  9. NRL Fact Book

    DTIC Science & Technology

    1991-05-01

    Bio/Molecular Science & Engineering High Resolution Patterning Program Manager Archaebacteria Research Program Manager ONT Receptor Based Biosensor...CMC) in discharging their responsibilities on matters of general scientific and technical interest to the United States in the United Kingdom , Europe

  10. G-7 countries : transportation highlights

    DOT National Transportation Integrated Search

    1999-11-01

    This report provides summary statistics on the physical characteristics, use, and performance of transportation networks in the United States, Canada, France, Germany, Italy, the United Kingdom, and Japan--the Group of Seven (G-7) countries. Data on ...

  11. ORAC-DR -- integral field spectroscopy data reduction

    NASA Astrophysics Data System (ADS)

    Todd, Stephen

    ORAC-DR is a general-purpose automatic data-reduction pipeline environment. This document describes its use to reduce integral field unit (IFU) data collected at the United Kingdom Infrared Telescope (UKIRT) with the UIST instrument.

  12. Effect of Tourist Characteristic, Marine Tourism Demand, and Number of Visits to the Value Perceptions and Willingness to Pay to Environmental Marine Tourism in Ambon City

    NASA Astrophysics Data System (ADS)

    Papilaya, Renoldy L.

    2018-02-01

    Development of tourism in this era must balance between supply and demand aspects. The tendency of policy makers pay more attention to aspects of supply than demand aspect will lead to the development of tourist products and services do not get good results. This research examined the relationship between marine tourism demand, characteristics and number of visits to the level of perception and willingness to pay (WTP) for a tourists on a marine tourism destination in Ambon city. Respondents come from overseas tourists, domestic and local, amounting to 140 people. The analysis was performed descriptively and further using SEM analysis Amos 19.00 with path analysis. The analysis shows the close relationship between marine tourism demand variables, characteristics, and the number of tourist visits to the perception of value and WTP for tourists. Variable marine tourism demand when connected directly to the tourists perception and WTP tends to correlate negatively than when using a variable as a variable number of tourist visits as a intervening variables. Instead tourists characteristic variables are positively correlated directly or indirectly with the perception of value and WTP for tourists. It is hoped that with this study will motivate tourism policy makers and local communities to be concerned and studied aspects of perception, WTP, marine tourism demand, the number of tourist visits and the characteristics that turned out to be related to each other.

  13. Worldwide orthopaedic research activity 2010-2014: Publication rates in the top 15 orthopaedic journals related to population size and gross domestic product

    PubMed Central

    Hohmann, Erik; Glatt, Vaida; Tetsworth, Kevin

    2017-01-01

    AIM To perform a bibliometric analysis of publications rates in orthopedics in the top 15 orthopaedic journals. METHODS Based on their 2015 impact factor, the fifteen highest ranked orthopaedic journals between January 2010 and December 2014 were used to establish the total number of publications; cumulative impact factor points (IF) per country were determined, and normalized to population size, GDP, and GDP/capita, comparison to the median country output and the global leader. RESULTS Twenty-three thousand and twenty-one orthopaedic articles were published, with 66 countries publishing. The United States had 8149 publications, followed by the United Kingdom (1644) and Japan (1467). The highest IF was achieved by the United States (24744), United Kingdom (4776), and Japan (4053). Normalized by population size Switzerland lead. Normalized by GDP, Croatia was the top achiever. Adjusting GDP/capita, for publications and IF, China, India, and the United States were the leaders. Adjusting for population size and GDP, 28 countries achieved numbers of publications to be considered at least equivalent with the median academic output. Adjusting GDP/capita only China and India reached the number of publications to be considered equivalent to the current global leader, the United States. CONCLUSION Five countries were responsible for 60% of the orthopaedic research output over this 5-year period. After correcting for GDP/capita, only 28 of 66 countries achieved a publication rate equivalent to the median country. The United States, United Kingdom, South Korea, Japan, and Germany were the top five countries for both publication totals and cumulative impact factor points. PMID:28660144

  14. Reported fatal and non-fatal incidents involving tourists in Hawaii Volcanoes National Park, 1992-2002.

    PubMed

    Heggie, Travis W

    2005-08-01

    Objectives. To examine fatal and non-fatal incidents involving tourists in Hawaii Volcanoes National Park. Methods. Official press releases from the public relations office at Hawaii Volcanoes National Park were examined for reports of fatal and non-fatal incidents involving tourists. Results. Between 1992 and 2002 there were 65 press releases reporting 40 fatalities, 45 serious injuries, 53 minor injuries, and 25 no injury events. Severity information was unavailable for four additional tourists. Aircraft and backcountry incidents each accounted for 30% of all incidents followed by road incidents (22%) and frontcountry incidents (17%). Aircraft incidents reported 17 fatalities, backcountry incidents accounted for 10 fatalities, frontcountry incidents reported seven fatalities, and road incidents totaled six fatalities. One fatality was classified as a suicide. Backcountry (23) and road (10) incidents had the highest number of serious incidents. Male tourists (62) were more frequently involved in incidents than female tourists (41) and tourists aged 20-29 years and 40-49 years accounted for the highest number of fatalities and total incidents. Conclusions. Helicopter tours, hiking in areas with active lava flows, falls into steam vents and earthcracks, and driving unfamiliar rental cars in unfamiliar locations are the major activities resulting in death and serious injury. Additional factors such as tourists ignoring warning signs, wandering off-trail or hiking at night, tourists misinformed by guidebooks and other tourists, and tourists with pre-existing heart and asthma conditions are contributing causes in many incidents. The findings of this study provide information that allows prospective tourists, tourism managers, and travel health providers make informed decisions that promote safe tourism and can aid future efforts in developing preventative strategies at tourist destinations with similar environments and activities. However, in order for preventative strategies to be most effective, future research using medical or emergency response records and employing an injury epidemiology framework that identifies the cause of fatal and non-fatal injuries is recommended.

  15. 50 CFR 23.15 - How may I travel internationally with my personal or household effects, including tourist souvenirs?

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... species is included, except for certain worked African elephant ivory as provided in paragraph (f) of this..., inherited, or otherwise acquired before you changed your residence. (f) African elephant worked ivory. You may export or re-export from the United States worked African elephant (Loxodonta africana) ivory and...

  16. 50 CFR 23.15 - How may I travel internationally with my personal or household effects, including tourist souvenirs?

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... species is included, except for certain worked African elephant ivory as provided in paragraph (f) of this..., inherited, or otherwise acquired before you changed your residence. (f) African elephant worked ivory. You may export or re-export from the United States worked African elephant (Loxodonta africana) ivory and...

  17. 50 CFR 23.15 - How may I travel internationally with my personal or household effects, including tourist souvenirs?

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... species is included, except for certain worked African elephant ivory as provided in paragraph (f) of this..., inherited, or otherwise acquired before you changed your residence. (f) African elephant worked ivory. You may export or re-export from the United States worked African elephant (Loxodonta africana) ivory and...

  18. 50 CFR 23.15 - How may I travel internationally with my personal or household effects, including tourist souvenirs?

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... species is included, except for certain worked African elephant ivory as provided in paragraph (f) of this..., inherited, or otherwise acquired before you changed your residence. (f) African elephant worked ivory. You may export or re-export from the United States worked African elephant (Loxodonta africana) ivory and...

  19. 50 CFR 23.15 - How may I travel internationally with my personal or household effects, including tourist souvenirs?

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... species is included, except for certain worked African elephant ivory as provided in paragraph (f) of this..., inherited, or otherwise acquired before you changed your residence. (f) African elephant worked ivory. You may export or re-export from the United States worked African elephant (Loxodonta africana) ivory and...

  20. Strengthening economy through tourism sector by tourist arrival prediction

    NASA Astrophysics Data System (ADS)

    Supriatna, A.; Subartini, B.; Hertini, E.; Sukono; Rumaisha; Istiqamah, N.

    2018-03-01

    Tourism sector has a tendency to be proposed as a support for national economy to many countries with various of natural resources, such as Indonesia. The number of tourist is very related with the success rate of a tourist attraction, since it is also related with planning and strategy. Hence, it is important to predict the climate of tourism in Indonesia, especially the number of domestic or international tourist in the future. This study uses Seasonal Autoregressive Integrated Moving Average (SARIMA) time series method to predict the number of tourist arrival to tourism strategic areas in Nusa Tenggara Barat. The prediction was done using the international and domestic tourist arrival to Nusa Tenggara Barat data from January 2008 to June 2016. The established SARIMA method was (0,1,1)(0,0,2)12 with MAPE error of 15.76. The prediction for the next six time periods showed that the highest number of tourist arrival is during September 2016 with 330,516 tourist arrivals. Prediction of tourist arrival hopefully might be used as reference for local and national government to make policies to strengthen national economy for a long period of time

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