WorldWideScience

Sample records for downs england focusing

  1. Periodontal disease in individuals with Down Syndrome: genetic focus

    Directory of Open Access Journals (Sweden)

    Lícia Bezerra Cavalcante

    2009-12-01

    Full Text Available Fundamental concepts of etiology, inheritance and clinical characteristics of Down syndrome are used in this review as a basis for submission of studies that focus on periodontal disease in individuals with Down syndrome, since almost 100% of them develop the disease in adult life. It is believed that in association with environmental and cultural factors related to hygiene and disabilities of coordination, the immunological characteristics that are found altered in individuals with Down syndrome, such as deficient neutrophil chemotaxis and reduced number of mature T lymphocytes, may contribute to the greater prevalence and severity of periodontal involvement in patients with Down syndrome. Moreover, the pattern of periodontal destruction observed in individuals with Down syndrome is consistent with aggressive periodontitis, with a predominance of periodontopathogens such as Aggregatibacter actinomycetemcomitans, Porphyromonas gingivalis and Tannerella forsythensis during childhood and adolescence of Down’s syndrome patients. It is possible to note a relationship between the development of molecular techniques and the evolution of knowledge about Down syndrome, for example: identification of the trisomy syndrome by observing only part of chromosome 21 (distal long arm; identification of genes in this trisomic region and the pattern of superexpression (or not of these genes. Moreover, in this review future perspectives are presented with regard to better understanding Down syndrome in the genetic context, which will reflect in more individualized and effective clinical treatments that will provide these patients with a better quality of life.

  2. Radon atlas of England and Wales

    International Nuclear Information System (INIS)

    Green, B.M.R.; Miles, J.C.H.; Bradley, E.J.; Rees, D.M.

    2002-01-01

    This new report brings together and updates the information in three earlier reports on radon levels in English and Welsh homes. In particular, data from measurements in over 400,000 homes in England and Wales are presented in tabular format. The tables give the data by various administrative divisions, down to electoral wards for Cornwall, Devon and Somerset and council areas elsewhere and to sector level of the postcode system. The radon probability maps are based on the national grid system and show significantly more locational detail than the previous publications, an extra division in the probability banding to coincide with current Government initiatives on radon in England and, in southwest England, more detailed probability mapping than before - by 1 km grid squares in place of the 5 km grid squares used in Wales and the rest of England. (author)

  3. Autism characteristics and behavioural disturbances in ~ 500 children with Down's syndrome in England and Wales.

    Science.gov (United States)

    Warner, Georgina; Moss, Joanna; Smith, Patrick; Howlin, Patricia

    2014-08-01

    Recent research shows that a significant minority of children with Down's syndrome (DS) also meet diagnostic criteria for an autism spectrum disorder (ASD). The present study investigated what proportion of children aged 6-15 years with a confirmed diagnosis of DS in England and Wales display autistic-type behaviours, and explored the characteristics of this group of children. The Social Communication Questionnaire (SCQ) was used to screen for autism characteristics and the Strengths and Difficulties Questionnaire (SDQ) to explore behavioural difficulties. The proportion of children who met the cut-off score for ASD on the SCQ (total score ≥ 15) was 37.7% (95% CI: 33.4-42.0%); for autism (total score ≥ 22) the proportion was 16.5% (95% CI: 13.2-19.8%). Children who met the cut-off for ASD were significantly more likely to be reported as having emotional symptoms, conduct problems and hyperactivity on the SDQ than children who scored well below cut-off (total score autism characteristics on the SCQ was atypical compared with individuals with idiopathic ASD. The pervasiveness of ASD in children with DS in England and Wales is substantially higher than in the general population. These children also experience significantly greater behavioural problems than children with DS only. Early detection of autism characteristics is important for appropriate intervention. However, the unusual profile of autism characteristics in this group may affect the recognition of the disorder and hinder the implementation of appropriate interventions. © 2014 International Society for Autism Research, Wiley Periodicals, Inc.

  4. England in Europe

    DEFF Research Database (Denmark)

    Tyler, Elizabeth Muir

    In England in Europe, Elizabeth Tyler focuses on two histories: the Encomium Emmae Reginae, written for Emma the wife of the Æthelred II and Cnut, and The Life of King Edward, written for Edith the wife of Edward the Confessor. Tyler offers a bold literary and historical analysis of both texts...

  5. Predictors of and reasons for attempts to reduce alcohol intake: A population survey of adults in England.

    Directory of Open Access Journals (Sweden)

    Emma Beard

    Full Text Available This study aimed to assess the predictors among high-risk drinkers in England of attempts to reduce alcohol consumption, the reasons given for these attempts and the association between the various reasons and alcohol consumption.Data came from 2,800 high-risk drinkers taking part in the Alcohol Toolkit Study (ATS between March 2014 and November 2016 who were attempting to reduce their alcohol consumption. Participants completed the Alcohol Use Disorders Identification Test (AUDIT and were asked questions regarding their socio-demographic characteristics, attempts to cut down and reasons for doing so.Those cutting down were significantly older (OR 1.01, p<0.001, were more likely to be female (OR 1.32, p<0.05, had higher AUDIT-C scores (OR 1.12, p<0. 001, were less likely to be of white ethnicity (OR 0.64, p<0. 001, and were more likely to reside in the South of England (OR 1.34, p<0. 001. They were also more likely to be of higher occupationally-based social-grades (p<0. 001. The main reported reasons for reducing consumption were: fitness (22.5%, weight loss (20.4%, future health (20.4%, advice from a health-care professional (7.9% and cost (7.6%. Those reporting the followings reasons for cutting down had higher AUDIT-C scores than those who did not report these reasons: a concern about further health problems (β 0.20, p<0.05, advice from a doctor/health worker (β 0.38, p<0.05, that drinking was too expensive (β 0.42, p<0.01 and detoxification (β 0.42, p<0.01. Lower AUDIT-C scores were noted among those who reported that they knew someone who was cutting down (β -0.67, p<0.05, that there was no reason (β -0.36, p<0.05, or they didn't know why they were cutting down (β -0.25, p<0.05.Around a fifth of high-risk drinkers in England report trying to reduce their drinking, particularly older, high-socioeconomic female drinkers from the south of England. Attempts to cut down appear to be driven by a desire to improve health, advice from

  6. The effect of problem-focused coping strategy training on psychological symptoms of mothers of children with down syndrome.

    Science.gov (United States)

    Pourmohamadreza-Tajrishi, Masoume; Azadfallah, Parviz; Hemmati Garakani, Sahel; Bakhshi, Enayatollah

    2015-02-01

    Anxiety is one of the most common reactions that parents show while understanding their children's intellectual disability due to Down syndrome. Anxiety leads parents not to develop appropriate relations with their children, subsequently their psychological health are at risk. The present study was aimed to determine the effect of problem-focused coping strategy training on psychological symptoms of mothers with Down child. This was an experimental study with pretest and posttest design with case and control group. Sixty-four mothers were selected randomly from Iranian Down Syndrome Charity Society. They completed Symptoms Checklist-90-Revised (SCL-90-R). They were assigned to experimental and control groups in equal. Experimental group participated in 12 training sessions (once a week; 60 minutes for each session) and received problem-focused coping strategy program, but control group did not. After 12(th) session, all subjects completed SCL-90-R again. Analysis of covariance was used for analyzing the data. There was a significant difference (Pstrategy-training program led to improve family's perception towards the child and subsequently promote of mental health of mothers with Down children.

  7. Home-mortgage lending trends in New England in 2010

    OpenAIRE

    Ana Patricia Muñoz

    2012-01-01

    This brief analysis of home-mortgage lending trends in New England is based on data collected under the Home Mortgage Disclosure Act (HMDA). HMDA provides information on mortgage lending trends and includes data by loan purpose, type of loan, income, and the race and ethnicity of borrowers. In this report we focus on home-purchase and refinance loans in New England.

  8. Bioclim deliverable D8a: development of the rule-based down-scaling methodology for BIOCLIM Work-package 3

    International Nuclear Information System (INIS)

    2003-01-01

    BidiC output. The original rule-based down-scaling methodology has been modified in order to be as objective and quantitative as possible. However, some of the steps still inevitably involve subjective judgement and qualitative analysis. Thus, in order to provide complete traceability and detailed guidance for implementation of the methodology in other regions, the detailed region-specific work involved at Steps 1, 3 and 4 is reported in appendices to this deliverable. The rule-based down-scaling methodology developed here is based on an earlier study for Central England. Thus, development initially focused on Central England, with similar work then undertaken for the other two regions (drawing on the expertise of the French and Spanish country teams and modifying the analyses as appropriate to reflect inter-regional climatic variations). Thus, the Central England work tends to be reported in somewhat greater detail. According to the BIOCLIM proposal, it was intended to apply the rule-based down-scaling methodology to MoBidiC output only. However, after completion of Step 5: Identification of appropriate MoBidiC simulations and variables for the identification of down-scaling rules/thresholds, it became clear that the methodology could also be applied to the BIOCLIM simulations for the next one Million years performed with LLN 2-D NH. The application of the down-scaling methodology to these simulations is outlined in Section 3. Finally, Section 4 provides a summary and conclusions of the rule-based down-scaling methodology

  9. Talking active citizenship: framing welfare state reform in England and the Netherlands

    NARCIS (Netherlands)

    Verhoeven, I.; Tonkens, E.

    2013-01-01

    This article reviews how activation policies frame citizens as individual welfare agents. The analysis focuses on the framing of feeling rules employed by governments that encourage active citizenship, in this instance in the Netherlands and England. In England, encouraging voluntarism is central to

  10. Type I parametric down conversion of highly focused Gaussian beams in finite length crystals

    International Nuclear Information System (INIS)

    Jeronimo-Moreno, Yasser; Jáuregui, R

    2014-01-01

    This paper presents a study of the correlations in wave vector space of photon pairs generated by type I spontaneous parametric down conversion using a Gaussian pump beam. The analysis covers both moderate focused and highly focused regimes, paying special attention to the angular spectrum and the conditional angular spectrum. Simple analytic expressions are derived that allow a detailed study of the dependence of these spectra on the waist of the source and the length of the nonlinear crystal. These expressions are in good agreement with numerical expectations and reported experimental results. They are used to make a systematic search of optimization parameters that improve the feasibility of using highly focused Gaussian beams to generate idler and signal photons with predetermined mean values and spread of their transverse wave vectors. (papers)

  11. Market Accountability in Schools: Policy Reforms in England, Germany, France and Italy

    Science.gov (United States)

    Mattei, Paola

    2012-01-01

    This article concentrates on the policy reforms of schools in England, Germany, France and Italy, from 1988 to 2009, with a focus on the introduction of market accountability. Pressing demands for organisational change in schools, shaped by the objectives of "efficiency" and competition, which were introduced in England in the 1980s,…

  12. Overview of the New England wind integration. Study and selected results

    Energy Technology Data Exchange (ETDEWEB)

    Norden, John R.; Henson, William L.W. [ISO New England, Holyoke, MA (United States)

    2010-07-01

    ISO New England commissioned a comprehensive wind integration study to be completed in the early fall of 2010: the New England Wind Integration Study (NEWIS). The NEWIS assesses the efects of scenarios that encompass a range of wind-power penetrations in New England using statistical and simulation analysis including the development of a mesoscale wind-to-power model for the New England and Maritime wind resources areas. It also determines the impacts of integrating increasing amounts of wind generation resources for New England, as well as, the measures that may be available to the ISO for responding to any challenges while enabling the integration of wind-power. This paper provides an overview of the study then focuses on selected near final results, particularly with regard to the varying capacity factor, capacity value and siting that were determined as part of the study. The full results of the NEWIS will be released in the fall of 2010. (orig.)

  13. A review of Down's syndrome studies and ionizing radiation

    International Nuclear Information System (INIS)

    Rose, K.S.B.

    1994-01-01

    This review collates results from 3 high dose (> 0.1 Gy) and 23 low dose epidemiological studies of parental radiation exposure and Down's syndrome incidence. A pattern of consistent results appears in 13 studies of irradiation received by women for diagnostic purposes. The pattern is an increase in Down's syndrome, the increase being approximately equivalent to an ovarian doubling dose of 20 mGy. The value is definitely not compatible with results from the high dose studies. Results from the other 10 low dose studies were used to test this value but most proved to be unsuitable for a variety of reasons. However, no associations between levels of high natural background and Down's syndrome have been observed in either New England or Aberdeen, which are areas in developed countries where reliable statistics ar collected. (author)

  14. 75 FR 16096 - New England Power Generators Association Inc., Complainant v. ISO New England Inc., Respondent...

    Science.gov (United States)

    2010-03-31

    ...-787-000] New England Power Generators Association Inc., Complainant v. ISO New England Inc., Respondent; ISO New England Inc. and New England Power Pool; Notice of Complaint March 24, 2010. Take notice... Inc. (Complainant) filed a formal complaint against ISO New England Inc. (Respondent) alleging that...

  15. Facts about Down Syndrome

    Science.gov (United States)

    ... monitor children with Down syndrome for these conditions. Treatments Down syndrome is a lifelong condition. Services early in life ... of these services focus on helping children with Down syndrome develop to their ... therapy, and they are typically offered through early intervention ...

  16. Liberal Conservatism, Vocationalism and Further Education in England

    Science.gov (United States)

    Fisher, Roy; Simmons, Robin

    2012-01-01

    Focusing on vocational learning in the English further education (FE) sector and situating it within its social, political and historical context, this paper provides an overview of English attitudes towards the vocational and its subordinate status in relation to "academic" education. It outlines the development of FE in England,…

  17. Social Policy and Governance: Conceptual Reflections on Ageing in England

    Directory of Open Access Journals (Sweden)

    Jason L. Powell

    2011-12-01

    Full Text Available This paper looks in more detail at the incidence and consequence of social policies for older people through the conceptual lens of governmentality (Foucault, 1977 in England. This international paper with focus on England will enable us to consider the implications of the re-figuring of the relationship between the state, older people and helping professions. In many ways, policy provides three trajectories for older people: first, as independent self-managing consumers with private means and resources; second, as people in need of some support to enable them to continue to self-manage; and third, as dependent and unable to commit to self-management. Governmentality provides the theoretical framework through which to view policy and practice that is largely governed by discourses of personalisation, safeguarding, capability and risk for older people in England.

  18. Review: Local Government in England: Centralisation, Autonomy and Control by Colin Corpus, Mark Roberts, Rachel Wall

    Directory of Open Access Journals (Sweden)

    Jonathan Carr-West

    2018-04-01

    Full Text Available Local Government in England: Centralisation, Autonomy and Control is a serious book and an important contribution to the scholarship around local government. It opens however, with a pleasingly comic tableau as academics from England, Portugal and Poland bicker amiably at a conference and on Twitter about whose country is really the most centralised. The rest of the book is devoted to showing why the English academics were right, why it matters and what should be done about it. The main thrust of the text is an analysis of the impact of the dominant policy narratives around centralism and localism. The argument that Copus, Wall and Roberts put forward could be boiled down to the assertion that the problem with local government in England is that it is neither local nor government. But to make this case they first helpfully unpack several sets of concepts that are all too often elided together.

  19. Improving accountability through alignment: the role of academic health science centres and networks in England.

    Science.gov (United States)

    Ovseiko, Pavel V; Heitmueller, Axel; Allen, Pauline; Davies, Stephen M; Wells, Glenn; Ford, Gary A; Darzi, Ara; Buchan, Alastair M

    2014-01-20

    As in many countries around the world, there are high expectations on academic health science centres and networks in England to provide high-quality care, innovative research, and world-class education, while also supporting wealth creation and economic growth. Meeting these expectations increasingly depends on partnership working between university medical schools and teaching hospitals, as well as other healthcare providers. However, academic-clinical relationships in England are still characterised by the "unlinked partners" model, whereby universities and their partner teaching hospitals are neither fiscally nor structurally linked, creating bifurcating accountabilities to various government and public agencies. This article focuses on accountability relationships in universities and teaching hospitals, as well as other healthcare providers that form core constituent parts of academic health science centres and networks. The authors analyse accountability for the tripartite mission of patient care, research, and education, using a four-fold typology of accountability relationships, which distinguishes between hierarchical (bureaucratic) accountability, legal accountability, professional accountability, and political accountability. Examples from North West London suggest that a number of mechanisms can be used to improve accountability for the tripartite mission through alignment, but that the simple creation of academic health science centres and networks is probably not sufficient. At the heart of the challenge for academic health science centres and networks is the separation of accountabilities for patient care, research, and education in different government departments. Given that a fundamental top-down system redesign is now extremely unlikely, local academic and clinical leaders face the challenge of aligning their institutions as a matter of priority in order to improve accountability for the tripartite mission from the bottom up. It remains to be

  20. Perceptual learning to reduce sensory eye dominance beyond the focus of top-down visual attention.

    Science.gov (United States)

    Xu, Jingping P; He, Zijiang J; Ooi, Teng Leng

    2012-05-15

    Perceptual learning is an important means for the brain to maintain its agility in a dynamic environment. Top-down focal attention, which selects task-relevant stimuli against competing ones in the background, is known to control and select what is learned in adults. Still unknown, is whether the adult brain is able to learn highly visible information beyond the focus of top-down attention. If it is, we should be able to reveal a purely stimulus-driven perceptual learning occurring in functions that are largely determined by the early cortical level, where top-down attention modulation is weak. Such an automatic, stimulus-driven learning mechanism is commonly assumed to operate only in the juvenile brain. We performed perceptual training to reduce sensory eye dominance (SED), a function that taps on the eye-of-origin information represented in the early visual cortex. Two retinal locations were simultaneously stimulated with suprathreshold, dichoptic orthogonal gratings. At each location, monocular cueing triggered perception of the grating images of the weak eye and suppression of the strong eye. Observers attended only to one location and performed orientation discrimination of the gratings seen by the weak eye, while ignoring the highly visible gratings at the second, unattended, location. We found SED was not only reduced at the attended location, but also at the unattended location. Furthermore, other untrained visual functions mediated by higher cortical levels improved. An automatic, stimulus-driven learning mechanism causes synaptic alterations in the early cortical level, with a far-reaching impact on the later cortical levels. Copyright © 2011 Elsevier Ltd. All rights reserved.

  1. Changing Landscapes in Safeguarding Babies and Young Children in England

    Science.gov (United States)

    Lumsden, Eunice

    2014-01-01

    The importance of safeguarding children from violence is internationally recognised. However, detecting, intervening and protecting children from abuse both within the family and in institutions is complex. This paper specifically focuses on safeguarding in England and how workforce reform in the early years offers the opportunity to forge new…

  2. 78 FR 1851 - New England States Committee on Electricity v. ISO New England Inc.; Notice of Complaint

    Science.gov (United States)

    2013-01-09

    ... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission [Docket No. EL13-34-000] New England States Committee on Electricity v. ISO New England Inc.; Notice of Complaint Take notice that on December... (Complainant) filed a formal complaint against ISO New England Inc. (Respondent) alleging that the Respondent's...

  3. Clinical negligence in hospitals in France and England.

    Science.gov (United States)

    Kelly, Michael J; de Bono Q C, John; Métayer, Patrice

    2015-12-01

    This article arose from the back-to-back presentations by Michael Kelly and Patrice Métayer to the Anglo-French Medical Society in 2013 on the French and English legal systems handling a case of alleged clinical negligence as it proceeds from complaint to settlement or judgment in the two jurisdictions. Both systems have a hospital-based first stage with various avenues being available for amicable resolution, the French version being more regulated and prescribed than the English one. In both jurisdictions fewer than 5% cases go down the criminal route. Before the court is involved, in England there is an elaborate lawyer-controlled phase involving negotiations between the two sides and their experts which is expensive but often leads to pre-trial settlement for significant sums of money. Medical experts are central to all of this. In England they are largely unregulated and entirely advisory in an open market, in France they are both regulated and supervised by judges, being placed on official lists. These experts take a major inquisitorial role in a Debate between the two sides, combining the functions of Single Joint Expert (SJE), arbiter and mentor. If agreement is not reached, a second Debate before a different Expert is arranged. In both countries fewer than 5% cases reach a court for a hearing before a judge. In England a trial is an elaborate lengthy, expensive adversarial contest where all of the issues are rehearsed in full with factual and expert evidence, whereas in France in a contested case the judge reviews the reports of the two Debates with the lawyers who were involved (and not the experts, factual witnesses or parties). © The Author(s) 2015.

  4. Policy Variation among Japan, Korea, England and the United States

    Directory of Open Access Journals (Sweden)

    Jaekyung Lee

    2001-04-01

    Full Text Available School reform initiatives during the last two decades in Japan, Korea, England, and the United States can be understood as balancing acts. Because policymakers in England and the United States saw their school systems fragmented and student outcomes mediocre, they focused reform efforts on raising educational standards, tightening curriculum and assessment, and improving academic achievement. In contrast, policymakers in Japan and Korea, who saw their school systems overstandardized and educational processes deficient, focused their reform efforts on deregulating schools, diversifying curriculum and assessment, and enhancing whole-person education. While school reform policies were formulated and adopted in response to each country’s unique problems, they also were driven by globalization forces that fostered an international perspective. If implemented successfully, such cross-cultural policy variations (i.e., standardization vs. differentiation in curriculum, unification vs. diversification in assessment, and privatization vs. democratization in governance would make distinctive educational systems more alike. Cultural and institutional barriers to educational convergence between the Eastern and Western school systems are discussed.

  5. Ethical analysis of the new proposed mental health legislation in England and Wales

    Directory of Open Access Journals (Sweden)

    Lepping Peter

    2007-04-01

    Full Text Available Abstract This paper ethically analyses arising out the proposed changes to the Mental Health Act for England and Wales. It looks in particular at thea shift in philosophy that the author claims has occurred with the proposals away from rights-focused principles to more utilitarian or outcome-focused principles. It gives examples of these changes and explores itstheir consequences.

  6. Protecting Geoheritage - Geodiversity Charter for England

    Science.gov (United States)

    Dunlop, Lesley

    2016-04-01

    The Geodiversity Charter for England, launched in 2014, sets out the clear vision that England's 'geodiversity is recognised as an integral and vital part of our environment, economy and heritage that must be safeguarded and managed for current and future generations'. England is privileged to be among the most geodiverse places in the world with 700 million years of geological history revealed by our rocks. The white cliffs of Dover, honey coloured Cotswold limestone, granite Dartmoor Tors, are examples of this geodiversity. To maintain and enhance our geodiversity it is important to recognise its role in: • the understanding of England's geological history and global geosciences • natural heritage, both terrestrial and marine, and landscapes in all their diversity • supporting habitats and species and the many essential benefits they provide for society • adaptation to changes in climate and sea-level through sustainable management of land and water and working with natural processes • sustainable economic development • the history, character and cultural development of our society through intellectual growth and creative expression alongside industrial and technological development • public health, quality of life and national well-being and connecting people with the natural environment including active promotion of geotourism. Geodiversity, however, is an often overlooked environmental asset. The vision of the Charter and the work of the English Geodiversity Forum is to encourage good practice and to act as a focus in order to: • raise awareness of the importance, value and relevance of geodiversity to our economic prosperity and comfort and its wider links with the natural environment, landscape, cultural and historical heritage and sense of place • encourage a sense of pride through education and learning, promotion and interpretation • promote careful management of geodiversity through conservation and enhancement of its special

  7. Leading Learning: Middle Leadership in Schools in England and New Zealand

    Science.gov (United States)

    Fitzgerald, Tanya; Gunter, Helen

    2006-01-01

    In this article, the authors focus on what is called "middle leadership" in schools in England and "middle management" in New Zealand. Their concern is that despite almost two decades since the introduction of site based management in both countries that devolved significant responsibility for the leadership of learning to…

  8. Down syndrome: a cardiovascular perspective

    NARCIS (Netherlands)

    Vis, J. C.; Duffels, M. G. J.; Winter, M. M.; Weijerman, M. E.; Cobben, J. M.; Huisman, S. A.; Mulder, B. J. M.

    2009-01-01

    This review focuses on the heart and vascular system in patients with Down syndrome. A clear knowledge on the wide spectrum of various abnormalities associated with this syndrome is essential for skilful management of cardiac problems in patients with Down syndrome. Epidemiology of congenital heart

  9. Developing the Whole-School Workforce in England: Building Cultures of Engagement

    Science.gov (United States)

    Simkins, Tim; Maxwell, Bronwen; Aspinwall, Kath

    2009-01-01

    Dramatic changes have occurred in the composition of the schools' workforce in England over recent years to incorporate a much higher proportion of support staff. Consequently, policy-makers and school leaders are now placing increasing emphasis on addressing the training and development needs of the whole workforce, rather than solely focusing on…

  10. Down Syndrome: A Cardiovascular Perspective

    Science.gov (United States)

    Vis, J. C.; Duffels, M. G. J.; Winter, M. M.; Weijerman, M. E.; Cobben, J. M.; Huisman, S. A.; Mulder, B. J. M.

    2009-01-01

    This review focuses on the heart and vascular system in patients with Down syndrome. A clear knowledge on the wide spectrum of various abnormalities associated with this syndrome is essential for skillful management of cardiac problems in patients with Down syndrome. Epidemiology of congenital heart defects, cardiovascular aspects and…

  11. Geomorphology of New England

    Science.gov (United States)

    Denny, C.S.

    1982-01-01

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

  12. Trends in violence in England and Wales 2010-2014.

    Science.gov (United States)

    Sivarajasingam, Vaseekaran; Page, Nicholas; Wells, John; Morgan, Peter; Matthews, Kent; Moore, Simon; Shepherd, Jonathan

    2016-06-01

    The National Violence Surveillance Network (NVSN) of emergency departments (ED), minor injuries units and walk-in-centres in England and Wales has brought clarity to contradictory violence trends derived from crime survey and police data. Gender, age-specific and regional trends in violence-related injury in England and Wales since 2010 have not been studied. Data on violence-related injury were collected from a structured sample of 151 EDs in England and Wales. ED attendance date and age and gender of patients who reported injury in violence from 1 January 2010 to 31 December 2014 were identified from attendance codes, specified at the local level. Time series statistical methods were used to detect both regional and national trends. In total, 247 016 (178 709 males: 72.3%) violence-related attendances were identified. Estimated annual injury rate across England and Wales was 4.4/1000 population (95% CI 3.9 to 4.9); males 6.5/1000 (95% CI 5.6 to 7.2) and females 2.4/1000 (95% CI 2.1 to 2.6). On average, overall attendances decreased by 13.8% per year over the 5 years (95% CI -14.8 to -12.1). Attendances decreased significantly for both genders and all age groups (0-10, 11-17, 18-30, 31-50, 51+ years); declines were greatest among children and adolescents. Significant decreases in violence-related injury were found in all but two regions. Violence peaked in May and July. From an ED perspective, violence in England and Wales decreased substantially between 2010 and 2014, especially among children and adolescents. Violence prevention efforts should focus on regions with the highest injury rates and during the period May-July. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

  13. EPA Region 1 - New England Towns, with Population

    Data.gov (United States)

    U.S. Environmental Protection Agency — The New England Town Boundary coverage is a compilation of coverages received from the six New England State GIS Offices. The EPA New England GIS Center appended the...

  14. Informal Learning and Meta-Pedagogy in Initial Teacher Education in England

    Science.gov (United States)

    Finney, John; Philpott, Chris

    2010-01-01

    How do student teachers learn to use informal learning and pedagogy in their teaching? Through focusing on Initial Teacher Education (ITE) in England, this paper will explore the possibility of developing a meta-pedagogy which embraces informal learning and pedagogy in music. The paper is in two parts, the first of which examines the background to…

  15. Single grain boundary break junction for suspended nanogap electrodes with gapwidth down to 1-2 nm by focused ion beam milling.

    Science.gov (United States)

    Cui, Ajuan; Liu, Zhe; Dong, Huanli; Wang, Yujin; Zhen, Yonggang; Li, Wuxia; Li, Junjie; Gu, Changzhi; Hu, Wenping

    2015-05-20

    Single grain boundary junctions are used for the fabrication of suspended nanogap electrodes with a gapwidth down to 1-2 nm through the break of such junctions by focused ion beam (FIB) milling. With advantages of stability and no debris, such nanogap electrodes are suitable for single molecular electronic device construction. © 2015 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.

  16. Knee Deformities in Children With Down Syndrome: A Focus on Knee Malalignment.

    Science.gov (United States)

    Duque Orozco, Maria Del Pilar; Abousamra, Oussama; Chen, Brian Po-Jung; Rogers, Kenneth J; Sees, Julieanne P; Miller, Freeman

    Patellofemoral instability (PFI) has been the most reported knee abnormality in people with Down syndrome. Other reported knee abnormalities have been associated with PFI and different management approaches have been described with variable outcomes. The aim of this study was to describe the anatomic variations of the knee in children with Down syndrome. A comparison between knees with and without PFI was performed and our experience in treating knee abnormalities in Down syndrome was also reported. Records of all children with Down syndrome were reviewed. Two groups were identified (knees with and without PFI). Radiographic measurements included the mechanical and anatomic lateral distal femoral angles, medial proximal tibial angle, angle of depression of medial tibial plateau, lateral tibial translation, and distal femoral physis-joint angle. On the lateral view, Insall-Salvati and Blackburne-Peel ratios were measured. The sulcus angle was measured on the tangential view. Measurements were compared between the 2 groups (with and without PFI).Knees with PFI were divided into 3 subgroups based on their treatment (group A: surgical valgus correction, group B: surgical soft tissue procedures for PFI, and group C: conservative treatment). Preoperative radiographs were used for the surgical group and last available radiographs were used for the conservative group. Clinical and radiographic data were compared between the groups. For groups A and B, clinical and radiographic data were also compared between preoperative and last visits. Of the 581 children with Down syndrome, 5% (31 children: 22 females, 9 males) had PFI in 56 knees. Mean age at diagnosis was 11.5±3.5 years. Of the remaining 550 children, 75 children had radiographs for 130 knees. Knees with PFI had significantly more valgus and a larger distal femoral physis-joint angle. Depression of the medial tibial plateau and lateral tibial translation were noted in knees with PFI. Insall-Salvati ratio was higher

  17. The Rise and Fall of Life-Wide Learning for Adults in England

    Science.gov (United States)

    Tuckett, Alan

    2017-01-01

    This article analyses policy and practice in social and cultural education for adults in England in the post Second World War era, beginning with the flowering of municipal adult education and the expansion of university extra-mural provision. It tracks the emerging policy focus on extending participation to under-represented groups, and on…

  18. Birthplace choices: what are the information needs of women when choosing where to give birth in England? A qualitative study using online and face to face focus groups.

    Science.gov (United States)

    Hinton, Lisa; Dumelow, Carol; Rowe, Rachel; Hollowell, Jennifer

    2018-01-08

    Current clinical guidelines and national policy in England support offering 'low risk' women a choice of birth setting. Options include: home, free-standing midwifery unit (FMU), alongside midwifery unit (AMU) or obstetric unit (OU). This study, which is part of a broader project designed to inform policy on 'choice' in relation to childbirth, aimed to provide evidence on UK women's experiences of choice and decision-making in the period since the publication of the Birthplace findings (2011) and new NICE guidelines (2014). This paper reports on findings relating to women's information needs when making decisions about where to give birth. A qualitative focus group study including 69 women in the last trimester of pregnancy in England in 2015-16. Seven focus groups were conducted online via a bespoke web portal, and one was face-to-face. To explore different aspects of women's experience, each group included women with specific characteristics or options; planning a home birth, living in areas with lots of choice, living in areas with limited choice, first time mothers, living close to a FMU, living in opt-out AMU areas, living in socioeconomically disadvantaged areas and planning to give birth in an OU. Focus group transcripts were analysed thematically. Women drew on multiple sources when making choices about where to give birth. Sources included; the Internet, friends' recommendations and experiences, antenatal classes and their own personal experiences. Their midwife was not the main source of information. Women wanted the option to discuss and consider their birth preferences throughout their pregnancy, not at a fixed point. Birthplace choice is informed by many factors. Women may encounter fewer overt obstacles to exercising choice than in the past, but women do not consistently receive information about birthplace options from their midwife at a time and in a manner that they find helpful. Introducing options early in pregnancy, but deferring decision

  19. 78 FR 32384 - New England Power Generators Association v. ISO New England Inc.; Notice of Complaint

    Science.gov (United States)

    2013-05-30

    ... Power Generators Association v. ISO New England Inc.; Notice of Complaint Take notice that on May 17... New England Power Generators Association (Complainant) filed a formal complaint against ISO New...., Washington, DC 20426. This filing is accessible on-line at http://www.ferc.gov , using the ``eLibrary'' link...

  20. Cross-national diagnostic analysis of patient empowerment in England and Greece

    Directory of Open Access Journals (Sweden)

    Graham Lister

    2012-01-01

    Full Text Available Background: Different NHS patient empowerment policies have been adopted in England and Greece; the voluntary sector development and its influence also differ. Although various aspects of patient empowerment have been explored in England, the patient empowerment systems’ application is under-researched. In Greece, the few relevant attempts looking at patients’ experiences focus on patient satisfaction, with only one study exploring the public hospitals managers’ perspectives on user involvement. However, patient empowerment questions may be similar in both countries.Aims and Objectives:The study aimed to explore and compare the general patient empowerment settings in the two countries, with main objectives to:a. identify and explore the relationships of national voluntary and governmental organisations,b. explore the cross-national challenges and facilitators, and make cross-national recommendations.Methodology: This is a cross-national comparative research study. A ‘diagnostic analysis’ approach, an assessment of potential and actual barriers and facilitators, including the context and potential change, was chosen. The methods used were:a. a network analysis of national voluntary and governmental organisations;b. semi-structured interviews with key representatives of these, andc. documentary analysis.Results: The network analysis revealed the potential of English organisations to influence more people, withextensive memberships and stronger interrelationship between them than the Greek organisations. Different levels of awareness, knowledge and perceptions of application of the national patient empowerment policies, systems and mechanisms were identified; being generally good in England, limited in Greece. Variable generalinformation provision, with good verbal information in England, and limited, written and verbal, information in Greece was also identified. Although the commonest cross-national perceived challenges were

  1. Fertility, the Reproductive Lifespan and the Formal Curriculum in England: A Case for Reassessment

    Science.gov (United States)

    Littleton, Fiona Kisby

    2012-01-01

    Historical studies have shown that, since its beginnings, sex education in England has mostly focused on "damage limitation", emphasising only the dangerous inevitability of pregnancy and childbirth after unprotected sex and the hazards of sexually transmitted diseases. This approach is largely based on restrictive notions of teenage…

  2. Innovation in European Vocational Education and Training: Network Learning in England, Finland and Germany

    Science.gov (United States)

    Heikkila, Eila

    2013-01-01

    This article presents a comparative study of innovation in vocational education and training (VET) in three innovative European countries: England, Finland and Germany. The focus is on innovation emerging from VET practitioners' (directors, teachers, project coordinators, etc.) participation in inter-organisational networks with local, regional,…

  3. Casebooks in Early Modern England:

    Science.gov (United States)

    Kassell, Lauren

    2014-01-01

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

  4. Measuring a film flowing down a tube inner wall using a laser focus displacement meter and an image-processing method

    International Nuclear Information System (INIS)

    Takamasa, Tomoji; Kobayashi, Kenji

    1999-01-01

    To elucidate details of the fascinating nonlinear phenomena of waves on a film, spatial temporal knowledge of the interfacial waves is essential. This paper presents an experimental study on waves on a film flowing down a vertical tube inner wall measured with a laser focus displacement meter (LFD) and an image-processing method. As a result, the film thickness was measured within a 1% margin of error by LFD, and the wave velocity was measured within a 10% margin of error by the image-processing. The experimental results are summarized as follows: At entry length L = 900 mm, the wave becomes a two-wave system. In the entry region, L = 216 mm, and 400 mm, the wave amplitude decreases as the flow rate increases, in the same manner as that in a film flowing down a plate wall. The velocity measured by the image processing agreed well with that calculated using Nusselt's theoretical equation and the Ito-Sasaki empirical equation for Reynolds numbers < 250. (author)

  5. Neoliberal Globalisation, Managerialism and Higher Education in England: Challenging the Imposed "Order of Things"

    Science.gov (United States)

    Beckmann, Andrea; Cooper, Charlie

    2013-01-01

    This article critically explores the consequences of the imposition of neoliberal ideology on a transnational scale on the higher education system. Its particular focus is England where the context of the "new managerialism" continues to dominate the "lifeworlds" of educators and the educated, despite strong concerns about its…

  6. A New High Resolution Climate Dataset for Climate Change Impacts Assessments in New England

    Science.gov (United States)

    Komurcu, M.; Huber, M.

    2016-12-01

    Assessing regional impacts of climate change (such as changes in extreme events, land surface hydrology, water resources, energy, ecosystems and economy) requires much higher resolution climate variables than those available from global model projections. While it is possible to run global models in higher resolution, the high computational cost associated with these simulations prevent their use in such manner. To alleviate this problem, dynamical downscaling offers a method to deliver higher resolution climate variables. As part of an NSF EPSCoR funded interdisciplinary effort to assess climate change impacts on New Hampshire ecosystems, hydrology and economy (the New Hampshire Ecosystems and Society project), we create a unique high-resolution climate dataset for New England. We dynamically downscale global model projections under a high impact emissions scenario using the Weather Research and Forecasting model (WRF) with three nested grids of 27, 9 and 3 km horizontal resolution with the highest resolution innermost grid focusing over New England. We prefer dynamical downscaling over other methods such as statistical downscaling because it employs physical equations to progressively simulate climate variables as atmospheric processes interact with surface processes, emissions, radiation, clouds, precipitation and other model components, hence eliminates fix relationships between variables. In addition to simulating mean changes in regional climate, dynamical downscaling also allows for the simulation of climate extremes that significantly alter climate change impacts. We simulate three time slices: 2006-2015, 2040-2060 and 2080-2100. This new high-resolution climate dataset (with more than 200 variables saved in hourly (six hourly) intervals for the highest resolution domain (outer two domains)) along with model input and restart files used in our WRF simulations will be publicly available for use to the broader scientific community to support in-depth climate

  7. 78 FR 67357 - New England Power Generators Association, Inc. v. ISO New England Inc.; Notice of Complaint

    Science.gov (United States)

    2013-11-12

    ... Power Generators Association, Inc. v. ISO New England Inc.; Notice of Complaint Take notice that on...), 18 CFR 385.206 (2013), the New England Power Generators Association, Inc. (NEPGA or Complainant..., 888 First Street NE., Washington, DC 20426. This filing is accessible on-line at http://www.ferc.gov...

  8. How Effective Is the Research and Development Ecosystem for England's Schools?

    Science.gov (United States)

    Godfrey, David; Brown, Chris

    2018-01-01

    This article examines the role of research and development within England's school system. From a range of literature past and present we argue that six features (three dimensions) should form the focus for action at the institutional, systemic and policy levels. Applying these stress tests to the current system, we suggest that an effective…

  9. Markets in New England

    International Nuclear Information System (INIS)

    Simpson, J.D.

    1998-01-01

    Bay State Gas Company is a large American natural gas local distribution company which provides unbundled services and unbundled gas transportation service to about 306,000 residential, commercial and industrial customers in Massachusetts, Maine and New Hampshire. They operate as Northern Utilities Inc. in Maine and New Hampshire. Bay State Gas Company recently announced a strategic merger with NIPSCO Industries. The merger will allow the company to take advantage of opportunities that stem from their location in a high growth potential region, and the growth potential associated with retail unbundling. New England is a small natural gas market with an annual consumption of about 600 BCF, but the market is greatly under saturated. Only 31 per cent of New England homes heat with natural gas compared to 54 per cent of the U.S. as a whole. Three important changes in the New England energy market have been identified that will help the natural gas industry grow in the region: (1) unbundling of retail natural gas markets, (2) deregulation of electric markets, and (3) development of a new pipeline infrastructure. 7 figs

  10. Risk factors for hospital admission with RSV bronchiolitis in England: a population-based birth cohort study.

    Directory of Open Access Journals (Sweden)

    Joanna Murray

    Full Text Available To examine the timing and duration of RSV bronchiolitis hospital admission among term and preterm infants in England and to identify risk factors for bronchiolitis admission.A population-based birth cohort with follow-up to age 1 year, using the Hospital Episode Statistics database.71 hospitals across England.We identified 296618 individual birth records from 2007/08 and linked to subsequent hospital admission records during the first year of life.In our cohort there were 7189 hospital admissions with a diagnosis of bronchiolitis, 24.2 admissions per 1000 infants under 1 year (95%CI 23.7-24.8, of which 15% (1050/7189 were born preterm (47.3 bronchiolitis admissions per 1000 preterm infants (95% CI 44.4-50.2. The peak age group for bronchiolitis admissions was infants aged 1 month and the median was age 120 days (IQR = 61-209 days. The median length of stay was 1 day (IQR = 0-3. The relative risk (RR of a bronchiolitis admission was higher among infants with known risk factors for severe RSV infection, including those born preterm (RR = 1.9, 95% CI 1.8-2.0 compared with infants born at term. Other conditions also significantly increased risk of bronchiolitis admission, including Down's syndrome (RR = 2.5, 95% CI 1.7-3.7 and cerebral palsy (RR = 2.4, 95% CI 1.5-4.0.Most (85% of the infants who are admitted to hospital with bronchiolitis in England are born at term, with no known predisposing risk factors for severe RSV infection, although risk of admission is higher in known risk groups. The early age of bronchiolitis admissions has important implications for the potential impact and timing of future active and passive immunisations. More research is needed to explain why babies born with Down's syndrome and cerebral palsy are also at higher risk of hospital admission with RSV bronchiolitis.

  11. Modern Languages and Interculturality in the Primary Sector in England, Greece, Italy and Spain.

    Science.gov (United States)

    Cerezal, Fernando

    1997-01-01

    Addresses concerns and issues regarding modern language teaching and learning at primary schools in Greece, Italy, Spain, and England. It focuses on the optimal age for learning and acquiring languages and to the educational reforms which have been undertaken in each country relating to early modern language teaching and learning and…

  12. Writing masters and accountants in England – a study of occupation, status and ambition in the early modern period

    OpenAIRE

    Edwards , John Richard

    2010-01-01

    The purpose of this paper is to address the lack of knowledge of the accounting occupational group in England prior to the formation of professional accounting bodies. It does so by focusing on attempts made by the occupational group of writing masters and accountants to establish a recognisable persona in the public domain, in England, during the seventeenth and eighteenth century, and to enhance that identity by behaving in a manner designed to convince the public of the professionalism ass...

  13. How Technicians Can Lead Science Improvements in Any School: A Small-Scale Study in England

    Science.gov (United States)

    Jones, Beth; Quinnell, Simon

    2015-01-01

    This article describes how seven schools in England improved their science provision by focusing on the professional development of their science technicians. In September 2013, the Gatsby Charitable Foundation funded the National Science Learning Centre to lead a project connecting secondary schools with experienced senior science technicians…

  14. Disrupting Communities of Practice? How "Reluctant" Practitioners View Early Years Workforce Reform in England

    Science.gov (United States)

    Payler, Jane K.; Locke, Rachel

    2013-01-01

    This article reports on the views of early years practitioners in England from settings that were identified as "reluctant to engage" with one of the government's key policies, the introduction of Early Years Professional Status (EYPS), to drive forwards workforce reform. Focus groups, interviews and a survey were undertaken in 2009 with…

  15. Caries in Portuguese children with Down syndrome

    OpenAIRE

    Areias, Cristina Maria; Sampaio-Maia, Benedita; Guimaraes, Hercilia; Melo, Paulo; Andrade, David

    2011-01-01

    OBJECTIVES: Oral health in Down syndrome children has some peculiar aspects that must be considered in the follow-up of these patients. This study focuses on characterizing the environmental and host factors associated with dental caries in Portuguese children with and without Down syndrome. METHODS: A sibling-matched, population-based, cross-sectional survey was performed. RESULTS: Down syndrome children presented a significantly greater percentage of children without caries, 78% vs. 58% of ...

  16. WRONGFUL TRADING: COMPARATIVE APPROACH (ENGLAND AND WALES, RUSSIA AND THE USA

    Directory of Open Access Journals (Sweden)

    D. Konstantinov

    2015-01-01

    Full Text Available This paper is designed to discover legal rules addressing insolvency trading in three jurisdictions: England and Wales, Russia and the USA. Originally it was a master’s dissertation written under supervision of Ms. Sarah Paterson, who was extremely helpful and patient. The key jurisdiction for the research is England and Wales, whose wrongful trading provision apparently was the very first insolvency regulation in the field. Here, we will give particular attention to the factual circumstances of insolvency trading and research how the concept of wrongful trading addresses them. The next question will be how the American concept of deepening insolvency and the Russian concept of subsidiary liability are comparable with wrongful trading. Later, we will focus on the functions that should be performed by the regulations. Also, the effectiveness of wrongful trading and similar overseas provisions will be examined. Finally, this paper attempts to find obstacles to the wide application of wrongful trading provision.

  17. Passages to Literature: Essays on Teaching in Australia, Canada, England, the United States, and Wales.

    Science.gov (United States)

    Milner, Joseph O'Beirne, Ed.; Milner, Lucy Floyd Morcock, Ed.

    Representing Australia, Canada, England, the United States, and Wales, this collection of essays focuses on ways in which teachers can adapt classroom activities and modify writing assignments to encourage personal response and exploration of texts. Essays, their authors, and nationalities are as follows: (1) "The River and Its Banks:…

  18. Attempts to reduce alcohol intake and treatment needs among people with probable alcohol dependence in England: a general population survey.

    Science.gov (United States)

    Dunne, Jacklyn; Kimergård, Andreas; Brown, Jamie; Beard, Emma; Buykx, Penny; Michie, Susan; Drummond, Colin

    2018-03-25

    To compare the proportion of people in England with probable alcohol dependence [Alcohol Use Disorders Identification Test (AUDIT) score ≥ 20] with those with other drinking patterns (categorized by AUDIT scores) in terms of motivation to reduce drinking and use of alcohol support resources. A combination of random probability and simple quota sampling to conduct monthly cross-sectional household computer-assisted interviews between March 2014 and August 2017. The general population in all nine regions of England. Participants in the Alcohol Toolkit Study (ATS), a monthly household survey of alcohol consumption among people aged 16 years and over in England (n = 69 826). The mean age was 47 years [standard deviation (SD) = 18.78; 95% confidence interval (CI) = 46.8-47] and 51% (n = 35 560) were female. χ 2 tests were used to investigate associations with demographic variables, motivation to quit drinking, attempts to quit drinking, general practitioner (GP) engagement and types of support accessed in the last 12 months across AUDIT risk zones. A total of 0.6% were classified as people with probable alcohol dependence (95% CI = 0.5-0.7). Motivation to quit (χ 2  = 1692.27, P AUDIT risk zone. People with probable dependence were more likely than other ATS participants to have a past-year attempt to cut down or quit (51.8%) and have received a specialist referral from their GP about drinking (13.7%), and less likely to report no motivation to reduce their drinking (26.2%). Those with probable dependence had higher use of self-help books and mobile applications (apps) than other ATS participants; however, 27.7% did not access any resources during their most recent attempt to cut down. Adults in England with probable alcohol dependence, measured through the Alcohol Use Disorders Identification Test, demonstrate higher motivation to quit drinking and greater use of both specialist treatment and self-driven support compared with those in other

  19. New England Takes Stock of Midterm Elections

    Science.gov (United States)

    Harney, John O.; Morwick, Carolyn

    2014-01-01

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

  20. Anti-White Slavery Legislation and its Legacies in England

    Directory of Open Access Journals (Sweden)

    Laura Lammasniemi

    2017-09-01

    Full Text Available This paper argues that the foundation of modern anti-trafficking laws in England and Wales was created at the turn of the twentieth century, during the peak of white slavery hysteria. It shows that a series of interrelated legal interventions formed that foundation. While white slavery as a myth has been analysed, this paper turns the focus on legal regulation and shows why it is important to analyse its history in order to understand modern responses to trafficking. It focuses, in particular, on the first legal definition of victims of trafficking, involvement of vigilance associations in law reform, and on restrictions put in place on women’s immigration. Finally, it reflects on how laws enacted at the turn of the twentieth century still resonate with those of today.

  1. Interconnection France-England; Interconnexion France-Angleterre

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2001-07-01

    These documents defines the interconnection France-England rules for the 2000 MW DC submarine cable directly linking the transmission networks of England and Wales and France. Rights to use Interconnector capacity from 1 April 2001 are to be offered through competitive tenders and auctions, full details of which are set out in the Rules. The contract and a guide to the application form are provided. (A.L.B.)

  2. Postglacial climate reconstruction based on compound-specific D/H ratios of fatty acids from Blood Pond, New England

    Science.gov (United States)

    Hou, Juzhi; Huang, Yongsong; Wang, Yi; Shuman, Bryan; Oswald, W. Wyatt; Faison, Edward; Foster, David R.

    2006-03-01

    We determined hydrogen isotope ratios of individual fatty acids in a sediment core from Blood Pond, Massachusetts, USA, in order to reconstruct climate changes during the past 15 kyr. In addition to palmitic acid (C16n-acid), which has been shown to record lake water D/H ratios, our surface sediments and down core data indicate that behenic acid (C22n-acid), produced mainly by aquatic macrophytes, is also effective for capturing past environmental change. Calibration using surface sediments from two transects across eastern North America indicates that behenic acid records δD variation of lake water. Down core variations in δD values of behenic acid and pollen taxa are consistent with the known climate change history of New England. By evaluating the hypothesis that D/H fractionations of long chain even numbered fatty acids (C24-C32n-acids) relative to lake water provide independent estimates of relative humidity during the growing season, we find that differences between lake-level records and isotopically inferred humidity estimates may provide useful insight into seasonal aspects of the hydrologic cycle. Combined analyses of D/H of short and long chain fatty acids from lake sediment cores thus allow reconstructions of both past temperature and growing season relative humidity. Comparison of δD records from two lakes in New England provides critical information on regional climate variation and abrupt climate change, such as the 8.2 ka event.

  3. New England Energy Congress: progress report - a descriptive summary

    Energy Technology Data Exchange (ETDEWEB)

    Pratt, Robert L.; Mayer, Jean; Buckley, John G.; Spencer, Bailey; Alford, Zeb D.; Keating, Jr., Stephen J.; Aubin, Elmer B.

    1978-09-01

    New England's dependence on oil (about 80%) is posing a double threat to the region and its economic prosperity, as oil dependency means extreme supply vulnerability and substantially higher prices than the national average. The New England Energy Congress, sponsored by the New England Congressional Caucus and Tufts Univ., represents the concerted effort of a highly diverse group of New Englanders to address these problems. The work of the six committees of the Congress is reviewed in this report. The committees are the Supply Committee, Energy Demand Committee, Energy Conservation Committee, Regulatory and Institutional Processes Committee, Economic Development through Alternative Sources of Energy Committee, and Energy Economics and Financing Committee. (MCW)

  4. Melmark New England

    Science.gov (United States)

    Cancro, Lorraine

    2009-01-01

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

  5. Unusual ruby-sapphire transition in alluvial megacrysts, Cenozoic basaltic gem field, New England, New South Wales, Australia

    Science.gov (United States)

    Sutherland, Frederick L.; Graham, Ian T.; Harris, Stephen J.; Coldham, Terry; Powell, William; Belousova, Elena A.; Martin, Laure

    2017-05-01

    Rare ruby crystals appear among prevailing sapphire crystals mined from placers within basaltic areas in the New England gem-field, New South Wales, Australia. New England ruby (NER) has distinctive trace element features compared to those from ruby elsewhere in Australia and indeed most ruby from across the world. The NER suite includes ruby (up to 3370 ppm Cr), pink sapphire (up to 1520 ppm Cr), white sapphire (up to 910 ppm) and violet, mauve, purple, or bluish sapphire (up to 1410 ppm Cr). Some crystals show outward growth banding in this respective colour sequence. All four colour zones are notably high in Ga (up to 310 ppm) and Si (up to 1820 ppm). High Ga and Ga/Mg values are unusual in ruby and its trace element plots (laser ablation-inductively coupled plasma-mass spectrometry) and suggests that magmatic-metasomatic inputs were involved in the NER suite genesis. In situ oxygen isotope analyses (secondary ion mass spectrometry) across the NER suite colour range showed little variation (n = 22; δ18O = 4.4 ± 0.4, 2σ error), and are values typical for corundum associated with ultramafic/mafic rocks. The isolated NER xenocryst suite, corroded by basalt transport and with few internal inclusions, presents a challenge in deciphering its exact origin. Detailed consideration of its high Ga chemistry in relation to the known geology of the surrounding region was used to narrow down potential sources. These include Late Palaeozoic-Triassic fractionated I-type granitoid magmas or Mesozoic-Cenozoic felsic fractionates from basaltic magmas that interacted with early Palaeozoic Cr-bearing ophiolite bodies in the New England Orogen. Other potential sources may lie deeper within lower crust-mantle metamorphic assemblages, but need to match the anomalous high-Ga geochemistry of the New England ruby suite.

  6. Why does education matter to employers in different institutional contexts? A vignette study in England and the Netherlands

    NARCIS (Netherlands)

    Di Stasio, V.; van de Werfhorst, H.G.

    We study the process by which employers evaluate and interpret information related to the educational background of job applicants in simulated hiring contexts. We focus on England and the Netherlands, countries with very different education systems and labor-market institutions. Using a vignette

  7. Commercial Actors and the Governing of Education: The Case of Academy School Sponsors in England

    Science.gov (United States)

    Papanastasiou, Natalie

    2013-01-01

    This article explores the ways in which commercial actors are operating in state education by focusing on the case study of England's academies policy. First of all the discussion outlines the development of academies over time and the way in which the policy has provided opportunities for private actors to become involved in the state schooling…

  8. The New England travel market: changes in generational travel patterns

    Science.gov (United States)

    Rodney B. Warnick

    1995-01-01

    The purpose of this study was to examine and explore the New England domestic travel market trends, from 1979 through 1991 within the context of generations. The existing travel markets, who travel to New England, are changing by age cohorts and specifically within different generations. The New England changes in generational travel patterns do not reflect national...

  9. Pulp fictions of medieval England: Essays in popular romance

    OpenAIRE

    McDonald, Nicola

    2004-01-01

    Middle English popular romance is the most audacious and compendious testimony to the imaginary world of the English Middle Ages. Yet, with few exceptions, it remains under read and under studied. Pulp fictions of medieval England demonstrates that popular romance merits and rewards serious critical attention and that it is crucial to our understanding of the complex and conflicted world of medieval England. Pulp fictions of medieval England comprises ten essays on individual romances that, w...

  10. New England Energy Congress: A Blueprint for Energy Action. Final Report

    Energy Technology Data Exchange (ETDEWEB)

    Pratt, Robert L.; Mayer, Jean; Buckley, John G.; Connolly, Patrick F.; Spencer, Bailey

    1979-05-01

    The New England Energy Congress consists of six committees, with members from each of the six New England states. Since May 1978, the Congress has been working to frame and substantiate energy action recommendations. Committee jurisdictions include New England Energy Supply, Economic Development through Alternative Sources of Energy, New England Energy Demand, Energy Conservation, Regulatory and Institutional Processes, and Energy Economics and Financing. The findings and recommendations that have resulted from their work are summarized. (MCW)

  11. Education governance and standardised tests in Denmark and England

    DEFF Research Database (Denmark)

    Kousholt, Kristine; Kelly, Peter; McNess, Elizabeth

    2017-01-01

    In this study we identify and compare the impact of standardised student assessment in England, an established neoliberal context, and in Denmark where a neoliberal education reform agenda is emerging in response to both national concerns and international governance. National reading tests...... for students aged 11–12 years, long established in England, were introduced in Denmark in 2010. The form they take differs considerably, being primarily formative in Denmark and largely summative in England. Culturally sensitive extended semi-structured interviews are conducted with both teachers and students...... they believe to be their students’ best interests. In England, however, teachers try to accommodate a concern for both their students’ and their own interests, and the pedagogy they enact is more often controlling, instrumental and reductionist; their wish to be proactive is compromised by their need...

  12. Computer networking a top-down approach

    CERN Document Server

    Kurose, James

    2017-01-01

    Unique among computer networking texts, the Seventh Edition of the popular Computer Networking: A Top Down Approach builds on the author’s long tradition of teaching this complex subject through a layered approach in a “top-down manner.” The text works its way from the application layer down toward the physical layer, motivating readers by exposing them to important concepts early in their study of networking. Focusing on the Internet and the fundamentally important issues of networking, this text provides an excellent foundation for readers interested in computer science and electrical engineering, without requiring extensive knowledge of programming or mathematics. The Seventh Edition has been updated to reflect the most important and exciting recent advances in networking.

  13. The Neo-Liberalisation Policy Agenda and Its Consequences for Education in England: A Focus on Resistance Now and Possibilities for the Future

    Science.gov (United States)

    Maisuria, Alpesh

    2014-01-01

    In this article, the author explores the way that neo-liberalism is becoming more entrenched in the fabric of the education system in England. The article begins by setting out a very brief historical trajectory of neo-liberalism to provide a working definition of a complex and disarticulated socio-political and economic system. In part two, this…

  14. Comparative epidemiology of Clostridium difficile infection: England and the USA.

    Science.gov (United States)

    King, Alice; Mullish, Benjamin H; Williams, Horace R T; Aylin, Paul

    2017-10-01

    To examine whether there is an epidemiological difference between Clostridium difficile infection (CDI) inpatient populations in England and the United States. A cross-sectional study. National administrative inpatient discharge data from England (Hospital Episode Statistics) and the USA (National Inpatient Sample) in 2012. De-identifiable non-obstetric inpatient discharges from the national datasets were used to estimate national CDI incidence in the United States and England using ICD9-CM(008.45) and ICD10(A04.7) respectively. The rate of CDI was calculated per 100 000 population using national population estimates. Rate per 100 000 inpatient discharges was also calculated separated by primary and secondary diagnosis of CDI. Age, sex and Elixhauser comorbidities profiles were examined. The USA had a higher rate of CDI compared to England: 115.1/100 000 vs. 19.3/100 000 population (P USA (OR 1.20 95% CI [1.18,1.22] P USA compared to England apart from dementia, which was greater in England (9.63% vs. 1.25%, P USA was much higher than in England. Age and comorbidity profiles also differed between CDI patients in both countries. The reasons for this are likely multi-factorial but may reflect national infection control policy. © The Author 2017. Published by Oxford University Press in association with the International Society for Quality in Health Care. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com

  15. Foreign and Catholic: A Plea to Protestant Parents on the Dangers of Convent Education in Victorian England.

    Science.gov (United States)

    Kollar, Rene

    2002-01-01

    Discusses Catholic convent schools in 19th century England. Focuses on a perceived viewpoint that Protestant females would convert to Catholicism if they were taught by Catholic nuns. Considered nuns as substandard teachers using poor curriculum. Concludes anti-Catholicism waned as a strong force during the early 20th century, minimizing criticism…

  16. Education in a Multicultural Environment: Equity Issues in Teaching and Learning in the School System in England

    Science.gov (United States)

    Boyle, Bill; Charles, Marie

    2011-01-01

    The paper focuses on the auditing and accountancy paradigm that has dominated educational measurement of pupil performance for the last 20 years in England. The advocates of this minimum competency paradigm do not take account of the results of its dominance. These results include ignoring the heterogeneous complexity of groups within societies…

  17. Identifying the Research Process to Analyse the Adoption of the International Baccalaureate's Diploma Programme in England

    Science.gov (United States)

    Outhwaite, Deborah

    2018-01-01

    This article analyses the flow-line around the methodology used inside an educational research process that was originally established to examine the expansion of the International Baccalaureate's Diploma Programme (IBDP) in England. This article analyses the research question, then assesses the research focus, aims and objectives. The article…

  18. Bookmakers and a Duty of Care: Customers' Views in England.

    Science.gov (United States)

    Brooks, Graham; Sparrow, Paul

    2016-06-01

    This paper focuses on customers' views on the extent that bookmakers and individuals are responsible for a duty of care. 72 participants from seven bookmakers in one city in England were interviewed that illustrates customers expect bookmakers to take 'reasonable steps' to avoid exploiting all customers. However, the customers' views recorded in this paper illustrate a range of views on what a duty of care should actually comprise with differences of opinion on the level of bookmakers and individuals level of responsibility, dealing with intoxicated customers, illegal gambling, prevention of excessive and problem gambling and self-exclusion.

  19. Caries in Portuguese children with Down syndrome

    Directory of Open Access Journals (Sweden)

    Cristina Maria Areias

    2011-01-01

    Full Text Available OBJECTIVES: Oral health in Down syndrome children has some peculiar aspects that must be considered in the follow-up of these patients. This study focuses on characterizing the environmental and host factors associated with dental caries in Portuguese children with and without Down syndrome. METHODS: A sibling-matched, population-based, cross-sectional survey was performed. RESULTS: Down syndrome children presented a significantly greater percentage of children without caries, 78% vs. 58% of non-Down syndrome siblings. This difference in the DMFT index (number of decayed, missing and filled teeth essentially reflects data obtained from treated teeth, for which 91% of children with Down syndrome had never had a tooth treated vs. 67% of siblings. This result was statistically significant, whereas results for decayed and lost teeth did not differ between Down syndrome children and their unaffected siblings. Additionally, in Down syndrome children, a delayed eruption of the second molar occurs. Down syndrome children and their siblings have similar oral hygiene habits, but a higher percentage of Down syndrome children visit a dentist before the age of three years, in comparison to their siblings. Bruxism was also more common in Down syndrome children compared to their siblings. CONCLUSIONS: Our results show that Portuguese children with Down syndrome have lower caries rates than children without Down syndrome. This reduced prevalence may be associated with the parents' greater concern about oral health care in Down syndrome children, resulting in their taking them sooner to visit a dentist, as well as to a higher bruxism prevalence and delayed tooth eruption.

  20. Caries in Portuguese children with Down syndrome.

    Science.gov (United States)

    Areias, Cristina Maria; Sampaio-Maia, Benedita; Guimaraes, Hercilia; Melo, Paulo; Andrade, David

    2011-01-01

    Oral health in Down syndrome children has some peculiar aspects that must be considered in the follow-up of these patients. This study focuses on characterizing the environmental and host factors associated with dental caries in Portuguese children with and without Down syndrome. A sibling-matched, population-based, cross-sectional survey was performed. Down syndrome children presented a significantly greater percentage of children without caries, 78% vs. 58% of non-Down syndrome siblings. This difference in the DMFT index (number of decayed, missing and filled teeth) essentially reflects data obtained from treated teeth, for which 91% of children with Down syndrome had never had a tooth treated vs. 67% of siblings. This result was statistically significant, whereas results for decayed and lost teeth did not differ between Down syndrome children and their unaffected siblings. Additionally, in Down syndrome children, a delayed eruption of the second molar occurs. Down syndrome children and their siblings have similar oral hygiene habits, but a higher percentage of Down syndrome children visit a dentist before the age of three years, in comparison to their siblings. Bruxism was also more common in Down syndrome children compared to their siblings. Our results show that Portuguese children with Down syndrome have lower caries rates than children without Down syndrome. This reduced prevalence may be associated with the parents' greater concern about oral health care in Down syndrome children, resulting in their taking them sooner to visit a dentist, as well as to a higher bruxism prevalence and delayed tooth eruption.

  1. Ground-level Ozone (Smog) Information | New England | US ...

    Science.gov (United States)

    2017-09-05

    Ground-level ozone presents a serious air quality problem in New England. In 2008, EPA revised the ozone standard to a level of 0.075 parts per million, 8-hour average. Over the last 5 years (2006 through 2010), there have been an average of 31 days per summer when New England's air exceeded this standard.

  2. Theory of neutron slowing down in nuclear reactors

    CERN Document Server

    Ferziger, Joel H; Dunworth, J V

    2013-01-01

    The Theory of Neutron Slowing Down in Nuclear Reactors focuses on one facet of nuclear reactor design: the slowing down (or moderation) of neutrons from the high energies with which they are born in fission to the energies at which they are ultimately absorbed. In conjunction with the study of neutron moderation, calculations of reactor criticality are presented. A mathematical description of the slowing-down process is given, with particular emphasis on the problems encountered in the design of thermal reactors. This volume is comprised of four chapters and begins by considering the problems

  3. Christmas in England

    Institute of Scientific and Technical Information of China (English)

    孟伟根

    1991-01-01

    In England,Christmas is the most important of all the ’Bank Holidays’ in the year.Two important things,apart from itsreligious significance,help to set this holiday apart fromall others:the custom of giving gifts and the habit ofspending it with family. In the present highly commercialised age we arereminded of Christmas many weeks before the event.In

  4. Characterisation of influenza A viruses isolated from turkeys in England during March-May 1979.

    Science.gov (United States)

    Alexander, D J; Spackman, D

    1981-07-01

    During the early spring of 1979 turkeys on at least twelve sites in England became infected with influenza A viruses. On five of these sites no virus was isolated but birds were shown to have antibodies to Havl (four sites) and Hav2 antigenic subtypes of influenza A viruses. The eight viruses isolated were typed: A/turkey/England/192-328/79 (Havl Nav2/3), A/turkey/England/192-329/79 (Hav1 N2), A/turkey/England/199/79 (Hav1 Neq1), A/turkey/ England/214/79 (Hav1 Neq1), A/turkey/England/250/79 (Hsw1 N1), A/turkey/England/262/79 (Hav1 Nav2/3), A/turkey/England/272/79 (Havl Neq1), A/turkey/England/384/79 (Hav2 Nav4). Pathogenicity index tests in 6-week-old chickens agreed with the clinical signs seen in turkeys in the field. Three of the isolates: 199, 214 and 272 were of extremely high virulence, 384 showed intermediate virulence, while the other isolates were of low virulence.

  5. Regulatory focus in groupt contexts

    NARCIS (Netherlands)

    Faddegon, Krispijn Johannes

    2009-01-01

    The thesis examines the influence of group processes on the regulatory focus of individual group members. It is demonstrated that the group situation can affect group members' regulatory focus both in a top-down fashion (via the identitiy of the group) and in a bottom-up fashion (emerging from the

  6. Understanding microelectronics a top-down approach

    CERN Document Server

    Maloberti, Franco

    2011-01-01

    The microelectronics evolution has given rise to many modern benefits but has also changed design methods and attitudes to learning. Technology advancements shifted focus from simple circuits to complex systems with major attention to high-level descriptions. The design methods moved from a bottom-up to a top-down approach. For today's students, the most beneficial approach to learning is this top-down method that demonstrates a global view of electronics before going into specifics. Franco Maloberti uses this approach to explain the fundamentals of electronics, such as processing functions,

  7. Use of focused acoustics for cell disruption to provide ultra scale-down insights of microbial homogenization and its bioprocess impact--recovery of antibody fragments from rec E. coli.

    Science.gov (United States)

    Li, Qiang; Aucamp, Jean P; Tang, Alison; Chatel, Alex; Hoare, Mike

    2012-08-01

    An ultra scale-down (USD) device that provides insight of how industrial homogenization impacts bioprocess performance is desirable in the biopharmaceutical industry, especially at the early stage of process development where only a small quantity of material is available. In this work, we assess the effectiveness of focused acoustics as the basis of an USD cell disruption method to mimic and study high-pressure, step-wise homogenization of rec Escherichia coli cells for the recovery of an intracellular protein, antibody fragment (Fab'). The release of both Fab' and of overall protein follows first-order reaction kinetics with respect to time of exposure to focused acoustics. The rate constant is directly proportional to applied electrical power input per unit volume. For nearly total protein or Fab' release (>99%), the key physical properties of the disruptate produced by focused acoustics, such as cell debris particle size distribution and apparent viscosity show good agreement with those for homogenates produced by high-pressure homogenization operated to give the same fractional release. The only key difference is observed for partial disruption of cells where focused acoustics yields a disruptate of lower viscosity than homogenization, evidently due to a greater extent of polynucleic acids degradation. Verification of this USD approach to cell disruption by high-pressure homogenization is achieved using USD centrifugation to demonstrate the same sedimentation characteristics of disruptates prepared using both the scaled-down focused acoustic and the pilot-scale homogenization methods for the same fraction of protein release. Copyright © 2012 Wiley Periodicals, Inc.

  8. Aspirations for a Master's-Level Teaching Profession in England

    Science.gov (United States)

    Thomas, Lorraine

    2016-01-01

    This research investigates aspirations for a master's-level teaching profession in England, providing key stakeholder perceptions in one densely populated region within a multiple case study. Although this intended move to a master's-level profession represented a major shift in teachers' professional development in England, only limited…

  9. The Master's in Teaching and Learning: Expanding Utilitarianism in the Continuing Professional Development of Teachers in England

    Science.gov (United States)

    Frankham, Jo; Hiett, Sandra

    2011-01-01

    The article focuses on the policy rhetoric of the Masters in Teaching and Learning (MTL). This is a new degree being launched in the summer of 2010 aimed, initially, at teachers who have just joined the profession. The degree presages the aspiration for a Master's level teaching profession in England. Professional development as conceived in the…

  10. The climatic context of major plague outbreaks in late medieval England

    Science.gov (United States)

    Pribyl, Kathleen

    2017-04-01

    The climatological triggers of major plague outbreaks in late medieval and early modern Europe remain unclear; recent studies have been inconclusive. Plague is primarily a rodent disease and due to the involvement of rodent hosts and insect vectors, the epidemiology of plague is complicated, but research on outbreaks in the Third Pandemic, which began in the late nineteenth century, has shown that in central and eastern Asia plague is linked to specific meteorological conditions. The disease adapts to a varied spectrum of ecological and climatological settings, which influence the development of plague waves, and due to Europe's geographical diversity, this paper focuses on one region, England, in its search for meteorological parameters contributing to plague outbreaks. The study period of this paper is defined by the arrival of Yersinia pestis in the British Isles in 1348 and the end of the fifteenth century. During this time, England's population dynamics were mortality-driven due to recurrent epidemic disease; and public health measures, such as quarantining, had not yet been introduced, hence the influence of social factors on the formation of major plague waves was very limited. The geographical and temporal focus of this study allows for the combination of the series of English major plague outbreaks, verified in the original texts, with the high-quality climate reconstructions based on both documentary sources and proxy data available for this region. The detailed analysis of the mechanisms contributing to English plague waves presented in this paper, reveals a complex interplay of time-lag responses and concurrent conditions involving temperature and precipitation parameters.

  11. The Dilemma of Obedience: Persecution, Dissimulation, and Memory in Early Modern England, 1553-1603

    OpenAIRE

    Harkins, Robert Lee

    2013-01-01

    This study examines the problem of religious and political obedience in early modern England. Drawing upon extensive manuscript research, it focuses on the reign of Mary I (1553-1558), when the official return to Roman Catholicism was accompanied by the prosecution of Protestants for heresy, and the reign of Elizabeth I (1558-1603), when the state religion again shifted to Protestantism. I argue that the cognitive dissonance created by these seesaw changes of official doctrine necessitated a ...

  12. Youth, alcohol and place-based leisure behaviours: a study of two locations in England.

    Science.gov (United States)

    Townshend, Tim G

    2013-08-01

    Excessive alcohol consumption among young people in England regularly features in national media and has been a focus of recent academic research and government policy. Though the majority of young people do not regularly drink excessively, heavy sessional drinking - 'binge' drinking - is associated with negative health and social consequences for those who do. Alcohol-related health problems in young people are not spread consistently across England, however, and while there are significant intra-regional differences, northern regions fare worse overall than those in the south. This paper draws on an 18-month project which explored differences in the physical, social and regulatory environments (highlighted by previous research as influential) in two locations with contrasting alcohol harm profiles. The paper focuses on the lives of 15-16 year olds and examines potential differences that influence behaviour at this crucial age; and in particular issues that might presage risky and/or harmful drinking in young adulthood. The study examines evidence from young people themselves (activity diaries and interviews); stakeholder interviews; and observation analysis. The study finds social practices in the two areas to be largely similar; moreover, the collectivised and social nature of alcohol consumption suggests sources of influence from a wider context, beyond immediate family and friendship groups. However these social practices were acted out in locations with very different physical characteristics, in particular these related to the availability of non-alcohol focused leisure activities and the spatial arrangement/visibility of adult drinking culture. Copyright © 2013 Elsevier Ltd. All rights reserved.

  13. Choosing Wisely Imaging Recommendations: Initial Implementation in New England Emergency Departments

    Directory of Open Access Journals (Sweden)

    Ali S. Raja

    2017-04-01

    Full Text Available Introduction: In June 2016, the American College of Emergency Physicians (ACEP Emergency Quality Network began its Reduce Avoidable Imaging Initiative, designed to “reduce testing and imaging with low risk patients through the implementation of Choosing Wisely recommendations.” However, it is unknown whether New England emergency departments (ED have already implemented evidence-based interventions to improve adherence to ACEP Choosing Wisely recommendations related to imaging after their initial release in 2013. Our objective was to determine this, as well as whether provider-specific audit and feedback for imaging had been implemented in these EDs. Methods: This survey study was exempt from institutional review board review. In 2015, we mailed surveys to 195 hospital-affiliated EDs in all six New England states to determine whether they had implemented Choosing Wisely-focused interventions in 2014. Initial mailings included cover letters denoting the endorsement of each state’s ACEP chapter, and we followed up twice with repeat mailings to nonresponders. Data analysis included descriptive statistics and a comparison of state differences using Fisher’s exact test. Results: A total of 169/195 (87% of New England EDs responded, with all individual state response rates >80%. Overall, 101 (60% of responding EDs had implemented an intervention for at least one Choosing Wisely imaging scenario; 57% reported implementing a specific guideline/policy/clinical pathway and 28% reported implementing a computerized decision support system. The most common interventions were for chest computed tomography (CT in patients at low risk of pulmonary embolism (47% of EDs and head CT in patients with minor trauma (45% of EDs. In addition, 40% of EDs had implemented provider-specific audit and feedback, without significant interstate variation (range: 29-55%. Conclusion: One year after release of the ACEP Choosing Wisely recommendations, most New England EDs

  14. Groundwater vulnerability to onshore unconventional and conventional hydrocarbon activities in England

    Science.gov (United States)

    Loveless, Sian; Bloomfield, John; Ward, Rob; Davey, Ian; Hart, Alwyn

    2016-04-01

    In the last five years there has been a renewed interest in onshore oil and gas in England as new extraction technologies and continued energy demand have allowed for the development of less accessible resources. Until now, shale gas has received most attention in England although exploration licences have also been granted for coal bed methane and mine gas in addition to more conventional hydrocarbon resources. While there is some interest in underground coal gasification there are currently no licences granted. Potential impacts on groundwater from shale gas operations have been well publicised. Hazards include contamination from spills or leaks of frack-fluids and returned water, at the surface, through leaky wells or via subsurface pathways from the source rock, and the availability of water resources. Groundwater is an important resource in England, providing an average of 31% of water resources in England and Wales, and up to 100% in some areas of south-east England. In its role as the environmental regulator the Environment Agency must manage the risks associated with these hazards, and those associated with other onshore oil and gas activities, so that they are minimised. Here we focus on the groundwater contamination risk from source rocks though subsurface pathways. Despite the abundant literature emerging from the North American continent there remain great uncertainties as to the risk. These uncertainties are amplified when translated to Europe due to significant policy and geological differences. Research from North America indicates that risk is influenced by the exploitation and well completion methods and the geological setting, including: pre-existing fracture and fault networks; stress regime; petrological and rheological properties of the rock between the source and groundwater receptor and the distance between the source and receptors. A joint British Geological Survey/ EA project - iHydrogeology (http

  15. Six States, One Destiny: Critical Issues for New England

    Science.gov (United States)

    Mass, William; Soule, David C.

    2005-01-01

    Midway through the first decade of the 21st century, New England innovation and creative capacity are being challenged by other regions of the nation and the world. New England needs foresight to understand what its emerging economic sectors need to thrive in a changing demography. The region is losing 20- to 34-year-olds and seeing a growing…

  16. Recent trends in children's exposure to second-hand smoke in England: cotinine evidence from the Health Survey for England.

    Science.gov (United States)

    Jarvis, Martin J; Feyerabend, Colin

    2015-09-01

    To examine changes in children's exposure to second-hand tobacco smoke in England since 1998. Repeated cross-sectional surveys of the general population in England. The Health Survey for England. A total of 37 038 children participating in surveys from 1998 to 2012, 13 327 of whom were aged 4-15 years, had available cotinine and were confirmed non-smokers. The proportion of children with smoking parents; the proportion of children living in homes reported to be smoke-free; the proportion of children with undetectable concentrations of cotinine; linear and quadratic trend estimates of geometric mean cotinine across years. By 2012, 87.3% of children lived in a home that was smoke-free {97.2% [95% confidence interval (CI) = 95.9-98.1] when parents were non-smokers, 61.3% (95% CI = 55.5-66.8) when one or both parents smoked}. A total of 68.6% (95% CI = 64.3-72.6%) of children had undetectable cotinine in 2012, up from 14.3% (95% CI = 12.7-16.0%) in 1998. There was a highly significant linear trend across years (with a small but significant quadratic term) to declining geometric mean cotinine in all children from 0.52 ng/ml (95% CI = 0.48-0.57) in 1998 to 0.11 ng/ml (95% CI = 0.10-0.12) in 2012. Children from routine/manual backgrounds were more exposed, but experienced similar gains across years to those from non-manual backgrounds. In England, children's exposure to second-hand smoke has declined by 79% since 1998, with continuing progress since smoke-free legislation in 2007. An emerging social norm in England has led to the adoption of smoke-free homes not only when parents are non-smokers, but also when they smoke. © 2015 Society for the Study of Addiction.

  17. Schooling Reforms in England: From Quasi-Markets to Co-Opetition?

    Science.gov (United States)

    Adnett, Nick; Davies, Peter

    2003-01-01

    Economic analysis of the impact of recent schooling reforms in England designed to promote competition or cooperation between schools. Outlines the theoretical relationships between school competition and cooperation and school effectiveness. Briefly describes the development of policy in England and analyzes the interaction between the incentives…

  18. England Policy in Gifted Education: Current Problems and Promising Directions

    Science.gov (United States)

    Koshy, Valsa; Smith, Carole Portman; Casey, Ronald

    2018-01-01

    This article presents and analyzes policies in identification and provisions in England with respect to gifted education. England has developed a national policy to provide services to identified students. Surveys and interviews with teachers illustrate how implementation of both identification and provision policy elements were handled. Although…

  19. Reforming birth registration law in England and Wales?

    Directory of Open Access Journals (Sweden)

    Julie McCandless

    2017-06-01

    Full Text Available The Law Commission of England and Wales is considering what its 13th Programme of Law Reform should address. During the consultation process, a project on birth registration law has been mooted. This is a very welcome proposal given that civil birth registration in England and Wales is a compulsory procedure that not only finds its roots in the early Victorian era, but also remains very similar, at least in terms of form and the information that is recorded. I first use two recent legal challenges to illustrate why the current system is coming under increasing pressure. I further use these examples to caution against a law reform agenda that is narrowly focused on the precise information recorded, without a preliminary and wider examination of what the role and purpose of birth registration is, and should be, in society. I argue that this needs to be addressed before the state can justify the parameters of the information recorded. I then use an outline of historical reforms relating to the registration of births outside of marriage to highlight the normative two-parent family model that underpins the birth registration system. I argue that legal reform must be cognizant of the tenacity of this normative family model, particularly in relation to reform proposals surrounding donor conception and the annotation of birth certificates. Finally, I draw attention to wider developments in family law that cast birth registration as a social policy tool for the facilitation of parent–child relationships, particularly unmarried fathers.

  20. Environment Agency England flood warning systems

    Science.gov (United States)

    Strong, Chris; Walters, Mark; Haynes, Elizabeth; Dobson, Peter

    2015-04-01

    Context In England around 5 million homes are at risk of flooding. We invest significantly in flood prevention and management schemes but we can never prevent all flooding. Early alerting systems are fundamental to helping us reduce the impacts of flooding. The Environment Agency has had the responsibility for flood warning since 1996. In 2006 we invested in a new dissemination system that would send direct messages to pre-identified recipients via a range of channels. Since then we have continuously improved the system and service we offer. In 2010 we introduced an 'opt-out' service where we pre-registered landline numbers in flood risk areas, significantly increasing the customer base. The service has performed exceptionally well under intense flood conditions. Over a period of 3 days in December 2013, when England was experiencing an east coast storm surge, the system sent nearly 350,000 telephone messages, 85,000 emails and 70,000 text messages, with a peak call rate of around 37,000 per hour and 100% availability. The Floodline Warnings Direct (FWD) System FWD provides warnings in advance of flooding so that people at risk and responders can take action to minimise the impact of the flood. Warnings are sent via telephone, fax, text message, pager or e-mail to over 1.1 million properties located within flood risk areas in England. Triggers for issuing alerts and warnings include attained and forecast river levels and rainfall in some rapidly responding locations. There are three levels of warning: Flood Alert, Flood Warning and Severe Flood Warning, and a stand down message. The warnings can be updated to include relevant information to help inform those at risk. Working with our current provider Fujitsu, the system is under a programme of continuous improvement including expanding the 'opt-out' service to mobile phone numbers registered to at risk addresses, allowing mobile registration to the system for people 'on the move' and providing access to

  1. Assessment of objectively measured physical activity levels in individuals with intellectual disabilities with and without Down's syndrome.

    Directory of Open Access Journals (Sweden)

    Alexander C Phillips

    Full Text Available To investigate, using accelerometers, the levels of physical activity being undertaken by individuals with intellectual disabilities with and without Down's syndrome.One hundred and fifty two individuals with intellectual disabilities aged 12-70 years from East and South-East England. Physical activity levels in counts per minute (counts/min, steps per day (steps/day, and minutes of sedentary, light, moderate, vigorous, and moderate to vigorous physical activity (MVPA measured with a uni-axial accelerometer (Actigraph GT1M for seven days.No individuals with intellectual disabilities met current physical activity recommendations. Males were more active than females. There was a trend for physical activity to decline and sedentary behaviour to increase with age, and for those with more severe levels of intellectual disability to be more sedentary and less physically active, however any relationship was not significant when adjusted for confounding variables. Participants with Down's syndrome engaged in significantly less physical activity than those with intellectual disabilities without Down's syndrome and levels of activity declined significantly with age.Individuals with intellectual disabilities, especially those with Down's syndrome may be at risk of developing diseases associated with physical inactivity. There is a need for well-designed, accessible, preventive health promotion strategies and interventions designed to raise the levels of physical activity for individuals with intellectual disabilities. We propose that there are physiological reasons why individuals with Down's syndrome have particularly low levels of physical activity that also decline markedly with age.

  2. Perceptions and experiences of financial incentives: a qualitative study of dialysis care in England.

    Science.gov (United States)

    Abma, Inger; Jayanti, Anuradha; Bayer, Steffen; Mitra, Sandip; Barlow, James

    2014-02-12

    The objective of the study was to understand the extent to which financial incentives such as Payment by Results and other payment mechanisms motivate kidney centres in England to change their practices. The study followed a qualitative design. Data collection involved 32 in-depth semistructured interviews with healthcare professionals and managers, focusing on their subjective experience of payment structures. Participants were kidney healthcare professionals, clinical directors, kidney centre managers and finance managers. Healthcare commissioners from different parts of England were also interviewed. Participants worked at five kidney centres from across England. The selection was based on the prevalence of home haemodialysis, ranging from low (8%) prevalence, with at least one centre in each one of these categories at the time of selection. While the tariff for home haemodialysis is not a clear incentive for its adoption due to uncertainty about operational costs, Commissioning for Quality and Innovation (CQUIN) targets and the Best Practice Tariff for vascular access were seen by our case study centres as a motivator to change practices. The impact of financial incentives designed at a policy level is influenced by the understanding of cost and benefits at the local operational level. In a situation where costs are unclear, incentives which are based on the improvement of profit margins have a smaller impact than incentives which provide an additional direct payment, even if this extra financial support is relatively small.

  3. Perspectives on the "Silent Period" for Emergent Bilinguals in England

    Science.gov (United States)

    Bligh, Caroline; Drury, Rose

    2015-01-01

    This article draws together the research findings from two ethnographic studies as a means to problematize the "silent period" as experienced by young bilingual learners in two English speaking early-years settings in England. Most teachers and senior early-years practitioners in England are monolingual English speakers. The children…

  4. The public health system in England

    National Research Council Canada - National Science Library

    Hunter, David J; Marks, Linda; Smith, Katherine E

    2010-01-01

    .... The Public Health System in England offers a wide-ranging, provocative and accessible assessment of challenges confronting a public health system, exploring how its parameters have shifted over time...

  5. Education Policy and Governance in England under the Coalition Government (2010-15): Academies, the Pupil Premium, and Free Early Education

    Science.gov (United States)

    West, Anne

    2015-01-01

    This paper explores the governance of school-based and early education in England under the Conservative-Liberal Democrat Coalition Government (2010-15). It draws on three prominent Coalition policy areas--the academies programme, the pupil premium, and free part-time early education--and focuses on changes to the role played by central government…

  6. Learning from contract change in primary care dentistry: A qualitative study of stakeholders in the north of England.

    Science.gov (United States)

    Holmes, Richard D; Steele, Jimmy G; Donaldson, Cam; Exley, Catherine

    2015-09-01

    The aim of this research was to explore and synthesise learning from stakeholders (NHS dentists, commissioners and patients) approximately five years on from the introduction of a new NHS dental contract in England. The case study involved a purposive sample of stakeholders associated with a former NHS Primary Care Trust (PCT) in the north of England. Semi-structured interviews were conducted with 8 commissioners of NHS dental services and 5 NHS general dental practitioners. Three focus group meetings were held with 14 NHS dental patients. All focus groups and interviews were audio recorded and transcribed verbatim. The data were analysed using a framework approach. Four themes were identified: 'commissioners' views of managing local NHS dental services'; 'the risks of commissioning for patient access'; 'costs, contract currency and commissioning constraints'; and 'local decision-making and future priorities'. Commissioners reported that much of their time was spent managing existing contracts rather than commissioning services. Patients were unclear about the NHS dental charge bands and dentists strongly criticised the contract's target-driven approach which was centred upon them generating 'units of dental activity'. NHS commissioners remained relatively constrained in their abilities to reallocate dental resources amongst contracts. The national focus upon practitioners achieving their units of dental activity appeared to outweigh interest in the quality of dental care provided. Copyright © 2015 The Authors. Published by Elsevier Ireland Ltd.. All rights reserved.

  7. Focus group discussions

    CERN Document Server

    Hennink, Monique M

    2014-01-01

    The Understanding Research series focuses on the process of writing up social research. The series is broken down into three categories: Understanding Statistics, Understanding Measurement, and Understanding Qualitative Research. The books provide researchers with guides to understanding, writing, and evaluating social research. Each volume demonstrates how research should be represented, including how to write up the methodology as well as the research findings. Each volume also reviews how to appropriately evaluate published research. Focus Group Discussions addresses the challenges associated with conducting and writing focus group research. It provides detailed guidance on the practical and theoretical considerations in conducting focus group discussions including: designing the discussion guide, recruiting participants, training a field team, moderating techniques and ethical considerations. Monique Hennink describes how a methodology section is read and evaluated by others, such as journal reviewers or ...

  8. New England Energy Congress: preliminary report for public review

    Energy Technology Data Exchange (ETDEWEB)

    Pratt, Robert L.; Mayer, Jean; Buckley, John G.; Spencer, Bailey

    1978-11-01

    The New England Energy Congress represents the concerted effort of a group of New Englanders to address the energy problem of the area. New England is dependent on oil, with fully 80% of its energy requirements derived from this single source. Detailed reports are presented by the Supply Committee (fossil fuels, nuclear, and alternative sources); the Committee on Economic Development Through Alternative Sources of Energy (defining the state of the art and future directions of the technologies applicable to renewable energy resources, specifically, biomass, direct solar, and wind/hydroelectric/tidal/wave energy; identifying, and formulating policies to reduce the institutional impediments and adverse environmental impacts of developing these resources; and evaluationg the relationship between renewable energy systems and regional economic development); Energy Demand Committee; Energy Conservation Committee; Regulatory and Institutional Processes Committee; and Energy Economics and Financing Committee.

  9. A Comparative Analysis of Primary Teacher Professionalism in England and Finland

    Science.gov (United States)

    Webb, Rosemary; Vulliamy, Graham; Hamalainen, Seppo; Sarja, Anneli; Kimonen, Eija; Nevalainen, Raimo

    2004-01-01

    Policy-makers' conceptions of teacher professionalism currently differ markedly in England and Finland. In England they are shaped by agendas associated with the drive to raise standards and "commercialized professionalism" whilst in Finland they are influenced by notions of "teacher empowerment". This article analyses findings…

  10. An Analysis of the Stakeholder Model of Public Boards and the Case of School Governing Bodies in England and Wales

    Science.gov (United States)

    Connolly, Michael; Farrell, Catherine; James, Christopher

    2017-01-01

    This article analyses the stakeholder model of boards that is widely used in public and third sector institutions in England and Wales. The central tenet of this model is that such institutions should be strategically led by individuals who are representative of and from the groups that have an interest in them. The article focuses in particular…

  11. Down Syndrome = Sindrome de Down.

    Science.gov (United States)

    Pueschel, S. M.; Glasgow, R. E.

    Presented both in English and Spanish, the brochure is primarily concerned with biological and developmental characteristics of the person with Down's syndrome. An emphasis is on the valuable humanizing influence these individuals have on society. Brief sections in the document discuss the delayed developmental aspects of Down's syndrome; the…

  12. McDonald's restaurants and neighborhood deprivation in Scotland and England.

    Science.gov (United States)

    Cummins, Steven C J; McKay, Laura; MacIntyre, Sally

    2005-11-01

    Features of the local fast food environment have been hypothesized to contribute to the greater prevalence of obesity in deprived neighborhoods. However, few studies have investigated whether fast food outlets are more likely to be found in poorer areas, and those that have are local case studies. In this paper, using national-level data, we examine the association between neighborhood deprivation and the density of McDonald's restaurants in small census areas (neighborhoods) in Scotland and England. Data on population, deprivation, and the location of McDonald's Restaurants were obtained for 38,987 small areas in Scotland and England (6505 "data zones" in Scotland, and 32,482 "super output areas" in England) in January 2005. Measures of McDonald's restaurants per 1000 people for each area were calculated, and areas were divided into quintiles of deprivation. Associations between neighborhood deprivation and outlet density were examined during February 2005, using one-way analysis of variance in Scotland, England, and both countries combined. Statistically significant positive associations were found between neighborhood deprivation and the mean number of McDonald's outlets per 1000 people for Scotland (p<0.001), England (p<0.001), and both countries combined (p<0.001). These associations were broadly linear with greater mean numbers of outlets per 1000 people occurring as deprivation levels increased. Observed associations between presence or absence of fast food outlets and neighborhood deprivation may provide support for environmental explanations for the higher prevalence of obesity in poor neighborhoods.

  13. A critical analysis of national policies, systems, and structures of patient empowerment in England and Greece.

    Science.gov (United States)

    Boudioni, Markella; McLaren, Susan; Lister, Graham

    2017-01-01

    Comparison of patient empowerment (PE) policies in European countries can provide evidence for improvement and reform across different health systems. It may also influence patient and public involvement, patient experience, preference, and adherence. The objective of this study was to compare PE within national policies, systems, and structures in England and Greece for achieving integrated people-centered health services. We performed a critical search and review of policy and legislation papers in English and Greek languages. This included 1) general health policy and systems papers, 2) PE, patient and/or public involvement or patients' rights policy and legislation (1990-2015), and 3) comparative or discussion papers for England and/or Greece. A total of 102 papers on PE policies, systems, and structures were identified initially; 80 papers were included, in which 46 were policy, legislative, and discussion papers about England, 21 were policy, legislation, and discussion papers about Greece, and 13 were comparative or discussion papers including both the countries. In England, National Health Service policies emphasized patient-centered services, involvement, and empowerment, with recent focus on patients' rights; while in Greece, they emphasized patients' rights and quality of services, with recent mentions on empowerment. The health ombudsman is a very important organization across countries; however, it may be more powerful in Greece, because of the nonexistence of local mediating bodies. Micro-structures at trusts/hospitals are comparable, but legislation gives more power to the local structures in Greece. PE policies and systems have been developed and expressed differently in these countries. However, PE similarities, comparable dimensions and mechanisms, were identified. For both the countries, comparative research and these findings could be beneficial in building connections and relationships, contributing to wider European and international

  14. Elevated bladder cancer in northern New England: The role of drinking water and arsenic

    Science.gov (United States)

    Baris, Dalsu; Wadell, Richard; Freeman, Laura; Schwenn, Molly; Colt, Joanne; Ayotte, Joseph; Ward, Mary; Nuckols, John; Schned, Alan; Jackson, Brian; Clerkin, Castine; Rothman, Nathanial; Moore, Lee; Taylor, Anne; Robinson, Gilpin; Hosain, Monawar G.; Armenti, Carla; McCoy, Richard; Samanic, Claudine; Hoover, Robert; Fraumeni, Joseph; Johnson, Alison; Karagas, Margaret; Silverman, Debra

    2016-01-01

    Background: Bladder cancer mortality rates have been elevated in northern New England for at least five decades. Incidence rates in Maine, New Hampshire, and Vermont are about 20% higher than the United States overall. We explored reasons for this excess, focusing on arsenic in drinking water from private wells, which are particularly prevalent in the region.Methods: In a population-based case-control study in these three states, 1213 bladder cancer case patients and 1418 control subjects provided information on suspected risk factors. Log transformed arsenic concentrations were estimated by linear regression based on measurements in water samples from current and past homes. All statistical tests were two-sided.Results: Bladder cancer risk increased with increasing water intake ( Ptrend = .003). This trend was statistically significant among participants with a history of private well use ( Ptrend = .01). Among private well users, this trend was apparent if well water was derived exclusively from shallow dug wells (which are vulnerable to contamination from manmade sources, Ptrend = .002) but not if well water was supplied only by deeper drilled wells ( Ptrend = .48). If dug wells were used pre-1960, when arsenical pesticides were widely used in the region, heavier water consumers (>2.2 L/day) had double the risk of light users (bladder cancer risk in New England. In addition, historical consumption of water from private wells, particularly dug wells in an era when arsenical pesticides were widely used, was associated with increased bladder cancer risk and may have contributed to the New England excess.

  15. Incorporating Cognitive Behavioural Therapy into a Public Health Care System: Canada and England Compared

    Directory of Open Access Journals (Sweden)

    Noushon Farmanara

    2016-06-01

    Full Text Available Since the second half of the 2000s, Canada and England have instituted differing reforms to address the inadequate provision and quality of mental health services in both nations. With growing evidence demonstrating the success and cost-effectiveness of psychotherapy, the English reform sought to expand the delivery of psychological services through the Improving Access to Psychological Therapies program (IAPT focusing on cognitive behavioural therapy (CBT. In contrast, Canadian interventions at the federal level were centred on knowledge exchange and advocacy, primarily through the Mental Health Commission of Canada. While significant improvements were made during this period to increase CBT access in England, there continues to be an insufficient availability of psychological services to meet the growing need in Canada. While a national roll-out akin to the IAPT program in England is unlikely in Canada, similar reforms could be initiated at the provincial level of government. Indeed, several provincial governments have acknowledged the need for an expansion of CBT services and, over the last decade, some have tried to make CBT techniques more widely accessible. We review the case of the Bounce Back program developed in British Columbia (BC to illustrate this potential in the Canadian context. Best practices indicate that care is needed beyond the provision of psychiatric services and pharmacotherapy alone, and the initial results of both the IAPT program and BC’s Bounce Back program strongly suggest that it is possible to provide these cost-effective services in a public system.

  16. Prenatal treatment of Down syndrome: a reality?

    Science.gov (United States)

    Guedj, Fayçal; Bianchi, Diana W; Delabar, Jean-Maurice

    2014-04-01

    Down syndrome affects more than 5 million people globally. During the last 10 years, there has been a dramatic increase in the research efforts focused on therapeutic interventions to improve learning and memory in Down syndrome. This review summarizes the different functional abnormalities targeted by researchers in mouse models of Down syndrome. Three main strategies have been used: neural stem cell implantation; environmental enrichment and physical exercise; and pharmacotherapy. Pharmacological targets include the choline pathway, GABA and NMDA receptors, DYRK1A protein, oxidative stress and pathways involved in development and neurogenesis. Many strategies have improved learning and memory as well as electrophysiological and molecular alterations in affected animals. To date, eight molecules have been tested in human adult clinical trials. No studies have yet been performed on infants. However, compelling studies reveal that permanent brain alterations originate during fetal life in Down syndrome. Early prenatal diagnosis offers a 28 weeks window to positively impact brain development and improve postnatal cognitive outcome in affected individuals. Only a few approaches (Epigallocatechine gallate, NAP/SAL, fluoxetine, and apigenin) have been used to treat mice in utero; these showed therapeutic effects that persisted to adulthood. In this article, we discuss the challenges, recent progress, and lessons learned that pave the way for new therapeutic approaches in Down syndrome.

  17. Plasma N-Glycome Signature of Down Syndrome

    NARCIS (Netherlands)

    Borelli, V.; Vanhooren, V.; Lonardi, E.; Reiding, K.R.; Capri, M.; Libert, C.; Garagnani, P.; Salvioli, S.; Franceschi, C.; Wuhrer, M.

    2015-01-01

    In recent years, plasma N-glycans have emerged as biomarkers for health and disease. Here, we studied N-glycomic changes in Down Syndrome (DS). Because of the progeroid phenotype of DS, we focused on the dissection of syndrome- and aging-associated glycomic changes, as well as the interaction

  18. Characterizing New England Emergency Departments by Telemedicine Use.

    Science.gov (United States)

    Zachrison, Kori S; Hayden, Emily M; Schwamm, Lee H; Espinola, Janice A; Sullivan, Ashley F; Boggs, Krislyn M; Raja, Ali S; Camargo, Carlos A

    2017-10-01

    Telemedicine connects emergency departments (ED) with resources necessary for patient care; its use has not been characterized nationally, or even regionally. Our primary objective was to describe the prevalence of telemedicine use in New England EDs and the clinical applications of use. Secondarily, we aimed to determine if telemedicine use was associated with consultant availability and to identify ED characteristics associated with telemedicine use. We analyzed data from the National Emergency Department Inventory-New England survey, which assessed basic ED characteristics in 2014. The survey queried directors of every ED (n=195) in the six New England states (excluding federal hospitals and college infirmaries). Descriptive statistics characterized ED telemedicine use; multivariable logistic regression identified independent predictors of use. Of the 169 responding EDs (87% response rate), 82 (49%) reported using telemedicine. Telemedicine EDs were more likely to be rural (18% of users vs. 7% of non-users, p=0.03); less likely to be academic (1% of users vs. 11% of non-users, p=0.01); and less likely to have 24/7 access to neurology (ptelemedicine was more likely in rural EDs (odds ratio [OR] 4.39, 95% confidence interval [CI] 1.30-14.86), and less likely in EDs with 24/7 neurologist availability (OR 0.21, 95% CI [0.09-0.49]), and annual volume Telemedicine is commonly used in New England EDs. In 2014, use was more common among rural EDs and EDs with limited neurology consultant availability. In contrast, telemedicine use was less common among very low-volume EDs.

  19. Adherence to the Mediterranean diet among employees in South West England: Formative research to inform a web-based, work-place nutrition intervention

    Directory of Open Access Journals (Sweden)

    Angeliki Papadaki

    2015-01-01

    Conclusion: Improvement in the consumption of several Mediterranean diet components is needed to increase adherence in this sample of adults. The findings have the potential to inform the development of a web-based intervention that will focus on these foods to promote the Mediterranean diet in work-place settings in South West England.

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

    Science.gov (United States)

    Kassell, Lauren

    2014-01-01

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

  1. Developing Professionalism within a Regulatory Framework in England: Challenges and Possibilities

    Science.gov (United States)

    Miller, Linda

    2008-01-01

    Early Childhood Education and Care (ECEC) is now firmly on government agendas in many countries, including England, and the need to develop a professional workforce is generally agreed. The reform of the children's workforce in England acknowledges that increasing the skills and competence of this workforce is critical to its success. Two new…

  2. Public Holidays of England

    Institute of Scientific and Technical Information of China (English)

    梁泽标

    1992-01-01

    In England, Christmas Day and Good Friday havebeen holidays (literally ’Holy Days’) for religious reasonssince the establishment of Christianity in this country.Christmas is celebrated on December 25, not ChristmasEve as in several other European countries. The otherpublic holidays (or ’Bank Holidays’) are Easter Monday,May Day (May 1st), the Spring Bank Holiday (the lastMonday in May), the Summer Bank Holiday (the last

  3. New England Energy Congress project. Final report, June 1978-July 1980

    Energy Technology Data Exchange (ETDEWEB)

    None

    1981-11-20

    From May 1978 until April 1979, 120 New Englanders volunteered for one of six committees to devise and consider energy policy recommendations for the region's twenty-five Member, six state Congressional delegation. Sponsored by the New England Congressional Caucus and Tufts University, the New England Energy Congress was funded by grants from the Economic Development Administration, US Department of Commerce and the Office of Environment, US Department of Energy. The results of the work of the 120 delegates and nine staff was a 500 page report, Blueprint for Energy Action, containing over 150 policy recommendations to the Congress, Executive agencies, state legislatures and municipalities. The New England Congressional Caucus responded in June 1979 with an Energy Package, including twenty (and ultimately twenty-five) legislative bills and several letters to federal agencies, based on the recommendations of the Energy Congress. Following the release of the report in June 1979, 55 delegates continued their efforts as members of the Implementation Group of the Energy Congress. In July 1980, this group released a volume of Strategy Papers designed to assist in the implementation of Energy Congress recommendations. As a result of this work, a broad array of energy activities were initiated in New England and in Washington. By January 1981, 20 of the 25 bills in the Caucus package had been passed in whole or in part. This final report discusses the Energy Congress' activities, consensus decision-making process and its findings. The report reviews the results of a thorough evaluation conducted through the mail and by phone of participants, outside observers and from Capital Hill. The clear conclusion is that the Energy Congress made a unique and significant contribution towards enabling New Englanders, both in the region and in Washington, to set energy goals and priorities and to begin serious efforts to reduce the region's precarious dependence on oil imports.

  4. The Social Distribution of Health: Estimating Quality-Adjusted Life Expectancy in England.

    Science.gov (United States)

    Love-Koh, James; Asaria, Miqdad; Cookson, Richard; Griffin, Susan

    2015-07-01

    To model the social distribution of quality-adjusted life expectancy (QALE) in England by combining survey data on health-related quality of life with administrative data on mortality. Health Survey for England data sets for 2010, 2011, and 2012 were pooled (n = 35,062) and used to model health-related quality of life as a function of sex, age, and socioeconomic status (SES). Office for National Statistics mortality rates were used to construct life tables for age-sex-SES groups. These quality-of-life and length-of-life estimates were then combined to predict QALE as a function of these characteristics. Missing data were imputed, and Monte-Carlo simulation was used to estimate standard errors. Sensitivity analysis was conducted to explore alternative regression models and measures of SES. Socioeconomic inequality in QALE at birth was estimated at 11.87 quality-adjusted life-years (QALYs), with a sex difference of 1 QALY. When the socioeconomic-sex subgroups are ranked by QALE, a differential of 10.97 QALYs is found between the most and least healthy quintile groups. This differential can be broken down into a life expectancy difference of 7.28 years and a quality-of-life adjustment of 3.69 years. The methods proposed in this article refine simple binary quality-adjustment measures such as the widely used disability-free life expectancy, providing a more accurate picture of overall health inequality in society than has hitherto been available. The predictions also lend themselves well to the task of evaluating the health inequality impact of interventions in the context of cost-effectiveness analysis. Copyright © 2015 International Society for Pharmacoeconomics and Outcomes Research (ISPOR). Published by Elsevier Inc. All rights reserved.

  5. Does Europe Matter? A Comparative Study of Young People's Identifications with Europe at a State School and a European School in England

    Science.gov (United States)

    Savvides, Nicola; Faas, Daniel

    2016-01-01

    This article explores the extent to which young people in predominantly middle-class environments identify with Europe and considers the influence of European education policy, school ethos and curricula. We compare data drawn from individual and focus group interviews with students aged 15-17 at a state school and a European School in England.…

  6. Identifying dietary differences between Scotland and England: a rapid review of the literature.

    Science.gov (United States)

    Chambers, Stephanie; Barton, Karen L; Albani, Viviana; Anderson, Annie S; Wrieden, Wendy L

    2017-10-01

    Rates of premature mortality have been higher in Scotland than in England since the 1970s. Given the known association of diet with chronic disease, the study objective was to identify and synthesise evidence on current and historical differences in food and nutrient intakes in Scotland and England. A rapid review of the peer-reviewed and grey literature was carried out. After an initial scoping search, Medline, CINAHL, Embase and Web of Science were searched. Relevant grey literature was also included. Inclusion criteria were: any date; measures of dietary intake; representative populations; cross-sectional or observational cohort studies; and English-language publications. Study quality was assessed using the Quality Assessment Tool for Observational Cohort and Cross-sectional Studies. A narrative synthesis of extracted information was conducted. Fifty publications and reports were included in the review. Results indicated that children and adults in Scotland had lower intakes of vegetables and vitamins compared with those living in England. Higher intakes of salt in Scotland were also identified. Data were limited by small Scottish samples, difficulty in finding England-level data, lack of statistical testing and adjustment for key confounders. Further investigation of adequately powered and analysed surveys is required to examine more fully dietary differences between Scotland and England. This would provide greater insight into potential causes of excess mortality in Scotland compared with England and suitable policy recommendations to address these inequalities.

  7. Study of Different Social Rewards Used in Down's Syndrome Children's Early Stimulation

    Science.gov (United States)

    Sanz, Teresa; Menendez, Javier; Rosique, Teresa

    2011-01-01

    This article describes the results obtained with two types of social rewards used in early stimulation of Down's syndrome children. In the study we focus on the efficiency of the employment of the social rewards or reinforcements used in the early stimulation, bearing in mind that the children with Down's syndrome possess a social development…

  8. The disturbing virgin : an analysis of criticism on Mary Wilkins Freeman's short story "A New England Nun"

    OpenAIRE

    Tidemann, Line Næstby

    2007-01-01

    Abstract Few female literary characters have been treated with more scorn and ridicule than the ‘spinster’. In this essay, I examine how modern critics of Mary Wilkins Freeman’s “A New England Nun” (1891) have interpreted the unmarried female protagonist of this short story, Louisa Ellis. Representative critical strategies are analysed with focus on how they interpret the protagonist, and what the political and methodological implications of choosing a particular strategy are. The two com...

  9. Commissioning of specialist palliative care services in England.

    Science.gov (United States)

    Lancaster, Harriet; Finlay, Ilora; Downman, Maxwell; Dumas, James

    2018-03-01

    Some failures in end-of-life care have been attributed to inconsistent provision of palliative care across England. We aimed to explore the variation in commissioning of services by Clinical Commissioning Groups (CCGs) using a data collection exercise. We sent a Freedom of Information request in the form of an open questionnaire to all 209 CCGs in England to assess their commissioning of palliative and end-of-life care services, mainly focused on the provision of specialist palliative care services. 29 CCGs provided information about the number of patients with some form of palliative care needs in their population. For specialist palliative care services, CCGs allocated budgets ranging from £51.83 to £2329.19 per patient per annum. 163 CCGs (77.90%) currently commission 7-day admission to their specialist palliative care beds. 82.84% of CCGs commission 7-day specialist palliative care services in patients' own homes and out-of-hours services rely heavily on hospice provision. 64 CCGs (31.37%) commission pain control teams, the majority of whom only operate in regular working hours. 68.14% of CCGs reported commissioning palliative care education of any sort for healthcare professionals and 44.85% of CCGs had no plans to update or review their palliative care services. The most important finding from this exercise is that the information CCGs hold about their population and services is not standardised. However, information based on data that are more objective, for example, population and total budget for palliative care, demonstrate wide variations in commissioning. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.

  10. Snapshots of language and literature teaching in Denmark and England

    DEFF Research Database (Denmark)

    Kelly, Peter; Dorf, Hans

    2016-01-01

    To illustrate differences in lower secondary-level language and literature teaching, we contrast a typical teaching episode in Denmark with one in England. Both reflect the dominant discourses in each country alongside recent policy initiatives, and each exemplifies a different orientation...... to language and literature teaching focussing on performance in England and a personal formation in Denmark. Descriptions of the episodes are linked to wider debates and potential areas for further consideration are identified....

  11. Down Syndrome

    Science.gov (United States)

    ... Down syndrome increases as a woman gets older. Down syndrome cannot be cured. Early treatment programs can help improve skills. They may include ... occupational, and/or educational therapy. With support and treatment, many ... Down syndrome live happy, productive lives. NIH: National Institute of ...

  12. Standardised testing in compulsory schooling in England and Denmark

    DEFF Research Database (Denmark)

    Andreasen, Karen Egedal; Kelly, Peter; Kousholt, Kristine

    2015-01-01

    Within education, national testing is flourishing and, considering the important role which assessment plays in the production and reproduction of culture, it is important to examine further the possible impact of such practice. While England has a long tradition of national educational testing...... have on pupils´ perceptions of their potential academic skills. This article draws on research into the national testing of reading conducted in England and Denmark in Spring 2013 and draws on the work of Basil Bernstein to compare and contrast both sets of national assessment practices....

  13. Suicide in murderers in England and Wales.

    Science.gov (United States)

    Lester, David

    2003-06-01

    In England and Wales, the suicide rate of murderers was positively associated with the male suicide rate in the general population, and both of these rates were positively associated with the unemployment rate.

  14. Genomics England's implementation of its public engagement strategy: Blurred boundaries between engagement for the United Kingdom's 100,000 Genomes project and the need for public support.

    Science.gov (United States)

    Samuel, Gabrielle Natalie; Farsides, Bobbie

    2018-04-01

    The United Kingdom's 100,000 Genomes Project has the aim of sequencing 100,000 genomes from National Health Service patients such that whole genome sequencing becomes routine clinical practice. It also has a research-focused goal to provide data for scientific discovery. Genomics England is the limited company established by the Department of Health to deliver the project. As an innovative scientific/clinical venture, it is interesting to consider how Genomics England positions itself in relation to public engagement activities. We set out to explore how individuals working at, or associated with, Genomics England enacted public engagement in practice. Our findings show that individuals offered a narrative in which public engagement performed more than one function. On one side, public engagement was seen as 'good practice'. On the other, public engagement was presented as core to the project's success - needed to encourage involvement and ultimately recruitment. We discuss the implications of this in this article.

  15. Meal patterns and cooking practices in Southern France and Central England

    OpenAIRE

    Pettinger, C.; Holdsworth, Michelle; Gerber, M.

    2006-01-01

    Objective: To evaluate whether meal patterns and cooking practices in Central England and Mediterranean France conform to popular stereotypes, eating together as a household, preparation of meals, food purchasing patterns, cooking practices and eating out were investigated. Design: Cross-sectional studies conducted simultaneously in April 2001 using self-administered postal questionnaires. Setting: England (Nottingham, East Midlands) and France (Montpellier, Languedoc-Roussillon). Subjects: A...

  16. Understanding differences in cervical cancer incidence in Western Europe: comparing Portugal and England.

    Science.gov (United States)

    Mendes, Diana; Mesher, David; Pista, Angela; Baguelin, Marc; Jit, Mark

    2018-04-01

    Cervical cancer incidence has decreased over time in England particularly after the introduction of organized screening. In Portugal, where opportunistic screening has been widely available with only slightly lower coverage than that of the organized programme in England, rates of cervical cancer have been higher than in England. We compared the burden of cervical cancer, risk factors and preventive interventions over time in both countries, to identify elements hindering the further decline in incidence and mortality in Portugal. We used joinpoint regression to identify significant changes in rate time-trends. We also analyzed individual-level Portuguese data on sexual behaviour and human papillomavirus prevalence, and recent aggregate data on organized and opportunistic screening coverage. We compared published estimates of survival, risk factors and historical screening coverage for both countries. Despite stable incidence, cervical cancer mortality has declined in both countries in the last decade. The burden has been 4 cases and 1 death per 100 000 women annually higher in Portugal than in England. Differences in human papillomavirus prevalence and risk factors for infection and disease progression do not explain the difference found in cervical cancer incidence. Significant mortality declines in both countries followed the introduction of different screening policies, although England showed a greater decline than Portugal over nearly 2 decades after centralizing organized screening. The higher rates of cervical cancer in Portugal compared to England can be explained by differences in screening quality and coverage.

  17. Mathematics anxiety in secondary students in England.

    Science.gov (United States)

    Chinn, Steve

    2009-02-01

    Whatever the changes that are made to the mathematics curriculum in England, there will always remain a problem with mathematics anxiety. Maths anxiety is rarely facilitative. This study examined aspects of mathematics in secondary schools and how students rated them as sources of anxiety. Over 2000 students in independent and mainstream schools in England completed a 20-item questionnaire designed to investigate maths anxiety levels. The same questionnaire was given to over 440 dyslexic males in specialist schools within the same age range. The results showed that examinations and tests create high levels of anxiety in approximately 4% of students. The results suggest that certain aspects and topics in the maths curriculum, such as long division, cause similar levels of anxiety for students in all year groups in secondary schools.

  18. Being Mad in Early Modern England

    Directory of Open Access Journals (Sweden)

    Aleksandar eDimitrijevic

    2015-11-01

    Full Text Available It has become almost a rule that the birth of scientific psychiatry and what we today term clinical psychology took place in the short period between the last decade of the XVIII century and the 1820s. Everything that happened before that period – every description, diagnosis, and therapy – has been considered ‘pre-scientific,’ outdated, in a way worthless.In this paper, however, I am providing the argument that, first, the roots of contemporary psychiatry reach at least to England of the early modern period, and that, second, it may still turn out that in the field of mental health care historical continuities are more numerous and persistent than discontinuities. Thus, I briefly review the most important surviving documents about the treatment of mental disorders in England of Elizabethan and Jacobian period, organizing the argument around the well-known markers: diagnostics and aetiology, therapy, organization of the asylum, the public image of the mentally ill…

  19. Deprivation and mortality in non-metropolitan areas of England and Wales.

    Science.gov (United States)

    Jessop, E G

    1996-10-01

    To test the hypothesis that the relationship between deprivation and mortality is weaker among residents of non-metropolitan areas of England and Wales than among residents of metropolitan areas. This study compared mortality, expressed as standardised mortality ratios (SMRs), in residents of metropolitan and non-metropolitan districts at three levels of deprivation classified by an electoral ward deprivation score and by home and car ownership. SMRs were computed for all causes of death, for bronchitis and asthma (ICD9 codes 490-493), and for accident, violence, and poisoning (ICD9 codes 800-999). England and Wales. Members of the longitudinal study of the Office of Population Censuses and Surveys, a quasi-random 1% sample of the population of England and Wales. There was an association between deprivation and mortality which was clear for all cause mortality, more noticeable for respiratory disease, and less clear for deaths from accident, violence, and poison. In general, the results showed a remarkable similarity between metropolitan and non-metropolitan areas. This study does not support the hypothesis that the relationship between mortality and deprivation differs between residents of metropolitan and non-metropolitan areas of England and Wales.

  20. Assessment of Data Management Services at New England Region Resource Libraries

    Directory of Open Access Journals (Sweden)

    Julie Goldman

    2015-07-01

    Full Text Available Objective: To understand how New England medical libraries are addressing scientific research data management and providing services to their communities. Setting: The National Network of Libraries of Medicine, New England Region (NN/LM NER contains 17 Resource Libraries. The University of Massachusetts Medical School serves as the New England Regional Medical Library (RML. Sixteen of the NER Resource Libraries completed this survey. Methods: A 40-question online survey assessed libraries’ services and programs for providing research data management education and support. Libraries shared their current plans and institutional challenges associated with developing data services. Results: This study shows few NER Resource Libraries currently integrate scientific research data management into their services and programs, and highlights the region’s use of resources provided by the NN/LM NER RML at the University of Massachusetts Medical School. Conclusions: Understanding the types of data services being delivered at NER libraries helps to inform the NN/LM NER about the eScience learning needs of New England medical librarians and helps in the planning of professional development programs that foster effective biomedical research data services.

  1. Energy profiles of the New England States and Eastern Canadian Provinces

    Energy Technology Data Exchange (ETDEWEB)

    Parsons, P.; Rodgers, B. [Newfoundland and Labrador Dept. of Mines and Energy, Energy Policy Analysis Div., St. John`s, NF (Canada)

    1998-06-01

    Recent developments affecting Atlantic Canada and New England`s energy sectors were discussed. Historically, both regions have relied on each other as an energy supplier or consumer. Fuels such as electricity and natural gas have been traded within the regions for decades. This trade is expected to continue because of the developments in the electricity restructuring in the United States and the planned increases in electricity capacity in Canada through new projects and expansions. Offshore oil and natural gas production in Eastern Canada is also expected to continue with planned natural gas pipeline additions in New England and Eastern Canada. This report presents regional comparisons as well as profiles of the energy economies of the eleven jurisdictions that make up New England and Eastern Canada. There are specific sections on electricity, energy forecasts and the environment. The report also includes basic demographic and economic performance indicators and updates and expands the profile of the region`s energy supply, consumption, trade and related trends. The report is largely statistical in nature and is intended to provide a quick snapshot of the region`s energy situation. 6 tabs., 23 figs.

  2. Jeremy Bentham and Church of England Education.

    Science.gov (United States)

    Taylor, Brian

    1979-01-01

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

  3. New England's Drinking Water | Drinking Water in New ...

    Science.gov (United States)

    2017-07-06

    Information on Drinking Water in New England. Major Topics covered include: Conservation, Private Wells, Preventing Contamination, Drinking Water Sources, Consumer Confidence Reports, and Drinking Water Awards.

  4. ROSETTA lander Philae: Touch-down reconstruction

    Science.gov (United States)

    Roll, Reinhard; Witte, Lars

    2016-06-01

    The landing of the ROSETTA-mission lander Philae on November 12th 2014 on Comet 67 P/Churyumov-Gerasimenko was planned as a descent with passive landing and anchoring by harpoons at touch-down. Actually the lander was not fixed at touch-down to the ground due to failing harpoons. The lander internal damper was actuated at touch-down for 42.6 mm with a speed of 0.08 m/s while the lander touch-down speed was 1 m/s. The kinetic energy before touch-down was 50 J, 45 J were dissipated by the lander internal damper and by ground penetration at touch-down, and 5 J kinetic energy are left after touch-down (0.325 m/s speed). Most kinetic energy was dissipated by ground penetration (41 J) while only 4 J are dissipated by the lander internal damper. Based on these data, a value for a constant compressive soil-strength of between 1.55 kPa and 1.8 kPa is calculated. This paper focuses on the reconstruction of the touch-down at Agilkia over a period of around 20 s from first ground contact to lift-off again. After rebound Philae left a strange pattern on ground documented by the OSIRIS Narrow Angle Camera (NAC). The analysis shows, that the touch-down was not just a simple damped reflection on the surface. Instead the lander had repeated contacts with the surface over a period of about 20 s±10 s. This paper discusses scenarios for the reconstruction of the landing sequence based on the data available and on computer simulations. Simulations are performed with a dedicated mechanical multi-body model of the lander, which was validated previously in numerous ground tests. The SIMPACK simulation software was used, including the option to set forces at the feet to the ground. The outgoing velocity vector is mostly influenced by the timing of the ground contact of the different feet. It turns out that ground friction during damping has strong impact on the lander outgoing velocity, on its rotation, and on its nutation. After the end of damping, the attitude of the lander can be

  5. Bone mineral density in adults with Down`s syndrome

    Energy Technology Data Exchange (ETDEWEB)

    Angelopoulou, N.; Souftas, V.; Mandroukas, K. [Ergophysiology Lab., Aristotle Univ. of Thessaloniki, Thessaloniki (Greece); Sakadamis, A. [Medical School, Aristotle Univ. of Thessaloniki (Greece)

    1999-05-01

    The objective of the study was to elucidate if individuals with Down`s syndrome (DS) are likely to experience an increased risk of osteoporosis with advancing age, in addition to precocious aging and their skeletal anomalies. Bone mineral density (BMD) was measured in 22 home-reared adults (9 males and 13 females; age 26.22 {+-} 4.45 and 23.65 {+-} 3.23 years, respectively) by dual energy X-ray absorptiometry (DXA). The BMD of the second to fourth lumbar vertebrae was measured in posteroanterior projection and the mean density expressed as grams per square centimetre. The BMD of DS individuals was compared with 27 control subjects (12 males and 15 females) of the same age (age 24.16 {+-} 3.46 and 23.86 {+-} 2.92 years, respectively). The results showed that the BMD of the lumbar spine in the males as well as in the females with DS was significantly lower than that in their control counterparts (p < 0.001). Comparing the DS males with the females, the BMD was lower in the males at a level of 9 %. Factors that contribute to this disorder may be mainly the muscular hypotonia, the sedentary lifestyle and the accompanying diseases which frequently observed in the syndrome. Future studies must be focused on the biochemistry of bone metabolism, the evaluation of gonadal, thyroid and parathyroid function, and the genes of the extra chromosome 21. (orig.) With 1 tab., 21 refs.

  6. Ethnic group variations in alcohol-related hospital admissions in England: does place matter?

    Science.gov (United States)

    Barry, Eleanor; Laverty, Anthony A; Majeed, Azeem; Millett, Christopher

    2015-01-01

    The health burden of alcohol use is socially and geographically patterned in many countries. Less is known about variations in this burden between ethnic groups and whether this differs across place of residence. National cross-sectional study using hospital admission data in England. Alcohol-related admission rates, where an alcohol-related condition was either the primary diagnosis (considered as the reason for admission) or a comorbidity, were calculated using ethnic group specific rates for English regions. In 2010/11 there were a total of 264,870 alcohol-related admissions in England. Admission rates were higher in the North of England than elsewhere (e.g. for primary diagnosis 161 per 100,000 population in the North vs. 62 per 100,000 in the South). These patterns were not uniform across ethnic groups however. For example, admission rates for alcohol-related comorbidity were four times higher among White Irish in London compared with those in the South of England (306 to 76 per 100,000) and four times higher in Indians living in the Midlands compared with those in the South of England (128 to 29 per 100,000). These patterns were similar for admissions with a comorbid alcohol-related condition. Geographical location may be an important determinant of within and between ethnic group variations in alcohol-related hospital admissions in England. While a number of factors were not examined here, this descriptive analysis suggests that this heterogeneity should be taken into account when planning interventions and services for the prevention and management of alcohol misuse.

  7. Whales of New England. Secondary Curriculum.

    Science.gov (United States)

    New England Aquarium, Boston, MA.

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

  8. 78 FR 38027 - ISO New England Inc.; Notice of Initiation of Proceeding and Refund Effective Date

    Science.gov (United States)

    2013-06-25

    ... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission [Docket No. EL13-72-000] ISO New England... III.A.15 of Appendix A of ISO New England Inc.'s existing tariff. Dominion Energy Marketing, Inc. and ISO New England Inc., 143 FERC ] 61,233 (2013). The refund effective date in Docket No. EL13-72-000...

  9. Distribution of cocaine on banknotes in general circulation in England and Wales.

    Science.gov (United States)

    Aitken, C G G; Wilson, A; Sleeman, R; Morgan, B E M; Huish, J

    2017-01-01

    A study of the quantities of cocaine on banknotes in general circulation was conducted to investigate regional variations across England and Wales. No meaningful support was found for the proposition that there is regional variation in the quantities of cocaine in banknotes in general circulation in England and Wales. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

  10. Variations in dementia diagnosis in England and association with general practice characteristics.

    Science.gov (United States)

    Walker, Ian F; Lord, Paul A; Farragher, Tracey M

    2017-05-01

    Improving dementia diagnosis rates in England has been a key strategic aim of the UK Government but the variation and low diagnosis rates are poorly understood. The aim of this study was to explore the variation in actual versus expected diagnosis of dementia across England, and how these variations were associated with general practice characteristics. A cross-sectional, ecological study design using secondary data sources and median regression modelling was used. Data from the year 2011 for 7711 of the GP practices in England (92.7%). Associations of dementia diagnosis rates (%) per practice, calculated using National Health Service England's 'Dementia Prevalence Calculator' and various practice characteristics were explored using a regression model. The median dementia diagnosis rate was 41.6% and the interquartile range was 31.2-53.9%. Multivariable regression analysis demonstrated positive associations between dementia diagnosis rates and deprivation of the population, overall Quality and Outcomes Framework performance, type of primary care contract and size of practice list. Negative associations were found between dementia diagnosis rates and average experience of GPs in the practice and the proportion of the practice caseload over 65 years old. Dementia diagnosis rates vary greatly across GP practices in England. This study has found independent associations between dementia diagnosis rates and a number of patient and practice characteristics. Consideration of these factors locally may provide targets for case-finding interventions and so facilitate timely diagnosis.

  11. New England wildlife: management forested habitats

    Science.gov (United States)

    Richard M. DeGraaf; Mariko Yamasaki; William B. Leak; John W. Lanier

    1992-01-01

    Presents silvicultural treatments for six major cover-type groups in New England to produce stand conditions that provide habitat opportunities for a wide range of wildlife species. Includes matrices for species occurrence and utilization by forested and nonforested habitats, habitat breadth and size class, and structural habitat features for the 338 wildlife species...

  12. Down-regulating narcissistic tendencies: communal focus reduces state narcissism.

    Science.gov (United States)

    Giacomin, Miranda; Jordan, Christian H

    2014-04-01

    Narcissism has been conceptualized as a set of coherent, mutually reinforcing attributes that orients individuals toward self-enhancement and positive self-feelings. In this view, reducing one element of narcissism--such as a greater concern for agency than communion--may situationally reduce narcissism in a state-like manner. Across five studies, we found that increasing communal focus toward others decreases state narcissism. In Study 1, participants induced to feel empathy reported less state narcissism. In Studies 2 to 4, participants primed with interdependent self-construal reported less state narcissism than control participants and those primed with independent self-construal. Furthermore, in Study 4, changes in state narcissism mediated changes in desire for fame and perceptions that others deserve help. Thus, changes in one element of narcissism may situationally reduce narcissistic tendencies. These findings suggest that narcissism is more state-like and context-dependent than previously assumed.

  13. Assessment of safety measures and plant risks during shut-down periods at NPP Biblis

    International Nuclear Information System (INIS)

    Pamme, H.; Roess, P.H.

    1996-01-01

    Results of French probabilistic PWR-studies indicated a high contribution of shut down states to the overall plant risk. Mainly inspired by these results qualitative and also probabilistic analyses were started in Germany since 1991. As the Biblis-B-NPP was already reference plant of the German Risk Study first studies of shut-down-states were again focuses on Biblis-B. These studies were mainly performed by the German Association for Reactor Safety (GRS) in close cooperation with the utility RWE Energie AG. This paper briefly reviews the chosen approach to model and assess shut-down-states at Biblis-NPP. An in-depth-presentation is focuses on the quantification of risk in mid-loop-operation (MLO) which was performed by the authors with intensive support of plant personnel

  14. 77 FR 11532 - Notice of Attendance at ISO New England and NEPOOL Meetings

    Science.gov (United States)

    2012-02-27

    ... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission Notice of Attendance at ISO New England... members of the Commission and Commission staff may attend upcoming ISO New England Inc. (ISO-NE) and New..., the Commission and Commission staff may monitor the various meetings posted on the ISO-NE Web site...

  15. Identification of ultramodified proteins using top-down spectra

    Energy Technology Data Exchange (ETDEWEB)

    Liu, Xiaowen; Hengel, Shawna M.; Wu, Si; Tolic, Nikola; Pasa-Tolic, Ljiljana; Pevzner, Pavel A.

    2013-04-10

    Post-translational modifications (PTMs) play an important role in various biological processes through changing protein structure and function. Some ultramodified proteins (like histones) have multiple PTMs forming PTM patterns that define the functionality of a protein. While bottom-up mass spectrometry (MS) has been successful in identifying individual PTMs within short peptides, it is unable to identify PTM patterns spread along entire proteins in a coordinated fashion. In contrast, top-down MS analyzes intact proteins and reveals PTM patterns along the entire proteins. However, while recent advances in instrumentation have made top-down MS accessible to many laboratories, most computational tools for top-down MS focus on proteins with few PTMs and are unable to identify complex PTM patterns. We propose a new algorithm, MS-Align-E, that identifies both expected and unexpected PTMs in ultramodified proteins. We demonstrate that MS-Align-E identifies many protein forms of histone H4 and benchmark it against the currently accepted software tools.

  16. New England Wind Forum: A Wind Powering America Project, Volume 1, Issue 4 -- May 2008 (Newsletter)

    Energy Technology Data Exchange (ETDEWEB)

    Grace, R. C.; Gifford, J.

    2008-05-01

    The New England Wind Forum electronic newsletter summarizes the latest news in wind energy development activity, markets, education, and policy in the New England region. It also features an interview with a key figure influencing New England's wind energy development. Volume 1, Issue 4 features an interview with Brian Fairbank, president and CEO of Jiminy Peak Mountain Resort.

  17. New England Wind Forum: A Wind Powering America Project, Volume 1, Issue 3 -- October 2007 (Newsletter)

    Energy Technology Data Exchange (ETDEWEB)

    Grace, R. C.; Gifford, J.

    2007-10-01

    The New England Wind Forum electronic newsletter summarizes the latest news in wind energy development activity, markets, education, and policy in the New England region. It also features an interview with a key figure influencing New England's wind energy development. Volume 1, Issue 3 features an interview with Andrew Dzykewicz, Commissioner of the Rhode Island Office of Energy Resources.

  18. Engaging black sub-Saharan African communities and their gatekeepers in HIV prevention programs: Challenges and strategies from England

    Directory of Open Access Journals (Sweden)

    Mathew Nyashanu

    2016-12-01

    Full Text Available Objective: HIV infection is a sensitive issue in black communities [Serrant-Green L. Black Caribbean men, sexual health decisions and silences. Doctoral thesis. Nottingham School of Nursing, University of Nottingham; 2004]. Statistics show black sub-Saharan African (BSSA communities disproportionately constitute two-thirds of people with HIV [Heath Protection Agency. Health protection report: latest infection reports-GOV.UK; 2013]. African communities constitute 30% of people accessing HIV treatment in the United Kingdom yet represent less than 1% of the population [Health Protection Agency. HIV in the United Kingdom: 2012 report; 2012], [Department of Health. DVD about FGM. 2012. Available from fgm@dh.gsi.gov.uk.]. This article explores the sociocultural challenges in engaging BSSA communities in HIV prevention programs in England and possible strategies to improve their involvement. Methods: Twelve focus group discussions and 24 semistructured interviews were conducted in a 2-year period with participants from the BSSA communities and sexual health services in the West Midlands, England. The research was supported by the Ubuntu scheme, a sexual health initiative working with African communities in Birmingham, England. Results: Ineffective engagement with African communities can hinder the effectiveness of HIV prevention programs. Skills and strategies sensitive to BSSA culture are important for successful implementation of prevention programs. HIV prevention programs face challenges including stigma, denial, and marginalized views within BSSA communities. Conclusion: Networking, coordination, and cultural sensitivity training for health professionals are key strategies for engaging BSSA communities in HIV prevention programs.

  19. Gauging the brownfield land supply in England

    OpenAIRE

    Williams, K.; Sinnett, D.; Miner, P.; Carmichael, L.

    2015-01-01

    This paper reports on the findings of a study that aimed to help fill the information gap left by the loss of the National Land Use Database – and asked ‘Is there enough brownfield land in England to meet housing needs?’

  20. Translation and Manipulation in Renaissance England

    Directory of Open Access Journals (Sweden)

    John Denton

    2016-12-01

    Full Text Available This supplementary volume to JEMS is part of an ongoing research project which began with a series of articles published by the author in the 1990s on the translation of Classical historical texts in Renaissance England. The methodology followed is that of Descriptive Translation Studies as developed by scholars such as Lefevere and Hermans with the accent on manipulation of the source text in line with the ideological stance of the translator and the need to ensure that readers of the translation received the ‘correct’ moral lessons.  Particular attention is devoted to a case study of the strategies followed in Thomas North’s domesticating English translation of Jacques Amyot’s French translation of Plutarch’s Lives and the consequences for Shakespeare’s perception of Plutarch.Biography John Denton was associate professor of English Language and Translation at the University of Florence until retirement in 2015. He  has published on contrastive analysis, history of translation (with special reference to the Early Modern England, religious discourse, literary and audiovisual translation. 

  1. Mental Health Problems in Adults with Down Syndrome and Their Association with Life Circumstances

    Science.gov (United States)

    Mallardo, Mariarosa; Cuskelly, Monica; White, Paul; Jobling, Anne

    2014-01-01

    This study focused on current life circumstances, previous life events, and engagement with productive and enjoyable activities. It examined the association of these variables with mental health problems and mood in a cohort of young adults with Down syndrome. Participants were 49 adults with Down syndrome (age range 20-31 years) and their…

  2. The nature, development and contribution of social marketing to public health practice since 2004 in England.

    Science.gov (United States)

    French, Jeff

    2009-11-01

    Social marketing is a highly systematic approach to health improvement that sets out unambiguous success criteria focused on behaviour change. This paper reviews the key concepts and principles of social marketing and its recent rapid development across government in England in the public health field. This paper outlines the role of the National Social Marketing Centre and concludes with a discussion of the probable future impact of social marketing on public health practice. The paper argues that there is a close ideological match between social marketing and liberal democratic imperatives. Social marketing's focus on outcome, return on investment and its emphasis on developing interventions that can respond to diverse needs, means it is probable that social marketing will increasingly be required by governments as a standard part of public health programmes.

  3. Comparison of elderly suicide rates among migrants in England and Wales with their country of origin.

    Science.gov (United States)

    Shah, Ajit; Lindesay, James; Dennis, Mick

    2009-03-01

    The black and minority ethnic (BME) elderly population size in England and Wales has progressively increased over the last three decades. Only two studies, both well over a decade old, have compared suicide rates in BME groups in England and Wales with those in their country of origin. A study comparing suicide rates among elderly migrants in England and Wales and in their country of origin using the latest available mortality data from the Office of National Statistics and the World Health Organization was conducted. There were wide variations in standardised mortality ratios for elderly suicides among migrants from different countries compared with those born in England and Wales and in their country of origin. There was convergence towards elderly suicide rates for England and Wales in some migrant groups in males in the age-bands 65-74 years and 75 + years, and in females in the age-band 75 + years. However, males aged 75 + years from most migrant groups had higher rates than those born in England and Wales. A more detailed analysis of suicide of older people from migrant groups is required to determine vulnerability and protective influences.

  4. Thallium in the hydrosphere of south west England

    Energy Technology Data Exchange (ETDEWEB)

    Law, Sin [School of Geography, Earth and Environmental Sciences, University of Plymouth, Drake Circus, Plymouth PL4 8AA (United Kingdom); Turner, Andrew, E-mail: aturner@plymouth.ac.uk [School of Geography, Earth and Environmental Sciences, University of Plymouth, Drake Circus, Plymouth PL4 8AA (United Kingdom)

    2011-12-15

    Thallium is a highly toxic metal whose environmental concentrations, distributions and behaviour are not well understood. In the present study we measure the concentrations of Tl in filtered and unfiltered samples of rain, tap, river, estuarine and waste waters collected from south west England. Dissolved Tl was lowest (<20 ng L{sup -1}) in tap water, rain water, treated sewage and landfill effluents, estuarine waters, and rivers draining catchments of sandstones and shales. Concentrations up to about 450 ng L{sup -1} were observed in rivers whose catchments are partly mineralized and where metal mining was historically important, and the highest concentration ({approx}1400 ng L{sup -1}) was measured in water abstracted directly from an abandoned mine. Compared with other trace metals measured (e.g. As, Cd, Co, Cr, Cu, Ni, Pb, Zn), Tl has a low affinity for suspended particles and undergoes little removal by conventional (hydroxide precipitation) treatment of mine water. - Highlights: > Thallium concentrations have been measured in natural and waste waters from south west England. > Dissolved concentrations spanned three orders of magnitude and were highest in water from an abandoned mine. > Inputs associated with historical metal mine workings are the most important to the regional hydrosphere. - Concentrations of dissolved thallium in waters of south west England span two orders of magnitude and are greatest in water from an abandoned mine.

  5. Thallium in the hydrosphere of south west England

    International Nuclear Information System (INIS)

    Law, Sin; Turner, Andrew

    2011-01-01

    Thallium is a highly toxic metal whose environmental concentrations, distributions and behaviour are not well understood. In the present study we measure the concentrations of Tl in filtered and unfiltered samples of rain, tap, river, estuarine and waste waters collected from south west England. Dissolved Tl was lowest ( -1 ) in tap water, rain water, treated sewage and landfill effluents, estuarine waters, and rivers draining catchments of sandstones and shales. Concentrations up to about 450 ng L -1 were observed in rivers whose catchments are partly mineralized and where metal mining was historically important, and the highest concentration (∼1400 ng L -1 ) was measured in water abstracted directly from an abandoned mine. Compared with other trace metals measured (e.g. As, Cd, Co, Cr, Cu, Ni, Pb, Zn), Tl has a low affinity for suspended particles and undergoes little removal by conventional (hydroxide precipitation) treatment of mine water. - Highlights: → Thallium concentrations have been measured in natural and waste waters from south west England. → Dissolved concentrations spanned three orders of magnitude and were highest in water from an abandoned mine. → Inputs associated with historical metal mine workings are the most important to the regional hydrosphere. - Concentrations of dissolved thallium in waters of south west England span two orders of magnitude and are greatest in water from an abandoned mine.

  6. Contrasting styles of Sn-W mineralisation in peninsular Thailand and SW England

    Science.gov (United States)

    Manning, D. A. C.

    1986-01-01

    The Sn-W deposits of SW England and SE Asia are associated with crustally derived granitic rocks with late volatile-enriched (F, Li, B, P) differentiates. In peninsular Thailand, primary ores are principally pegmatitic, and hydrothermal vein systems are only locally important. In SW England, wolframite and cassiterite mainly occur in hydrothermal vein systems, and are associated with greisening and tourmalinisation; mineralised pegmatites are rare. These two styles of mineralisation are thought to arise because of differences in the character of late magmatic processes. In peninsular Thailand, late-stage tourmaline-bearing granitic rocks are enriched in B, but not Li and F, compared to earlier biotite granites. Similar late-stage granitic rocks occur also in SW England, but a later topaz granite, enriched in F, Li and P, also occurs. The Thai pegmatitic Sn-W deposits are thought to have formed by late magmatic crystallisation from an aqueous phase enriched in metals and derived by exsolution from a B and metal-rich magma, whereas the SW England mineralisation involved essentially post-magmatic hydrothermal processes. Complexing agents (especially F) and metals may have been derived from granitic or country rocks during hydrothermal circulation at the current level of emplacement.

  7. The potential for measles transmission in England

    Directory of Open Access Journals (Sweden)

    Fraser Graham

    2008-09-01

    Full Text Available Abstract Background Since the schools vaccination campaign in 1994, measles has been eliminated from England. Maintaining elimination requires low susceptibility levels to keep the effective reproduction number R below 1. Since 1995, however, MMR coverage in two year old children has decreased by more than 10%. Methods Quarterly MMR coverage data for children aged two and five years resident in each district health authority in England were used to estimate susceptibility to measles by age. The effective reproduction numbers for each district and strategic health authority were calculated and possible outbreak sizes estimated. Results In 2004/05, about 1.9 million school children and 300,000 pre-school children were recorded as incompletely vaccinated against measles in England, including more than 800,000 children completely unvaccinated. Based on this, approximately 1.3 million children aged 2–17 years were susceptible to measles. In 14 of the 99 districts, the level of susceptibility is sufficiently high for R to exceed 1, indicating the potential for sustained measles transmission. Eleven of these districts are in London. Our model suggests that the potential exists for an outbreak of up to 100,000 cases. These results are sensitive to the accuracy of reported vaccination coverage data. Conclusion Our analysis identified several districts with the potential for sustaining measles transmission. Many London areas remain at high risk even allowing for considerable under-reporting of coverage. Primary care trusts should ensure that accurate systems are in place to identify unimmunised children and to offer catch-up immunisation for those not up to date for MMR.

  8. Implementing graduate entry registration for nursing in England: a scope review.

    Science.gov (United States)

    DeBell, Diane; Branson, Kathy

    2009-07-01

    A graduate entry workforce for nurse registration has been approved for England by 2010/11. The aim of this research was to discover the immediate tasks facing nurse managers in implementing that change. Previous research has focused on making the case for change rather than on implementation. Similar to the implementation of Project 2000, this change in nurse education and employment will raise questions for employers and for higher education institutions. It will also raise questions about nurse recruitment numbers, workforce development, and the profiles of entrants to a changing workforce. In preparation for these changes, we conducted a scope review of published and grey literature in the English language. We also reviewed the earlier experiences of transfer to graduate status amongst other workforces such as teaching and social work and we investigated reported practice in other industrialised countries. The education provider changes necessary for such a large professional workforce will need considerable leadership skills from within nursing and nurse management. At present, there are too many employers and education providers in England who appear to be relatively unaware of the changes facing nurse education and professional practice and the urgency needed to lead that change. Education, training and development as well as employer/commissioner practice will rely on leadership from within the nurse profession itself. For nurse managers, this requires a rapid planning process in order to ensure smooth implementation. The danger is that either education providers or commissioners of nursing services will react rather than proactively plan for the changes that are already in progress.

  9. Depression in Down Syndrome: A Review of the Literature

    Science.gov (United States)

    Walker, J. C.; Dosen, A.; Buitelaar, J. K.; Janzing, J. G. E.

    2011-01-01

    Background: Depression has been frequently reported in individuals with Down Syndrome (DS). The aim of this article is to provide a comprehensive, critical review of the clinically relevant literature concerning depression in DS, with a focus on epidemiology, potential risk factors, diagnosis, course characteristics and treatment. Methods: We…

  10. More Fragmented, and yet More Networked: Analysing the Responses of Two Local Authorities in England to the Coalition's "Self-Improving School-Led System" Reforms

    Science.gov (United States)

    Greany, Toby

    2015-01-01

    This paper explores school reform in England under the Conservative-led Coalition government, elected in 2010, through a focus on the changing roles and status of Local Authorities (LAs). The Coalition's stated aim was the development of a "self-improving, school-led" system in which LAs should become "champions for children."…

  11. Characterizing New England Emergency Departments by Telemedicine Use

    Directory of Open Access Journals (Sweden)

    Kori S. Zachrison

    2017-09-01

    Full Text Available Introduction: Telemedicine connects emergency departments (ED with resources necessary for patient care; its use has not been characterized nationally, or even regionally. Our primary objective was to describe the prevalence of telemedicine use in New England EDs and the clinical applications of use. Secondarily, we aimed to determine if telemedicine use was associated with consultant availability and to identify ED characteristics associated with telemedicine use. Methods: We analyzed data from the National Emergency Department Inventory-New England survey, which assessed basic ED characteristics in 2014. The survey queried directors of every ED (n=195 in the six New England states (excluding federal hospitals and college infirmaries. Descriptive statistics characterized ED telemedicine use; multivariable logistic regression identified independent predictors of use. Results: Of the 169 responding EDs (87% response rate, 82 (49% reported using telemedicine. Telemedicine EDs were more likely to be rural (18% of users vs. 7% of non-users, p=0.03; less likely to be academic (1% of users vs. 11% of non-users, p=0.01; and less likely to have 24/7 access to neurology (p<0.001, neurosurgery (p<0.001, orthopedics (p=0.01, plastic surgery (p=0.01, psychiatry (p<0.001, and hand surgery (p<0.001 consultants. Neuro/stroke (68%, pediatrics (11%, psychiatry (11%, and trauma (10% were the most commonly reported applications. On multivariable analysis, telemedicine was more likely in rural EDs (odds ratio [OR] 4.39, 95% confidence interval [CI] 1.30–14.86, and less likely in EDs with 24/7 neurologist availability (OR 0.21, 95% CI [0.09–0.49], and annual volume <20,000 (OR 0.24, 95% CI [0.08–0.68]. Conclusion: Telemedicine is commonly used in New England EDs. In 2014, use was more common among rural EDs and EDs with limited neurology consultant availability. In contrast, telemedicine use was less common among very low-volume EDs.

  12. MERGANSER - An Empirical Model to Predict Fish and Loon Mercury in New England Lakes

    Science.gov (United States)

    MERGANSER (MERcury Geo-spatial AssessmeNtS for the New England Region) is an empirical least-squares multiple regression model using mercury (Hg) deposition and readily obtainable lake and watershed features to predict fish (fillet) and common loon (blood) Hg in New England lakes...

  13. [Foetal therapy for Down syndrome: a pro-active ethical reflection].

    Science.gov (United States)

    de Wert, G M W R; Dondorp, W J

    2016-01-01

    Prenatal screening for Down syndrome has to date focused on facilitating the informed choice to continue or not with a pregnancy. The non-invasive prenatal test (NIPT) for Down syndrome does potentially offer the option to apply foetal neurocognitive therapy for Down syndrome (FTDS). Current research in animal models looks promising and therefore a proactive ethical reflection in relation to clinical trials is urgently needed. This discussion includes an exploration of the ethical aspects of FTDS. There seem to be no convincing a priori objections on the basis of the social model of disability. Arguments in terms of (respect for) autonomy, wellbeing and justice seem to in principle support such therapy. Still, both the conditions for sound clinical trials and the implications of possible effective therapy for current prenatal screening need further scrutiny.

  14. Hot Topics/New Initiatives | Drinking Water in New England ...

    Science.gov (United States)

    2017-07-06

    Information on Drinking Water in New England. Major Topics covered include: Conservation, Private Wells, Preventing Contamination, Drinking Water Sources, Consumer Confidence Reports, and Drinking Water Awards.

  15. Determinants of general practitioners' wages in England.

    Science.gov (United States)

    Morris, Stephen; Goudie, Rosalind; Sutton, Matt; Gravelle, Hugh; Elliott, Robert; Hole, Arne Risa; Ma, Ada; Sibbald, Bonnie; Skåtun, Diane

    2011-02-01

    We analyse the determinants of annual net income and wages (net income/hours) of general practitioners (GPs) using data for 2271 GPs in England recorded during Autumn 2008. The average GP had an annual net income of £97,500 and worked 43 h per week. The mean wage was £51 per h. Net income and wages depended on gender, experience, list size, partnership size, whether or not the GP worked in a dispensing practice, whether they were salaried of self-employed, whether they worked in a practice with a nationally or locally negotiated contract, and the characteristics of the local population (proportion from ethnic minorities, rurality, and income deprivation). The findings have implications for pay discrimination by GP gender and ethnicity, GP preferences for partnership size, incentives for competition for patients, and compensating differentials for local population characteristics. They also shed light on the attractiveness to GPs in England of locally negotiated (personal medical services) versus nationally negotiated (general medical services) contracts.

  16. Apple Down 152: a putative case of syphilis from sixth century AD Anglo-Saxon England.

    Science.gov (United States)

    Cole, Garrard; Waldron, Tony

    2011-01-01

    This report describes a putative case of a treponemal infection observed on a skeleton of a young male adult from the Apple Down Anglo-Saxon cemetery dating to the sixth century AD, accompanied by grave goods indicative of a high status burial. The skeleton is well preserved and almost complete. The pathological evidence includes an extensive area of lytic destruction to the frontal bone of the skull, widespread profuse bilateral symmetrical periosteal reaction affecting scapulae, clavicles, arms, legs, hands, feet and ribs. There is also evidence of gummatous destruction on some of the long bones. Application of a differential diagnosis of all probable diseases exhibiting the individual symptoms leads to a clear conclusion that the person was infected with a treponemal pathogen. The skeleton shows none of the stigmata associated with the congenital form of treponemal disease. We propose that the evidence suggests a possible case of venereal syphilis rather than one of the endemic forms of treponemal disease. This diagnosis is based on the geographical pathogen range, the apparent low prevalence of the disease, significant social upheaval at the time, the high social status and early age of death of the individual. Copyright © 2010 Wiley-Liss, Inc.

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

    Science.gov (United States)

    Marker, Brian

    2014-05-01

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

  18. Outcome Measures for Clinical Trials in Down Syndrome.

    Science.gov (United States)

    Esbensen, Anna J; Hooper, Stephen R; Fidler, Deborah; Hartley, Sigan L; Edgin, Jamie; d'Ardhuy, Xavier Liogier; Capone, George; Conners, Frances A; Mervis, Carolyn B; Abbeduto, Leonard; Rafii, Michael; Krinsky-McHale, Sharon J; Urv, Tiina

    2017-05-01

    Increasingly individuals with intellectual and developmental disabilities, including Down syndrome, are being targeted for clinical trials. However, a challenge exists in effectively evaluating the outcomes of these new pharmacological interventions. Few empirically evaluated, psychometrically sound outcome measures appropriate for use in clinical trials with individuals with Down syndrome have been identified. To address this challenge, the National Institutes of Health (NIH) assembled leading clinicians and scientists to review existing measures and identify those that currently are appropriate for trials; those that may be appropriate after expansion of age range addition of easier items, and/or downward extension of psychometric norms; and areas where new measures need to be developed. This article focuses on measures in the areas of cognition and behavior.

  19. The geography of early childhood mortality in England and Wales, 1881-1911

    Directory of Open Access Journals (Sweden)

    Hannaliis Jaadla

    2017-12-01

    Full Text Available Background: Considerable regional variation existed in 19th-century infant mortality (IMR in England and Wales. Objective: This study estimates early childhood mortality (ECMR for over 2,000 registration subdistricts (RSDs of England and Wales and analyses spatial and temporal variations in IMR and ECMR between 1881 and 1911. Methods: The combination of mortality statistics from the Registrar General and individual-level census data from the Integrated Census Microdata (I-CeM project is used to estimate spatial models of the relationship between early childhood death rates and a range of district-specific contextual variables. Results: All regions of England and Wales experienced noticeable decline in early childhood mortality, but the spatial patterns were remarkably persistent, with high mortality in London and in the mining and textile centres. The earlier decline of childhood than infant mortality produced a widening gap between them, and in early phases this development was concentrated along the East-Midlands coastal area from Suffolk to North Yorkshire, and in mid-Wales. This gap continued to widen, and in 1911 IMR was at least twice as high as ECMR in most parts of England and Wales. Conclusions: The changing spatial pattern of ECMR was influenced by a set of factors over and above those that influenced IMR, and these were related more to the disease environment than to social and economic influences. Contribution: These new estimates of early childhood mortality, at a finer spatial scale than previously possible, highlight the vast spatial variation in mortality in England and Wales. It is likely that these regional differences also manifest in variation in other demographic outcomes.

  20. The Effectiveness of Paid Services in Supporting Unpaid Carers' Employment in England.

    Science.gov (United States)

    Pickard, Linda; King, Derek; Brimblecombe, Nicola; Knapp, Martin

    2015-07-01

    This paper explores the effectiveness of paid services in supporting unpaid carers' employment in England. There is currently a new emphasis in England on 'replacement care', or paid services for the cared-for person, as a means of supporting working carers. The international evidence on the effectiveness of paid services as a means of supporting carers' employment is inconclusive and does not relate specifically to England. The study reported here explores this issue using the 2009/10 Personal Social Services Survey of Adult Carers in England . The study finds a positive association between carers' employment and receipt of paid services by the cared-for person, controlling for covariates. It therefore gives support to the hypothesis that services for the cared-for person are effective in supporting carers' employment. Use of home care and a personal assistant are associated on their own with the employment of both men and women carers, while use of day care and meals-on-wheels are associated specifically with women's employment. Use of short-term breaks are associated with carers' employment when combined with other services. The paper supports the emphasis in English social policy on paid services as a means of supporting working carers, but questions the use of the term 'replacement care' and the emphasis on 'the market'.

  1. An overview of the proposal to create a regional transmission organization for New England

    International Nuclear Information System (INIS)

    LaPlante, D.

    2003-01-01

    The history of the regional transmission organization (RTO) in New England was reviewed in this PowerPoint presentation. Application for the RTO structure, based on FERC's Order 2000, was first filed by ISO New England and transmission owners in January 2001. It was rejected due to inadequate scope and independence. A second application, which included a plan for a single Northeast RTO and a merger of the system operators in New England (NE), New York and Pennsylvania, New Jersey and Maryland, was also deemed infeasible. In October 2003, the ISO New England filed for a New England-only RTO. The main benefits of an RTO include greater independence of system operations, improved reliability, enhanced market efficiency, an improved regional planning process and a more stable organizational structure for the New England system operator. This presentation reviewed the extensive stakeholder process, RTO governing documents, and the RTO-NE tariff. The objective of system planning and expansion is to clarify the role of the RTO regarding authority and process and to publish an annual regional system plan by the RTO-NE which identifies reliability and market efficiency needs. The regional system plan considers projected generation, transmission projects and supply and demand issues. Two types of transmission operating agreements were also reviewed. The responsibility of the transmission operator is to physically operate the transmission facilities in accordance with RTO-NE directions; establish ratings and rating procedures for transmission facilities; and, operate, repair and maintain transmission facilities. The allocation of Section 205 Rights was discussed along with coordination efforts with New York and cooperation with Canadian entities. 1 fig

  2. Fracture mapping in clays, using gas geochemistry: background, design of a mobile laboratory, and surveys in England and Italy

    International Nuclear Information System (INIS)

    Gregory, R.G.; Duddridge, G.A.

    1991-01-01

    Integrated soil gas analyses for helium, radon, carbon dioxide and oxygen allow the accurate interpretation of soil gas signatures as indicators of underlying structure, due to large variations over faults and fractures. Structures such as these provide channelways for fluid movement in the upper crust. A mobile gas geochemistry laboratory for the analysis of soil gases was constructed and surveys were carried out at sites in England and Italy. At the Down Ampney site, Gloucestershire, gas was injected into a fault plane, and recorded some hours later at the surface. Refinement of this experiment would allow a full characterization of permeable pathways at a site to be made. The soil gas technique has been shown to be viable as an independent site investigation method for the study of fracturing and groundwater movement around potential waste repository sites

  3. Fracture mapping in clays: using gas geochemistry. Background, design of a mobile laboratory and surveys in England and Italy

    International Nuclear Information System (INIS)

    Duddridge, G.A.

    1991-06-01

    Integrated soil gas analyses for helium, radon, carbon dioxide and oxygen allow the accurate interpretation of soil gas signatures as indicators of underlying structure, due to large variations over faults and fractures. Structures such as these provide channelways for fluid movement in the upper crust. A mobile gas geochemistry laboratory for the analysis of soil gases was constructed and surveys were carried out at sites in England and Italy. At the Down Ampney site, Gloucestershire, gas was injected into a fault plane, and recorded some hours later at the surface. Refinement of this experiment would allow a full characterisation of permeable pathways at a site to be made. The soil gas technique has been shown to be viable as an independent site investigation method for the study of fracturing and groundwater movement around potential waste repository sites. (author)

  4. New England Energy Congress: a blueprint for energy action. Executive summary and recommendations. Final report

    Energy Technology Data Exchange (ETDEWEB)

    Pratt, Robert L.; Mayer, Jean; Buckley, John G.; Connolly, Patrick F.; Spencer, Bailey

    1979-05-01

    The task of the New England Congress deals with reducing the region's dependence on foreign oil and its cost disadvantage compared to the rest of the country. The work of the Congress is summarized. Recommendations address the demand side of the energy equation and then analysis and recommendations address supply options. Reports from the following committees are included: New England Energy Supply; Alternatives; Economic Development Through Alternative Sources of Energy; New England Energy Demand; Conservation; Demand Transportation; Energy Conservation; Residential Energy Package; Regulatory and Institutional Processes; and Energy Economics and Financing.

  5. Radon in private water supplies in SW England

    International Nuclear Information System (INIS)

    Bowring, C.S.; Banks, D.

    1995-01-01

    It has been known since at least the early 1960s that high levels of radon gas can be found dissolved in some water supplies in South West England and, as a result of this, degassing plant was installed in some mains water supplies at this time in order to remove the radon from the water. More recently the result of a survey of just over 500 drinking water supplies throughout the UK has been published. This concluded that the radon level in UK water supplies in general do not constitute a health hazard. In this note we present results from 22 private water supplies in South West England and conclude that for certain individuals levels of radon in water may well present a radiological hazard which is not negligible and that this problem needs to be investigated more fully. (author)

  6. Retrovirus D/New England and its relation to Mason-Pfizer monkey virus.

    OpenAIRE

    Desrosiers, R C; Daniel, M D; Butler, C V; Schmidt, D K; Letvin, N L; Hunt, R D; King, N W; Barker, C S; Hunter, E

    1985-01-01

    Seventeen isolates of retrovirus D/New England have been obtained from three species of macaques at the New England Regional Primate Research Center. Seven of the isolates were obtained from macaques who subsequently died with the macaque immunodeficiency syndrome; other isolates were obtained from macaques with less severe or other forms of illness. Attempts to isolate type D retrovirus from peripheral lymphocytes of 97 apparently healthy macaques have not been successful. Cloned DNA was pre...

  7. Radionuclide levels in food, animals and agricultural products. Post Chernobyl monitoring in England and Wales

    International Nuclear Information System (INIS)

    1987-01-01

    Data are presented in the following lists: 1) General Monitoring results, for England and Wales, presented separately (milk, milk products, dairy, vegetables, fruit, meat, fish, game, herbage, honey). 2) Restricted area sheep monitoring results, England and Wales presented separately. (U.K.)

  8. Qualitative scale for estimating sulphur dioxide air pollution in England and Wales using epiphytic lichens

    Energy Technology Data Exchange (ETDEWEB)

    Hawksworth, D L; Rose, F

    1970-01-01

    The sulphur dioxide in the air can be estimated qualitatively by studying the lichens growing on trees. A ten-point scale has been constructed and used in pilot surveys in England and Wales, Southeast England and the city of Leicester.

  9. The Politics of Education Policy in England

    Science.gov (United States)

    Gunter, Helen M.

    2015-01-01

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

  10. Health economic evaluation in England.

    Science.gov (United States)

    Raftery, James

    2014-01-01

    The 2010 National Health Service Constitution for England specified rights and responsibilities, including health economic evaluation for the National Institute for Health and Care Excellence (NICE) and the Joint Committee on Vaccinations and Immunisations. The National Screening Committee and the Health Protection Agency also provide advice to the Government based on health economic evaluation. Each agency largely follows the methods specified by NICE. To distinguish the methods from neoclassical economics they have been termed "extra-welfarist". Key differences include measurement and valuation of both benefits (QALYs) and costs (healthcare related). Policy on discounting has also changed over time and by agency. The debate over having NICE's methods align more closely with neoclassical economics has been prominent in the ongoing development of "value based pricing". The political unacceptability of some decisions has led to special funding for technologies not recommended by NICE. These include the 2002 Multiple Sclerosis Risk Sharing Scheme and the 2010 Cancer Drugs Fund as well as special arrangements for technologies linked to the end of life and for innovation. Since 2009 Patient Access Schemes have made price reductions possible which sometimes enables drugs to meet NICE's cost-effectiveness thresholds. As a result, the National Health Service in England has denied few technologies on grounds of cost-effectiveness. Copyright © 2014. Published by Elsevier GmbH.

  11. Geographical variation in anophthalmia and microphthalmia in England, 1988-94

    Science.gov (United States)

    Dolk, H; Busby, A; Armstrong, B G; Walls, P H

    1998-01-01

    Objective: To investigate the geographical variation and clustering of congenital anophthalmia and microphthalmia in England, in response to media reports of clusters. Design: Comparison of pattern of residence at birth of cases of anophthalmia and microphthalmia in England in 1988-94, notified to a special register, with pattern of residence of all births. Three groups studied included all cases, all severe cases, and all severe cases of unknown aetiology. Outcome measures: Prevalence rates of anophthalmia and microphthalmia by region and district, and by ward population density and socioeconomic deprivation index of enumeration district grouped into fifths. Clustering expressed as the tendency for the three nearest neighbours of a case to be more likely to be cases than expected by chance, or for there to be more cases within circles of fixed radius of a case than expected by chance. Results: The overall prevalence of anophthalmia and microphthalmia was 1.0 per 10 000 births. Regional and district variation in prevalence did not reach statistical significance. Prevalence was higher in rural than urban areas: the relative risk in the group of wards of lowest population density compared with the most densely populated group was 1.79 (95% confidence interval 1.15 to 2.81) for all cases and 2.37 (1.38 to 4.08) for severe cases. There was no evidence of a trend in risk with socioeconomic deprivation. There was very little evidence of localised clustering. Conclusions: There is very little evidence to support the presence of strongly localised environmental exposures causing clusters of children to be born with anophthalmia or microphthalmia. The excess risk in rural areas requires further investigation. Key messagesClusters of anophthalmia and microphthalmia in England have been alleged in the media, with hypothesised links to environmental exposure such as pesticidesTo answer concerns about clustering a register has been established of all cases of anophthalmia and

  12. Identification of Ultramodified Proteins Using Top-Down Mass Spectra

    Energy Technology Data Exchange (ETDEWEB)

    Liu, Xiaowen; Hengel, Shawna M.; Wu, Si; Tolic, Nikola; Pasa-Tolic, Ljiljana; Pevzner, Pavel A.

    2013-11-05

    Post-translational modifications (PTMs) play an important role in various biological processes through changing protein structure and function. Some ultramodified proteins (like histones) have multiple PTMs forming PTM patterns that define the functionality of a protein. While bottom-up mass spectrometry (MS) has been successful in identifying individual PTMs within short peptides, it is unable to identify PTM patterns spread along entire proteins in a coordinated fashion. In contrast, top-down MS analyzes intact proteins and reveals PTM patterns along the entire proteins. However, while recent advances in instrumentation have made top-down MS accessible to many laboratories, most computational tools for top-down MS focus on proteins with few PTMs and are unable to identify complex PTM patterns. We propose a new algorithm, MS-Align-E, that identifies both expected and unexpected PTMs in ultramodified proteins. We demonstrate that MS-Align-E identifies many protein forms of histone H4 and benchmark it against the currently accepted software tools.

  13. School Nurses' perspectives on the role of the school nurse in health education and health promotion in England: a qualitative study.

    Science.gov (United States)

    Hoekstra, Beverley A; Young, Vicki L; Eley, Charlotte V; Hawking, Meredith K D; McNulty, Cliodna A M

    2016-01-01

    The role of the school nurse is complex with many possible elements identified by previous research. The aim of this study is to understand perceptions of the role of the school nurse in order to support school nurses in the delivery of health education. The study used an inductive, qualitative research design involving semi-structured interviews and focus groups. Participants were recruited from four NHS trusts across England and final sample size was thirty one school nurses. Three focus groups and two interviews took place in person, and three interviews were over the phone. Data was thematically analysed. School nurses described six main themes. Four themes directly related to the school nurse role: the main roles of a school nurse, school nurses' role in health education, prioritisation of workload and activities, and community work. A further two other themes related to the delivery of health education: the school nursing system and educational resources. The role of the school nurse in England is very diverse and the school nurse role in health education is primarily to advise and support schools, rather than to directly deliver education. The study identified that tailored public health educational resources are needed to support school nurses.

  14. New England's travel & tourism markets: trends in the geographic target markets in the 90's

    Science.gov (United States)

    Rodney B. Warnick

    2001-01-01

    The purpose of this paper was to examine the travel and lifestyle activity market trends to New England in the 90s. The central theme was to fully examine in detail the primary, secondary and tertiary geographic markets targeted by New England destinations.

  15. Nocturnal Oviposition Behavior of Forensically Important Diptera in Central England.

    Science.gov (United States)

    Barnes, Kate M; Grace, Karon A; Bulling, Mark T

    2015-11-01

    Timing of oviposition on a corpse is a key factor in entomologically based minimum postmortem interval (mPMI) calculations. However, there is considerable variation in nocturnal oviposition behavior of blow flies reported in the research literature. This study investigated nocturnal oviposition in central England for the first time, over 25 trials from 2011 to 2013. Liver-baited traps were placed in an urban location during control (diurnal), and nocturnal periods and environmental conditions were recorded during each 5-h trial. No nocturnal activity or oviposition was observed during the course of the study indicating that nocturnal oviposition is highly unlikely in central England. © 2015 American Academy of Forensic Sciences.

  16. Beginnings of the Industrial Revolution in England.

    Science.gov (United States)

    Scrofani, E. Robert, Ed.

    These teacher-developed materials are designed to help educators integrate economic concepts into the teaching of history. The materials include readings on the Industrial Revolution in England and a series of activities that require students to analyze the impact of industrialization first on English peasant farmers, and then on workers in early…

  17. Ambiguity in practice? Carers' roles in personalised social care in England.

    Science.gov (United States)

    Glendinning, Caroline; Mitchell, Wendy; Brooks, Jenni

    2015-01-01

    Carers play an ambiguous role within the personalisation paradigm currently shaping adult social care practice in England. Although carers have rights to assessments and support in their own right, these rights sit uneasily alongside the practices of assessment, support planning and personal budget (PB) allocation for older and disabled people. This paper reports how 14 dyads of older and learning disabled people with cognitive and/or communication impairments and their carers viewed the roles - desired and actual - played by carers in PBs. Interviews with carers and with older and disabled people were conducted during 2012 as part of a wider study into carers' roles in assessment, support planning and managing PBs. The interviews complemented a survey of reported practice in two English regions - interviews with adult social care services senior managers and focus groups with front-line care managers. Talking Mats(©) were used to support interviews with some service users. Interviews were transcribed and data analysed using the Framework approach. The interviews indicated that carers played important roles in service users' assessments and support planning, but were less likely to report receiving assessments or support of their own. While carers had the potential to benefit from PBs and support arrangements for service users, this did not reflect practice that aimed to enhance choice and control for carers. The paper draws on Twigg's typology of service conceptualisations of family carers and concludes that, despite the important social rights won by carers in England, current practice continues to regard carers primarily as a resource or a co-worker, rather than a co-client. © 2014 John Wiley & Sons Ltd.

  18. Preanesthetic Evaluation and Assessment of Children with Down's Syndrome

    Directory of Open Access Journals (Sweden)

    Letterio B. Santamaria

    2007-01-01

    Full Text Available During preoperative evaluation for anesthesia in the Down patient, it is important to focus attention on the functional conditions of the patient and systems that frequently show anomalies. One of the challenges of evaluating pre-operative conditions and potential risks in the Down patient is the lack of a gold-standard evaluation score; cervical spine abnormalities, reduced dimensions and malformations of the airways, neurological changes, respiratory and cardiac disease, as well as endocrinological and metabolic alterations. We suggest, as a possible method of evaluation for patients with mental retardation and possible malformations, a new scale which takes the functional and mental conditions into account: the Sensorial, Psychological, Anatomical, Biological, Operational and Surgical (SPABOS Compliance Score.

  19. Public Hospital Spending in England: Evidence from National Health Service Administrative Records

    OpenAIRE

    Kelly, E.; Stoye, G.; Vera-Hernández, M.

    2016-01-01

    © 2016 The Authors. Fiscal Studies published by John Wiley & Sons Ltd. on behalf of Institute for Fiscal StudiesHealth spending per capita in England has almost doubled since 1997, yet relatively little is known about how that spending is distributed across the population. This paper uses administrative National Health Service (NHS) hospital records to examine key features of public hospital spending in England. We describe how costs vary across the life cycle, and the concentration of spendi...

  20. Public hospital spending in England: Evidence from National Health Service administrative records

    OpenAIRE

    Kelly, Elaine; Stoye, George; Vera-Hernández, Marcos

    2015-01-01

    Health spending per capita in England has more than doubled since 1997, yet relatively little is known about how that spending is distributed across the population. This paper uses administrative National Health Service (NHS) hospital records to examine key features of public hospital spending in England. We describe how costs vary across the lifecycle, and the concentration of spending among people and over time. We find that costs per person start to increase after age 50 and escalate after...

  1. Recognition and enforcement of foreign judgments in the Law of Iran and England: a comparative study

    Directory of Open Access Journals (Sweden)

    Abasat Pour Mohammad

    2017-07-01

    Full Text Available The aim of this study was to Recognition and Enforcement of Foreign Judgments in the Law of Iran and England: A Comparative Study. There are a lot of similarities and commonalities between the legal system of Iran and England in the field of recognition and enforcement of the foreign judgments including public discipline and conflicting judgments. Public discipline in England Law is more specific than that of Iran. Being a civil case of the judgment, impossibility of recognition, enforcement of tax and criminal judgments are among the similarities of the two systems. On the other hand, reciprocity, precise of the foreign court, and the jurisdiction governing the nature of the claim are among instances which are different in Iran and England legal systems on the recognizing of the enforcement of foreign judgments.

  2. The Dental Needs and Treatment of Patients with Down Syndrome.

    Science.gov (United States)

    Mubayrik, Azizah Bin

    2016-07-01

    Down syndrome is a common disorder with many oral conditions and systemic manifestations. Dentists need to take a holistic approach including behavioral, oral, and systemic issues. This review of the literature focuses on oral anomalies, systemic interaction, management, and recommendations. Copyright © 2016 Elsevier Inc. All rights reserved.

  3. Fatal Child Maltreatment in England, 2005-2009

    Science.gov (United States)

    Sidebotham, Peter; Bailey, Sue; Belderson, Pippa; Brandon, Marian

    2011-01-01

    Objective: This paper presents comprehensive and up-to-date data covering 4 years of Serious Case Reviews into fatal child maltreatment in England. Methods: Information on all notified cases of fatal maltreatment between April 2005 and March 2009 was examined to obtain case characteristics related to a systemic classification of 5 broad groups of…

  4. Meal patterns and cooking practices in Southern France and Central England.

    Science.gov (United States)

    Pettinger, Clare; Holdsworth, Michelle; Gerber, Mariette

    2006-12-01

    To evaluate whether meal patterns and cooking practices in Central England and Mediterranean France conform to popular stereotypes, eating together as a household, preparation of meals, food purchasing patterns, cooking practices and eating out were investigated. Cross-sectional studies conducted simultaneously in April 2001 using self-administered postal questionnaires. England (Nottingham, East Midlands) and France (Montpellier, Languedoc-Roussillon). A stratified random sample of 1000 males and 1000 females aged 18-65 years was generated from the electoral roll in each country. The final sample comprised 826 subjects in England (58% males, 42% females; mean age 44 years) and 766 subjects in France (42% males, 58% females; mean age 42 years). Analyses were conducted on samples standardised for sociodemographic differences. The French cooked from raw ingredients most often (PFrench and English food cultures, as the importance of the convivial aspects of eating, as well as more traditional practices such as cooking meals from basic ingredients, structured mealtimes and less between-meal snacking, remain more prominent within the French population. This may contribute to the differences in prevalence of obesity seen between the two countries.

  5. Mortality of People with Intellectual Disabilities in England: A Comparison of Data from Existing Sources

    Science.gov (United States)

    Heslop, Pauline; Glover, Gyles

    2015-01-01

    Background: At present, there is limited statistical information about mortality of people with intellectual disabilities in England. This study explores the data that are currently available. Materials and Methods: Four recent sources of data about mortality of people with intellectual disabilities in England are reviewed: the Confidential…

  6. The Politics of PISA: The Media, Policy and Public Responses in Norway and England

    Science.gov (United States)

    Hopfenbeck, Therese N.; Görgen, Kristine

    2017-01-01

    Using the PISA 2015 releases in Norway and England, this article explores how PISA has been presented in the media and how the policy level has responded to the results. England will be used as an example for comparison. The article presents early media responses from the 20 most circulated daily newspapers in the two countries and discusses them…

  7. Early Learning Experience and Adolescent Anxiety: A Cross-Cultural Comparison between Japan and England

    Science.gov (United States)

    Essau, Cecilia A.; Ishikawa, Shin-ichi; Sasagawa, Satoko

    2011-01-01

    The main aim of this study was to compare the frequency of anxiety symptoms among adolescents in Japan and England, and to examine the association between early learning experiences and anxiety symptoms. A total of 299 adolescents (147 from England and 152 from Japan), aged 12 to 17 years were investigated. Results showed that adolescents in…

  8. New England's travel and recreation markets: trends in the geographic target markets beyond 2000

    Science.gov (United States)

    Rodney B. Warnick; David C. Bojanic

    2007-01-01

    The purpose of this paper was to re-examine and update geographic travel and lifestyle activity market trends for those areas targeted by New England destinations beyond the year 2000. The central theme was to examine in detail the primary, secondary and tertiary geographic markets targeted by New England destinations through both travel behavior and lifestyle behavior...

  9. England: a healthier nation.

    Science.gov (United States)

    McInnes, D; Barnes, R

    2000-01-01

    HINTS AND TIPS: Several difficult challenges have had to be tackled in developing a health policy for England. Although not all the answers have yet been found and the learning process continues, some lessons can be drawn from experience to date. CONSULTATION: Public consultation and the involvement of a wide range of individuals and groups at all levels and stages is crucial to implementing the policy. Without it, The health of the nation would have remained a paper exercise and the local ownership of the policy that has been achieved in some places could not have come about. This principle has been adopted for Our healthier nation, which will benefit from extensive consultation. Communication of the concepts underlying the policy and of ideas about its strategic implementation is also crucial. A wide variety of mechanisms have been used in England, and this has helped to maintain momentum and to keep health policy high on the agenda. Anecdotal evidence suggests that the Health of the Nation calendar and the Target publication have been especially popular. Target in particular has been and continues to be an effective medium for disseminating ideas and examples of successful implementation strategies. In addition, publication of The health of the nation material on the Internet widened its potential audience considerably. The publication of The health of the nation was especially timely, not only in terms of gaining support and commitment from the leadership of the Department of Health and other government departments, but also across the political spectrum. In addition, the then-recent NHS reforms gave new opportunities for health policy to be incorporated into health service practice. Our healthier nation is also being launched in tandem with a white paper on health services, and the links between them are being stated explicitly. COMMITMENT: As indicated above, commitment from the top is essential to the success of the strategy; this applies not only to the

  10. Shifting to triple value healthcare: Reflections from England.

    Science.gov (United States)

    Jani, Anant; Jungmann, Sven; Gray, Muir

    2018-02-01

    Increasing need and demand because of growing and aging populations combined with stagnant or decreasing resources being invested into healthcare globally mean that a radical shift is needed to ensure that healthcare systems can meet current and future challenges. Quality-, safety- and efficiency-improvement approaches have been used as means to address many problems in healthcare and while they are essential and necessary, they are not sufficient to meet our current challenges. To build resilient and sustainable healthcare systems, we need a shift to focus on triple value healthcare, which will help healthcare professionals improve outcomes at the process, patient and population levels while also optimising resource utilisation. Here we present a brief history of the Quality and Evidence-based Healthcare model and then describe how value emerged as a predominant theme in England. We then highlight the four solutions that we, as part of the RightCare programme, designed and refined in the English NHS to turn theory into practice: We end with a description of how triple value is being introduced into Germany and steps that can be taken to facilitate its adoption. Copyright © 2018. Published by Elsevier GmbH.

  11. Evaluating variation in use of definitive therapy and risk-adjusted prostate cancer mortality in England and the USA.

    Science.gov (United States)

    Sachdeva, Ashwin; van der Meulen, Jan H; Emberton, Mark; Cathcart, Paul J

    2015-02-24

    Prostate cancer mortality (PCM) in the USA is among the lowest in the world, whereas PCM in England is among the highest in Europe. This paper aims to assess the association of variation in use of definitive therapy on risk-adjusted PCM in England as compared with the USA. Observational study. Cancer registry data from England and the USA. Men diagnosed with non-metastatic prostate cancer (PCa) in England and the USA between 2004 and 2008. Competing-risks survival analyses to estimate subhazard ratios (SHR) of PCM adjusted for age, ethnicity, year of diagnosis, Gleason score (GS) and clinical tumour (cT) stage. 222,163 men were eligible for inclusion. Compared with American patients, English patients were more likely to present at an older age (70-79 years: England 44.2%, USA 29.3%, pUSA 8.6%, pUSA 11.2%, pUSA 77%, pUSA. This difference may be explained by less frequent use of definitive therapy in England. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

  12. 11 New England Organizations Recognized as Energy Star Partners

    Science.gov (United States)

    The U.S. Environmental Protection Agency’s New England office, along with the U.S. Department of Energy are honoring 11 ENERGY STAR partners for their outstanding contributions to public health and the environment.

  13. Private Well Owners | Drinking Water in New England | US ...

    Science.gov (United States)

    2017-07-06

    Recent studies in New England identified contamination of some private wells from methyl-tertiary-butyl ether (MtBE), radon and arsenic. But, many homeowners are not aware of this risk to their drinking water.

  14. Study protocol: cross-national comparative case study of recovery-focused mental health care planning and coordination (COCAPP).

    Science.gov (United States)

    Simpson, Alan; Hannigan, Ben; Coffey, Michael; Jones, Aled; Barlow, Sally; Cohen, Rachel; Všetečková, Jitka; Faulkner, Alison; Haddad, Mark

    2015-07-03

    The collaborative care planning study (COCAPP) is a cross-national comparative study of care planning and coordination in community mental healthcare settings. The context and delivery of mental health care is diverging between the countries of England and Wales whilst retaining points of common interest, hence providing a rich geographical comparison for research. Across England the key vehicle for the provision of recovery-focused, personalised, collaborative mental health care is the care programme approach (CPA). The CPA is a form of case management introduced in England in 1991, then revised in 2008. In Wales the CPA was introduced in 2003 but has now been superseded by The Mental Health (Care Co-ordination and Care and Treatment Planning) (CTP) Regulations (Mental Health Measure), a new statutory framework. In both countries, the CPA/CTP requires providers to: comprehensively assess health/social care needs and risks; develop a written care plan (which may incorporate risk assessments, crisis and contingency plans, advanced directives, relapse prevention plans, etc.) in collaboration with the service user and carer(s); allocate a care coordinator; and regularly review care. The overarching aim of this study is to identify and describe the factors that ensure CPA/CTP care planning and coordination is personalised, recovery-focused and conducted collaboratively. COCAPP will employ a concurrent transformative mixed methods approach with embedded case studies. Phase 1 (Macro-level) will consider the national context through a meta-narrative mapping (MNM) review of national policies and the relevant research literature. Phase 2 (Meso-level and Micro-level) will include in-depth micro-level case studies of everyday 'frontline' practice and experience with detailed qualitative data from interviews and reviews of individual care plans. This will be nested within larger meso-level survey datasets, senior-level interviews and policy reviews in order to provide

  15. Variations in prison mental health services in England and Wales.

    Science.gov (United States)

    Forrester, Andrew; Exworthy, Tim; Olumoroti, Olumuyiwa; Sessay, Mohammed; Parrott, Janet; Spencer, Sarah-Jane; Whyte, Sean

    2013-01-01

    In responding to high levels of psychiatric morbidity amongst prisoners and recognising earlier poor quality prison mental health care, prison mental health in-reach teams have been established in England and Wales over the last decade. They are mostly provided by the National Health Service (NHS), which provides the majority of UK healthcare services. Over the same period, the prison population has grown to record levels, such that prisons in England and Wales now contain almost 90,000 of the world's overall prison population of over 10 million people (roughly the size of Paris or Istanbul). This study provides an overview of mental health in-reach services in prisons in England and Wales, including variations between them, through a telephone survey of senior staff in all prisons and young offender institutions in England and Wales. 73% of prisons took part; of them 13% had no in-reach team at all (usually low security establishments) and the majority of services were run by NHS teams, usually according to a generic community mental health team (CMHT) model rather than other specialist models. Team size was unrelated to prison size. Each nurse covered around 500 prisoners, each doctor over 3700. Many provided few or no healthcare cells and 24-h psychiatric cover (including on-call cover) was uncommon. Despite developments in recent years, mental health in-reach services still fall short of community equivalence and there is wide variation in service arrangements that cannot be explained by prison size or function. The aim of community equivalence has not yet been reached in prison healthcare and a more sophisticated measure of service improvement and standardisation would now be useful to drive and monitor future development. Copyright © 2013 Elsevier Ltd. All rights reserved.

  16. The engineering assessment for New England's power asset divestiture

    International Nuclear Information System (INIS)

    Rogers, T.; Sullivan, W.; Feldman, B.

    1998-01-01

    The structuring of the electric industry is progressing. On October 1, 1996, New England Electric System (NEES) announced that it would divest its generating assets. Since then other utilities in California and New England have also decided to divest all or some of their generating facilities. NEES owns 3,962 MWs of generating assets consisting of two coal/oil fired stations, one combined cycle gas station, fourteen hydro stations and one pumped storage station. Also included in the asset sale is 1,155 MWs of purchased capacity under power purchasing agreements. This paper will describe the activities undertaken by NEES and Stone and Weber in preparing for the asset sale. It will provide insight for others on how these activities help to maximize the value obtained for the generating assets

  17. Is cancer survival associated with cancer symptom awareness and barriers to seeking medical help in England? An ecological study.

    Science.gov (United States)

    Niksic, Maja; Rachet, Bernard; Duffy, Stephen W; Quaresma, Manuela; Møller, Henrik; Forbes, Lindsay Jl

    2016-09-27

    Campaigns aimed at raising cancer awareness and encouraging early presentation have been implemented in England. However, little is known about whether people with low cancer awareness and increased barriers to seeking medical help have worse cancer survival, and whether there is a geographical variation in cancer awareness and barriers in England. From population-based surveys (n=35 308), using the Cancer Research UK Cancer Awareness Measure, we calculated the age- and sex-standardised symptom awareness and barriers scores for 52 primary care trusts (PCTs). These measures were evaluated in relation to the sex-, age-, and type of cancer-standardised cancer survival index of the corresponding PCT, from the National Cancer Registry, using linear regression. Breast, lung, and bowel cancer survival were analysed separately. Cancer symptom awareness and barriers scores varied greatly between geographical regions in England, with the worst scores observed in socioeconomically deprived parts of East London. Low cancer awareness score was associated with poor cancer survival at PCT level (estimated slope=1.56, 95% CI: 0.56; 2.57). The barriers score was not associated with overall cancer survival, but it was associated with breast cancer survival (estimated slope=-0.66, 95% CI: -1.20; -0.11). Specific barriers, such as embarrassment and difficulties in arranging transport to the doctor's surgery, were associated with worse breast cancer survival. Cancer symptom awareness and cancer survival are associated. Campaigns should focus on improving awareness about cancer symptoms, especially in socioeconomically deprived areas. Efforts should be made to alleviate barriers to seeking medical help in women with symptoms of breast cancer.

  18. Developing the mental health awareness of prison staff in England and Wales.

    Science.gov (United States)

    Walsh, Elizabeth; Freshwater, Dawn

    2009-10-01

    In 2010, the prison population in England and Wales could reach a high of 91,500, according to a recent population projection. HM Prison Service (U.K.) reports that in 2004 to 2005, there were 33,144 prison officers employed to care for the prisoners in the prison system. This article focuses on the mental health of this prisoner population and the training needs of staff caring for them. It reports the experience of a national project, funded by the Department of Health, in which the project team developed and piloted mental health awareness training for prison officers on the residential units and for staff who work with prisoners and lack a mental health background. Key findings from the posttraining evaluation are highlighted. Participant feedback demonstrates the value placed on this type of training by those working in the prison setting.

  19. Community empowerment and community cohesion: parallel agendas for community building in England?

    Directory of Open Access Journals (Sweden)

    Marjorie Mayo

    2009-02-01

    Full Text Available Community empowerment and community capacity building have been central to government agendas in Britain over the past decade. Agendas for tackling the so-called ‘War on Terrorism’ and promoting community cohesion have become increasingly significant in addition, especially since the bombings in London in 2005. This article focuses upon the current gap between these differing agendas. This is particularly relevant in an era of increasing globalisation, with considerable debate on the impact of migration, and anxieties about previous approaches to multiculturalism that have been the subject of growing criticism. Having set out these gaps in public policy and research in this field, the article examines the evidence from research, including 100 interviews together with focus groups conducted in three localities in England, identifying the problems, in terms of the lack of engagement of ‘new communities’ and in terms of the potential tensions within and between communities. There was, however, encouraging evidence that strategies were being developed to develop more inclusive, more democratically accountable and more effective forms of community engagement. The article concludes by summarising potential implications for building community cohesion and social solidarity.

  20. Teachers' reported practices for teaching writing in England.

    Science.gov (United States)

    Dockrell, Julie E; Marshall, Chloë R; Wyse, Dominic

    To date there have been no systematic studies examining the ways in which teachers in England focus and adapt their teaching of writing. The current study addresses this gap by investigating the nature and frequency of teachers' approaches to the teaching of writing in a sample of English primary schools, using the 'simple view of writing' as a framework to examine the extent to which different aspects of the writing process are addressed. One hundred and eighty-eight staff from ten different schools responded to an online questionnaire. Only the data from class teachers (n = 88) who responded to all items on the questionnaire were included in the final analyses. Respondents enjoyed teaching writing and felt prepared to teach it. However, despite feeling that they were effective in identifying approaches to support students' writing, nearly half reported that supporting struggling writers was problematic for them. Overall teachers reported more work at word level, occurring several times a week, than with transcription, sentence or text levels, which were reported to occur weekly. Planning, reviewing and revising occurred least often, only monthly. For these variables no differences were found between teachers of younger (age 4-7) and older students (age 8-11). By contrast, an examination of specific aspects of each component revealed differences between the teachers of the two age groups. Teachers of younger students focused more frequently on phonic activities related to spelling, whereas teachers of older students focussed more on word roots, punctuation, word classes and the grammatical function of words, sentence-level work, and paragraph construction.

  1. Down-side Risk Metrics as Portfolio Diversification Strategies across the GFC

    NARCIS (Netherlands)

    D.E. Allen (David); M.J. McAleer (Michael); R.J. Powell (Robert); A.K. Singh (Abhay)

    2015-01-01

    textabstractThis paper features an analysis of the effectiveness of a range of portfolio diversification strategies, with a focus on down-side risk metrics, as a portfolio diversification strategy in a European market context. We apply these measures to a set of daily arithmetically compounded

  2. Comparative study of liberalization process of passengers railway market in Spain and England

    Energy Technology Data Exchange (ETDEWEB)

    Fernandez Morote, G.; Ortuño Padilla, A.; Fernandez Aracil, P.

    2016-07-01

    This article provides an overview of the privatization of railway passengers market in Spain through a background to the most relevant cases studies in Europe, particularly the liberalization process in England. The English case study is a paradigmatic example to assess how the liberalization process was developed and its effect in the present. This assessment has been undertaken to analyse the railway franchise structure, ticketing measures, role of national and regional authorities, etc. and possible analogies to be adapted to the case of Spain. Firstly, this article reviews the origin of the privatization of the railway market in both Spain and England, describing every phase of the liberalization and the success of every stage. Secondly, a critical approach assessment exposes those market failures of the liberalization process in England that caused negative impacts on society. In addition, the role of the Government is analysed to measure their implication in order to solve that situation. Furthermore, the paper expounds a wide analysis of the rail ticketing in England, its effects on increased passenger number. Finally, this article proposes some measures to be followed on the privatization of passenger rail market in Spain, as well as some key concepts to guarantee its success as taken from the case studies that have been reviewed. (Author)

  3. Politics, Society and Communication in the Constitution of Modern Society: Early Modern England

    Directory of Open Access Journals (Sweden)

    Devrim ÖZKAN

    2014-12-01

    Full Text Available The inception of Modern England comprises a hundred and fifty years between sixteenth and mid eighteenth centuries. The structural qualities of modern societies of this day occur in this era. The political and economic changes and transformations that England experienced in this period of time are in enormous scale. In this period all social structure and institutions experienced structural change in terms of cultural, economic and political processes. In addition to this in this period the framework of the international system regarding economy and politics is established too. Important qualities of current modern societies are the speed of communication and interaction between its elements, its transformational capacity and the extent of its scope. In this, it is possible to apprehend the basic cornerstones of today’s information and communication age by analyzing the early modern period of England

  4. 77 FR 71585 - Brookfield Energy Marketing LP v. ISO New England Inc.; Notice of Complaint

    Science.gov (United States)

    2012-12-03

    ... Energy Marketing LP v. ISO New England Inc.; Notice of Complaint Take notice that on November 21, 2012...), Brookfield Energy Marketing LP (Complainant) filed a formal complaint against ISO New England Inc... notification when a document is added to a subscribed docket(s). For assistance with any FERC Online service...

  5. Head-up and head-down displays integration in automobiles

    Science.gov (United States)

    Betancur, J. Alejandro; Osorio-Gómez, Gilberto; Agudelo, J. David

    2014-06-01

    In automotive industry, the dashboard has been ergonomically developed in order to keep the driver focused on the horizon while driving, but the possibility to access external electronic devices constraints the driver to turn away his face, generating dangerous situations in spite of the short periods of time. Therefore, this work explores the integration of Head-Up Displays and Head-Down Displays in automobiles, proposing configurations that give to drivers the facility to driving focused. In this way, some of the main ergonomic comments about those configurations are proposed; and also, some technical comments regarding the implemented arrangements are given.

  6. Associations between air pollution and socioeconomic characteristics, ethnicity and age profile of neighbourhoods in England and the Netherlands

    International Nuclear Information System (INIS)

    Fecht, Daniela; Fischer, Paul; Fortunato, Léa; Hoek, Gerard; Hoogh, Kees de; Marra, Marten; Kruize, Hanneke; Vienneau, Danielle; Beelen, Rob; Hansell, Anna

    2015-01-01

    Air pollution levels are generally believed to be higher in deprived areas but associations are complex especially between sensitive population subgroups. We explore air pollution inequalities at national, regional and city level in England and the Netherlands comparing particulate matter (PM 10 ) and nitrogen dioxide (NO 2 ) concentrations and publicly available population characteristics (deprivation, ethnicity, proportion of children and elderly). We saw higher concentrations in the most deprived 20% of neighbourhoods in England (1.5 μg/m 3 higher PM 10 and 4.4 μg/m 3 NO 2 ). Concentrations in both countries were higher in neighbourhoods with >20% non-White (England: 3.0 μg/m 3 higher PM 10 and 10.1 μg/m 3 NO 2 ; the Netherlands: 1.1 μg/m 3 higher PM 10 and 4.5 μg/m 3 NO 2 ) after adjustment for urbanisation and other variables. Associations for some areas differed from the national results. Air pollution inequalities were mainly an urban problem suggesting measures to reduce environmental air pollution inequality should include a focus on city transport. - Highlights: • Air pollution inequalities are believed to vary between subpopulations. • We explore this across two European countries at different geographical levels. • We found that air pollution inequalities are largely an urban problem. • Ethnically diverse neighbourhoods have the highest air pollution levels. • Associations vary across two countries that might be thought to be quite similar. - Air pollution inequalities are largely an urban problem and associations with deprivation and ethnicity vary even across two European countries that might be thought to be quite similar

  7. Civil society and the Health and Social Care Act in England and Wales: theory and praxis for the twenty-first century.

    Science.gov (United States)

    Scambler, Graham; Scambler, Sasha; Speed, Ewen

    2014-12-01

    In this paper we revisit the notion of civil society in the light of recent attempts to privatize health care in England via the passing of the Health and Social Care Act of 2013. This legislation promises a re-commodification of the National Health Service (NHS) in England. The Bill was bitterly contested during its passage through parliament, most vigorously in 2011. Much of the opposition occurred at a time of widespread, global rebellion, most notably in the 'Arab uprisings' and through the 'occupy movement'. Despite a plethora of protests, we argue, a non-porous boundary between what we call the 'protest sector' of civil society and the wider public sphere of the lifeworld has become apparent in England. A good deal of collective action, whether campaign-focused (like opposition to the Health and Social Care Bill) or more generalized (like rejections of corporate greed), has so far proved ineffective, at least in the short-term; no crisis of legitimation is apparent. We highlight a new 'class/command dynamic', leading to oligarchic rule, in the present era of financial capitalism. We use this health care case-study to re-examine the notion of civil society and its changing properties in what Castells calls a 'networked society'. The contribution ends with a discussion of the role of the sociologist re-civil society and the advocacy of both 'action' and 'foresight sociologies'. Copyright © 2014 Elsevier Ltd. All rights reserved.

  8. 75 FR 61746 - New England Wire Technologies Corp; Supplemental Notice That Initial Market-Based Rate Filing...

    Science.gov (United States)

    2010-10-06

    ...-referenced proceeding of New England Wire Technologies Corp's application for market-based rate authority... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission [Docket No. ER10-2754-000] New England Wire Technologies Corp; Supplemental Notice That Initial Market-Based Rate Filing Includes Request for...

  9. Development and evaluation of training resources to prepare health professionals for counselling pregnant women about non-invasive prenatal testing for Down syndrome: a mixed methods study.

    Science.gov (United States)

    Oxenford, Kerry; Daley, Rebecca; Lewis, Celine; Hill, Melissa; Chitty, Lyn S

    2017-04-27

    The availability of non-invasive prenatal testing (NIPT) for aneuploidies is expanding rapidly throughout the world. Training health professionals to offer NIPT in a way that supports informed choice is essential for implementation. The aim of this study was to develop and evaluate a training package for health professionals to support the introduction of NIPT into clinical practice. Training on NIPT was offered to health professionals, primarily midwives, involved in Down syndrome screening and testing in eight hospitals located in England and Scotland as part of a research study evaluating the implementation of NIPT in the UK National Health Service. Training was evaluated using a mixed methods approach that included quantitative questionnaires at three time points and post-training qualitative interviews. The questionnaires measured confidence, self-perceived knowledge and actual knowledge about NIPT for Down syndrome. Interviews explored opinions about the training and experiences of offering NIPT. The training provided to the health professionals was found to positively impact on their confidence in discussing NIPT with women in their clinic, and both their perceived and actual knowledge and understanding of NIPT was improved. Knowledge remained weak in four areas; cell-free fetal DNA levels increase with gestation; turnaround time for NIPT results; cell-free fetal DNA is placental in origin; and NIPT false positive rate. Training materials, including a lesson plan, PowerPoint presentation and written factsheet on NIPT, have been developed and evaluated for use in educating midwives and supporting the introduction of NIPT. Implementation of training should include a greater focus on the areas where knowledge remained low. Some groups of midwives will need additional training or support to optimise their confidence in discussing NIPT with women.

  10. A management guide for northern hardwoods in New England

    Science.gov (United States)

    Adrian M. Gilbert; Victor S. Jensen

    1958-01-01

    Northern hardwood forests occupy about 9 million acres of land in New England. In recent years, these hardwood forests have made increasing contributions to the economy of this region. Their future management should be even more rewarding.

  11. Use of aids for smoking cessation and alcohol reduction: A population survey of adults in England

    Directory of Open Access Journals (Sweden)

    Emma Beard

    2016-12-01

    Full Text Available Abstract Background It is important for policy planning to chart the methods smokers and high-risk drinkers use to help them change their behaviour. This study assessed prevalence of use, and characteristics of users, of support for smoking cessation and alcohol reduction in England. Methods Data were used from the Smoking and Alcohol Toolkit Studies, which involve monthly face-to-face computer-assisted interviews of adults aged 16+ in England. We included data collected between June 2014 and July 2015 on 1600 smokers who had made at least one quit attempt and 911 high-risk drinkers (defined as scores >8+ on the full AUDIT or 5+ on questions 1–3 of the AUDIT-C who had made an attempt to cut down in the past 12 months. Participants provided information on their socio-demographic characteristics and use of aids during their most recent quit attempt including pharmacotherapy, face-to-face counselling, telephone support, self-help materials (digital and printed, and complementary medicine. Results A total of 60.3% of smokers used aids in the past year, compared with just 14.9% of high-risk drinkers. Use of pharmacotherapy was high among smokers and very low among drinkers (56.0%versus1.2%. Use of other aids was low for both behaviours: face-to-face counselling (2.6%versus4.8%, self-help materials (1.4%versus4.1% and complementary medicine (1.0%versus0.5%. Use of aids was more common among smokers aged 25–54 compared with 16–24 year olds (25–34,ORadj1.49,p = 0.012; 35–44,ORadj1.93,p 10 relative to 20,ORadj4.23,p = 0.001, and less common among ethnic minorities (ORadj0.69,p = 0.026. For alcohol reduction, use of aids was higher among ethnic minority groups (ORadj2.41;p = 0.015, and those of social-grade D/E relative to AB (ORadj2.29,p = 0.012&ORadj3.13,p < 0.001. Conclusion In England, the use of pharmacotherapy is prevalent for smoking cessation but not alcohol reduction. Other aids are used at a low rate, with

  12. The evolutionary New England experience and the role of the independent system operator (ISO)

    International Nuclear Information System (INIS)

    Sinclair, J.

    1998-01-01

    The evolution of the New England pool (NEPOOL) that treats the whole of the New England Region as one utility control area, is discussed. NEPOOL was established in 1971 in response to the 1965 blackout. The goal of the NEPOOL is to improve electric power reliability and efficiency. Discussions to restructure the New England market place began in 1994 and again later in 1996 with FERC order 888 which proposed the establishment of an independent system operator (ISO) and with the NEPOOL 888 filing in December of 1996, which defined the role of the ISO, the underlying principles being non-discriminatory governance, system operations, and market administration and transmission service. This speaker described the structure of the nation's first ISO, the principles of its operations regarding open access, single tariff, pricing for efficient resource use, open access same-time information systems, as well as its roles that go beyond the FERC definitions. Characteristic features of the energy market in New England are also described, along with some 50 current new power plant projects under consideration; not unexpectedly, all of them will be powered by natural gas

  13. MERGANSER - A Predictive Model of Mercury in Fish and Loons in New England Lakes

    Science.gov (United States)

    Moore, R. B.; Shanley, J. B.; Smith, R. A.; Miller, E. K.; Simcox, A.; Kamman, N. C.; Nacci, D. E.; Robinson, K. W.; Johnston, J. M.; Hughes, M.; Johnston, C. M.; Williams, K.; Graham, J.; King, S.

    2010-12-01

    MERGANSER (MERcury Geo-spatial AssessmeNtS for the New England Region) is an empirical least squares multiple regression model using atmospheric deposition of mercury (Hg) and readily obtainable lake and watershed features to predict fish and common loon Hg in New England lakes. We modeled lakes larger than 8 ha and with drainage area completely within the USA (4404 lakes), using 3827 fish (12 species) and loon Hg values from 420 lakes. MERGANSER predictor variables included Hg deposition, watershed alkalinity, percent wetlands, percent forest canopy, percent agriculture, drainage area, population, mean annual temperature and watershed slope. The model returns fish tissue or loon blood Hg for user-entered species and length. MERGANSER explained 63% of the variance in fish fillet and loon Hg concentrations. MERGANSER predicted that 32-cm small mouth bass had a median Hg concentration of 0.53 µg g-1 and exceeded EPA’s maximum contaminant level (MCL) of 0.3 µg/g Hg in 90% of New England lakes. Common loon had a median Hg concentration of 1.07 µg g-1 and was in the moderate or higher risk category of >1 µg/g Hg in 58% of New England lakes.

  14. Elevated bladder cancer in northern New England: The role of drinking water and arsenic

    Science.gov (United States)

    Baris, Dalsu; Wadell, Richard; Freeman, Laura; Schwenn, Molly; Colt, Joanne; Ayotte, Joseph; Ward, Mary; Nuckols, John; Schned, Alan; Jackson, Brian; Clerkin, Castine; Rothman, Nathanial; Moore, Lee; Taylor, Anne; Robinson, Gilpin; Hosain, Monawar G.; Armenti, Carla; McCoy, Richard; Samanic, Claudine; Hoover, Robert; Fraumeni, Joseph; Johnson, Alison; Karagas, Margaret; Silverman, Debra

    2016-01-01

    Background: Bladder cancer mortality rates have been elevated in northern New England for at least five decades. Incidence rates in Maine, New Hampshire, and Vermont are about 20% higher than the United States overall. We explored reasons for this excess, focusing on arsenic in drinking water from private wells, which are particularly prevalent in the region.Methods: In a population-based case-control study in these three states, 1213 bladder cancer case patients and 1418 control subjects provided information on suspected risk factors. Log transformed arsenic concentrations were estimated by linear regression based on measurements in water samples from current and past homes. All statistical tests were two-sided.Results: Bladder cancer risk increased with increasing water intake ( Ptrend = .003). This trend was statistically significant among participants with a history of private well use ( Ptrend = .01). Among private well users, this trend was apparent if well water was derived exclusively from shallow dug wells (which are vulnerable to contamination from manmade sources, Ptrend = .002) but not if well water was supplied only by deeper drilled wells ( Ptrend = .48). If dug wells were used pre-1960, when arsenical pesticides were widely used in the region, heavier water consumers (>2.2 L/day) had double the risk of light users (dug wells in an era when arsenical pesticides were widely used, was associated with increased bladder cancer risk and may have contributed to the New England excess.

  15. Innovative Case Studies of Good Practice in England.

    Science.gov (United States)

    Gifted Education International, 2003

    2003-01-01

    Four case studies of gifted education programs in England are described, including the development of a teacher handbook based on the principles behind accelerated learning, the identification of students with musical ability and the provision of musical instrument lessons, and the development of a portable information communication technology…

  16. Chapter 3: Crossing Boundaries--Foundation Degrees in England

    Science.gov (United States)

    Longhurst, Derek

    2010-01-01

    This chapter traces the history, purposes, and distinctive features of the foundation degree, a short-cycle higher education qualification introduced in England in 2000-2001 and offered by both universities and further education colleges. The key characteristics of the foundation degree are discussed: employer involvement in curriculum development…

  17. Briefing book on the energy situation in New England

    Energy Technology Data Exchange (ETDEWEB)

    Brainard, J P; Munson, J S; Palmedo, P F

    1976-10-01

    This briefing book is designed to give a concise overview of the facts of the energy situation in New England and of attitudes within the region towards current energy issues. Many of the central problems of U.S. energy policy are manifested in the region in a magnified form. The region entered the period of energy shortages and increasing prices in an economically declining condition. Energy prices were already high in 1970, 30% higher than the rest of the country; the difference increased to 38% by 1974. With essentially no indigenous energy resources, New England is an energy-importing region. For various reasons it is also more dependent on petroleum than other regions of the country and, at the same time, distant from domestic petroleum-producing regions. The result is that over 60% of the fuels it consumes is imported from abroad. Although the future supply of energy to the region is critically dependent on energy-resource policies, policies related for example to coal and oil shale development, the region's concerns cluster around policies and technologies that are perceived to have a more direct impact on its energy welfare. Thus, energy conservation, solar energy, nuclear power, offshore oil development and, in general, the price of energy to the region are paramount issues of concern and debate. Following the Introductory chapter, these issues are discussed in four additional chapters: The Energy Situation in New England; Regional Energy Issues; Energy-Related Institutions; and State Legislation.

  18. Dynamics of whlte pine in New England

    Science.gov (United States)

    William B. Leak; J.B. Cullen; Thomas S. Frieswyk

    1995-01-01

    Analysis of growth, regeneration, and quality changes for white pine between the 1970's and 1980's in the six-state New England region. Growth rates seemed comparable among ail states except Rhode Island, where the percentage of growth (1.71%) seemed low. Over all states, the proportion of acreage in seedling/sapling white pine stands averaged too low (8%) to...

  19. From "Stranger" to "Arrived": The Citizens' Library in England.

    Science.gov (United States)

    Meyers, Arthur S.

    1998-01-01

    Discusses studies of public library multicultural services in England. Describes multicultural programs in Birmingham and Brent that involve the citizens in planning and implementing these services. Access to electronic technology will affect the provision of these services. (MMU)

  20. Down Syndrome (For Kids)

    Science.gov (United States)

    ... Changed What's Life Like for Kids With Down Syndrome? Print en español El síndrome de Down You have probably seen people who have Down syndrome. They have certain physical features, such as a ...

  1. Characterizing tobacco control mass media campaigns in England.

    Science.gov (United States)

    Langley, Tessa; Lewis, Sarah; McNeill, Ann; Gilmore, Anna; Szatkowski, Lisa; West, Robert; Sims, Michelle

    2013-11-01

    To characterize publically funded tobacco control campaigns in England between 2004 and 2010 and to explore if they were in line with recommendations from the literature in terms of their content and intensity. International evidence suggests that campaigns which warn of the negative consequences of smoking and feature testimonials from real-life smokers are most effective, and that four exposures per head per month are required to reduce smoking prevalence. Characterization of tobacco control advertisements using a theoretically based framework designed to describe advertisement themes, informational and emotional content and style. Study of the intensity of advertising and exposure to different types of advertisement using data on population-level exposure to advertisements shown during the study period. England. Television Ratings (TVRs), a standard measure of advertising exposure, were used to calculate exposure to each different campaign type. A total of 89% of advertising was for smoking cessation; half of this advertising warned of the negative consequences of smoking, while half contained how-to-quit messages. Acted scenes featured in 72% of advertising, while only 17% featured real-life testimonials. Only 39% of months had at least four exposures to tobacco control campaigns per head. A theory-driven approach enabled a systematic characterization of tobacco control advertisements in England. Between 2004 and 2010 only a small proportion of tobacco control advertisements utilized the most effective strategies-negative health effects messages and testimonials from real-life smokers. The intensity of campaigns was lower than international recommendations. © 2013 The Authors. Addiction published by John Wiley & Sons Ltd on behalf of The Society for the Study of Addiction.

  2. Focusing of atoms with spatially localized light pulses

    International Nuclear Information System (INIS)

    Helseth, Lars Egil

    2002-01-01

    We theoretically study the focusing of atoms using strongly localized light pulses. It is shown that when inhomogenously polarized light is focused at high angular apertures, one may obtain useful potentials for atom focusing. Here we analyze the case of pulsed light potentials for red- and blue-detuned focusings of atoms. In particular, we show that the atomic beam aperture must be stopped considerably down in order to reduce the sidelobes of the atomic density, which is similar to the situation often encountered in conventional optics. It is suggested that an annular aperture in front of the atomic beam could be useful for increasing the resolution, at the cost of a lower atomic density

  3. Analysis of Microcystins in Cyanobacterial Blooms from Freshwater Bodies in England

    Directory of Open Access Journals (Sweden)

    Andrew D. Turner

    2018-01-01

    Full Text Available Cyanobacterial blooms in freshwater bodies in England are currently monitored reactively, with samples containing more than 20,000 cells/mL of potentially toxin-producing species by light microscopy resulting in action by the water body owner. Whilst significantly reducing the risk of microcystin exposure, there is little data describing the levels of these toxins present in cyanobacterial blooms. This study focused on the quantitative LC-MS/MS analysis of microcystins in freshwater samples, collected across England during 2016 and found to contain potentially toxin-producing cyanobacteria. More than 50% of samples contained quantifiable concentrations of microcystins, with approximately 13% exceeding the WHO medium health threshold of 20 μg/L. Toxic samples were confirmed over a nine-month period, with a clear increase in toxins during late summer, but with no apparent geographical patterns. No statistical relationships were found between total toxin concentrations and environmental parameters. Complex toxin profiles were determined and profile clusters were unrelated to cyanobacterial species, although a dominance of MC-RR was determined in water samples from sites associated with lower rainfall. 100% of samples with toxins above the 20 μg/L limit contained cell densities above 20,000 cells/mL or cyanobacterial scum, showing the current regime is suitable for public health. Conversely, with only 18% of cell density threshold samples having total microcystins above 20 μg/L, there is the potential for reactive water closures to unnecessarily impact upon the socio-economics of the local population. In the future, routine analysis of bloom samples by LC-MS/MS would provide a beneficial confirmatory approach to the current microscopic assessment, aiding both public health and the needs of water users and industry.

  4. Doctor Down

    Directory of Open Access Journals (Sweden)

    N.V. Nagornaya

    2013-09-01

    Full Text Available The article presents the biographical data of John Langdon Down, his invaluable contribution to the development of rehabilitation programs for children with Down syndrome. The basis of these programs was the socialization of people with intellectual disabilities. In doctor Down’s rehabilitation center there were used methods, including health care, education, physical education, the formation of correct behavior.

  5. Bottom-up vs. top-down effects on terrestrial insect herbivores: a meta-analysis.

    Science.gov (United States)

    Vidal, Mayra C; Murphy, Shannon M

    2018-01-01

    Primary consumers are under strong selection from resource ('bottom-up') and consumer ('top-down') controls, but the relative importance of these selective forces is unknown. We performed a meta-analysis to compare the strength of top-down and bottom-up forces on consumer fitness, considering multiple predictors that can modulate these effects: diet breadth, feeding guild, habitat/environment, type of bottom-up effects, type of top-down effects and how consumer fitness effects are measured. We focused our analyses on the most diverse group of primary consumers, herbivorous insects, and found that in general top-down forces were stronger than bottom-up forces. Notably, chewing, sucking and gall-making herbivores were more affected by top-down than bottom-up forces, top-down forces were stronger than bottom-up in both natural and controlled (cultivated) environments, and parasitoids and predators had equally strong top-down effects on insect herbivores. Future studies should broaden the scope of focal consumers, particularly in understudied terrestrial systems, guilds, taxonomic groups and top-down controls (e.g. pathogens), and test for more complex indirect community interactions. Our results demonstrate the surprising strength of forces exerted by natural enemies on herbivorous insects, and thus the necessity of using a tri-trophic approach when studying insect-plant interactions. © 2017 John Wiley & Sons Ltd/CNRS.

  6. Public inquiry and enquete publique - forms of public participation in England and France

    International Nuclear Information System (INIS)

    Macrory, R.; Lafontaine, M.

    1982-01-01

    The subject is covered in chapters, entitled: introduction; the enquete publique in France - a case study; the public inquiry in England - a case study; the French system - an English view; the English system - a French view; distinctive features of the two systems. Appendices cover: the methodology; the Advisory Committee; the legal and administrative background in England; the legal and administrative background in France; examination and cross-examination; the audition publique; selected bibliography and references. (U.K.)

  7. Preparing an educated nurse: past and future trends in England and mainland China

    OpenAIRE

    Zhang, R.

    2012-01-01

    This cross-national comparative study aims to explore previous changes and future trends in nursing in England and mainland China, and the impact that reform has had on the way in which nurses are currently and prospectively educated in the two countries. Nursing education in both countries has experienced considerable development related to societal, health care, and technological advances, alongside economic growth. In England, there is a policy imperative to shift nursing to an all-graduat...

  8. A Population-Based Cohort Study of Emergency Appendectomy Performed in England and New York State.

    Science.gov (United States)

    Al-Khyatt, Waleed; Mytton, Jemma; Tan, Benjamin H L; Aquina, Christopher T; Evison, Felicity; Fleming, Fergal J; Pasquali, Sandro; Griffiths, Ewen A; Vohra, Ravinder S

    2017-08-01

    To compare selected outcomes (30-day reoperation and total length of hospital stay) following emergency appendectomy between populations from New York State and England. This retrospective cohort study used demographic and in-hospital outcome data from Hospital Episode Statistics (HES) and the New York Statewide Planning and Research Cooperative System (SPARCS) administrative databases for all patients aged 18+ years undergoing appendectomy between April 2009 and March 2014. Univariate and adjusted multivariable logistic regression were used to test significant factors. A one-to-one propensity score matched dataset was created to compare odd ratios (OR) of reoperations between the two populations. A total of 188,418 patient records, 121,428 (64.4%) from England and 66,990 (35.6%) from NYS, were extracted. Appendectomy was completed laparoscopically in 77.7% of patients in New York State compared to 53.6% in England (P New York State, respectively. All 30-day reoperation rates were higher in England compared to New York State (1.2 vs. 0.6%, P New York State. Increasing the numbers of appendectomy completed laparoscopically may decrease length of stay and reoperations.

  9. A comparison of the causes, effects and aftermaths of the coastal flooding of England in 1953 and France in 2010

    Directory of Open Access Journals (Sweden)

    D. M. Lumbroso

    2011-08-01

    Full Text Available This paper provides a comparison of the causes, effects and aftermaths of the coastal flooding that occurred on the east coast of England in 1953 and the west coast of France in 2010 that resulted in 307 and 47 deaths respectively. The causes of both events are strikingly similar. Both were caused by a combination of high tides, low atmospheric pressure, high winds and the failure of poorly maintained flood defences. In both cases the number of deaths was related to the vulnerability of the buildings and people. Buildings in the flood zones were often single storey bungalows and the people who died were mostly over 60 yr of age. Both tragedies were national disasters. The 1953 flood in England acted as a catalyst for an acceleration in flood risk management policy and practice. It resulted in: the development of a Storm Tide Warning System for the east coast of England; the setting of new design standards for coastal flood defences; increased investment in improving coastal defences; and a substantial new research effort into coastal processes, protection and forecasting. In France there has also been an episodic shift in flood risk management policy with the focus falling on: control of urban developments in areas at risk of flooding; improved coastal forecasting and warning; strengthening of flood defences; and developing a "culture of risk awareness". This paper outlines the lessons that can be learnt from the two events and provides recommendations concerning how future loss of life as a result of coastal flooding can be reduced.

  10. 78 FR 61958 - New England Hydropower Company, LLC; Notice of Preliminary Permit Application Accepted for Filing...

    Science.gov (United States)

    2013-10-08

    ... Hydropower Company, LLC; Notice of Preliminary Permit Application Accepted for Filing and Soliciting Comments, Motions To Intervene, and Competing Applications On August 20, 2013, the New England Hydropower Company... river are owned by the city of Meriden. Applicant Contact: Mr. Michael C. Kerr, New England Hydropower...

  11. Physical Foundations for Acceleration by Traveling Laser Focus

    International Nuclear Information System (INIS)

    Mikhailichenko, A.A.

    2004-01-01

    In this method called Travelling Laser Focus (TLF), multi-cell microstructures scaled down to the laser wavelength-size. Each cell in these structures has an opening from the side. Special Electro-Optical device controllably sweeps focused laser spot along these openings in accordance with instant position of accelerated micro-bunch inside the structure. This arrangement reduces the illuminating time for every point on the structure's surface and power required from the laser. Physical limitations considered for mostly important components of the TLF scheme

  12. Neurodynamics of up and down Transitions in Network Model

    Directory of Open Access Journals (Sweden)

    Xuying Xu

    2013-01-01

    Full Text Available This paper focuses on the neurodynamical research of a small neural network that consists of 25 neurons. We study the periodic spontaneous activity and transitions between up and down states without synaptic input. The results demonstrate that these transitions are bidirectional or unidirectional with the parameters changing, which not only reveals the function of the cortex, but also cohere with the experiment results.

  13. 76 FR 17626 - New England Fishery Management Council; Public Meeting

    Science.gov (United States)

    2011-03-30

    ... affecting New England fisheries in the exclusive economic zone (EEZ). DATES: The meeting will be held on... disadvantages of allowing trading allocations of stocks managed under the US/Canada Resource Sharing...

  14. 78 FR 20618 - New England Fishery Management Council; Public Meeting

    Science.gov (United States)

    2013-04-05

    ... affecting New England fisheries in the exclusive economic zone (EEZ). DATES: The meeting will be held on... to discuss quota trading, assessment timing, alternative management strategies and the U.S./Canada...

  15. Natural and Anthropogenic Methane Sources, New England, USA, 1990-1994

    Data.gov (United States)

    National Aeronautics and Space Administration — This data set contains an inventory of natural and anthropogenic methane emissions for all counties in the six New England states of Connecticut, Rhode Island,...

  16. 76 FR 39075 - New England Fishery Management Council; Public Meeting

    Science.gov (United States)

    2011-07-05

    ... Committee will discuss measures to minimize the adverse effects of fishing on Essential Fish Habitat (EFH... England Fishery Management Council (Council) is scheduling a public meeting of its Habitat/MPA/Ecosystem...

  17. Structural Characterization of Lignin in Wild-Type versus COMT Down-Regulated Switchgrass

    Energy Technology Data Exchange (ETDEWEB)

    Samuel, Reichel [School of Chemistry and Biochemistry, Georgia Institute of Technology, Atlanta, GA (United States); BioEnergy Science Center, Oak Ridge, TN (United States); Pu, Yunqiao, E-mail: yunqiao.pu@ipst.gatech.edu [BioEnergy Science Center, Oak Ridge, TN (United States); Institute of Paper Science and Technology, Georgia Institute of Technology, Atlanta, GA (United States); Jiang, Nan [School of Chemistry and Biochemistry, Georgia Institute of Technology, Atlanta, GA (United States); BioEnergy Science Center, Oak Ridge, TN (United States); Fu, Chunxiang [Forage Improvement Division, The Samuel Roberts Noble Foundation, Ardmore, OK (United States); Wang, Zeng-Yu [BioEnergy Science Center, Oak Ridge, TN (United States); Forage Improvement Division, The Samuel Roberts Noble Foundation, Ardmore, OK (United States); Ragauskas, Arthur, E-mail: yunqiao.pu@ipst.gatech.edu [School of Chemistry and Biochemistry, Georgia Institute of Technology, Atlanta, GA (United States); BioEnergy Science Center, Oak Ridge, TN (United States)

    2014-01-20

    This study examined the chemical structural characteristics of cellulolytic enzyme lignin isolated from switchgrass focusing on comparisons between wild-type control and caffeic acid 3-O-methyltransferase (COMT) down-regulated transgenic line. Nuclear magnetic resonance techniques including {sup 13}C, {sup 31}P, and two-dimensional {sup 13}C-{sup 1}H heteronuclear single quantum coherence as well as gel permeation chromatography were employed. Compared to the wild-type, the COMT down-regulated transgenic switchgrass lignin demonstrated a decrease in syringyl (S):guaiacyl (G) ratio and p-coumarate:ferulate ratio, an increase in relative abundance of phenylcoumaran unit, and a comparable content of total free phenolic OH groups along with formation of benzodioxane unit. In addition, COMT down-regulation had no significant effects on the lignin molecular weights during its biosynthesis process.

  18. A Comparison of Mortality Following Emergency Laparotomy Between Populations From New York State and England.

    Science.gov (United States)

    Tan, Benjamin H L; Mytton, Jemma; Al-Khyatt, Waleed; Aquina, Christopher T; Evison, Felicity; Fleming, Fergal J; Griffiths, Ewen; Vohra, Ravinder S

    2017-08-01

    The aim of this study was to compare mortality following emergency laparotomy between populations from New York State and England. Mortality following emergency surgery is a key quality improvement metric in both the United States and UK. Comparison of the all-cause 30-day mortality following emergency laparotomy between populations from New York State and England might identify factors that could improve care. Patient demographics, in-hospital, and 30-day outcomes data were extracted from Hospital Episode Statistics (HES) in England and the New York Statewide Planning and Research Cooperative System (SPARCS) administrative databases for all patients older than 18 years undergoing laparotomy for emergency open bowel surgery between April 2009 and March 2014. The primary outcome measure was all-cause mortality within 30 days of the index laparotomy. Mixed-effects logistic regression was performed to model independent demographic variables against mortality. A one-to-one propensity score matched dataset was created to compare the odd ratios of mortality between the 2 populations. Overall, 137,869 patient records, 85,286 (61.9%) from England and 52,583 (38.1%) from New York State, were extracted. Crude 30-day mortality for patients was significantly higher in the England compared with New York State [11,604 (13.6%) vs 3633 (6.9%) patients, P New York State (odds ratio 2.35, confidence interval 2.24-2.46, P New York State despite similar patient groups.

  19. Primary Teacher Education in England: 40 Years On

    Science.gov (United States)

    Murray, Jean; Passy, Rowena

    2014-01-01

    This article examines the relationship between pre-service teacher education (ITE) for primary schooling and primary teaching in England between 1974 and 2014, and explores the "fitness of purpose" of the current system of preparing teachers for the classrooms of the twenty-first century. Our historical analysis suggests that, despite 40…

  20. A human rights approach to advocacy for people with dementia: A review of current provision in England and Wales.

    Science.gov (United States)

    Dixon, Jeremy; Laing, Judy; Valentine, Christine

    2018-01-01

    In this article, we review current advocacy services for people with dementia in England and Wales (provided, respectively, under the Mental Capacity Act 2005 , the Mental Health Act 1983 /2007 and the Care Act 2014) through the lens of the United Nations Convention on the Rights of Persons with Disabilities (CRPD). We examine what a human rights' approach to advocacy support would entail, and whether current frameworks in England and Wales are adequate for this approach and provide a sufficient safeguard. First, we consider how the human rights of persons with dementia have become increasingly important and the extent to which the CRPD provides an opportunity to bolster safeguards and protection. Second, we discuss cause and case advocacy, and how these advocacy models could be shaped by the CRPD to promote the rights of persons with dementia at each stage of the disease. Third, we highlight current dilemmas and challenges in the provision of advocacy support in England and Wales by focusing on case law, commissioning of services and current practice. In particular, we analyse how the different legislative schemes have given rise to some confusion about the various advocacy provisions, as well as potential for overlap and discrepancies between different regimes. We also highlight the need for further research to address important gaps in knowledge, including the scale of need, patterns of referral and attitudes to advocacy services. The article concludes by highlighting how advocacy support could be recalibrated as a universal right to promote the aims and aspirations of the CRPD, and how education is needed to address the stigma of dementia and promote the benefits of advocacy in protecting the rights of those with dementia.

  1. Classification of paraglacial barrier systems: coastal New England, USA.

    NARCIS (Netherlands)

    FitzGerald, D.M.; van Heteren, S.

    1999-01-01

    The New England coast harbours a wide variety of barrier forms, which we organize into six barrier-coastline types. The barriers develop in response to the relative importance of several spatially and temporally variable parameters, particularly antecedent topography and geology, sediment abundance

  2. Reflections on the pathogenesis of Down syndrome.

    Science.gov (United States)

    Opitz, J M; Gilbert-Barness, E F

    1990-01-01

    Present efforts to identify, isolate, and characterize in molecular terms the "consensus" segment of 21q sufficient to cause most of the major and some of the most characteristic minor manifestations of Down syndrome will soon provide answers to many questions. However, we think that a reductionist approach to explain the Down syndrome phenotype in a "linear" manner from the DNA sequence of the segment will be doomed to failure from the outset because of the open, complex, nonlinear, hierarchical nature of morphogenetic systems. Neo-Darwinism is under strong attack; most genetic changes accumulated over time may very well be of neutral effect, and detailed studies in several related groups of vertebrate species has shown that molecular and organismal evolution are largely independent of one another. It has been pointed out recently that biology lacks a theory of ontogenetic and phylogenetic development, and that a purely "genocentric" view of biology at the expense of the complexly hierarchical intrinsic epigenetic attributes of developmental systems is "out of focus with respect to ... biological organization and morphogenesis," and may be "a residue of nineteenth century romantic idealism." Down syndrome impresses us as a paradigm of increased developmental variability due to a deceleration of the rate of development (neoteny) with many anomalies of incomplete morphogenesis (vestigia), atavisms, increased morphometric variability with many decreased means, increased variances, and increased fluctuating asymmetry. These abnormalities, together with highly increased risk of prenatal death and postnatal morbidity, impaired growth, and abnormal CNS and gonadal structure and function characteristic of most aneuploidy syndromes, suggest to us that the pathogenesis of Down syndrome is best viewed in terms of the mechanisms of speciation. Transgenic experiment involving sequential or overlapping pieces of "the consensus segment" on distal 21q22.1-22.3 may help decide to

  3. Predicted median July stream/river temperature regime in New England

    Data.gov (United States)

    U.S. Environmental Protection Agency — This shapefile includes the predicted thermal regime for all NHDPlus version 1 stream and river reaches in New England within the model domain based on the spatial...

  4. First test experiment to produce the slowed-down RI beam with the momentum-compression mode at RIBF

    Energy Technology Data Exchange (ETDEWEB)

    Sumikama, T., E-mail: sumikama@ribf.riken.jp [RIKEN Nishina Center, 2-1 Hirosawa, Wako, Saitama 351-0198 (Japan); Department of Physics, Tohoku University, Aoba, Sendai 980-8578 (Japan); Ahn, D.S.; Fukuda, N.; Inabe, N.; Kubo, T.; Shimizu, Y.; Suzuki, H.; Takeda, H. [RIKEN Nishina Center, 2-1 Hirosawa, Wako, Saitama 351-0198 (Japan); Aoi, N. [Research Center for Nuclear Physics, Osaka University, Ibaraki, Osaka 567-0047 (Japan); Beaumel, D. [Institut de Physique Nucléaire d’Orsay (IPNO), CNRS/IN2P3, 91405 Orsay (France); Hasegawa, K. [Department of Physics, Tohoku University, Aoba, Sendai 980-8578 (Japan); Ideguchi, E. [Research Center for Nuclear Physics, Osaka University, Ibaraki, Osaka 567-0047 (Japan); Imai, N. [Center for Nuclear Study, University of Tokyo, RIKEN Campus, 2-1 Hirosawa, Wako, Saitama 351-0298 (Japan); Kobayashi, T. [Department of Physics, Tohoku University, Aoba, Sendai 980-8578 (Japan); Matsushita, M.; Michimasa, S. [Center for Nuclear Study, University of Tokyo, RIKEN Campus, 2-1 Hirosawa, Wako, Saitama 351-0298 (Japan); Otsu, H. [RIKEN Nishina Center, 2-1 Hirosawa, Wako, Saitama 351-0198 (Japan); Shimoura, S. [Center for Nuclear Study, University of Tokyo, RIKEN Campus, 2-1 Hirosawa, Wako, Saitama 351-0298 (Japan); Teranishi, T. [Department of Physics, Kyushu University, 6-10-1 Hakozaki, Fukuoka 812-8581 (Japan)

    2016-06-01

    The {sup 82}Ge beam has been produced by the in-flight fission reaction of the {sup 238}U primary beam with 345 MeV/u at the RIKEN RI beam factory, and slowed down to about 15 MeV/u using the energy degraders. The momentum-compression mode was applied to the second stage of the BigRIPS separator to reduce the momentum spread. The energy was successfully reduced down to 13 ± 2.5 MeV/u as expected. The focus was not optimized at the end of the second stage, therefore the beam size was larger than the expectation. The transmission of the second stage was half of the simulated value mainly due to out of focus. The two-stage separation worked very well for the slowed-down beam with the momentum-compression mode.

  5. Handgrip strength and its prognostic value for mortality in Moscow, Denmark, and England

    DEFF Research Database (Denmark)

    Oksuzyan, Anna; Demakakos, Panayotes; Shkolnikova, Maria

    2017-01-01

    BACKGROUND: This study compares handgrip strength and its association with mortality across studies conducted in Moscow, Denmark, and England. MATERIALS: The data collected by the Study of Stress, Aging, and Health in Russia, the Study of Middle-Aged Danish Twins and the Longitudinal Study of Aging...... Danish Twins, and the English Longitudinal Study of Ageing was utilized. RESULTS: Among the male participants, the age-standardized grip strength was 2 kg and 1 kg lower in Russia than in Denmark and in England, respectively. The age-standardized grip strength among the female participants was 1.9 kg...... and 1.6 kg lower in Russia than in Denmark and in England, respectively. In Moscow, a one-kilogram increase in grip strength was associated with a 4% (hazard ratio [HR] = 0.96, 95% confidence interval [CI]: 0.94, 0.99) reduction in mortality among men and a 10% (HR = 0.90, 95%CI: 0.86, 0.94) among women...

  6. French Revolution or Industrial Revolution? A Note on the Contrasting Experiences of England and France up to 1800

    OpenAIRE

    Paul R. Sharp; Jacob L. Weisdorf

    2011-01-01

    At the end of the eighteenth century, England and France both underwent revolutions: France the French Revolution, England the industrial revolution. This note sheds new light on these contrasting experiences in the histories of England and France by looking at the evolution of real consumer prices in London and Paris in the centuries leading up to 1800. Whilst in London, building workers were facing low and stable consumer prices over the period, leaving plenty of scope for a demand-driven c...

  7. New England Wind Energy Education Project (NEWEEP)

    Energy Technology Data Exchange (ETDEWEB)

    Grace, Robert C.; Craddock, Kathryn A.; von Allmen, Daniel R.

    2012-04-25

    Project objective is to develop and disseminate accurate, objective information on critical wind energy issues impacting market acceptance of hundreds of land-based projects and vast off-shore wind developments proposed in the 6-state New England region, thereby accelerating the pace of wind installation from today's 140 MW towards the region's 20% by 2030 goals of 12,500 MW. Methodology: This objective will be accomplished by accumulating, developing, assembling timely, accurate, objective and detailed information representing the 'state of the knowledge' on critical wind energy issues impacting market acceptance, and widely disseminating such information. The target audience includes state agencies and local governments; utilities and grid operators; wind developers; agricultural and environmental groups and other NGOs; research organizations; host communities and the general public, particularly those in communities with planned or operating wind projects. Information will be disseminated through: (a) a series of topic-specific web conference briefings; (b) a one-day NEWEEP conference, back-to-back with a Utility Wind Interest Group one-day regional conference organized for this project; (c) posting briefing and conference materials on the New England Wind Forum (NEWF) web site and featuring the content on NEWF electronic newsletters distributed to an opt-in list of currently over 5000 individuals; (d) through interaction with and participation in Wind Powering America (WPA) state Wind Working Group meetings and WPA's annual All-States Summit, and (e) through the networks of project collaborators. Sustainable Energy Advantage, LLC (lead) and the National Renewable Energy Laboratory will staff the project, directed by an independent Steering Committee composed of a collaborative regional and national network of organizations. Major Participants - the Steering Committee: In addition to the applicants, the initial collaborators committing

  8. Is education the best contraception: the case of teenage pregnancy in England?

    Science.gov (United States)

    Girma, Sourafel; Paton, David

    2015-04-01

    This paper examines potential explanations for recent declines in teenage pregnancy in England. We estimate panel data models of teenage conception, birth and abortion rates from regions in England. Although point estimates are consistent with the promotion of long acting reversible contraception (LARC) having a negative impact on teenage pregnancy rates, the effects are generally small and statistically insignificant. In contrast, improvements in educational achievement and, to a lesser extent, increases in the non-white proportion of the population are associated with large and statistically significant reductions in teenage pregnancy. Copyright © 2015 Elsevier Ltd. All rights reserved.

  9. Focused ion beam patterned Hall nano-sensors

    International Nuclear Information System (INIS)

    Candini, A.; Gazzadi, G.C.; Di Bona, A.; Affronte, M.; Ercolani, D.; Biasiol, G.; Sorba, L.

    2007-01-01

    By means of focused ion beam milling, we fabricate Hall magnetometers with active areas as small as 100x100nm 2 . The constituent material can either be metallic (Au), semimetallic (Bi) or doped bulk semiconducting (Si doped GaAs). We experimentally show that Au nano-probes can work from room temperature down to liquid helium with magnetic flux sensitivity -1 Φ 0

  10. Workshop on crystals and focusing

    Science.gov (United States)

    Berreman, D. W.

    1980-12-01

    The purpose of the workshop on crystals and focusing was to exchange and pool the experience and information that the participants could contribute on the design and construction of monochromators for EXAFS with optimum speed, resolution and versatility. The panel was chaired by D.W. Berreman of BTL and included G. G. Cohen of NBS, S. Heald of Brookhaven National Labs and Lu Kun-quan of U. of Washington. Written contributions for the workshop were made by R. J. Emrich and J. R. Katzer of U. of Delaware, R. C. Gamble of Cal. Tech., J. Crane of Cal. Tech., and T. Matsushita of S. S. R. L. G. Bunker of U. of Washington was recording secretary, G. G. Cohen and S. Heald gave invited papers on the main program that were relevant to the workshop. Other contributors were R. Hänsel of U. of Kiel, W. Germany, G. Christoff of Ohio State and D. Hempstead of Rigaku/USA Inc., J. Holben of Marconi Avionics, Hertfordshire, England and J. Hastings of Brookhaven N. L.

  11. Longevity and mortality of owned dogs in England.

    Science.gov (United States)

    O'Neill, D G; Church, D B; McGreevy, P D; Thomson, P C; Brodbelt, D C

    2013-12-01

    Improved understanding of longevity represents a significant welfare opportunity for the domestic dog, given its unparalleled morphological diversity. Epidemiological research using electronic patient records (EPRs) collected from primary veterinary practices overcomes many inherent limitations of referral clinic, owner questionnaire and pet insurance data. Clinical health data from 102,609 owned dogs attending first opinion veterinary practices (n=86) in central and southeast England were analysed, focusing on 5095 confirmed deaths. Of deceased dogs with information available, 3961 (77.9%) were purebred, 2386 (47.0%) were female, 2528 (49.8%) were neutered and 1105 (21.7%) were insured. The overall median longevity was 12.0 years (IQR 8.9-14.2). The longest-lived breeds were the Miniature poodle, Bearded collie, Border collie and Miniature dachshund, while the shortest-lived were the Dogue de Bordeaux and Great Dane. The most frequently attributed causes of death were neoplastic, musculoskeletal and neurological disorders. The results of multivariable modelling indicated that longevity in crossbred dogs exceeded purebred dogs by 1.2 years (95% confidence interval 0.9-1.4; P<0.001) and that increasing bodyweight was negatively correlated with longevity. The current findings highlight major breed differences for longevity and support the concept of hybrid vigour in dogs. Copyright © 2013 Elsevier Ltd. All rights reserved.

  12. 75 FR 18828 - PSEG Power Connecticut LLC, Complainant v. ISO New England Inc., Respondent; Notice of Complaint

    Science.gov (United States)

    2010-04-13

    ... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission [Docket No. EL10-58-000] PSEG Power Connecticut LLC, Complainant v. ISO New England Inc., Respondent; Notice of Complaint April 6, 2010. Take... ISO New England Inc. (Respondent) challenging the justness and reasonableness of the Respondent's...

  13. Did smokefree legislation in England reduce exposure to secondhand smoke among nonsmoking adults? Cotinine analysis from the Health Survey for England.

    Science.gov (United States)

    Sims, Michelle; Mindell, Jennifer S; Jarvis, Martin J; Feyerabend, Colin; Wardle, Heather; Gilmore, Anna

    2012-03-01

    On 1 July 2007, smokefree legislation was implemented in England, which made virtually all enclosed public places and workplaces smokefree. We examined trends in and predictors of secondhand smoke exposure among nonsmoking adults to determine whether exposure changed after the introduction of smokefree legislation and whether these changes varied by socioeconomic status (SES) and by household smoking status. We analyzed salivary cotinine data from the Health Survey for England that were collected in 7 of 11 annual surveys undertaken between 1998 and 2008. We conducted multivariate regression analyses to examine secondhand smoke exposure as measured by the proportion of nonsmokers with undetectable levels of cotinine and by geometric mean cotinine. Secondhand smoke exposure was higher among those exposed at home and among lower-SES groups. Exposure declined markedly from 1998 to 2008 (the proportion of participants with undetectable cotinine was 2.9 times higher in the last 6 months of 2008 compared with the first 6 months of 1998 and geometric mean cotinine declined by 80%). We observed a significant fall in exposure after legislation was introduced--the odds of having undetectable cotinine were 1.5 times higher [95% confidence interval (CI): 1.3, 1.8] and geometric mean cotinine fell by 27% (95% CI: 17%, 36%) after adjusting for the prelegislative trend and potential confounders. Significant reductions were not, however, seen in those living in lower-social class households or homes where smoking occurs inside on most days. We found that the impact of England's smokefree legislation on secondhand smoke exposure was above and beyond the underlying long-term decline in secondhand smoke exposure and demonstrates the positive effect of the legislation. Nevertheless, some population subgroups appear not to have benefitted significantly from the legislation. This finding suggests that these groups should receive more support to reduce their exposure.

  14. Change in Soil and Forest Floor Carbon after Shelterwood Harvests in a New England Oak-Hardwood Forest, USA

    Directory of Open Access Journals (Sweden)

    Kayanna L. Warren

    2014-01-01

    Full Text Available There has been effort worldwide to quantify how much carbon forests contain in order to designate appropriate offset credits to forest carbon climate mitigation. Carbon pools on or immediately below the soil surface are understood to be very active in response to environmental change but are not well understood. Our study focused on the effects of shelterwood regeneration harvests in New England on the carbon stored in litter, woody debris, and surface soil carbon. Results demonstrate significant difference in surface (0–10 cm soil carbon between control (nonharvested and harvested sites, with higher carbon percentage on control sites. Results showed a significant difference in coarse woody debris with higher amounts of carbon per area on harvested sites. No significant difference in litter mass was recorded between harvested and control sites. When coarse woody debris and litter are included with soil carbon, total carbon did not have a significant decline over 20 years following shelterwood treatment to the forest to secure regeneration, but there was considerable variability among sites. When taking all surface soil carbon measurements together, our results suggest that for accounting purposes the measurement of below-ground carbon after shelterwood harvests is not necessary for the southern New England region.

  15. Elevated Bladder Cancer in Northern New England: The Role of Drinking Water and Arsenic.

    Science.gov (United States)

    Baris, Dalsu; Waddell, Richard; Beane Freeman, Laura E; Schwenn, Molly; Colt, Joanne S; Ayotte, Joseph D; Ward, Mary H; Nuckols, John; Schned, Alan; Jackson, Brian; Clerkin, Castine; Rothman, Nathaniel; Moore, Lee E; Taylor, Anne; Robinson, Gilpin; Hosain, Gm Monawar; Armenti, Karla R; McCoy, Richard; Samanic, Claudine; Hoover, Robert N; Fraumeni, Joseph F; Johnson, Alison; Karagas, Margaret R; Silverman, Debra T

    2016-09-01

    Bladder cancer mortality rates have been elevated in northern New England for at least five decades. Incidence rates in Maine, New Hampshire, and Vermont are about 20% higher than the United States overall. We explored reasons for this excess, focusing on arsenic in drinking water from private wells, which are particularly prevalent in the region. In a population-based case-control study in these three states, 1213 bladder cancer case patients and 1418 control subjects provided information on suspected risk factors. Log transformed arsenic concentrations were estimated by linear regression based on measurements in water samples from current and past homes. All statistical tests were two-sided. Bladder cancer risk increased with increasing water intake (Ptrend = .003). This trend was statistically significant among participants with a history of private well use (Ptrend = .01). Among private well users, this trend was apparent if well water was derived exclusively from shallow dug wells (which are vulnerable to contamination from manmade sources, Ptrend = .002) but not if well water was supplied only by deeper drilled wells (Ptrend = .48). If dug wells were used pre-1960, when arsenical pesticides were widely used in the region, heavier water consumers (>2.2 L/day) had double the risk of light users (<1.1 L/day, Ptrend = .01). Among all participants, cumulative arsenic exposure from all water sources, lagged 40 years, yielded a positive risk gradient (Ptrend = .004); among the highest-exposed participants (97.5th percentile), risk was twice that of the lowest-exposure quartile (odds ratio = 2.24, 95% confidence interval = 1.29 to 3.89). Our findings support an association between low-to-moderate levels of arsenic in drinking water and bladder cancer risk in New England. In addition, historical consumption of water from private wells, particularly dug wells in an era when arsenical pesticides were widely used, was associated with increased bladder cancer risk and

  16. A final focus system for the Next Linear Collider

    International Nuclear Information System (INIS)

    Zimmermann, F.; Brown, K.; Emma, P.; Helm, R.; Irwin, J.; Tenenbaum, P.; Wilson, P.

    1995-06-01

    The final focus of the Next Linear Collider (NLC) demagnifies electron and positron beams of 250--750 GeV energy down to a transverse size of about 2.5 x 350 nm 2 at the interaction point (IP). The basic layout, momentum bandwidth, vibration tolerances, wakefield effects, and the tunability of the proposed final focus design are discussed. Also a perspective is given on the crab cavity and on effects of the solenoid field in the interaction region

  17. New England States environmental radiation surveillance programs

    International Nuclear Information System (INIS)

    Molloy, E.J.

    1980-01-01

    An overview of the environmental radiation surveillance programs in the New England States from the viewpoint of their organization and administration is provided. Moreover, the specific monitoring and analytical programs conducted at selected sites in each state is detailed with emphasis on sample types, collection frequencies, and analysis. Also, a comparison is made between the programs of all the states in order to determine the reasons for their differences

  18. Factors influencing nurses' job satisfaction in selected private hospitals in England.

    Science.gov (United States)

    Lephalala, R P; Ehlers, V J; Oosthuizen, M J

    2008-09-01

    The quantitative descriptive survey used self-completion questionnaires to study factors influencing nurses' job satisfaction in selected private hospitals in England. Herzberg's Theory of Motivation was used to contextualise the results obtained from 85 completed questionnaires. In terms of Herzberg's Theory of Motivation, the most important extrinsic (hygiene) factor was no satisfaction with their salaries compared to nurses' salaries in other private hospitals in England, in the NHS and even at their own hospitals. However, most nurses were satisfied with the other extrinsic factors (organisation and administration policies, supervision and interpersonal relations). The most important intrinsic factors (motivators), influencing nurses' job satisfaction was their lack of satisfaction with promotions (including the fact that their qualifications were reportedly not considered for promotions), lack of advancement opportunities and being in dead-end jobs, and lack of involvement in decision- and policy-making activities. Nurses' levels of job satisfaction might be enhanced if promotion policies could be consistent, advancement opportunities implemented, qualifications considered for promotions, salary issues clarified, and if nurses could be involved in decision- and policy-making. Enhanced levels of job satisfaction could help to reduce turnover rates among registered nurses at the private hospitals in England that participated in this study.

  19. Change of government: one more big bang health care reform in England's National Health Service.

    Science.gov (United States)

    Hunter, David J

    2011-01-01

    Once again the National Health Service (NHS) in England is undergoing major reform, following the election of a new coalition government keen to reduce the role of the state and cut back on big government. The NHS has been undergoing continuous reform since the 1980s. Yet, despite the significant transaction costs incurred, there is no evidence that the claimed benefits have been achieved. Many of the same problems endure. The reforms follow the direction of change laid down by the last Conservative government in the early 1990s, which the recent Labour government did not overturn despite a commitment to do so. Indeed, under Labour, the NHS was subjected to further market-style changes that have paved the way for the latest round of reform. The article considers the appeal of big bang reform, questions its purpose and value, and critically appraises the nature and extent of the proposed changes in this latest round of reform. It warns that the NHS in its current form may not survive the changes, as they open the way to privatization and a weakening of its public service ethos.

  20. Mortality from ruptured abdominal aortic aneurysms: clinical lessons from a comparison of outcomes in England and the USA.

    Science.gov (United States)

    Karthikesalingam, Alan; Holt, Peter J; Vidal-Diez, Alberto; Ozdemir, Baris A; Poloniecki, Jan D; Hinchliffe, Robert J; Thompson, Matthew M

    2014-03-15

    The outcome of patients with ruptured abdominal aortic aneurysm (rAAA) varies by country. Study of practice differences might allow the formulation of pathways to improve care. We compared data from the Hospital Episode Statistics for England and the Nationwide Inpatient Sample for the USA for patients admitted to hospital with rAAA from 2005 to 2010. Primary outcomes were in-hospital mortality, mortality after intervention, and decision to follow non-corrective treatment. In-hospital mortality and the rate of non-corrective treatment were analysed by binary logistic regression for each health-care system, after adjustment for age, sex, year, and Charlson comorbidity index. The study included 11,799 patients with rAAA in England and 23,838 patients with rAAA in the USA. In-hospital mortality was lower in the USA than in England (53·05% [95% CI 51·26-54·85] vs 65·90%; pUSA than in England (19,174 [80·43%] vs 6897 [58·45%]; pUSA than in England (4003 [20·88%] vs 589 [8·54%]; pUSA). These observations persisted in age-matched and sex-matched comparisons. In both countries, reduced mortality was associated with increased use of endovascular repair, increased hospital caseload (volume) for rAAA, high hospital bed capacity, hospitals with teaching status, and admission on a weekday. In-hospital survival from rAAA, intervention rates, and uptake of endovascular repair are lower in England than in the USA. In England and the USA, the lowest mortality for rAAA was seen in teaching hospitals with larger bed capacities and doing a greater proportion of cases with endovascular repair. These common factors suggest strategies for improving outcomes for patients with rAAA. None. Copyright © 2014 Elsevier Ltd. All rights reserved.

  1. Downy mildew disease of New England aster (Symphyotrichum novae-angliae) caused by Basidiophora simplex in New York

    Science.gov (United States)

    The native perennial New England aster (Symphyotrichum novae-angliae; syn.=Aster novae-anglicae) is ubiquitous throughout most of the United States, as they self-seed and are well-adapted to many environments. New England asters are valued for their prominent dense clusters of purple flowers that at...

  2. Ethnicity, Gender, Deprivation and Low Educational Attainment in England: Political Arithmetic, Ideological Stances and the Deficient Society

    Science.gov (United States)

    Parsons, Carl

    2016-01-01

    Attainment data on England's school pupils are more extensive in coverage, detail, quantity, accessibility and of higher quality than monitoring statistics routinely available in other European countries. These data facilitate investigation of low attainment in England's schools and its relationship to ethnicity, gender and poverty. This article…

  3. Down syndrome: national conference on patient registries, research databases, and biobanks.

    Science.gov (United States)

    Oster-Granite, Mary Lou; Parisi, Melissa A; Abbeduto, Leonard; Berlin, Dorit S; Bodine, Cathy; Bynum, Dana; Capone, George; Collier, Elaine; Hall, Dan; Kaeser, Lisa; Kaufmann, Petra; Krischer, Jeffrey; Livingston, Michelle; McCabe, Linda L; Pace, Jill; Pfenninger, Karl; Rasmussen, Sonja A; Reeves, Roger H; Rubinstein, Yaffa; Sherman, Stephanie; Terry, Sharon F; Whitten, Michelle Sie; Williams, Stephen; McCabe, Edward R B; Maddox, Yvonne T

    2011-01-01

    A December 2010 meeting, "Down Syndrome: National Conference on Patient Registries, Research Databases, and Biobanks," was jointly sponsored by the Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) at the National Institutes of Health (NIH) in Bethesda, MD, and the Global Down Syndrome Foundation (GDSF)/Linda Crnic Institute for Down Syndrome based in Denver, CO. Approximately 70 attendees and organizers from various advocacy groups, federal agencies (Centers for Disease Control and Prevention, and various NIH Institutes, Centers, and Offices), members of industry, clinicians, and researchers from various academic institutions were greeted by Drs. Yvonne Maddox, Deputy Director of NICHD, and Edward McCabe, Executive Director of the Linda Crnic Institute for Down Syndrome. They charged the participants to focus on the separate issues of contact registries, research databases, and biobanks through both podium presentations and breakout session discussions. Among the breakout groups for each of the major sessions, participants were asked to generate responses to questions posed by the organizers concerning these three research resources as they related to Down syndrome and then to report back to the group at large with a summary of their discussions. This report represents a synthesis of the discussions and suggested approaches formulated by the group as a whole. Copyright © 2011. Published by Elsevier Inc. All rights reserved.

  4. Os distúrbios fonoarticulatórios na síndrome de Down e a intervenção precoce The inarticulateness distress in Down syndrome and early intervention

    Directory of Open Access Journals (Sweden)

    Lívia Fernandes Barata

    2010-02-01

    Full Text Available TEMA: a criança com Síndrome de Down apresenta um atraso na aquisição e desenvolvimento dos aspectos fonoarticulatórios, atraso este, que tem sido atribuído a características físicas e ambientais que influenciam negativamente no processo de desenvolvimento. Caracterizar os aspectos fonoarticulatórios dos sujeitos com Síndrome de Down pode proporcionar uma melhor compreensão das alterações abordadas na reabilitação em suas diversas modalidades e contribuir na evolução terapêutica. Por esta razão decidiu-se focar com maior profundidade em um dos aspectos mais importantes da comunicação, a fonoarticulação. OBJETIVO: caracterizar as alterações fonoarticulatórias encontradas em indivíduos portadores da Síndrome de Down, por meio de uma revisão bibliográfica, enfocando a importância da intervenção precoce frente a tais circunstâncias. CONCLUSÃO: a falta de estimulação e o encaminhamento tardio irão interferir no desenvolvimento fonoarticulatório, assim, por meio da intervenção precoce, será possível a obtenção de melhores resultados, fazendo com que grandes problemas tornem-se alterações mínimas.BACKGROUND: children with Down's Syndrome show a retard in language acquisition and develop inarticulateness distress. This delay has been attributed to the physical and environmental characteristics that have a negative impact on the development process. Characterizing articulation aspects of subjects with Down Syndrome may provide a better understanding of the changes addressed in rehabilitation in their different ways and contribute to the development therapy. For this reason, we decided to focus in greater depth in one of the most important communication aspects, the articulation. PURPOSE: characterize the inarticulateness distress found in subjects with Down Syndrome by means of a literature review, focusing on the importance of early intervention before such circumstances. CONCLUSION: lack of stimulation or

  5. Floodplain Condition and Water Framework Directive River Classification in England: Evidence of a Disconnect.

    Science.gov (United States)

    Bentley, S.

    2017-12-01

    The European Union Water Framework Directive came into force in October 2000 committing European Union member states to achieve Good Ecological Status for all water bodies. By 2015 29% of rivers across England had achieved this level suggesting that these watercourse units are now functioning well. This study utilises recently published land cover data for England clipped to the floodplain boundary as defined by the 100 year return period discharge to examine the state of valley bottom vegetation and function for these Good Status rivers. Agricultural use of floodplain areas is high with cereal and horticulture covering an average of 24% and pasture accounting for some 37% of the area. Maximum values increase to 77% and 92% respectively. In all cases wetland accounts for less than 2% of the floodplain and rough grassland averages 7%. Such significant and widespread alteration to floodplain vegetation character suggests that the ecological functioning of this component of the fluvial system has been severely negatively impacted calling into question the Water Framework Directive status level. This is a fault of the Water Framework Directive process which only explicitly evaluates the hydromorphological component of the fluvial system for high status rivers preferring to infer functioning from biological indicators that are focused on in-channel assessments. The fundamental omission of floodplain condition in the Water Framework Directive process will result in only partial achievement of the original goals of the Directive with the majority of Europe's floodplains remaining in a highly degraded, non-functional state.

  6. Exploring ethnic inequalities in health: Evidence from the Health Survey for England, 1998-2011

    OpenAIRE

    Darlington, F; Norman, P; Ballas, D; Exeter, DJ

    2015-01-01

    Issues of social justice and social and spatial inequalities in health have long been researched, yet there is a relative paucity of research on ethnic inequalities in health. Given the increasing ethnic diversity of England's population and the persistence of unjust differences in health this research is timely. We used annual data from the Health Survey for England between 1998 and 2011, combined into a time-series dataset, to examine the influence of socioeconomic and spatial factors on et...

  7. New England Wind Forum: A Wind Powering America Project, Newsletter #5 -- January 2010, Wind and Hydropower Technologies Program (WHTP)

    Energy Technology Data Exchange (ETDEWEB)

    Grace, R. C.; Gifford, J.

    2010-01-01

    Wind Powering America program launched the New England Wind Forum (NEWF) in 2005 to provide a single comprehensive source of up-to-date, Web-based information on a broad array of wind energy issues pertaining to New England. The NEWF newsletter provides New England stakeholders with updates on wind energy development in the region. In addition to regional updates, Issue #5 offers an interview with Angus King, former governor of Maine and co-founder of Independence Wind.

  8. Break-down stage in a 20 kV coaxial gun

    International Nuclear Information System (INIS)

    Feugeas, J.; Massa, M.; VonPamel, O.

    1984-01-01

    The electrical break-down of hydrogen in a coaxial electrode system (similar to Mather-type Plasma Focus) was studied for a wide range of pressures. A squirrel's cage outer electrode (cathode) of 50 mm of diameter was used to allow lateral views of the discharge, with an inner electrode (anode) of 17 mm of diameter and a pyrex sleeve of 25 mm length as insulator located at the breech of the gun. A low inductance plane plate transmission line was discharged (20 kV) through a spark gap switch over the system, with a typical peak current of 22 kA, reached after 80 ns from onset of the discharge. The fine structure of the luminous current sheath was studied by frontal and lateral open shutter photographs and by monitoring the current distribution along and across the electrodes gap. The authors tests determine the relative importance of the resistivity related to particle collision effects (αiota) and of the inductive resistivity (α L-center dot) during the break-down stage (iota=length of break-down path, L=inductance)

  9. Tech Talk for Social Studies Teachers: Exploring the Viking Invasion of Anglo-Saxon England (AD 1008)

    Science.gov (United States)

    Street, Chris

    2008-01-01

    It was 1,000 years ago that King Ethelred ordered the building of a large fleet of ships to blockade England from Viking invaders in a last-ditch effort to stop a series of invasions that had plagued England for decades. Although teachers may already have a personal and professional fascination with this and other events surrounding the Viking…

  10. "Health for All" in England and Brazil?

    Science.gov (United States)

    Duncan, Peter; Bertolozzi, Maria Rita; Cowley, Sarah; Egry, Emiko Yoshikawa; Chiesa, Anna Maria; de Siqueira França, Francisco Oscar

    2015-01-01

    This article discusses the achievements and challenges that England and Brazil face in relation to their capacity to address inequalities in health through health promotion and public health policies. Using secondary data (policy texts and related documents), this article contextualizes, explains, and critically appraises health promotion and public health efforts for the reduction of inequalities in health in the 2 countries. A historic documentary analysis was undertaken, with hermeneutics as the methodological framework. The global economic crisis has prompted the so-called developed economies of Europe to reconsider their economic and social priorities. England represents a state facing this kind of challenge. Equally, Brazil is assuming new positions not only on the world stage but also in terms of the relationship it has with its citizens and the priorities it has for state welfare. The United Kingdom continues to finance a health care system allowing universal access in the form of the National Health Service, and state concern about the public health task of reducing inequalities has recently been underlined in policy. For Brazil, although there have been recent achievements related to population access to healthcare, challenges continue, especially with regard to the quality of care. © SAGE Publications 2015.

  11. Anthropocene Survival of Southern New England's Salt ...

    Science.gov (United States)

    In southern New England, salt marshes are exceptionally vulnerable to the impacts of accelerated sea level rise. Regional rates of sea level rise have been as much as 50 % greater than the global average over past decades, a more than fourfold increase over late Holocene background values. In addition, coastal development blocks many potential marsh migration routes, and compensatory mechanisms relying on positive feedbacks between inundation and sediment deposition are insufficient to counter inundation increases in extreme low-turbidity tidal waters. Accordingly, multiple lines of evidence suggest that marsh submergence is occurring in southern New England. A combination of monitoring data, field re-surveys, radiometric dating, and analysis of peat composition have established that, beginning in the early and mid-twentieth century, the dominant low-marsh plant, Spartina alterniflora, has encroached upward in tidal marshes, and typical high-marsh plants, including Juncus gerardii and Spartina patens, have declined, providing strong evidence that vegetation changes are being driven, at least in part, by higher water levels. Additionally, aerial and satellite imagery show shoreline retreat, widening and headward extension of channels, and new and expanded interior depressions. Papers in this special section highlight changes in marsh-building processes, patterns of vegetation loss, and shifts in species composition. The final papers turn to strategies for minimiz

  12. New England observed and predicted median July stream/river temperature points

    Data.gov (United States)

    U.S. Environmental Protection Agency — The shapefile contains points with associated observed and predicted median July stream/river temperatures in New England based on a spatial statistical network...

  13. New England observed and predicted median August stream/river temperature points

    Data.gov (United States)

    U.S. Environmental Protection Agency — The shapefile contains points with associated observed and predicted median August stream/river temperatures in New England based on a spatial statistical network...

  14. Market competition in health care markets in the Netherlands: some lessons for England?

    Science.gov (United States)

    den Exter, André P; Guy, Mary J

    2014-01-01

    This article seeks to establish what lessons might be available to the English health care sector following enactment of the Health and Social Care Act 2012 from the Dutch experience of introducing market competition into health care via a mandatory health insurance scheme implemented by for-profit insurance companies. The existence of the Beveridge NHS model in England, and a Bismarckian insurance system in The Netherlands perhaps suggest that a comparison of the two countries is at best limited, and reinforced by the different Enthoven-inspired competitive models each has adopted. However, we contend that there are positive and negative issues arising from introducing competition into health care-, e.g. concerns about equity and benefits of efficiencies-which go beyond national boundaries and different systems and reflect the global paradigm shift towards the use of market forces in previously non-market areas such as health. The article examines the situation in England following the HSCA 2012 and The Netherlands following the 2006 reforms before analysing two areas of common ground: the focus in both countries on competition on quality (as opposed to price) and integrated care, which is assuming ever greater significance. We suggest that our combined insights (as a health lawyer and competition lawyer respectively) coupled with a comparative approach create a novel contribution to current calls for a wider public debate about the real role of markets in health care over and above simple characterisation as a force for good or bad. © The Author 2014. Published by Oxford University Press; all rights reserved. For Permissions, please email: journals.permissions@oup.com.

  15. Homicide-suicide (dyadic death), homicide, and firearms use in England and Wales.

    Science.gov (United States)

    Travis, Angela R; Johnson, Luke J; Milroy, Christopher M

    2007-12-01

    Homicide-suicide forms a distinct form of homicide. An analysis of cases in the Yorkshire and Humberside region of England between 1991 and 2005 revealed 37 episodes with 42 victims. Previous studies have shown a high rate of use of firearms. Over the last 2 decades firearms legislation has become more restrictive. In this study all assailants were male, mean age 46.8 years. The commonest method of homicide was strangulation (36%) with 16% killed by firearms. This is a reduction compared with a previous study in the same region. All killers who shot their victims killed themselves with firearms. There were no multiple killings with firearms in this study and no stranger killings. Hanging was the commonest method of suicide. During the same period the use of firearms as a method of homicide increased in England and Wales with handguns, the most common weapon. Nationally, suicide after homicide has remained at a similar rate over the half century and is an uncommon phenomenon. Firearms use remains low in both homicide and homicide-suicide episodes in England, and further analysis is required to determine changes in patterns of killing.

  16. Technology of focus detection for 193nm projection lithographic tool

    Science.gov (United States)

    Di, Chengliang; Yan, Wei; Hu, Song; Xu, Feng; Li, Jinglong

    2012-10-01

    With the shortening printing wavelength and increasing numerical aperture of lithographic tool, the depth of focus(DOF) sees a rapidly drop down trend, reach a scale of several hundred nanometers while the repeatable accuracy of focusing and leveling must be one-tenth of DOF, approximately several dozen nanometers. For this feature, this article first introduces several focusing technology, Obtained the advantages and disadvantages of various methods by comparing. Then get the accuracy of dual-grating focusing method through theoretical calculation. And the dual-grating focusing method based on photoelastic modulation is divided into coarse focusing and precise focusing method to analyze, establishing image processing model of coarse focusing and photoelastic modulation model of accurate focusing. Finally, focusing algorithm is simulated with MATLAB. In conclusion dual-grating focusing method shows high precision, high efficiency and non-contact measurement of the focal plane, meeting the demands of focusing in 193nm projection lithography.

  17. Ocean and Coastal Acidification off New England and Nova Scotia

    Science.gov (United States)

    New England coastal and adjacent Nova Scotia shelf waters have a reduced buffering capacity because of significant freshwater input, making the region’s waters potentially more vulnerable to coastal acidification. Nutrient loading and heavy precipitation events further acid...

  18. Mobile phone use by drivers : 2009 - survey results for England

    Science.gov (United States)

    2009-01-01

    Premise/hypothesis : The Department for Transport has commissioned surveys to monitor the levels of mobile phone use by drivers across England since 2002. Methods : Two or three-person teams conducted observational surveys of mobile phone use on repr...

  19. Postgraduate Clinical Training at the New England School of Optometry.

    Science.gov (United States)

    Hoffman, Douglas J.

    1989-01-01

    The New England College of Optometry's two separate but integrated clinical postgraduate programs, one providing Veterans' Administration residencies and the other, college-based fellowships, are described. The shared curriculum components, exchange process, and evaluation system are highlighted. (MSE)

  20. Assessment of the microbiological safety of edible roasted nut kernels on retail sale in England, with a focus on Salmonella.

    Science.gov (United States)

    Little, C L; Jemmott, W; Surman-Lee, S; Hucklesby, L; de Pinnal, E

    2009-04-01

    There is little published information on the prevalence of Salmonella in edible nut kernels. A study in early 2008 of edible roasted nut kernels on retail sale in England was undertaken to assess the microbiological safety of this product. A total of 727 nut kernel samples of different varieties were examined. Overall, Salmonella and Escherichia coli were detected from 0.2 and 0.4% of edible roasted nut kernels. Of the nut varieties examined, Salmonella Havana was detected from 1 (4.0%) sample of pistachio nuts, indicating a risk to health. The United Kingdom Food Standards Agency was immediately informed, and full investigations were undertaken. Further examination established the contamination to be associated with the pistachio kernels and not the partly opened shells. Salmonella was not detected in other varieties tested (almonds, Brazils, cashews, hazelnuts, macadamia, peanuts, pecans, pine nuts, and walnuts). E. coli was found at low levels (range of 3.6 to 4/g) in walnuts (1.4%), almonds (1.2%), and Brazils (0.5%). The presence of Salmonella is unacceptable in edible nut kernels. Prevention of microbial contamination in these products lies in the application of good agricultural, manufacturing, and storage practices together with a hazard analysis and critical control points system that encompass all stages of production, processing, and distribution.

  1. The fertility of recent migrants to England and Wales

    Directory of Open Access Journals (Sweden)

    James Robards

    2016-06-01

    Full Text Available Background: Estimates of fertility for the overseas-born based on the period Total Fertility Rate (TFR suggest that levels of childbearing are significantly higher among foreign-born women than women born in the UK. However, migration and timing of subsequent family formation mean that aggregate measures of fertility based on period TFRs may not be a useful indicator of the likely completed family size that migrant women will have at the end of their reproductive lives. Objective: The paper quantifies childbearing according to duration since migration among female migrants to England and Wales arriving between 2001 and 2011, and examines how these patterns differ according to age at arrival and country of birth. Methods: Data from the Office for National Statistics Longitudinal Study, a 1Š sample of the population of England and Wales, are used to identify the reported date of arrival in the UK and to estimate childbearing prior to and subsequent to arrival. Results: Fertility rates peak in the first one to four years subsequent to arrival among migrants from Pakistan and Bangladesh. Migrants from India and Poland show a delay in childbearing after migration to England and Wales, and lower fertility rates compared to migrants from Pakistan and Bangladesh, who show high fertility after migration at least for the first five years. Conclusions: There are large differences in the timing of fertility among migrants according to age at arrival and migrant country of origin, which are likely to be related to the reason for migration. Tempo distortions among some migrant groups mean that the period TFR is not necessarily a useful summary measure of the likely lifetime fertility of migrant groups.

  2. Benchmarking energy scenarios for China: perspectives from top-down, economic and bottom-up, technical modelling

    DEFF Research Database (Denmark)

    This study uses a soft-linking methodology to harmonise two complex global top-down and bottom-up models with a regional China focus. The baseline follows the GDP and demographic trends of the Shared Socio-economic Pathways (SSP2) scenario, down-scaled for China, while the carbon tax scenario fol......-specific modelling results further. These new sub-regional China features can now be used for a more detailed analysis of China's regional developments in a global context....

  3. 75 FR 26747 - U.S. Gas & Electric, Inc., Energy Services Providers, Inc., ESPI New England, Inc; Supplemental...

    Science.gov (United States)

    2010-05-12

    ... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission Docket Nos. ER10-1129-000; ER10-1130-000; ER10-1131-000] U.S. Gas & Electric, Inc., Energy Services Providers, Inc., ESPI New England, Inc... & Electric, Inc., Energy Services Providers, Inc., and ESPI New England, Inc.'s application for market-based...

  4. Controle postural em indivíduos portadores da síndrome de Down: revisão de literatura Postural control in individuals with Down syndrome: a review

    Directory of Open Access Journals (Sweden)

    Regiane Luz Carvalho

    2008-09-01

    Full Text Available Este trabalho consistiu numa revisão da literatura sobre controle postural em indivíduos portadores da síndrome de Down, por meio de consulta às bases de dados Medline, Lilacs e Web of Science. Dentre os artigos publicados nos últimos 16 anos, selecionaram-se 30, dos quais 7 focalizam a natureza dos défices no sistema de controle postural, como alterações neurobiológicas e biomecânicas, e 23 enfocam o controle postural no período de desenvolvimento (11 artigos e em adolescentes e adultos (12 artigos portadores da síndrome. Discutem-se os marcos teóricos que conformam a compreensão do desenvolvimento postural e seus défices, bem como as implicações dessa compreensão para a prática da fisioterapia.This is a review of literature on postural control in individuals with the Down syndrome, by searching in Medline, Lilacs and Web of Science data bases. Among articles published in the last 16 years, 30 were selected, of which 7 focus on postural control system deficits, such as neurobiological and biomechanical alterations, and 23 focus postural control development (11 articles and in adolescents and adults (12 articles with the Down syndrome. The theoretic bases for understanding posture control development and deficits are discussed, in view of their implications for physical therapy practice.

  5. Genealogy of Self-Expression: A Reappraisal of the History of Art Education in England and Japan

    Science.gov (United States)

    Komatsu, Kayoko

    2017-01-01

    In both England and Japan, art education was viewed as having nothing to do with self-expression, but was considered to be an efficient means for industrial development. In England, it was designed to train the eyes and hands of artisans. The art critic Ruskin has often been referred to in the context of the transition to self-expression in the…

  6. Stigma in Iranian Down Syndrome

    Directory of Open Access Journals (Sweden)

    Sahel Hemmati

    2010-04-01

    Full Text Available Objectives: Stigma is a negative value. Many behaviors are to ward Stigmatized people. Down syndrome is one of conditions with Stigma. The aim of this study is to determine the sources of labeling in iranian Down syndrome. Methods: The View of 105 Down syndrome families concerning stigma were conducted. All of Down syndrome was under 50 years. Results: A fair proportion of Down syndrome families perceived that stigma had a negative effect from social. Causes of stigma are different. Stigma due social interaction, Media and health professionals are significant than others. Discussion: The diagnostic label of Down syndrome may render the person and his family vulnerable to stigmatization. The most causes of stigma were determined therefore, in the destigmatization programs, they must be attended. Stigma must be detected, too.

  7. Informed Choice for Participation in Down Syndrome Screening

    DEFF Research Database (Denmark)

    Skjøth, Mette Maria; Hansen, Helle Ploug; Draborg, Eva

    2015-01-01

    Decision Aid Standards (IPDAS) Collaboration guide to develop a patient decision aid, and the roadmap for developing eHealth technologies from the Center for eHealth Research and Disease Management (CeHRes). The methods employed were a systematic literature search, focus group interviews with 3 care...... providers, and technology experts as stakeholders. To our knowledge, there has been no research on the combination of IPDAS standards and the CeHRes roadmap to develop an eHealth tool to target information about screening for Down syndrome....

  8. Adaptation in families of children with Down syndrome in East Asian countries: an integrative review.

    Science.gov (United States)

    Choi, Hyunkyung; Van Riper, Marcia

    2017-08-01

    The purpose of this integrative literature review was to understand the experiences of East Asian families of children with Down syndrome and identify factors affecting their adaptation in the Resiliency Model of Family Stress, Adjustment and Adaptation. Socio-cultural factors influence how well families adapt following the birth of a child with Down syndrome. Existing literature in this area has focused primarily on families from Western cultures. This is problematic because nurses care for families from all over the world. Therefore, the focus of this review is on families of children with Down syndrome living in East Asia, where Confucianism is dominant. Integrative literature review. Online databases (i.e. PubMed, CINAHL and PsycINFO) and a public search engine (i.e. Google Scholar) were used along with manual searches of reference lists and major journals. Studies were limited to original publications written in English and published between 1990-2014. Two authors independently performed integrative review processes proposed by Whittemore and Knafl and a quality assessment using the Mixed Methods Appraisal Tool. Like families in Western cultures, some East Asian families of children with Down syndrome adapted well and even thrived while others struggled. Various socio-cultural factors, including some associated with Confucianism, played a role in how individuals, dyads and families adapted. An understanding of socio-cultural influences can help nurses implement culturally sensitive family-centred interventions with families of children with Down syndrome. It may also facilitate policy changes concerning resources for these families. © 2016 John Wiley & Sons Ltd.

  9. Implementing the United Kingdom Government's 10-Year Teenage Pregnancy Strategy for England (1999-2010): Applicable Lessons for Other Countries.

    Science.gov (United States)

    Hadley, Alison; Chandra-Mouli, Venkatraman; Ingham, Roger

    2016-07-01

    Teenage pregnancy is an issue of inequality affecting the health, well-being, and life chances of young women, young men, and their children. Consequently, high levels of teenage pregnancy are of concern to an increasing number of developing and developed countries. The UK Labour Government's Teenage Pregnancy Strategy for England was one of the very few examples of a nationally led, locally implemented evidence-based strategy, resourced over a long duration, with an associated reduction of 51% in the under-18 conception rate. This article seeks to identify the lessons applicable to other countries. The article focuses on the prevention program. Drawing on the detailed documentation of the 10-year strategy, it analyzes the factors that helped and hindered implementation against the World Health Organization (WHO) ExpandNet Framework. The Framework strives to improve the planning and management of the process of scaling-up of successful pilot programs with a focus on sexual and reproductive health, making it particularly suited for an analysis of England's teenage pregnancy strategy. The development and implementation of the strategy matches the Framework's key attributes for successful planning and scaling up of sexual and reproductive health programs. It also matched the attributes identified by the Centre for Global Development for scaled up approaches to complex public health issues. Although the strategy was implemented in a high-income country, analysis against the WHO-ExpandNet Framework identifies many lessons which are transferable to low- and medium-income countries seeking to address high teenage pregnancy rates. Copyright © 2016 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved.

  10. Strategic Style in Pared-Down Poker

    Science.gov (United States)

    Burns, Kevin

    This chapter deals with the manner of making diagnoses and decisions, called strategic style, in a gambling game called Pared-down Poker. The approach treats style as a mental mode in which choices are constrained by expected utilities. The focus is on two classes of utility, i.e., money and effort, and how cognitive styles compare to normative strategies in optimizing these utilities. The insights are applied to real-world concerns like managing the war against terror networks and assessing the risks of system failures. After "Introducing the Interactions" involved in playing poker, the contents are arranged in four sections, as follows. "Underpinnings of Utility" outlines four classes of utility and highlights the differences between them: economic utility (money), ergonomic utility (effort), informatic utility (knowledge), and aesthetic utility (pleasure). "Inference and Investment" dissects the cognitive challenges of playing poker and relates them to real-world situations of business and war, where the key tasks are inference (of cards in poker, or strength in war) and investment (of chips in poker, or force in war) to maximize expected utility. "Strategies and Styles" presents normative (optimal) approaches to inference and investment, and compares them to cognitive heuristics by which people play poker--focusing on Bayesian methods and how they differ from human styles. The normative strategy is then pitted against cognitive styles in head-to-head tournaments, and tournaments are also held between different styles. The results show that style is ergonomically efficient and economically effective, i.e., style is smart. "Applying the Analysis" explores how style spaces, of the sort used to model individual behavior in Pared-down Poker, might also be applied to real-world problems where organizations evolve in terror networks and accidents arise from system failures.

  11. Radionuclides around nuclear sites in England and Wales

    International Nuclear Information System (INIS)

    Sanchez, A.L.; Horrill, A.D.; Singleton, D.L.; Leonard, D.R.P.

    1996-01-01

    Environmental releases of low levels of radioactivity can occur as a consequence of normal operations at nuclear facilities. In England and Wales, the impact of gaseous discharges on the terrestrial environment is monitored routinely by the site operators as well as by Food Science Division of the Ministry of Agriculture, Fisheries and Food. The terrestrial surveillance programme carried out by MAFF Food Science concentrates on agricultural produce to provide assessments of doses to members of the population derived from the consumption of terrestrial foodstuffs. We present here the results of a survey, undertaken in 1993 to supplement the monitoring data of MAFF, of artificial radioactive contamination around eighteen nuclear establishments in England and Wales. Grass and soil samples were used as indicators of environmental contamination at these sites for the radionuclides 137 Cs, 90 Sr, 239+240 Pu and 241 Am. When compared to estimated background radionuclide concentrations close to each site, these data reveal that four of the 18 sites have contributed measurable increases to both the 137 Cs and 239+240 Pu inventory within 500 m outside the boundary fence. Two additional sites showed slight increases above the expected background soil levels of 239+240 Pu

  12. The rise of agrarian capitalism and the decline of family farming in England.

    Science.gov (United States)

    Shaw-Taylor, Leigh

    2012-01-01

    Historians have documented rising farm sizes throughout the period 1450–1850. Existing studies have revealed much about the mechanisms underlying the development of agrarian capitalism. However, we currently lack any consensus as to when the critical developments occurred. This is largely due to the absence of sufficiently large and geographically wide-ranging datasets but is also attributable to conceptual weaknesses in much of the literature. This article develops a new approach to the problem and argues that agrarian capitalism was dominant in southern and eastern England by 1700 but that in northern England the critical developments came later.

  13. 76 FR 71939 - New England Fishery Management Council; Public Meeting

    Science.gov (United States)

    2011-11-21

    ... DEPARTMENT OF COMMERCE National Oceanic and Atmospheric Administration RIN 0648-XA837 New England... Oceanic and Atmospheric Administration (NOAA), Commerce. ACTION: Notice; public meeting. SUMMARY: The New... Scientific and Statistical Committee (SSC) will discuss the 2012 SSC calendar and tasks, social science...

  14. 77 FR 14351 - New England Fishery Management Council; Public Meeting

    Science.gov (United States)

    2012-03-09

    ... assessments and develop ABC recommendations for the Council for redfish, Georges Bank haddock, Gulf of Maine/Georges Bank windowpane flounder, Southern New England/Mid-Atlantic windowpane flounder, ocean pout... address the emergency. Special Accommodations This meeting is physically accessible to people with...

  15. 77 FR 68735 - New England Fishery Management Council; Public Meeting

    Science.gov (United States)

    2012-11-16

    ... Committee will continue to develop options and alternatives for Omnibus Essential Fish Habitat Amendment 2 (OA2). Specifically, the Committee will review Habitat Advisory Panel and Plan Development Team... England Fishery Management Council (Council) is scheduling a public meeting of its Habitat Oversight...

  16. 78 FR 51711 - New England Fishery Management Council; Public Meeting

    Science.gov (United States)

    2013-08-21

    ...: (978) 465-0492. SUPPLEMENTARY INFORMATION: The Council's Habitat and Groundfish Oversight Committees will meet jointly to discuss alternatives under development in Omnibus Essential Fish Habitat Amendment... Groundfish/Habitat Committees on September 5, 2013 to consider actions affecting New England fisheries in the...

  17. Salt Marsh Sustainability in New England: Progress and Remaining Challenges

    Science.gov (United States)

    Natural resource managers, conservationists, and scientists described marsh loss and degradation in many New England coastal systems at the 2014 “Effects of Sea Level Rise on Rhode Island’s Salt Marshes” workshop, organized by the Narragansett Bay National Estuarine Research Rese...

  18. How Do Teachers in Ireland and England Conceptualise Dyslexia?

    Science.gov (United States)

    Bell, Sheena; McPhillips, Therese; Doveston, Mary

    2011-01-01

    This paper presents the findings of a comparative study using data from questionnaire surveys carried out in England (n = 57) and Ireland (n = 72). The researchers examine how teachers and teaching assistants who are currently teaching pupils with dyslexia in primary schools describe dyslexia and what may have influenced their conceptualisation.…

  19. 12 New England Organizations Honored for Outstanding Achievements in Energy Efficiency

    Science.gov (United States)

    EPA and the U.S. Department of Energy (DOE) are honoring 12 New England businesses and organizations for their commitment to saving energy, saving money, and protecting the environment through superior energy efficiency achievements.

  20. Comparison of mortality following hospitalisation for isolated head injury in England and Wales, and Victoria, Australia.

    Directory of Open Access Journals (Sweden)

    Belinda J Gabbe

    Full Text Available BACKGROUND: Traumatic brain injury (TBI remains a leading cause of death and disability. The National Institute for Health and Clinical Excellence (NICE guidelines recommend transfer of severe TBI cases to neurosurgical centres, irrespective of the need for neurosurgery. This observational study investigated the risk-adjusted mortality of isolated TBI admissions in England/Wales, and Victoria, Australia, and the impact of neurosurgical centre management on outcomes. METHODS: Isolated TBI admissions (>15 years, July 2005-June 2006 were extracted from the hospital discharge datasets for both jurisdictions. Severe isolated TBI (AIS severity >3 admissions were provided by the Trauma Audit and Research Network (TARN and Victorian State Trauma Registry (VSTR for England/Wales, and Victoria, respectively. Multivariable logistic regression was used to compare risk-adjusted mortality between jurisdictions. FINDINGS: Mortality was 12% (749/6256 in England/Wales and 9% (91/1048 in Victoria for isolated TBI admissions. Adjusted odds of death in England/Wales were higher compared to Victoria overall (OR 2.0, 95% CI: 1.6, 2.5, and for cases <65 years (OR 2.36, 95% CI: 1.51, 3.69. For severe TBI, mortality was 23% (133/575 for TARN and 20% (68/346 for VSTR, with 72% of TARN and 86% of VSTR cases managed at a neurosurgical centre. The adjusted mortality odds for severe TBI cases in TARN were higher compared to the VSTR (OR 1.45, 95% CI: 0.96, 2.19, but particularly for cases <65 years (OR 2.04, 95% CI: 1.07, 3.90. Neurosurgical centre management modified the effect overall (OR 1.12, 95% CI: 0.73, 1.74 and for cases <65 years (OR 1.53, 95% CI: 0.77, 3.03. CONCLUSION: The risk-adjusted odds of mortality for all isolated TBI admissions, and severe TBI cases, were higher in England/Wales when compared to Victoria. The lower percentage of cases managed at neurosurgical centres in England and Wales was an explanatory factor, supporting the changes made to the NICE

  1. MERGANSER: an empirical model to predict fish and loon mercury in New England lakes.

    Science.gov (United States)

    Shanley, James B; Moore, Richard; Smith, Richard A; Miller, Eric K; Simcox, Alison; Kamman, Neil; Nacci, Diane; Robinson, Keith; Johnston, John M; Hughes, Melissa M; Johnston, Craig; Evers, David; Williams, Kate; Graham, John; King, Susannah

    2012-04-17

    MERGANSER (MERcury Geo-spatial AssessmeNtS for the New England Region) is an empirical least-squares multiple regression model using mercury (Hg) deposition and readily obtainable lake and watershed features to predict fish (fillet) and common loon (blood) Hg in New England lakes. We modeled lakes larger than 8 ha (4404 lakes), using 3470 fish (12 species) and 253 loon Hg concentrations from 420 lakes. MERGANSER predictor variables included Hg deposition, watershed alkalinity, percent wetlands, percent forest canopy, percent agriculture, drainage area, population density, mean annual air temperature, and watershed slope. The model returns fish or loon Hg for user-entered species and fish length. MERGANSER explained 63% of the variance in fish and loon Hg concentrations. MERGANSER predicted that 32-cm smallmouth bass had a median Hg concentration of 0.53 μg g(-1) (root-mean-square error 0.27 μg g(-1)) and exceeded EPA's recommended fish Hg criterion of 0.3 μg g(-1) in 90% of New England lakes. Common loon had a median Hg concentration of 1.07 μg g(-1) and was in the moderate or higher risk category of >1 μg g(-1) Hg in 58% of New England lakes. MERGANSER can be applied to target fish advisories to specific unmonitored lakes, and for scenario evaluation, such as the effect of changes in Hg deposition, land use, or warmer climate on fish and loon mercury.

  2. Crouching or lying-down? The reason of a (uncomfortable) delivery position.

    Science.gov (United States)

    Lippi, Donatella; Weber, Domizia

    2014-01-01

    Through a deep historical and cultural perspective, this article focuses on the revolution that took place in childbirth, due to the introduction of medical knowledge and surgical skills. Ranging from Greek mythology to the Sixties, this contribution analyses the social, scientific and anthropological reasons that led to the desertion of the delivery vertical position in favour of the lying down one.

  3. Mathematics interventions for children and adolescents with Down syndrome: a research synthesis.

    Science.gov (United States)

    Lemons, C J; Powell, S R; King, S A; Davidson, K A

    2015-08-01

    Many children and adolescents with Down syndrome fail to achieve proficiency in mathematics. Researchers have suggested that tailoring interventions based on the behavioural phenotype may enhance efficacy. The research questions that guided this review were (1) what types of mathematics interventions have been empirically evaluated with children and adolescents with Down syndrome?; (2) do the studies demonstrate sufficient methodological rigor?; (3) is there evidence of efficacy for the evaluated mathematics interventions?; and (4) to what extent have researchers considered aspects of the behavioural phenotype in selecting, designing and/or implementing mathematics interventions for children and adolescents with Down syndrome? Nine studies published between 1989 and 2012 were identified for inclusion. Interventions predominantly focused on early mathematics skills and reported positive outcomes. However, no study met criteria for methodological rigor. Further, no authors explicitly considered the behavioural phenotype. Additional research using rigorous experimental designs is needed to evaluate the efficacy of mathematics interventions for children and adolescents with Down syndrome. Suggestions for considering the behavioural phenotype in future research are provided. © 2015 MENCAP and International Association of the Scientific Study of Intellectual and Developmental Disabilities and John Wiley & Sons Ltd.

  4. New England and northern New York forest ecosystem vulnerability assessment and synthesis: a report from the New England Climate Change Response Framework project

    Science.gov (United States)

    Maria K. Janowiak; Anthony W. D' Amato; Christopher W. Swanston; Louis Iverson; Frank R. Thompson; William D. Dijak; Stephen Matthews; Matthew P. Peters; Anantha Prasad; Jacob S. Fraser; Leslie A. Brandt; Patricia Butler-Leopold; Stephen D. Handler; P. Danielle Shannon; Diane Burbank; John Campbell; Charles Cogbill; Matthew J. Duveneck; Marla R. Emery; Nicholas Fisichelli; Jane Foster; Jennifer Hushaw; Laura Kenefic; Amanda Mahaffey; Toni Lyn Morelli; Nicholas J. Reo; Paul G. Schaberg; K. Rogers Simmons; Aaron Weiskittel; Sandy Wilmot; David Hollinger; Erin Lane; Lindsey Rustad; Pamela H. Templer

    2018-01-01

    Forest ecosystems will face direct and indirect impacts from a changing climate over the 21st century. This assessment evaluates the vulnerability of forest ecosystems across the New England region (Connecticut, Maine, Massachusetts, New Hampshire, northern New York, Rhode Island, and Vermont) under a range of future climates. We synthesized and summarized information...

  5. Second sector cool down

    CERN Multimedia

    2007-01-01

    At the beginning of July, cool-down is starting in the second LHC sector, sector 4-5. The cool down of sector 4-5 may occasionally generate mist at Point 4, like that produced last January (photo) during the cool-down of sector 7-8.Things are getting colder in the LHC. Sector 7-8 has been kept at 1.9 K for three weeks with excellent stability (see Bulletin No. 16-17 of 16 April 2007). The electrical tests in this sector have got opt to a successful start. At the beginning of July the cryogenic teams started to cool a second sector, sector 4-5. At Point 4 in Echenevex, where one of the LHC’s cryogenic plants is located, preparations for the first phase of the cool-down are underway. During this phase, the sector will first be cooled to 80 K (-193°C), the temperature of liquid nitrogen. As for the first sector, 1200 tonnes of liquid nitrogen will be used for the cool-down. In fact, the nitrogen circulates only at the surface in the ...

  6. 77 FR 72846 - H.Q. Energy Services (U.S.) Inc. v. ISO New England Inc.; Notice of Complaint

    Science.gov (United States)

    2012-12-06

    ... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission [Docket No. EL13-25-000] H.Q. Energy Services (U.S.) Inc. v. ISO New England Inc.; Notice of Complaint Take notice that on November 28, 2012... ISO New England Inc. (Respondent), requesting the Commission to issue an order requiring the...

  7. A single bout of meditation biases cognitive control but not attentional focusing: Evidence from the global-local task.

    Science.gov (United States)

    Colzato, Lorenza S; van der Wel, Pauline; Sellaro, Roberta; Hommel, Bernhard

    2016-01-01

    Recent studies show that a single bout of meditation can impact information processing. We were interested to see whether this impact extends to attentional focusing and the top-down control over irrelevant information. Healthy adults underwent brief single bouts of either focused attention meditation (FAM), which is assumed to increase top-down control, or open monitoring meditation (OMM), which is assumed to weaken top-down control, before performing a global-local task. While the size of the global-precedence effect (reflecting attentional focusing) was unaffected by type of meditation, the congruency effect (indicating the failure to suppress task-irrelevant information) was considerably larger after OMM than after FAM. Our findings suggest that engaging in particular kinds of meditation creates particular cognitive-control states that bias the individual processing style toward either goal-persistence or cognitive flexibility. Copyright © 2015 Elsevier Inc. All rights reserved.

  8. 77 FR 50472 - New England Fishery Management Council; Public Meeting

    Science.gov (United States)

    2012-08-21

    ... Region Logbook Family of Forms Federal Register (77 FR 153, 8/8/12). Other business may be discussed. The... Fishery Management Council; Public Meeting AGENCY: National Marine Fisheries Service (NMFS), National... England Fishery Management Council's (Council) VMS/ Enforcement Committee and Advisory Panel will meet to...

  9. 77 FR 47373 - New England Fishery Management Council; Public Meeting

    Science.gov (United States)

    2012-08-08

    ..., Southern New England/Mid-Atlantic yellowtail flounder, Georges Bank yellowtail flounder, witch flounder, plaice and Georges Bank/Gulf of Maine white hake. The committee may not develop all the recommendations... accessible to people with disabilities. Requests for sign language interpretation or other auxiliary aids...

  10. 75 FR 62507 - New England Fishery Management Council; Public Meeting

    Science.gov (United States)

    2010-10-12

    ... jointly with the Habitat Plan Development Team to discuss management alternatives related to minimizing the adverse effects of fishing on Essential Fish Habitat (EFH), which are being developed for the... England Fishery Management Council (Council) is scheduling a public meeting of its Habitat/MPA/Ecosystem...

  11. 78 FR 25256 - New England Fishery Management Council; Public Meeting

    Science.gov (United States)

    2013-04-30

    ...: (978) 465-0492. SUPPLEMENTARY INFORMATION: The Groundfish and Habitat Committees will convene jointly to continue development of alternatives for inclusion in Omnibus Essential Fish Habitat Amendment 2... Committee and Habitat Committee on May 17, 2013 to consider actions affecting New England fisheries in the...

  12. 76 FR 50183 - New England Fishery Management Council; Public Meeting

    Science.gov (United States)

    2011-08-12

    ... minimize the adverse effects of fishing on essential fish habitat and will also continue development of... September meeting. The Committee will also review remaining essential fish habitat designation issues held... England Fishery Management Council (Council) is scheduling a public meeting of its Habitat/MPA/Ecosystem...

  13. The future of smoking-attributable mortality: the case of England & Wales, Denmark and the Netherlands.

    Science.gov (United States)

    Stoeldraijer, Lenny; Bonneux, Luc; van Duin, Coen; van Wissen, Leo; Janssen, Fanny

    2015-02-01

    We formally estimate future smoking-attributable mortality up to 2050 for the total national populations of England & Wales, Denmark and the Netherlands, providing an update and extension of the descriptive smoking-epidemic model. We used smoking prevalence and population-level lung cancer mortality data for England & Wales, Denmark and the Netherlands, covering the period 1950-2009. To estimate the future smoking-attributable mortality fraction (SAF) we: (i) project lung cancer mortality by extrapolating age-period-cohort trends, using the observed convergence of smoking prevalence and similarities in past lung cancer mortality between men and women as input; and (ii) add other causes of death attributable to smoking by applying a simplified version of the indirect Peto-Lopez method to the projected lung cancer mortality. The SAF for men in 2009 was 19% (44 872 deaths) in England & Wales, 22% (5861 deaths) in Denmark and 25% (16 385 deaths) in the Netherlands. In our projections, these fractions decline to 6, 12 and 14%, respectively, in 2050. The SAF for women peaked at 14% (38 883 deaths) in 2008 in England & Wales, and is expected to peak in 2028 in Denmark (22%) and in 2033 in the Netherlands (23%). By 2050, a decline to 9, 17 and 19%, respectively, is foreseen. Different indirect estimation methods of the SAF in 2050 yield a range of 1-8% (England & Wales), 8-13% (Denmark) and 11-16% (the Netherlands) for men, and 7-16, 12-26 and 13-31% for women. From northern European data we project that smoking-attributable mortality will remain important for the future, especially for women. Whereas substantial differences between countries remain, the age-specific evolution of smoking-attributable mortality remains similar across countries and between sexes. © 2014 Society for the Study of Addiction.

  14. Forest health monitoring in New England: 1990 annual report

    Science.gov (United States)

    Robert T. Brooks; David R. Dickson; William B. Burkman; Imants Millers; Margaret Miller-Weeks; Ellen Cooter; Luther Smith; Luther Smith

    1992-01-01

    The USDA Forest Service, in cooperation with the U.S. Environmental Protection Agency and the New England State Forestry Agencies initiated field sampling for the Forest Health Monitoring program in 1990. Two hundred and sixty-three permanent sample plots were established. Measurements were taken to characterize the physical conditions of the plots. This publication...

  15. Privatizing Education: Free School Policy in Sweden and England

    Science.gov (United States)

    Wiborg, Susanne

    2015-01-01

    The aim of this article is to investigate why Sweden, the epitome of social democracy, has implemented education reforms leading to an extraordinary growth in Free Schools in contrast to liberal England, where Free School policy has been met with enormous resistance. Conventional wisdom would predict the contrary, but as a matter of fact Sweden…

  16. Good to Think with: Domestic Servants, England 1660-1750

    Directory of Open Access Journals (Sweden)

    Jeanne Clegg

    2015-03-01

    Full Text Available This article surveys scholarship dealing with domestic service in England at the latter end of early modernity. Neglected by British social historians of ‘productive’ working classes, servants began to attract serious interest only after demographers of the 1970s showed that in the north and west of pre-industrial Europe youths of all social ranks passed several years in ‘life-cycle service’. The concept has proved controversial, but fruitful for study of the family and of the many functions performed within the extended household. In the 1980s feminism, and the revival of servant-keeping, stimulated interest in modern domestic workers, to whom those of earlier times were often assimilated. The focus has since shifted to radical changes (feminisation and proletarianisation taking place in the later eighteenth century, and away from the complex hierarchies typical of great houses onto middling-sort servant-keeping. Recently historians have investigated the agency enjoyed by eighteenth-century servants, and affective aspects of household relationships. Archival research, facilitated by digitalisation, studies of material culture and household spaces, willingness to read between the lines and against the grain, now offer greater insight into the experiences of and cultural forms used by this group of labouring-class men and women. 

  17. Endocrine manifestations of Down syndrome.

    Science.gov (United States)

    Whooten, Rachel; Schmitt, Jessica; Schwartz, Alison

    2018-02-01

    To summarize the recent developments in endocrine disorders associated with Down syndrome. Current research regarding bone health and Down syndrome continues to show an increased prevalence of low bone mass and highlights the importance of considering short stature when interpreting dual energy x-ray absorptiometry. The underlying cause of low bone density is an area of active research and will shape treatment and preventive measures. Risk of thyroid disease is present throughout the life course in individuals with Down syndrome. New approaches and understanding of the pathophysiology and management of subclinical hypothyroidism continue to be explored. Individuals with Down syndrome are also at risk for other autoimmune conditions, with recent research revealing the role of the increased expression of the Autoimmune Regulatory gene on 21st chromosome. Lastly, Down-syndrome-specific growth charts were recently published and provide a better assessment of growth. Recent research confirms and expands on the previously known endocrinopathies in Down syndrome and provides more insight into potential underlying mechanisms.

  18. GP leadership in clinical commissioning groups: a qualitative multi-case study approach across England.

    Science.gov (United States)

    Marshall, Martin; Holti, Richard; Hartley, Jean; Matharu, Tatum; Storey, John

    2018-06-01

    Clinical commissioning groups (CCGs) were established in England in 2013 to encourage GPs to exert greater influence over the processes of service improvement and redesign in the NHS. Little is known about the extent and the ways in which GPs have assumed these leadership roles. To explore the nature of clinical leadership of GPs in CCGs, and to examine the enablers and barriers to implementing a policy of clinical leadership in the NHS. A qualitative multi-case study approach in six localities across England. The case studies were purposefully sampled to represent different geographical localities and population demographics, and for their commitment to redesigning specified clinical or service areas. Data were collected from the case study CCGs and their partner organisations using a review of relevant documents, semi-structured individual or group interviews, and observations of key meetings. The data were analysed thematically and informed by relevant theories. GPs prefer a collaborative style of leadership that may be unlikely to produce rapid or radical change. Leadership activities are required at all levels in the system from strategy to frontline delivery, and the leadership behaviours of GPs who are not titular leaders are as important as formal leadership roles. A new alliance is emerging between clinicians and managers that draws on their different skillsets and creates new common interests. The uncertain policy environment in the English NHS is impacting on the willingness and the focus of GP leaders. GPs are making an important contribution as leaders of health service improvement and redesign but there are significant professional and political barriers to them optimising a leadership role. © British Journal of General Practice 2018.

  19. Mortality Among Adults With Intellectual Disability in England: Comparisons With the General Population

    Science.gov (United States)

    Hosking, Fay J.; Shah, Sunil M.; Harris, Tess; DeWilde, Stephen; Beighton, Carole; Cook, Derek G.

    2016-01-01

    Objectives. To describe mortality among adults with intellectual disability in England in comparison with the general population. Methods. We conducted a cohort study from 2009 to 2013 using data from 343 general practices. Adults with intellectual disability (n = 16 666; 656 deaths) were compared with age-, gender-, and practice-matched controls (n = 113 562; 1358 deaths). Results. Adults with intellectual disability had higher mortality rates than controls (hazard ratio [HR] = 3.6; 95% confidence interval [CI] = 3.3, 3.9). This risk remained high after adjustment for comorbidity, smoking, and deprivation (HR = 3.1; 95% CI = 2.7, 3.4); it was even higher among adults with intellectual disability and Down syndrome or epilepsy. A total of 37.0% of all deaths among adults with intellectual disability were classified as being amenable to health care intervention, compared with 22.5% in the general population (HR = 5.9; 95% CI = 5.1, 6.8). Conclusions. Mortality among adults with intellectual disability is markedly elevated in comparison with the general population, with more than a third of deaths potentially amenable to health care interventions. This mortality disparity suggests the need to improve access to, and quality of, health care among people with intellectual disability. PMID:27310347

  20. A New England Land-Grant Network; A Study of the Feasibility of Establishing Educational Information Links Between the Six Land-Grant Universities in New England.

    Science.gov (United States)

    Bardwell, John D.

    This study sought to identify physical facilities needed to connect the six New England land-grant universities. Criteria were time (use of current technology), cost (regular operating budgets of participating institutions), minimal personnel requirements, flexibility, and compatibility. The telephone system, an existing microwave network, a…

  1. Top-down control of arousal and sleep: Fundamentals and clinical implications.

    Science.gov (United States)

    Krone, Lukas; Frase, Lukas; Piosczyk, Hannah; Selhausen, Peter; Zittel, Sulamith; Jahn, Friederike; Kuhn, Marion; Feige, Bernd; Mainberger, Florian; Klöppel, Stefan; Riemann, Dieter; Spiegelhalder, Kai; Baglioni, Chiara; Sterr, Annette; Nissen, Christoph

    2017-02-01

    Mammalian sleep emerges from attenuated activity in the ascending reticular arousal system (ARAS), the main arousal network of the brain. This system originates in the brainstem and activates the thalamus and cortex during wakefulness via a well-characterized 'bottom-up' pathway. Recent studies propose that a less investigated cortico-thalamic 'top-down' pathway also regulates sleep. The present work integrates the current evidence on sleep regulation with a focus on the 'top-down' pathway and explores the potential to translate this information into clinically relevant interventions. Specifically, we elaborate the concept that arousal and sleep continuity in humans can be modulated by non-invasive brain stimulation (NIBS) techniques that increase or decrease cortical excitability. Based on preclinical studies, the modulatory effects of the stimulation are thought to extend to subcortical arousal networks. Further exploration of the 'top-down' regulation of sleep and its modulation through non-invasive brain stimulation techniques may contribute to the development of novel treatments for clinical conditions of disrupted arousal and sleep, which are among the major health problems worldwide. Copyright © 2016 Elsevier Ltd. All rights reserved.

  2. Assembly, Loading, and Cool‐down of the FRESCA2 Support Structure

    CERN Document Server

    Muñoz Garcia, J E; Ziemianski, D T; Rondeaux, F; de Rijk, G; Bajas, H; Rifflet, J M; Perez, J C; Durante, M; Charrondiere, M; Bajko, M; Devaux, M; Guinchard, M; Ferracin, P; Fessia, P; Manil, P

    2014-01-01

    This paper reports on the assembly process and cool-down to cryogenic temperature of the support structure of FRESCA2, which is a dipole magnet for upgrading the actual CERN cable test facility FRESCA. The structure of the FRESCA2 magnet is designed to provide the adequate pre-stress, through the use of keys, bladders, and an Al alloy shrinking cylinder. In order to qualify the assembly and loading procedures, the structure was assembled with Al blocks (dummy coils) that replaced the brittle Nb$_{3}$Sn coils, and then cooled-down to 77 K with liquid nitrogen. The evolution of the mechanical behaviour was monitored via strain gauges located on different components of the structure (shell, rods, yokes and dummy coils). We focus on the expected stresses within the structure after assembly, loading and cool-down. The expected stresses were determined from the 3D finite element model of the structure. A comparison of the 3D model stress predictions with the strain gauge data measurements is made. The coherence bet...

  3. Long-term trends of men's co-residence with children in England and Wales

    Directory of Open Access Journals (Sweden)

    Ursula Henz

    2014-03-01

    Full Text Available Background: Increasing numbers of childless men as well as fathers with reduced or no contact with their children have sparked concern about an erosion of fatherhood. Although the general trend is undisputed, claims about men's decreasing family involvement lack a sound empirical basis that enables comparisons between countries and sub-groups of society. Objective: This study derives long-term trends in father-child co-residence over the life course in England and Wales, and provides comparisons of these trends by level of education and ethnic origin. Methods: The paper calculates shares of father-child co-residence from the National Statistics Longitudinal Study (LS and the British Labour-Force Surveys (LFS. Results: There has been a decline of father-child co-residence in England and Wales for men in their thirties, an even greater decline for men in their twenties, and a small increase in the shares of father-child co-residence at higher ages. The trends for different educational groups were similar, but men with a degree had particularly low rates of father-child co-residence at younger ages, and relatively high ones at older ages. Neither less-educated men, nor men from Black-Caribbean and Black-African origins showed rates of father-child co-residence as low as one might have expected. Conclusions: The steady decline of father-child co-residence among men born between 1930 and 1979 in England and Wales lends support to claims about an erosion of fatherhood. However, it is unwarranted to generalize findings from other countries about particularly low levels of father-child co-residence among less-educated men to men in England and Wales.

  4. Plasma focusing and diagnosis of high energy particle beams

    International Nuclear Information System (INIS)

    Chen, Pisin.

    1990-09-01

    Various novel concepts of focusing and diagnosis of high energy charged particle beams, based on the interaction between the relativistic particle beam and the plasma, are reviewed. This includes overdense thin plasma lenses, and (underdense) adiabatic plasma lens, and two beam size monitor concepts. In addition, we introduce another mechanism for measuring flat beams based on the impulse received by heavy ions in an underdense plasma. Theoretical investigations show promise of focusing and diagnosing beams down to sizes where conventional methods are not possible to provide. 21 refs

  5. New England observed and predicted August stream/river temperature daily range points

    Data.gov (United States)

    U.S. Environmental Protection Agency — The shapefile contains points with associated observed and predicted August stream/river temperature daily ranges in New England based on a spatial statistical...

  6. New England observed and predicted growing season maximum stream/river temperature points

    Data.gov (United States)

    U.S. Environmental Protection Agency — The shapefile contains points with associated observed and predicted growing season maximum stream/river temperatures in New England based on a spatial statistical...

  7. Factors influencing nurses’ job satisfaction in selected private hospitals in England

    OpenAIRE

    RP Lephalala

    2008-01-01

    The quantitative descriptive survey used self-completion questionnaires to study factors influencing nurses’ job satisfaction in selected private hospitals in England. Herzberg’s Theory of Motivation was used to contextualise the results obtained from 85 completed questionnaires.

  8. Educational Inclusion in England: Origins, Perspectives and Current Directions

    Science.gov (United States)

    Lauchlan, Fraser; Greig, Susan

    2015-01-01

    In this paper we examine different aspects of the inclusion debate, including how it has been shaped by the political context in England over the past 30 years. We then give consideration to the key argument that has dominated the inclusion agenda over the last decade: should effective inclusion be considered only as placement in mainstream school…

  9. The sweating sickness in England | Sloan | South African Medical ...

    African Journals Online (AJOL)

    An acute infect;ous fever, called the sweating sickness, broke out in England in five major epidemics in the years 1485, 1508, 1517, 1528 and 1551. Only one epidemic, that of 1528, spread also on the continent of Europe. The disease I-vas characterized by headache, pain in the chest, and profuse sweating, and frequently ...

  10. Some optical diagnostics for the plasma focus

    International Nuclear Information System (INIS)

    Korzhavin, V.M.

    1980-01-01

    Some aspects of studying plasma focus dynamics are reported. Particular efforts were made to develop an infrared (IR) diagnostics. The plasma focus is formed in a discharge chamber, when shock waves and plasma sheath cumulate on the axis as a result of the break-down of filling gas by the application of high voltage. The current J was measured with a Rogovsky coil, and the voltage U was measured with a capacitor divider. The current derivative was measured with magnetic probes, and X-ray and neutron emission intensities were measured with a plastic scintillator. The total neutron yield were measured by the activation method. The time-integrated soft X-ray pictures of plasma focus were taken with a pin-hole camera. The formation and disruption of plasma focus were studied by multi-picture speed photography. Laser interferometry was used to study the time-space distribution of plasma density. For the study of turbulence phenomena in plasma focus, a new type IR detector was employed. The results of measurements suggest that there exists some superthermal radiation during the second compression of plasma focus, but it is not so strong. (Kato, T.)

  11. Restructuring Teachers' Work-Lives and Knowledge in England and Spain

    Science.gov (United States)

    Muller, Jorg; Norrie, Caroline; Hernandez, Fernando; Goodson, Ivor

    2010-01-01

    This article explores the restructuring of education in England and Spain. Against a presumably homogeneous global streamlining of educational systems according to competition-driven goals, the comparison of teachers' work-lives and professional knowledge evidences a variety of experiences under-represented in discourses on global restructuring.…

  12. 77 FR 16540 - New England Fishery Management Council; Public Meeting

    Science.gov (United States)

    2012-03-21

    ... development and analysis in Omnibus Essential Fish Habitat Amendment 2. Two types of measures will be considered at the meeting: (1) Options to minimize the adverse effects of fishing on Essential Fish Habitat... England Fishery Management Council (Council) is scheduling a public meeting of its Habitat Oversight...

  13. 77 FR 5774 - New England Fishery Management Council; Public Meeting

    Science.gov (United States)

    2012-02-06

    ... management measures for further development and analysis in Omnibus Essential Fish Habitat Amendment 2. Two... fishing on Essential Fish Habitat and (2) alternatives to protect deep-sea corals from the impacts of... England Fishery Management Council (Council) is scheduling a public meeting of its Habitat/MPA/Ecosystem...

  14. A balance of bottom-up and top-down in linking climate policies

    Science.gov (United States)

    Green, Jessica F.; Sterner, Thomas; Wagner, Gernot

    2014-12-01

    Top-down climate negotiations embodied by the Kyoto Protocol have all but stalled, chiefly because of disagreements over targets and objections to financial transfers. To avoid those problems, many have shifted their focus to linkage of bottom-up climate policies such as regional carbon markets. This approach is appealing, but we identify four obstacles to successful linkage: different levels of ambition; competing domestic policy objectives; objections to financial transfers; and the difficulty of close regulatory coordination. Even with a more decentralized approach, overcoming the 'global warming gridlock' of the intergovernmental negotiations will require close international coordination. We demonstrate how a balance of bottom-up and top-down elements can create a path toward an effective global climate architecture.

  15. A qualitative study of uptake of free vitamins in England.

    Science.gov (United States)

    Jessiman, Tricia; Cameron, Ailsa; Wiggins, Meg; Lucas, Patricia J

    2013-08-01

    To identify reasons why eligible families are not accessing free 'Healthy Start' vitamin supplementation (providing vitamins A, C and D) in England. Qualitative study using in-depth interviews. 13 primary care trusts in England. Purposive sample of 15 Healthy Start coordinators, 50 frontline health and children's professionals and 107 parents. Vitamin take-up was low across all research sites, reported as below 10% of eligible beneficiaries for free vitamins. Reasons identified by both parents and professionals included (1) poor accessibility of vitamins, (2) low promotion of the scheme by health professionals, (3) a lack of awareness among eligible families, and (4) low motivation among mothers to take vitamins for themselves during pregnancy or for children under 4 years old. Low uptake rates can be explained by poor accessibility of vitamins and lack of awareness and motivation to take vitamin supplements among eligible families. Universal provision (at least for pregnant women) and better training for health professionals are identified as potential solutions worthy of further research and evaluation.

  16. Leprosy in England and Wales 1953-2012: surveillance and challenges in low incidence countries.

    Science.gov (United States)

    Fulton, Nicholas; Anderson, Laura F; Watson, John M; Abubakar, Ibrahim

    2016-05-03

    To review all notified cases of leprosy in England and Wales between 1953 and 2012. National surveillance study of all reported cases. England and Wales. Number and characteristics of reported cases. During this period, a total of 1449 leprosy cases were notified. The incidence fell from 356 new cases notified between 1953 and 1962 to 139 new cases between 2003 and 2012. Where data were available, leprosy was more common in men, 15-45 year olds and those from the Indian subcontinent. There was considerable undernotification in 2001-2012. The high level of under-reporting indicates a need for improved surveillance in the UK. Public Health England, in collaboration with the UK Panel of Leprosy opinion, has revised the UK Memorandum on Leprosy in order to provide updated guidance on diagnostic procedures, treatment, case management, contact tracing and notification. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

  17. New England observed and predicted July stream/river temperature daily range points

    Data.gov (United States)

    U.S. Environmental Protection Agency — The shapefile contains points with associated observed and predicted July stream/river temperature daily ranges in New England based on a spatial statistical network...

  18. The final cool down

    CERN Multimedia

    Thursday 29th May, the cool-down of the final sector (sector 4-5) of LHC has begun, one week after the start of the cool-down of sector 1-2. It will take five weeks for the sectors to be cooled from room temperature to 5 K and a further two weeks to complete the cool down to 1.9 K and the commissioning of cryogenic instrumentation, as well as to fine tune the cryogenic plants and the cooling loops of cryostats.Nearly a year and half has passed since sector 7-8 was cooled for the first time in January 2007. For Laurent Tavian, AT/CRG Group Leader, reaching the final phase of the cool down is an important milestone, confirming the basic design of the cryogenic system and the ability to operate complete sectors. “All the sectors have to operate at the same time otherwise we cannot inject the beam into the machine. The stability and reliability of the cryogenic system and its utilities are now very important. That will be the new challenge for the coming months,” he explains. The status of the cool down of ...

  19. Great Historical Events That Were Significantly Affected by the Weather: 7, "Protestant Wind"-"Popish Wind": The Revolusion of 1688 in England.

    Science.gov (United States)

    Lindgrén, S.; Neumann, J.

    1985-06-01

    James II, King of England from 1685 to 1688, increasingly antagonized his people by his forced attempts to restore the Catholic faith to a position of eminence in England; many of his actions were contrary to acts passed by earlier Parliaments (he ruled without Parliament most of his reign). Leading dignitaries of the Church of England, of the Protestant nobility, and some of the high officers of the Army and Navy came to the conclusion that the only remedy to the country's ills was to call in William, the Prince of Orange and Chief Magistrate ("Stadholder") of the Netherlands, whose spouse Mary, James' daughter, was, until July 1688, the heir-presumptive to the English crown; the prince himself had a position in the list of succession, bring a nephew of James.Over and above the prince's personal ambitions, it was his conviction and that of several other leading personalities in the Dutch Republic that it was in the vital interest of the Netherlands to influence England's policies, and, in particular, to prevent a line-up of England with the France of Louis XIV, who had hostile designs on the Republic. As long as the danger of a French assault on the Netherlands was imminent, the States-General of the Republic would not authorize the "descent" on England, but when late in September 1688 Louis decided to attack the German States on the Middle-Rhine first, the "descent" gained approval.The peak of the crisis about James' policies in England was reached in summer-early fall of 1688. In the meantime, William assembled a large fleet and force in the Netherlands to "descend" on England, but his sailing was hindered by winds that in September and October blew with nearly total persistence from the westerly quarter. People in England and in the Netherlands were daily watching for weeks the direction of wind. They called the easterly winds "Protestant winds" and the westerly winds "Popish winds." In addition to making possible the invasion, the "Protestant winds" made it

  20. Schisms in the church: National Health Service systems and institutional divergence in England and Wales.

    Science.gov (United States)

    Hughes, David; Vincent-Jones, Peter

    2008-12-01

    Since devolution, the four countries of the United Kingdom have pursued strikingly different National Health Service (NHS) reforms. While England created a supply-side market more radical than the previous internal market system, Wales moved to a softer version of the purchaser/provider split emphasizing localism. This article deploys institutional theory to analyze the forces shaping change, and describes the hybrid forms of economic organization emerging, including the economic regulation model implemented in England. The schism that has resulted in separate NHS subsystems warrants a different analysis from the more familiar phenomenon of infield divergence. We argue that schism was triggered by political-regulatory influences rather than economic or other social institutional forces, and predict that other decentralized public health care systems may follow a similar path. While political-regulatory, normative, and cognitive institutional influences push in the same direction in Wales, the misalignment of political-regulatory and normative elements in England looks set to result in a period of organizational turbulence.

  1. Coalfield health effects: Variation in health across former coalfield areas in England

    Energy Technology Data Exchange (ETDEWEB)

    Riva, M.; Terashima, M.; Curtis, S.; Shucksmith, J.; Carlebach, S. [University of Durham, Durham (United Kingdom)

    2011-03-15

    Regions affected by deindustrialisation are often characterised by unfavourable local health profiles. This was the situation in coalfield areas in England, where the scale and suddenness of the job losses in the 1980s and 1990s left these communities experiencing difficult socioeconomic conditions, and associated poor health status. Using data from the Health Survey for England, this paper examines whether poorer health outcomes still characterise coalfield areas today. Findings confirm a 'coalfield health effect' related to limiting long-term illness. With regards to self reported general health and mental health outcomes, results are less clear. The population health profile of coalfield communities is not homogeneous, with some coalfield communities faring worse than others, indicating more localised health issues.

  2. Fine Motor Control Is Related to Cognitive Control in Adolescents with Down Syndrome

    Science.gov (United States)

    Chen, Chih-Chia; Ringenbach, Shannon D. R.; Albert, Andrew; Semken, Keith

    2014-01-01

    The connection between human cognitive development and motor functioning has been systematically examined in many typical and atypical populations; however, only a few studies focus on people with Down syndrome (DS). Twelve adolescents with DS participated and their cognitive control, measured by the Corsi-Block tapping test (e.g., visual working…

  3. Particle Accelerator Focus Automation

    Directory of Open Access Journals (Sweden)

    Lopes José

    2017-08-01

    Full Text Available The Laboratório de Aceleradores e Tecnologias de Radiação (LATR at the Campus Tecnológico e Nuclear, of Instituto Superior Técnico (IST has a horizontal electrostatic particle accelerator based on the Van de Graaff machine which is used for research in the area of material characterization. This machine produces alfa (He+ and proton (H+ beams of some μA currents up to 2 MeV/q energies. Beam focusing is obtained using a cylindrical lens of the Einzel type, assembled near the high voltage terminal. This paper describes the developed system that automatically focuses the ion beam, using a personal computer running the LabVIEW software, a multifunction input/output board and signal conditioning circuits. The focusing procedure consists of a scanning method to find the lens bias voltage which maximizes the beam current measured on a beam stopper target, which is used as feedback for the scanning cycle. This system, as part of a wider start up and shut down automation system built for this particle accelerator, brings great advantages to the operation of the accelerator by turning it faster and easier to operate, requiring less human presence, and adding the possibility of total remote control in safe conditions.

  4. Particle Accelerator Focus Automation

    Science.gov (United States)

    Lopes, José; Rocha, Jorge; Redondo, Luís; Cruz, João

    2017-08-01

    The Laboratório de Aceleradores e Tecnologias de Radiação (LATR) at the Campus Tecnológico e Nuclear, of Instituto Superior Técnico (IST) has a horizontal electrostatic particle accelerator based on the Van de Graaff machine which is used for research in the area of material characterization. This machine produces alfa (He+) and proton (H+) beams of some μA currents up to 2 MeV/q energies. Beam focusing is obtained using a cylindrical lens of the Einzel type, assembled near the high voltage terminal. This paper describes the developed system that automatically focuses the ion beam, using a personal computer running the LabVIEW software, a multifunction input/output board and signal conditioning circuits. The focusing procedure consists of a scanning method to find the lens bias voltage which maximizes the beam current measured on a beam stopper target, which is used as feedback for the scanning cycle. This system, as part of a wider start up and shut down automation system built for this particle accelerator, brings great advantages to the operation of the accelerator by turning it faster and easier to operate, requiring less human presence, and adding the possibility of total remote control in safe conditions.

  5. Co-operation and conflict under hard and soft contracting regimes: case studies from England and Wales

    OpenAIRE

    Hughes, David; Allen, Pauline; Doheny, Shane; Petsoulas, Christina; Vincent-Jones, Peter

    2013-01-01

    BACKGROUND: This paper examines NHS secondary care contracting in England and Wales in a period which saw increasing policy divergence between the two systems. At face value, England was making greater use of market levers and utilising harder-edged service contracts incorporating financial penalties and incentives, while Wales was retreating from the 1990 s internal market and emphasising cooperation and flexibility in the contracting process. But there were also cross-border spill-overs inv...

  6. Policy Perspective: School Turnaround in England. Utilizing the Private Sector

    Science.gov (United States)

    Corbett, Julie

    2014-01-01

    This paper, written by strategic partner of the Center on School Turnaround (CST), Julie Corbett, provides research and examples on England's approach to turning around its lowest performing schools. The English education system utilizes private vendors to support chronically low-performing schools and districts. The introduction is followed by…

  7. Snapshots of Language and Literature Teaching in Denmark and England

    Science.gov (United States)

    Kelly, Peter; Dorf, Hans

    2016-01-01

    To illustrate differences in lower secondary-level language and literature teaching, we contrast a typical teaching episode in Denmark with one in England. Both reflect the dominant discourses in each country alongside recent policy initiatives, and each exemplifies a different orientation to language and literature teaching focussing on…

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

    Science.gov (United States)

    2011-05-25

    ... Statistical Committee on June 14-15, 2011 to consider actions affecting New England fisheries in the exclusive... stock size. In addition, the PDT will describe other analyses that are planned to examine the reliability of stock projections. The SSC may provide guidance about any further work on these issues...

  9. New Ichnospecies of Scratching Traces from Phosphatic nodules (Cenomanian, England)

    Czech Academy of Sciences Publication Activity Database

    Chumakov, N. M.; Dronov, A. V.; Mikuláš, Radek

    2013-01-01

    Roč. 21, č. 3 (2013), s. 50-59 ISSN 0869-5938 Institutional research plan: CEZ:AV0Z30130516 Institutional support: RVO:67985831 Keywords : trace fossils * Cenomanian * southern England * systems of scratches * biting traces * bioerosion * homodont * heterodont Subject RIV: DB - Geology ; Mineralogy Impact factor: 0.714, year: 2013

  10. 75 FR 43928 - New England Fishery Management Council; Public Meeting

    Science.gov (United States)

    2010-07-27

    ... effects of fishing on Essential Fish Habitat (EFH) across all Council FMPs. These management options are being developed as part of Phase 2 of Essential Fish Habitat Omnibus Amendment 2. Broadly speaking, the... England Fishery Management Council (Council) is scheduling a public meeting of its Habitat/MPA/Ecosystem...

  11. Launching the next Industrial Revolution in New England: New Hampshire's Green Launching Pad 1.0 and 2.0

    Science.gov (United States)

    Gittell, Ross; Venkatachalam, A. R.

    2011-01-01

    There is an exciting new opportunity for universities and colleges to advance the New England economy and at the same time help address environmental concerns. The current snapshot of New England's economy relative to other areas is favorable. The region suffered less decline during the recent recession than the national average, and the region's…

  12. National Assessment of Shoreline Change; historical shoreline change along the New England and Mid-Atlantic coasts

    Science.gov (United States)

    Hapke, Cheryl J.; Himmelstoss, Emily A.; Kratzmann, Meredith G.; List, Jeffrey H.; Thieler, E. Robert

    2011-01-01

    Beach erosion is a chronic problem along many open-ocean shores of the United States. As coastal populations continue to grow and community infrastructures are threatened by erosion, there is increased demand for accurate information regarding past and present trends and rates of shoreline movement. There is also a need for a comprehensive analysis of shoreline movement that is consistent from one coastal region to another. To meet these national needs, the U.S. Geological Survey (USGS) is conducting an analysis of historical shoreline changes along open-ocean sandy shores of the conterminous United States and parts of Hawaii, Alaska, and the Great Lakes. One purpose of this work is to develop standard, repeatable methods for mapping and analyzing shoreline movement so that periodic, systematic, internally consistent updates regarding coastal erosion and land loss can be made nationally. In the case of this study, the shoreline is the interpreted boundary between the ocean water surface and the sandy beach. This report on the New England and Mid-Atlantic coasts is the fifth in a series of reports on historical shoreline change. Previous investigations include analyses and descriptive reports of the Gulf of Mexico, the Southeast Atlantic, and, for California, the sandy shoreline and the coastal cliffs. The rates of change presented in this report represent conditions up to the date of the most recent shoreline data and therefore are not intended for predicting future shoreline positions or rates of change. Because of the geomorphology of the New England and Mid-Atlantic (rocky coastlines, large embayments and beaches) as well as data gaps in some areas, this report presents beach erosion rates for 78 percent of the 1,360 kilometers of the New England and Mid-Atlantic coasts. The New England and Mid-Atlantic shores were subdivided into a total of 10 analysis regions for the purpose of reporting regional trends in shoreline change rates. The average rate of long

  13. Lyme disease and Bell's palsy: an epidemiological study of diagnosis and risk in England.

    Science.gov (United States)

    Cooper, Lilli; Branagan-Harris, Michael; Tuson, Richard; Nduka, Charles

    2017-05-01

    Lyme disease is caused by a tick-borne spirochaete of the Borrelia species. It is associated with facial palsy, is increasingly common in England, and may be misdiagnosed as Bell's palsy. To produce an accurate map of Lyme disease diagnosis in England and to identify patients at risk of developing associated facial nerve palsy, to enable prevention, early diagnosis, and effective treatment. Hospital episode statistics (HES) data in England from the Health and Social Care Information Centre were interrogated from April 2011 to March 2015 for International Classification of Diseases 10th revision (ICD-10) codes A69.2 (Lyme disease) and G51.0 (Bell's palsy) in isolation, and as a combination. Patients' age, sex, postcode, month of diagnosis, and socioeconomic groups as defined according to the English Indices of Deprivation (2004) were also collected. Lyme disease hospital diagnosis increased by 42% per year from 2011 to 2015 in England. Higher incidence areas, largely rural, were mapped. A trend towards socioeconomic privilege and the months of July to September was observed. Facial palsy in combination with Lyme disease is also increasing, particularly in younger patients, with a mean age of 41.7 years, compared with 59.6 years for Bell's palsy and 45.9 years for Lyme disease ( P = 0.05, analysis of variance [ANOVA]). Healthcare practitioners should have a high index of suspicion for Lyme disease following travel in the areas shown, particularly in the summer months. The authors suggest that patients presenting with facial palsy should be tested for Lyme disease. © British Journal of General Practice 2017.

  14. Defining geo-habitats for groundwater ecosystem assessments: an example from England and Wales (UK)

    Science.gov (United States)

    Weitowitz, Damiano C.; Maurice, Louise; Lewis, Melinda; Bloomfield, John P.; Reiss, Julia; Robertson, Anne L.

    2017-12-01

    Groundwater ecosystems comprising micro-organisms and metazoans provide an important contribution to global biodiversity. Their complexity depends on geology, which determines the physical habitat available, and the chemical conditions within it. Despite this, methods of classifying groundwater habitats using geological data are not well established and researchers have called for higher resolution habitat frameworks. A novel habitat typology for England and Wales (UK) is proposed, which distinguishes 11 geological habitats (geo-habitats) on hydrogeological principles and maps their distribution. Hydrogeological and hydrochemical data are used to determine the characteristics of each geo-habitat, and demonstrate their differences. Using these abiotic parameters, a new method to determine abiotic habitat quality is then developed. The geo-habitats had significantly different characteristics, validating the classification system. All geo-habitats were highly heterogeneous, containing both high quality habitat patches that are likely to be suitable for fauna, and areas of low quality that may limit faunal distributions. Karstic and porous habitats generally were higher quality than fractured habitats. Overall, 70% of England and Wales are covered by lower quality fractured habitats, with only 13% covered by higher quality habitats. The main areas of high quality habitats occur in central England as north-south trending belts, possibly facilitating dispersal along this axis. They are separated by low quality geo-habitats that may prevent east-west dispersal of fauna. In south-west England and Wales suitable geo-habitats occur as small isolated patches. Overall, this paper provides a new national-scale typology that is adaptable for studies in other geographic areas.

  15. Three-fluid magnetohydrodynamical simulation of plasma focus discharges

    International Nuclear Information System (INIS)

    Behler, K.; Bruhns, H.

    1987-01-01

    A two-dimensional, three-fluid code based on the two-fluid Potter code [Methods in Computational Physics (Academic, New York, 1970), Vol. 9, p. 340] was developed for simulating the plasma focus discharge. With this code it is possible to treat the neutral gas in addition to the plasma components and to model the ionization and recombination phenomena. Thus the sheet dynamics in a plasma focus can be studied and effects investigated such as the occurrence of residual gas (or plasma) density behind the current sheet in the run-down phase. This is a prerequisite to the occurrence of leak currents, which are one of the causes limiting the performance of large plasma focus devices. It is shown that fast operating foci with small dimensions behave favorably compared with the ''classical'' Mather focus [Methods of Experimental Physics (Academic, New York, 1971), Vol. 9B, p. 187] with long coaxial electrodes

  16. Two-dimensional magnetohydrodynamic calculations for a 5 MJ plasma focus

    International Nuclear Information System (INIS)

    Maxon, S.

    1983-01-01

    This article describes the calculation of the performance of a 5 MJ plasma focus using a two-dimensional magnetohydrodynamic (2-D MHD) code. Discusses two configurations, a solid and a hollow anode. Finds an instability in the current sheath of the hollow anode which has the characteristics of the short wave length sausage instability. As the current sheath reaches the axis, the numerical solution is seen to break down. When the numerical solution breaks down, the code shows a splitting of the current sheath (from the axis to the anode) and the loss of a large amount of magnetic energy. Current-sheath stagnation is observed in the hollow anode configuration

  17. Factors influencing nurses’ job satisfaction in selected private hospitals in England

    Directory of Open Access Journals (Sweden)

    RP Lephalala

    2008-09-01

    Full Text Available The quantitative descriptive survey used self-completion questionnaires to study factors influencing nurses’ job satisfaction in selected private hospitals in England. Herzberg’s Theory of Motivation was used to contextualise the results obtained from 85 completed questionnaires.

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

    Science.gov (United States)

    Huggins, Mike

    2012-01-01

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

  19. A slowing-down problem

    Energy Technology Data Exchange (ETDEWEB)

    Carlvik, I; Pershagen, B

    1958-06-15

    An infinitely long circular cylinder of radius a is surrounded by an infinite moderator. Both media are non-capturing. The cylinder emits neutrons of age zero with a constant source density of S. We assume that the ratios of the slowing-down powers and of the diffusion constants are independent of the neutron energy. The slowing-down density is calculated for two cases, a) when the slowing-down power of the cylinder medium is very small, and b) when the cylinder medium is identical with the moderator. The ratios of the slowing-down density at the age {tau} and the source density in the two cases are called {psi}{sub V}, and {psi}{sub M} respectively. {psi}{sub V} and {psi}{sub M} are functions of y=a{sup 2}/4{tau}. These two functions ({psi}{sub V} and {psi}{sub M}) are calculated and tabulated for y = 0-0.25.

  20. Commit to Building on New England's "Employability" Advantage!

    Science.gov (United States)

    Gittell, Ross

    2017-01-01

    Higher education has provided New England with an economic advantage, as the region without strong natural resource advantages has relied on its higher education institutions (HEIs) and brainpower. A higher education-based economic advantage has enabled the region to develop strong well-paying technology and knowledge-based industries tied to New…

  1. No Lack of Principles: Leadership Development in England and Scotland

    Science.gov (United States)

    MacBeath, John

    2011-01-01

    While there are significant differences between England and Scotland in the politics, the policy environment and the management of schools, leadership development both north and south of the border is charged with addressing what has been termed a recruitment and retention "crisis". An emerging phenomenon in both jurisdictions is that of…

  2. 78 FR 33068 - New England Fishery Management Council; Public Meeting

    Science.gov (United States)

    2013-06-03

    ... affecting New England fisheries in the exclusive economic zone (EEZ). DATES: The meeting will be held on... Guidance Committee will discuss options for trading quota under the provisions of the U.S./Canada Resource Sharing Understanding and may ask the Council to develop U.S./Canada trading mechanisms. The Enforcement...

  3. Intellectual Portraits: Politics, Professions and Identity in Twentieth-Century England

    Science.gov (United States)

    Martin, Jane

    2014-01-01

    This article brings together six talented women historians in twentieth-century England whose scholarly productions helped shape modern historical practice but who are little known in the canonical accounts of history-writing in the period. The author is looking to map and describe historical communities from a grounded and qualitative perspective…

  4. A time series evaluation of the FAST National Stroke Awareness Campaign in England.

    Directory of Open Access Journals (Sweden)

    Darren Flynn

    Full Text Available In February 2009, the Department of Health in England launched the Face, Arm, Speech, and Time (FAST mass media campaign, to raise public awareness of stroke symptoms and the need for an emergency response. We aimed to evaluate the impact of three consecutive phases of FAST using population-level measures of behaviour in England.Interrupted time series (May 2007 to February 2011 assessed the impact of the campaign on: access to a national stroke charity's information resources (Stroke Association [SA]; emergency hospital admissions with a primary diagnosis of stroke (Hospital Episode Statistics for England; and thrombolysis activity from centres in England contributing data to the Safe Implementation of Thrombolysis in Stroke UK database.Before the campaign, emergency admissions (and patients admitted via accident and emergency [A&E] and thrombolysis activity was increasing significantly over time, whereas emergency admissions via general practitioners (GPs were decreasing significantly. SA webpage views, calls to their helpline and information materials dispatched increased significantly after phase one. Website hits/views, and information materials dispatched decreased after phase one; these outcomes increased significantly during phases two and three. After phase one there were significant increases in overall emergency admissions (505, 95% CI = 75 to 935 and patients admitted via A&E (451, 95% CI = 26 to 875. Significantly fewer monthly emergency admissions via GPs were reported after phase three (-19, 95% CI =  -29 to -9. Thrombolysis activity per month significantly increased after phases one (3, 95% CI = 1 to 6, and three (3, 95% CI = 1 to 4.Phase one had a statistically significant impact on information seeking behaviour and emergency admissions, with additional impact that may be attributable to subsequent phases on information seeking behaviour, emergency admissions via GPs, and thrombolysis activity. Future campaigns should be

  5. An analysis of suicide trends in Scotland 1950-2014: comparison with England & Wales.

    Science.gov (United States)

    Dougall, Nadine; Stark, Cameron; Agnew, Tim; Henderson, Rob; Maxwell, Margaret; Lambert, Paul

    2017-12-20

    Scotland has disproportionately high rates of suicide compared with England. An analysis of trends may help reveal whether rates appear driven more by birth cohort, period or age. A 'birth cohort effect' for England & Wales has been previously reported by Gunnell et al. (B J Psych 182:164-70, 2003). This study replicates this analysis for Scotland, makes comparisons between the countries, and provides information on 'vulnerable' cohorts. Suicide and corresponding general population data were obtained from the National Records of Scotland, 1950 to 2014. Age and gender specific mortality rates were estimated. Age, period and cohort patterns were explored graphically by trend analysis. A pattern was found whereby successive male birth cohorts born after 1940 experienced higher suicide rates, in increasingly younger age groups, echoing findings reported for England & Wales. Young men (aged 20-39) were found to have a marked and statistically significant increase in suicide between those in the 1960 and 1965 birth cohorts. The 1965 cohort peaked in suicide rate aged 35-39, and the subsequent 1970 cohort peaked even younger, aged 25-29; it is possible that these 1965 and 1970 cohorts are at greater mass vulnerability to suicide than earlier cohorts. This was reflected in data for England & Wales, but to a lesser extent. Suicide rates associated with male birth cohorts subsequent to 1975 were less severe, and not statistically significantly different from earlier cohorts, suggestive of an amelioration of any possible influential 'cohort' effect. Scottish female suicide rates for all age groups converged and stabilised over time. Women have not been as affected as men, with less variation in patterns by different birth cohorts and with a much less convincing corresponding pattern suggestive of a 'cohort' effect. Trend analysis is useful in identifying 'vulnerable' cohorts, providing opportunities to develop suicide prevention strategies addressing these cohorts as they age.

  6. Pharmacological interventions for cognitive decline in people with Down syndrome.

    Science.gov (United States)

    Livingstone, Nuala; Hanratty, Jennifer; McShane, Rupert; Macdonald, Geraldine

    2015-10-29

    People with Down syndrome are vulnerable to developing dementia at an earlier age than the general population. Alzheimer's disease and cognitive decline in people with Down syndrome can place a significant burden on both the person with Down syndrome and their family and carers. Various pharmacological interventions, including donepezil, galantamine, memantine and rivastigmine, appear to have some effect in treating cognitive decline in people without Down syndrome, but their effectiveness for those with Down syndrome remains unclear. To assess the effectiveness of anti-dementia pharmacological interventions and nutritional supplements for treating cognitive decline in people with Down syndrome. In January 2015, we searched CENTRAL, ALOIS (the Specialised Register of the Cochrane Dementia and Cognitive Improvement Group), Ovid MEDLINE, Embase, PsycINFO, seven other databases, and two trials registers. In addition, we checked the references of relevant reviews and studies and contacted study authors, other researchers and relevant drug manufacturers to identify additional studies. Randomised controlled trials (RCTs) of anti-dementia pharmacological interventions or nutritional supplements for adults (aged 18 years and older) with Down syndrome, in which treatment was administered and compared with either placebo or no treatment. Two review authors independently assessed the risk of bias of included trials and extracted the relevant data. Review authors contacted study authors to obtain missing information where necessary. Only nine studies (427 participants) met the inclusion criteria for this review. Four of these (192 participants) assessed the effectiveness of donepezil, two (139 participants) assessed memantine, one (21 participants) assessed simvastatin, one study (35 participants) assessed antioxidants, and one study (40 participants) assessed acetyl-L-carnitine.Five studies focused on adults aged 45 to 55 years, while the remaining four studies focused on

  7. ETNOPOLITOGENESIS ENGLISH ETHNOS AND FORECAST OF ENGLAND

    Directory of Open Access Journals (Sweden)

    Saifullin Rubin Gatufovich

    2013-02-01

    Full Text Available There is given the forecast of development of one of the leading West European countries – Great Britain on the base of biosocial approach. The main fundamentals of this approach are: 1. Political and ethnogenetic are interrelated, which suggests the existence of a single process of ethnopolygenesis. 2. An ethnos in its development goes through a series of age-phases – stable periods and dividing them phase transitions – unstable crisis periods, characterized by distemper (amplitudinous domestic conflicts. 3. The age range of phases and phase transitions of ethnogenesis and periods of crisis in some phases, similar in character to phase transitions are determined by a universal, invariant eras and types of polities regularity – numerical algorithm of ethnopolygenesis. 4. The distempers and major military defeats mainly are characteristic for unstable periods. It is shown that the British ethnogenesis developed generally in accordance with the numerical algorithm: distemper in the political history of England took place during the periods of unstable states of phase transitions and critical periods in phases. This same regularity is generally true of the major military defeats. It is shown that the British are on the verge of the beginning of one of the most painful unstable states. There is given the forecast of England on the basis of this conclusion. Conclusions of the article may be of interest for scientists involved in political forecasting and for politicians.

  8. Choice vs. voice? PPI policies and the re-positioning of the state in England and Wales.

    Science.gov (United States)

    Hughes, David; Mullen, Caroline; Vincent-Jones, Peter

    2009-09-01

    CONTEXT AND THESIS: Changing patient and public involvement (PPI) policies in England and Wales are analysed against the background of wider National Health Service (NHS) reforms and regulatory frameworks. We argue that the growing divergence of health policies is accompanied by a re-positioning of the state vis-à-vis PPI, characterized by different mixes of centralized and decentralized regulatory instruments. Analysis of legislation and official documents, and interviews with policy makers. In England, continued hierarchical control is combined with the delegation of responsibilities for the oversight and organization of PPI to external institutions such as the Care Quality Commission and local involvement networks, in support of the government's policy agenda of increasing marketization. In Wales, which has rejected market reforms and economic regulation, decentralization is occurring through the use of mixed regulatory approaches and networks suited to the small-country governance model, and seeks to benefit from the close proximity of central and local actors by creating new forms of engagement while maintaining central steering of service planning. Whereas English PPI policies have emerged in tandem with a pluralistic supply-side market and combine new institutional arrangements for patient 'choice' with other forms of involvement, the Welsh policies focus on 'voice' within a largely publicly-delivered service. While the English reforms draw on theories of economic regulation and the experience of independent regulation in the utilities sector, the Welsh model of local service integration has been more influenced by reforms in local government. Such transfers of governance instruments from other public service sectors to the NHS may be problematic.

  9. Epizootic shell disease in American lobsters Homarus americanus in southern New England: past, present and future.

    Science.gov (United States)

    Castro, Kathleen M; Cobb, J Stanley; Gomez-Chiarri, Marta; Tlusty, Michael

    2012-08-27

    The emergence of epizootic shell disease in American lobsters Homarus americanus in the southern New England area, USA, has presented many new challenges to understanding the interface between disease and fisheries management. This paper examines past knowledge of shell disease, supplements this with the new knowledge generated through a special New England Lobster Shell Disease Initiative completed in 2011, and suggests how epidemiological tools can be used to elucidate the interactions between fisheries management and disease.

  10. Status of exotic grasses and grass-like vegetation and potential impacts on wildlife in New England

    Science.gov (United States)

    DeStefano, Stephen

    2013-01-01

    The Northeastern section of the United States, known as New England, has seen vast changes in land cover and human population over the past 3 centuries. Much of the region is forested; grasslands and other open-land cover types are less common, but provide habitat for many species that are currently declining in abundance and distribution. New England also consists of some of the most densely populated and developed states in the country. The origin, distribution, and spread of exotic species are highly correlated with human development. As such, exotics are common throughout much of New England, including several species of graminoids (grasses and grass-like plants such as sedges and rushes). Several of the more invasive grass species can form expansive dense mats that exclude native plants, alter ecosystem structure and functions, and are perceived to provide little-to-no value as wildlife food or cover. Although little research has been conducted on direct impacts of exotic graminoids on wildlife populations in New England, several studies on the common reed (Phragmites australis) in salt marshes have shown this species to have variable effects as cover for birds and other wildlife, depending on the distribution of the plant (e.g., patches and borders of reeds are used more by wildlife than expansive densely growing stands). Direct impacts of other grasses on wildlife populations are largely unknown. However, many of the invasive graminoid species that are present in New England have the capability of outcompeting native plants and thereby potentially affecting associated fauna. Preservation, protection, and restoration of grassland and open-land cover types are complex but necessary challenges in the region to maintain biological and genetic diversity of grassland, wetland, and other open-land obligate species.

  11. Frequency of fog in midlands of England

    Energy Technology Data Exchange (ETDEWEB)

    Unsworth, M.H.; Shakespeare, N.W.; Milner, A.E.; Ganendra, T.S.

    1979-01-01

    A survey shows that at a rural site in the Trent Basin in England, there has been a considerable reduction in winter fog frequency in the last 20 years. The evidence suggests that the Clean Air Act, which was primarily designed to improve air quality in towns has also produced measurable decreases in fog frequency in rural parts of this industrial region. The mechanism which is believed to underly the phenomenon is that the number of condensation nuclei have been substantially reduced. 9 references, 4 figures, 1 table.

  12. Possible windborne spread of myxomatosis to England in 1953.

    Science.gov (United States)

    Sellers, R F

    1987-02-01

    An analysis of the meterological conditions showed that the first outbreaks of myxomatosis in S.E. England in 1953 could have resulted from wind carriage of insects infected with myxoma virus from northern France. South-easterly winds on the night 11-12 August would have carried the insects 120-160 km from the Départements of Nord, Pas de Calais and Somme across the English Channel to near Edenbridge, Kent. The flight would have taken 6.5-8.5 h at wind speeds of 15-22 km h-1. On the night 11-12 August, temperatures increased with height (inversion) up to 500 m; at ground level temperature was around 19 degrees C and at 500 m was 25 degrees C. Insects would have travelled up to the top of the inversion arriving on 12 August as the inversion declined. Two or possibly three generations of infection would have taken place before the disease was seen around the middle of September 1953. The most likely insect was the mosquito Anopheles atroparvus which breeds along the coastal marshes of England and northern France and which has been shown experimentally and in the field to transmit myxoma virus mechanically.

  13. Clinical outcomes and costs for people with complex psychosis; a naturalistic prospective cohort study of mental health rehabilitation service users in England.

    Science.gov (United States)

    Killaspy, Helen; Marston, Louise; Green, Nicholas; Harrison, Isobel; Lean, Melanie; Holloway, Frank; Craig, Tom; Leavey, Gerard; Arbuthnott, Maurice; Koeser, Leonardo; McCrone, Paul; Omar, Rumana Z; King, Michael

    2016-04-07

    Mental health rehabilitation services in England focus on people with complex psychosis. This group tend to have lengthy hospital admissions due to the severity of their problems and, despite representing only 10-20 % of all those with psychosis, they absorb 25-50 % of the total mental health budget. Few studies have investigated the effectiveness of these services and there is little evidence available to guide clinicians working in this area. As part of a programme of research into inpatient mental health rehabilitation services, we carried out a prospective study to investigate longitudinal outcomes and costs for patients of these services and the predictors of better outcome. Inpatient mental health rehabilitation services across England that scored above average (median) on a standardised quality assessment tool used in a previous national survey were eligible for the study. Unit quality was reassessed and costs of care and patient characteristics rated using standardised tools at recruitment. Multivariable regression modelling was used to investigate the relationship between service quality, patient characteristics and the following clinical outcomes at 12 month follow-up: social function; length of admission in the rehabiliation unit; successful community discharge (without readmission or community placement breakdown) and costs of care. Across England, 50 units participated and 329 patients were followed over 12 months (94 % of those recruited). Service quality was not associated with patients' social function or length of admission (median 16 months) at 12 months but most patients were successfully discharged (56 %) or ready for discharge (14 %), with associated reductions in the costs of care. Factors associated with successful discharge were the recovery orientation of the service (OR 1.04, 95 % CI 1.00-1.08), and patients' activity (OR 1.03, 95 % CI 1.01-1.05) and social skills (OR 1.13, 95 % CI 1.04-1.24) at recruitment. Inpatient mental health

  14. The current situation with Phytophthora ramorum in England and Wales

    Science.gov (United States)

    David Slawson; Lynne Bennett; Nicola Parry; Charles Lane

    2006-01-01

    Since the first finding of Phytophthora ramorum in England in April 2002, an intensive campaign, supported by the European Community (EC) and national legislation, has been conducted to locate and eradicate all interceptions and outbreaks of P. ramorum. A summary of the findings made during these surveys is presented, along with an...

  15. Educational Expansion, Economic Growth and Antisocial Behaviour: Evidence from England

    Science.gov (United States)

    Sabates, Ricardo

    2010-01-01

    This paper investigates the impact of the increase in post-compulsory schooling and economic growth on conviction rates for antisocial behaviour in England. I hypothesise that both educational and employment opportunities should lead to greater reductions in antisocial behaviour when they are combined than when they exist in isolation. I test this…

  16. Psychological Type Preferences of Female Bible College Students in England

    Science.gov (United States)

    Kay, William K.; Francis, Leslie J.

    2008-01-01

    A sample of 122 female students attending a Pentecostal Bible College in England completed Form G (Anglicised) of the Myers-Briggs Type Indicator (MBTI). The data demonstrated preferences for extraversion over introversion, for sensing over intuition, for feeling over thinking, and for judging over perceiving. The predominant type was ISFJ (16%),…

  17. Awkward Questions: Language Issues in the 2011 Census in England

    Science.gov (United States)

    Sebba, Mark

    2018-01-01

    The 2011 Census in England broke new ground, as a question about language had never previously been asked. After stakeholder consultations and a series of trials, the census authority decided on two questions based on earlier censuses in the USA: one about the respondent's "main language" and another about proficiency in English. This…

  18. Conference Proceedings: “Down Syndrome: National Conference on Patient Registries, Research Databases, and Biobanks”

    Science.gov (United States)

    Oster-Granite, Mary Lou; Parisi, Melissa A.; Abbeduto, Leonard; Berlin, Dorit S.; Bodine, Cathy; Bynum, Dana; Capone, George; Collier, Elaine; Hall, Dan; Kaeser, Lisa; Kaufmann, Petra; Krischer, Jeffrey; Livingston, Michelle; McCabe, Linda L.; Pace, Jill; Pfenninger, Karl; Rasmussen, Sonja A.; Reeves, Roger H.; Rubinstein, Yaffa; Sherman, Stephanie; Terry, Sharon F.; Whitten, Michelle Sie; Williams, Stephen; McCabe, Edward R.B.; Maddox, Yvonne T.

    2011-01-01

    A December 2010 meeting, “Down Syndrome: National Conference on Patient Registries, Research Databases, and Biobanks,” was jointly sponsored by the Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) at the National Institutes of Health (NIH) in Bethesda, MD, and the Global Down Syndrome Foundation (GDSF)/Linda Crnic Institute for Down Syndrome based in Denver, CO. Approximately 70 attendees and organizers from various advocacy groups, federal agencies (Centers for Disease Control and Prevention, and various NIH Institutes, Centers, and Offices), members of industry, clinicians, and researchers from various academic institutions were greeted by Drs. Yvonne Maddox, Deputy Director of NICHD, and Edward McCabe, Executive Director of the Linda Crnic Institute for Down Syndrome. They charged the participants to focus on the separate issues of contact registries, research databases, and biobanks through both podium presentations and breakout session discussions. Among the breakout groups for each of the major sessions, participants were asked to generate responses to questions posed by the organizers concerning these three research resources as they related to Down syndrome and then to report back to the group at large with a summary of their discussions. This report represents a synthesis of the discussions and suggested approaches formulated by the group as a whole. PMID:21835664

  19. Teaching Children the Geography of England and Wales: An Analysis of Selected Georgian and Victorian Textbooks and Educational Pastimes

    Science.gov (United States)

    Dove, Jane

    2017-01-01

    Children in Georgian and Victorian times were expected to be familiar with the geography of England and Wales. This study analyses some of the resources then available which taught children this information. John Aikin's "England Delineated" is evaluated as a geographical text and then compared with less formal games and puzzles, then on…

  20. Updated birth weight centiles for England and Wales.

    Science.gov (United States)

    Norris, Tom; Seaton, Sarah E; Manktelow, Brad N; Baker, Philip N; Kurinczuk, Jennifer J; Field, David; Draper, Elizabeth S; Smith, Lucy K

    2017-12-07

    Construct updated birth weight-for-gestational age centile charts for use in the UK and compare these to the currently used UK-WHO charts. Secondary analysis of national birth data. Centiles were constructed using 1 269 403 singleton births occurring in England and Wales in 2013-2014 as part of the MBRRACE-UK national perinatal surveillance programme. These were then validated using 642 737 singleton births occurring in England and Wales in 2015. Sex-specific birth weight-for-gestational age centiles. Centiles were created using the lambda-mu-sigma method via the GAMLSS package in R. This method transforms the skewed birth weight distribution to approximate a normal distribution, allowing any birth weight centile to be produced. The new centiles performed well in the validation sample, with the observed and expected proportion of births below a given centile in agreement. Overall, driven by the predominance of term births, the UK-WHO charts classify a smaller proportion of infants as below a given centile. For example, the UK-WHO estimates classified only 1.32% (8035/606 430) of term infants born in 2015 as below the second centile, compared with 1.97% (11 975/606 430) using the new MBRRACE-UK centiles. At the earliest gestational ages, however, the opposite is observed, with the UK-WHO classifying a larger proportion of infants as below a given centile, particularly at the lower end of the birthweight distribution. We have constructed and validated updated birth weight-for-gestational age centiles using a contemporary sample of births occurring in England and Wales. The benefits of these updated centiles will be first to assist the national surveillance of perinatal mortality programme by improving the identification of the proportion of stillbirths and neonatal deaths affected by intrauterine growth restriction and, second, to aid clinicians by more accurately identifying babies who require increased monitoring in the period immediately following birth.

  1. Controlling behaviours and technology‐facilitated abuse perpetrated by men receiving substance use treatment in England and Brazil: Prevalence and risk factors

    Science.gov (United States)

    Canfield, Martha; Radcliffe, Polly; D'Oliveira, Ana Flavia Pires Lucas

    2017-01-01

    Abstract Introduction and Aims Controlling behaviours are highly prevalent forms of non‐physical intimate partner violence (IPV). The prevalence of perpetrating controlling behaviours and technology‐facilitated abuse (TFA) was compared by men receiving substance use treatment in England (n = 223) and Brazil (n = 280). Factors associated with perpetrating these behaviours towards their current/most recent partner and their association with other types of IPV were explored. Design and Methods Secondary analysis from two cross‐sectional studies was performed. Data on socio‐demographic characteristics, infidelity, IPV perpetration and victimisation, adverse childhood experiences (ACE), attitudes towards gender relations and roles, substance use, depressive symptoms and anger expression were collected. Results Sixty‐four percent (143/223) and 33% (73/223) of participants in England and 65% (184/280) and 20% (57/280) in Brazil reported controlling behaviours and TFA, respectively, during their current/most recent relationship. Excluding IPV victimisation from the multivariate models; perpetrating controlling behaviours was associated with a higher number of ACE, higher anger expression (England) and severe physical IPV perpetration (Brazil), and perpetrating TFA was associated with younger age. Including both IPV victimisation and perpetration in the multivariate models; perpetrating controlling behaviour was associated with experiencing a higher number of ACE, higher anger expression (England), emotional IPV victimisation (England) and experiencing controlling behaviour from a partner (England). The perpetration of TFA was associated with younger age and experiencing TFA from a partner. Conclusions Technological progress provides opportunities for perpetrators to control and abuse their partners. Controlling behaviours and TFA should be addressed to reduce IPV perpetration by males in substance use treatment. [Gilchrist G, Canfield M,Radcliffe P, d

  2. Sustained transmission of high-level azithromycin-resistant Neisseria gonorrhoeae in England: an observational study.

    Science.gov (United States)

    Fifer, Helen; Cole, Michelle; Hughes, Gwenda; Padfield, Simon; Smolarchuk, Christa; Woodford, Neil; Wensley, Adrian; Mustafa, Nazim; Schaefer, Ulf; Myers, Richard; Templeton, Kate; Shepherd, Jill; Underwood, Anthony

    2018-05-01

    Between Nov 3, 2014, and Feb 24, 2017, 70 cases of high-level azithromycin-resistant (HL-AziR; minimum inhibitory concentration [MIC] ≥256 mg/L) Neisseria gonorrhoeae were reported from across England. Whole-genome sequencing was done to investigate this outbreak to determine whether the ongoing outbreak represented clonal spread of an HL-AziR N gonorrhoeae strain identified in Leeds. We also wanted to elucidate the molecular mechanisms of azithromycin resistance in N gonorrhoeae in the UK. In this observational study, whole-genome sequencing was done on the HL-AziR N gonorrhoeae isolates from England. As comparators, 110 isolates from the UK and Ireland with a range of azithromycin MICs were also sequenced, including eight isolates from Scotland with azithromycin MICs ranging from 0·12 mg/L to 1·00 mg/L that were N gonorrhoeae multi-antigen sequence type 9768 (ST9768), which was the sequence type initially responsible for the outbreak. The presence of mutations or genes associated with azithromycin resistance was also investigated. 37 of the 60 HL-AziR isolates from England belonged to ST9768, and were genetically similar (mean 4·3 single-nucleotide polymorphisms). A 2059A→G mutation was detected in three or all four alleles of the 23S rRNA gene. Five susceptible ST9768 isolates had one mutated 23S rRNA allele and one low-level resistant ST9768 isolate had two mutated alleles. Sustained transmission of a successful HL-AziR clone was seen across England. Mutation 2059A→G was found in isolates with lower azithromycin MICs. Azithromycin exposure might have provided the selection pressure for one or two mutated copies of the 23S rRNA gene to recombine with wild-type copies, leading to three or four mutated copies and the HL-AziR phenotype. HL-AziR could emerge in isolates with low azithromycin MICs and eliminate the effectiveness of azithromycin as part of dual therapy for the treatment of gonorrhoea. Public Health England. Copyright © 2018 Elsevier Ltd. All

  3. Evaluation of multiphoton effects in down-conversion

    International Nuclear Information System (INIS)

    Yoshimi, Kazuyoshi; Koshino, Kazuki

    2010-01-01

    Multiphoton effects in down-conversion are investigated based on the full-quantum multimode formalism by considering a three-level system as a prototype nonlinear system. We analytically derive the three-photon output wave function for two input photons, where one of the two input photons is down-converted and the other one is not. Using this output wave function, we calculate the down-conversion probability, the purity, and the fidelity to evaluate the entanglement between a down-converted photon pair and a non-down-converted photon. It is shown that the saturation effect occurs by multiphoton input and that it affects both the down-conversion probability and the quantum correlation between the down-converted photon pair and the non-down-converted photon. We also reveal the necessary conditions for multiphoton effects to be strong.

  4. The New England Journal of Medicine, CorSalud and Cardiovascular Disease The New England Journal of Medicine, CorSalud y las enfermedades cardiovasculares

    Directory of Open Access Journals (Sweden)

    Francisco Luis Moreno Martínez

    2012-03-01

    Full Text Available In order to commemorate the 200th anniversary of The New England Journal of Medicine, the working staff of CorSalud extends its congratulations to this prestigious medical journal. It has been demonstrated the important role this journal played by increasing scientific knowledge, specifically in the specialty of Cardiology and,of course, its editorial quality, based not only on experience but also on professionalism. All this places it as a paradigm to be followed by each and all of the journals in the medical and scientific community.Con motivo del aniversario 200 de The New England Journal of Medicine, el colectivo de CorSalud hace llegar su felicitación a esa prestigiosa publicación médica. Queda manifiesto el importante papel que ha tenido esa revista en el incremento del conocimiento científico, específicamente en la especialidad de Cardiología; y desde luego, su calidad editorial, basadas no solo en experiencia sino también en profesionalismo, la sitúan como paradigma a seguir por todas y cada una de las revistas de la comunidad científica médica.

  5. Top-down cascades in lakes and oceans: Different perspectives but same story?

    KAUST Repository

    Hessen, Dag Olav

    2014-05-16

    While top-down cascades from fish to phytoplankton have been a core topic in limnology for the past four decades, it has attracted far less interest in marine ecology. This is partly for historical reasons, since lake studies have been motivated by the ability to regulate algal blooms induced by cultural eutrophication, while marine studies have been more oriented towards fish yield and thus bottom-up processes. Also freshwaters are closed ecosystems with lower diversity and complexity, making models and predictions on trophic levels and interactions comparatively simpler. Here, we compare some key properties of freshwater and marine top-down cascades and argue that despite some striking differences, the large number of freshwater studies may pose valuable insights also for marine systems. Moreover, we argue that there is an urgent need for more focus on top-down cascades in marine systems that address how top predators or fishing may propagate through the food web and impact autotrophic biomass, production, C-sequestration and thus ultimately the global carbon cycle and climate. © 2014 The Author. Published by Oxford University Press. All rights reserved.

  6. Injury to white pine crowns in northern New England in 1955

    Science.gov (United States)

    R. W., Jr. Wilson

    1956-01-01

    Unusual development of white pine terminal shoots - due to some sort of damage - was observed during the summer of 1955 throughout northern New England. In at least one instance it was also observed in pitch pine, and it may have occurred in other species.

  7. Neutropenia and agranulocytosis in England and Wales: incidence and risk factors

    NARCIS (Netherlands)

    van Staa, T. P.; Boulton, F.; Cooper, C.; Hagenbeek, A.; Inskip, H.; Leufkens, H. G. M.

    2003-01-01

    The objectives of this study were to estimate the incidence of idiosyncratic neutropenia and agranulocytosis in England and Wales and to evaluate their risk factors and outcomes. The study was conducted using data from the General Practice Research Database. All cases of idiosyncratic neutropenia or

  8. DENITRIFICATION ENZYME ACTIVITY OF FRINGE SALT MARSHES IN NEW ENGLAND (USA)

    Science.gov (United States)

    Coastal salt marshes are a buffer between the uplands and adjacent coastal waters in New England (USA). With increasing N loads from developed watersheds, salt marshes could play an important role in the water quality maintenance of coastal waters. In this study we examined seaso...

  9. A Swiss Manufacturer Sees the Industrial Revolution in England*

    Science.gov (United States)

    Buess, Heinrich

    1962-01-01

    I have recently come across the diaries of Johann Conrad Fischer. These diaries span six decades and cover the years of social, economic, and technological upheaval which marked the industrial revolution in England. The reader is given a picture of these years through the eyes of a Swiss manufacturer with a good perception of history, and his notes are of some value to historians. PMID:13874462

  10. Physiological profile of senior and junior England international amateur boxers.

    Science.gov (United States)

    Smith, Marcus S

    2006-01-01

    Despite worldwide popularity of amateur boxing, research focussed on the physiological demands of the sport is limited. The physiological profile of Senior and Junior England international amateur boxers is presented. A gradual (8 to 21-days) and rapid (0 to 7-days) phase of body weight reduction was evident with 2.2 ± 0.3 % of the 7.0 ± 0. 8 % weight loss occurring over the final 24-hours. An increase in body weight >4% was observed following a recovery period. High urine osmolality values (> 1000 mOsm·kg(-1)) were recorded during training and competition. High post-competition blood lactate values (>13.5 mmol·l(-1)) highlighted the need for a well-developed anaerobic capacity and the importance of not entering the ring in a glycogen depleted state. The aerobic challenge of competition was demonstrated by maximum heart rate values being recorded during 'Open' sparring. Mean body fat values of 9-10% were similar to those reported for other weight classified athletes. Normal resting values were reported for hematocrit (Senior 48 ± 2 % and Junior 45 ± 2 %), haemoglobin (Senior 14.7 ± 1.0 g·dl(-1) and Junior 14.5 ± 0.8 g·dl(-1)), bilirubin (Senior 15.3 ± 6.2 µmol·l-1(-1)) and ferritin (Senior 63.3 ± 45.7 ng·ml(-1)). No symptoms associated with asthma or exercise-induced asthma was evident. A well- developed aerobic capacity was reflected in the Senior VO2max value of 63.8 ± 4.8 ml·kg(-1)·min(-1). Senior lead hand straight punching force (head 1722 ± 700 N and body 1682 ± 636 N) was lower than the straight rear hand (head 2643 ± 1273 N and body 2646 ± 1083 N), lead hook (head 2412 ± 813 N and body 2414 ± 718 N) and rear hook (head 2588 ± 1040 N and body 2555 ± 926 N). It was concluded that amateur boxing performance is dependent on the interplay between anaerobic and aerobic energy systems. Current weight making methods may lead to impaired substrate availability, leading to reduced competitive performance and an increased risk to a boxers

  11. Optical analysis of down-conversion OLEDs

    Science.gov (United States)

    Krummacher, Benjamin; Klein, Markus; von Malm, Norwin; Winnacker, Albrecht

    2008-02-01

    Phosphor down-conversion of blue organic light-emitting diodes (OLEDs) is one approach to generate white light, which offers the possibility of easy color tuning, a simple device architecture and color stability over lifetime. In this article previous work on down-conversion devices in the field of organic solid state lighting is briefly reviewed. Further, bottom emitting down-conversion OLEDs are studied from an optical point of view. Therefore the physical processes occurring in the down-conversion layer are translated into a model which is implemented in a ray tracing simulation. By comparing its predictions to experimental results the model is confirmed. For the experiments a blue-emitting polymer OLED (PLED) panel optically coupled to a series of down-conversion layers is used. Based on results obtained from ray tracing simulation some of the implications of the model for the performance of down-conversion OLEDs are discussed. In particular it is analysed how the effective reflectance of the underlying blue OLED and the particle size distribution of the phosphor powder embedded in the matrix of the down-conversion layer influence extraction efficiency.

  12. Propulsion integration of hypersonic air-breathing vehicles utilizing a top-down design methodology

    Science.gov (United States)

    Kirkpatrick, Brad Kenneth

    In recent years, a focus of aerospace engineering design has been the development of advanced design methodologies and frameworks to account for increasingly complex and integrated vehicles. Techniques such as parametric modeling, global vehicle analyses, and interdisciplinary data sharing have been employed in an attempt to improve the design process. The purpose of this study is to introduce a new approach to integrated vehicle design known as the top-down design methodology. In the top-down design methodology, the main idea is to relate design changes on the vehicle system and sub-system level to a set of over-arching performance and customer requirements. Rather than focusing on the performance of an individual system, the system is analyzed in terms of the net effect it has on the overall vehicle and other vehicle systems. This detailed level of analysis can only be accomplished through the use of high fidelity computational tools such as Computational Fluid Dynamics (CFD) or Finite Element Analysis (FEA). The utility of the top-down design methodology is investigated through its application to the conceptual and preliminary design of a long-range hypersonic air-breathing vehicle for a hypothetical next generation hypersonic vehicle (NHRV) program. System-level design is demonstrated through the development of the nozzle section of the propulsion system. From this demonstration of the methodology, conclusions are made about the benefits, drawbacks, and cost of using the methodology.

  13. Diagnosing and managing anorexia nervosa in UK primary care: a focus group study.

    Science.gov (United States)

    Hunt, D; Churchill, R

    2013-08-01

    Anorexia is a leading cause of adolescent hospital admission and death from psychiatric disorder. Despite the potential role of general practitioners in diagnosis, appropriate referral and coordinating treatment, few existing studies provide fine-grained accounts of GPs' beliefs about anorexia. To identify GPs' understandings and experiences of diagnosing and managing patients with anorexia in primary care. Case-based focus groups with co-working general practitioners in the East Midlands region of England were used to explore attitudes towards issues common to patients with eating disorders. Group discussions were transcribed and analysed using corpus linguistic and discourse analytic approaches. Participants' discussion focused on related issues of making hesitant diagnoses, the utility of the body mass index, making referrals and overcoming patient resistance. Therapeutic relationships with patients with anorexia are considered highly complex, with participants using diagnostic tests as rhetorical strategies to help manage communicative obstacles. Overcoming patient repudiation and securing referrals are particular challenges with this patient group. Successfully negotiating these problems appears to require advanced communication skills.

  14. An estimate of the veteran population in England: based on data from the 2007 Adult Psychiatric Morbidity Survey.

    Science.gov (United States)

    Woodhead, Charlotte; Sloggett, Andy; Bray, Issy; Bradbury, Jason; McManus, Sally; Meltzer, Howard; Brugha, Terry; Jenkins, Rachel; Greenberg, Neil; Wessely, Simon; Fear, Nicola

    2009-01-01

    The health and well-being of military veterans has recently generated much media and political interest. Estimating the current and future size of the veteran population is important to the planning and allocation of veteran support services. Data from a 2007 nationally representative residential survey of England (the Adult Psychiatric Morbidity Survey) were extrapolated to the whole population to estimate the number of veterans currently residing in private households in England. This population was projected forward in two ten-year blocks up to 2027 using a current life table. It was estimated that in 2007, 3,771,534 (95% CI: 2,986,315-4,910,205) veterans were living in residential households in England. By 2027, this figure was predicted to decline by 50.4 per cent, mainly due to large reductions in the number of veterans in the older age groups (65-74 and 75+ years). Approximately three to five million veterans are currently estimated to be living in the community in England. As the proportion of National Service veterans reduces with time, the veteran population is expected to halve over the next 20 years.

  15. Effect of Smoke-Free Legislation on Adult Smoking Behaviour in England in the 18 Months following Implementation

    OpenAIRE

    Lee, John Tayu; Glantz, Stanton A.; Millett, Christopher

    2011-01-01

    Background Comprehensive smoke-free legislation covering all enclosed public places and workplaces was implemented in England on 1 July 2007. This study examines the impact of this legislation on smoking prevalence, number of cigarettes smoked and location of smoking, controlling for secular trends through the end of 2008. Method and Findings Repeat cross sectional survey using nationally representative data from the Health Survey for England (HSE). In total there are 54,333 respondents from ...

  16. Sexual health service providers' perceptions of transgender youth in England.

    Science.gov (United States)

    Lefkowitz, Ayla R F; Mannell, Jenevieve

    2017-05-01

    Transgender youth often face difficulties when accessing sexual health services. However, few studies investigate health service providers' perceptions of transgender youth, and fewer focus on sexual health. To fill this gap, our study draws on social representations theory to examine sexual health service providers' perceptions of transgender youth and how this influences the provision of health services for this marginalised population in England. A thematic analysis of 20 semi-structured interviews with service providers, conducted between March and June 2014, resulted in five main themes centred on: binary representations of transgender; transgender as homosexuality; uncertain bodies; unstable mental states; and too young to know. Of the service providers interviewed, many understood transgender within a male/female binary, and perceived being transgender to be synonymous with being gay. There was confusion among service providers regarding transgender youths' sexual organs, and most of those interviewed saw transgender youth as mentally unstable and confused. Finally, many service providers perceived that transgender youth are too young to know that they are transgender and make decisions about their body. Some of these representations were potentially stigmatising and many conflicted with transgender youths' representations of themselves. Training by transgender people is recommended to help address these misunderstandings. © 2017 John Wiley & Sons Ltd.

  17. Child survival in England: Strengthening governance for health.

    Science.gov (United States)

    Wolfe, Ingrid; Mandeville, Kate; Harrison, Katherine; Lingam, Raghu

    2017-11-01

    The United Kingdom, like all European countries, is struggling to strengthen health systems and improve conditions for child health and survival. Child mortality in the UK has failed to improve in line with other countries. Securing optimal conditions for child health requires a healthy society, strong health system, and effective health care. We examine inter-sectoral and intra-sectoral policy and governance for child health and survival in England. Literature reviews and universally applicable clinical scenarios were used to examine child health problems and English policy and governance responses for improving child health through integrating care and strengthening health systems, over the past 15 years. We applied the TAPIC framework for analysing policy governance: transparency, accountability, participation, integrity, and capacity. We identified strengths and weaknesses in child health governance in all the five domains. However there remain policy failures that are not fully explained by the TAPIC framework. Other problems with successfully translating policy to improved health that we identified include policy flux; policies insufficiently supported by delivery mechanisms, measurable targets, and sufficient budgets; and policies with unintended or contradictory aspects. We make recommendations for inter-sectoral and intra-sectoral child health governance, policy, and action to improve child health in England with relevant lessons for other countries. Copyright © 2017 The Author(s). Published by Elsevier B.V. All rights reserved.

  18. Data-based decision making in the Netherlands and England : A comparison

    NARCIS (Netherlands)

    Ebbeler, Johanna; Schildkamp, Kim; Downey, Christopher

    2012-01-01

    Data-based decision making is receiving increased attention in education, not only in the USA but also in Europe. This paper describes findings from an international comparative study that examined data use by school staff in secondary education in the Netherlands and in England. Eighty six

  19. The evolution of policy and actions to tackle obesity in England.

    Science.gov (United States)

    Jebb, S A; Aveyard, P N; Hawkes, C

    2013-11-01

    Tackling obesity has been a policy priority in England for more than 20 years. Two formal government strategies on obesity in 2008 and 2011 drew together a range of actions and developed new initiatives to fill perceived gaps. Today, a wide range of policies are in place, including support for breastfeeding and healthy weaning practices, nutritional standards in schools, restrictions on marketing foods high in fat, sugar and salt to children, schemes to boost participation in sport, active travel plans, and weight management services. Data from annual surveys show that the rate of increase in obesity has attenuated in recent years, but has not yet been reversed. This paper considers the actions taken and what is known about the impact of individual policies and the overarching strategy to tackle obesity in England. © 2013 The Authors. Obesity Reviews published by John Wiley & Sons Ltd on behalf of the International Association for the Study of Obesity.

  20. Guide to wildlife tree management in New England northern hardwoods

    Science.gov (United States)

    Carl H. Tubbs; Richard M. DeGraaf; Mariko Yamasaki; William M. Healy

    1987-01-01

    Presents information on the culture and management of trees that have value as components of wildlife habitat in the northern hardwood and associated types in New England. Background information is provided for choosing the most suitable trees for wildlife habitats and for estimat ing the impact of timber production. Suggestions are made for choosing the numbers of...

  1. Pupils' Fear in the Classroom: Portraits from Palestine and England

    Science.gov (United States)

    Hargreaves, Eleanore; Affouneh, Saida

    2017-01-01

    This article explores the concept of fear related to the authoritarian classroom and how children express its influence on their learning. Its investigations draw on the comments of four classes of primary-age pupils, two from a school near London, England, and two from boys' and girls' schools in the West Bank, Palestine. It is written by one…

  2. An Environmental Sector Plan for the nuclear industry in England and Wales

    International Nuclear Information System (INIS)

    Bennett, D.; Fawcett, P.; Hunt, C.; Long, J.

    2004-01-01

    The Environment Agency is the principal environmental regulator in England and Wales. As part of its longer term strategic planning, it is developing 'Sector Plans' for the major industry sectors it regulates. The intent of Sector Plans is to promote improvement of the Industry's performance in order to deliver environmental benefit. One of the pilot Sector Plans developed has been for the nuclear sector. The Nuclear Sector Plan has been produced jointly with the nuclear industry as a rolling framework of agreed national environmental objectives and priorities. Operators of nuclear sites have agreed to use this framework as a basis in England and Wales for setting environmental performance targets, monitoring performance against the targets and publicly reporting on their performance. The paper describes the development of the Sector Plan, its content and further development. (Author) 3 refs

  3. Effects of the 2010 World Cup football tournament on emergency department assault attendances in England.

    Science.gov (United States)

    Quigg, Zara; Hughes, Karen; Bellis, Mark A

    2013-06-01

    We explore the impact of the 2010 World Cup, held in South Africa, on levels of assault attendances to 15 emergency departments in England. The majority (70.1%) of assault attendees during the 2010 World Cup was male and aged 18-34 years (52.5%). Assault attendances increased by 37.5% on the days that England played (P 001). Preparation for major sporting events in non-host countries should include violence prevention activity. Emergency department data can be used to identify violence associated with such events and thus inform both the targeting of prevention efforts and assessments of their effectiveness.

  4. Quality Improvement in Early Years Settings in Hong Kong and England

    Science.gov (United States)

    Ho, Dora; Campbell-Barr, Verity; Leeson, Caroline

    2010-01-01

    With a growing awareness of the importance of early childhood education, the governments of Hong Kong and England have both increased investment through providing fee assistance to parents for buying services and providing funding to providers for offering "free" places, respectively. Alongside the increased funding of early childhood…

  5. New England's Disadvantaged Populations Struggle the Most with Student Debt Repayment

    Science.gov (United States)

    Saas, Darcy Rollins

    2016-01-01

    Regularly reported statistics about high and growing student-loan debt levels, combined with increased rates of delinquency and default, have prompted calls to address the student-debt "crisis." For New England, with its highly educated population and large higher education industry, student-loan debt is an important economic policy…

  6. Theoretical Framework of Leadership in Higher Education of England and Wales

    Science.gov (United States)

    Mukan, Nataliya; Havrylyuk, Marianna; Stolyarchuk, Lesia

    2015-01-01

    In the article the theoretical framework of leadership in higher education of England and Wales has been studied. The main objectives of the article are defined as analysis of scientific and pedagogical literature, which highlights different aspects of the problem under research; characteristic of the theoretical fundamentals of educational…

  7. A wall of information? Exploring the public health component of maternity care in England.

    Science.gov (United States)

    Sanders, Julia; Hunter, Billie; Warren, Lucie

    2016-03-01

    midwives have traditionally had an important role in providing public health messages to women. The range and diversity of the public health remit within maternity services has expanded rapidly over the past decade and maternity support workers as well as midwives are now engaged in public health work in many areas. Given these changes a review of current practice was indicated. to identify student midwives׳, midwives׳ and midwifery support workers׳ current knowledge of and involvement in the public health agenda in England. descriptive qualitative study using online discussion forums. England, United Kingdom undergraduate student midwives, midwives and maternity support workers employed by the National Health Service in England and University employed Leads for Midwifery Education. key themes identified were: the scope of the midwives׳ public health role, training and support for public health role, barriers and facilitators, specific client groups, specialist referral services. Student midwives, midwives and maternity support workers view engagement with, and delivery of, public health initiatives as an integral component of their roles, but are on occasions frustrated by constraints of time, training and public engagement. the National Health Service in England aims to engage pregnant women and new mothers in a diverse range of population based and individualised, public health initiatives. Currently, there are high levels of involvement in the public health agenda from the maternity workforce across a wide range of activities. However, midwives and maternity support workers are restricted by barriers of time, training and resources. These barriers will need addressing for optimal maternity care engagement in public health to be realised. policy makers, commissioners and National Health Service providers need to provide clear guidance on the expectations of the public health remit of midwives and maternity support workers and ensure that such expectations

  8. Persistent and emerging micro-organic contaminants in Chalk groundwater of England and France

    International Nuclear Information System (INIS)

    Lapworth, D.J.; Baran, N.; Stuart, M.E.; Manamsa, K.; Talbot, J.

    2015-01-01

    The Chalk aquifer of Northern Europe is an internationally important source of drinking water and sustains baseflow for surface water ecosystems. The areal distribution of microorganic (MO) contaminants, particularly non-regulated emerging MOs, in this aquifer is poorly understood. This study presents results from a reconnaissance survey of MOs in Chalk groundwater, including pharmaceuticals, personal care products and pesticides and their transformation products, conducted across the major Chalk aquifers of England and France. Data from a total of 345 sites collected during 2011 were included in this study to provide a representative baseline assessment of MO occurrence in groundwater. A suite of 42 MOs were analysed for at each site including industrial compounds (n = 16), pesticides (n = 14) and pharmaceuticals, personal care and lifestyle products (n = 12). Occurrence data is evaluated in relation to land use, aquifer exposure, well depth and depth to groundwater to provide an understanding of vulnerable groundwater settings. - Highlights: • Broad range of microorganics detected in Chalk groundwater in England and France. • Plasticisers, pesticides, BPA and THM detected at the highest concentrations. • Pesticides higher in outcrop Chalk, caffeine and BPA at concealed sites. • Occurrences show some relationship to land use, borehole depth and water level. - Broad screening reveals for the first time the extent of emerging microorganic pollution in Chalk groundwater sources across England and France

  9. Two families from New England with usher syndrome type IC with distinct haplotypes.

    Science.gov (United States)

    DeAngelis, M M; McGee, T L; Keats, B J; Slim, R; Berson, E L; Dryja, T P

    2001-03-01

    To search for patients with Usher syndrome type IC among those with Usher syndrome type I who reside in New England. Genotype analysis of microsatellite markers closely linked to the USH1C locus was done using the polymerase chain reaction. We compared the haplotype of our patients who were homozygous in the USH1C region with the haplotypes found in previously reported USH1C Acadian families who reside in southwestern Louisiana and from a single family residing in Lebanon. Of 46 unrelated cases of Usher syndrome type I residing in New England, two were homozygous at genetic markers in the USH1C region. Of these, one carried the Acadian USH1C haplotype and had Acadian ancestors (that is, from Nova Scotia) who did not participate in the 1755 migration of Acadians to Louisiana. The second family had a haplotype that proved to be the same as that of a family with USH1C residing in Lebanon. Each of the two families had haplotypes distinct from the other. This is the first report that some patients residing in New England have Usher syndrome type IC. Patients with Usher syndrome type IC can have the Acadian haplotype or the Lebanese haplotype compatible with the idea that at least two independently arising pathogenic mutations have occurred in the yet-to-be identified USH1C gene.

  10. New England's travel and tourism markets: trends in geographic target markets beyond the 90s--the y2k decade

    Science.gov (United States)

    Rodney B. Warnick

    2009-01-01

    The purpose of this paper is to examine the travel and lifestyle activity trends in the years beyond the 1990s--the Y2K decade--for geographic markets of interest to New England travel destinations. The central theme is examining New England's potential primary, secondary, and tertiary geographic markets in detail.

  11. Bacterial tracheitis in Down's syndrome.

    OpenAIRE

    Cant, A J; Gibson, P J; West, R J

    1987-01-01

    Four children with Down's syndrome and bacterial tracheitis are described. In three the infection was due to Haemophilus influenza. In patients with Down's syndrome presenting with stridor tracheitis should be considered and appropriate treatment started.

  12. Down Syndrome and Alzheimer's Disease

    Science.gov (United States)

    ... A A A Share Plus on Google Plus Alzheimer's & Dementia alz.org | IHaveAlz Overview What Is Dementia ... chapter Join our online community Down Syndrome and Alzheimer's Disease As they age, those affected by Down ...

  13. Fate of semi-natural grassland in England between 1960 and 2013: A test of national conservation policy

    Directory of Open Access Journals (Sweden)

    Lucy E. Ridding

    2015-07-01

    Full Text Available It is well documented that significant losses in semi-natural grassland occurred across Europe during the second half of the twentieth century. However, comparatively few studies have investigated and quantified the fate of large numbers of individual grassland areas. This is important for understanding the causes of decline, and consequently establishing new policies to conserve and restore lost habitats. This study addresses this problem; GIS was used to compare historic survey data collected between 1960 and 1981 with two contemporary spatial datasets of habitats in England. The datasets included the Priority Habitats Inventory 2013 and the Land Cover Map 2007 and this was undertaken for different types of semi-natural grassland across England. Considerable decreases occurred across the different grassland types, with a loss of 47% of studied semi-natural grasslands sites in England over 32–53 years. Of this, the majority of grassland was lost to conversion to agriculturally-improved grassland or arable cultivation, 45% and 43% respectively. Changes to woodland and urban areas were also evident, but on a much smaller scale. Sites receiving statutory protection as a Site of Special Scientific Interest were found to have retained more grassland (91%, compared with non-protected sites (27%, thus highlighting the effectiveness of this aspect of current conservation policy in England, and the need for this to continue in the future.

  14. Choice vs. voice? PPI policies and the re‐positioning of the state in England and Wales

    Science.gov (United States)

    Hughes, David; Mullen, Caroline; Vincent‐Jones, Peter

    2009-01-01

    Abstract Context and Thesis  Changing patient and public involvement (PPI) policies in England and Wales are analysed against the background of wider National Health Service (NHS) reforms and regulatory frameworks. We argue that the growing divergence of health policies is accompanied by a re‐positioning of the state vis‐à‐vis PPI, characterized by different mixes of centralized and decentralized regulatory instruments. Method  Analysis of legislation and official documents, and interviews with policy makers. Findings  In England, continued hierarchical control is combined with the delegation of responsibilities for the oversight and organization of PPI to external institutions such as the Care Quality Commission and local involvement networks, in support of the government’s policy agenda of increasing marketization. In Wales, which has rejected market reforms and economic regulation, decentralization is occurring through the use of mixed regulatory approaches and networks suited to the small‐country governance model, and seeks to benefit from the close proximity of central and local actors by creating new forms of engagement while maintaining central steering of service planning. Whereas English PPI policies have emerged in tandem with a pluralistic supply‐side market and combine new institutional arrangements for patient ‘choice’ with other forms of involvement, the Welsh policies focus on ‘voice’ within a largely publicly‐delivered service. Discussion  While the English reforms draw on theories of economic regulation and the experience of independent regulation in the utilities sector, the Welsh model of local service integration has been more influenced by reforms in local government. Such transfers of governance instruments from other public service sectors to the NHS may be problematic. PMID:19754688

  15. The impact of new forms of large-scale general practice provider collaborations on England's NHS: a systematic review.

    Science.gov (United States)

    Pettigrew, Luisa M; Kumpunen, Stephanie; Mays, Nicholas; Rosen, Rebecca; Posaner, Rachel

    2018-03-01

    Over the past decade, collaboration between general practices in England to form new provider networks and large-scale organisations has been driven largely by grassroots action among GPs. However, it is now being increasingly advocated for by national policymakers. Expectations of what scaling up general practice in England will achieve are significant. To review the evidence of the impact of new forms of large-scale general practice provider collaborations in England. Systematic review. Embase, MEDLINE, Health Management Information Consortium, and Social Sciences Citation Index were searched for studies reporting the impact on clinical processes and outcomes, patient experience, workforce satisfaction, or costs of new forms of provider collaborations between general practices in England. A total of 1782 publications were screened. Five studies met the inclusion criteria and four examined the same general practice networks, limiting generalisability. Substantial financial investment was required to establish the networks and the associated interventions that were targeted at four clinical areas. Quality improvements were achieved through standardised processes, incentives at network level, information technology-enabled performance dashboards, and local network management. The fifth study of a large-scale multisite general practice organisation showed that it may be better placed to implement safety and quality processes than conventional practices. However, unintended consequences may arise, such as perceptions of disenfranchisement among staff and reductions in continuity of care. Good-quality evidence of the impacts of scaling up general practice provider organisations in England is scarce. As more general practice collaborations emerge, evaluation of their impacts will be important to understand which work, in which settings, how, and why. © British Journal of General Practice 2018.

  16. Ethics Education in Initial Teacher Education: Pre-Service Provision in England

    Science.gov (United States)

    Walters, Sue; Heilbronn, Ruth; Daly, Caroline

    2018-01-01

    Ethics education exists in most professions internationally, yet is less prevalent in teacher education. This article reports on research exploring how ethics education is provided in university courses of initial teacher education (ITE) in England that was conducted as the second phase of an international survey study which considered the…

  17. Threshold Assessment and Performance Management: Modernizing or Masculinizing Teaching in England?

    Science.gov (United States)

    Mahony, Pat; Hextall, Ian; Menter, Ian

    2004-01-01

    The paper reports on aspects of an ESRC project, "The impact of Performance 'Threshold Assessment' on teachers' work" (ESRC R000239286). The paper begins by explaining the nature and technology of "Threshold Assessment," and its location nationally within the performance management system recently introduced into schools in England. We review the…

  18. Capacity withholding in wholesale electricity markets: The experience in England and Wales

    Science.gov (United States)

    Quinn, James Arnold

    This thesis examines the incentives wholesale electricity generators face to withhold generating capacity from centralized electricity spot markets. The first chapter includes a brief history of electricity industry regulation in England and Wales and in the United States, including a description of key institutional features of England and Wales' restructured electricity market. The first chapter also includes a review of the literature on both bid price manipulation and capacity bid manipulation in centralized electricity markets. The second chapter details a theoretical model of wholesale generator behavior in a single price electricity market. A duopoly model is specified under the assumption that demand is non-stochastic. This model assumes that duopoly generators offer to sell electricity at their marginal cost, but can withhold a continuous segment of their capacity from the market. The Nash equilibrium withholding strategy of this model involves each duopoly generator withholding so that it produces the Cournot equilibrium output. A monopoly model along the lines of the duopoly model is specified and simulated under the assumption that demand is stochastic. The optimal strategy depends on the degree of demand uncertainty. When there is a moderate degree of demand uncertainty, the optimal withholding strategy involves production inefficiencies. When there is a high degree of demand uncertainty, the optimal monopoly quantity is greater than the optimal output level when demand is non-stochastic. The third chapter contains an empirical examination of the behavior of generators in the wholesale electricity market in England and Wales in the early 1990's. The wholesale market in England and Wales is analyzed because the industry structure in the early 1990's created a natural experiment, which is described in this chapter, whereby one of the two dominant generators had no incentive to behave non-competitively. This chapter develops a classification methodology

  19. Identification of myocardial infarction type from electronic hospital data in England and Australia: a comparative data linkage study

    Science.gov (United States)

    Nedkoff, Lee; Lopez, Derrick; Goldacre, Michael; Hobbs, Michael; Wright, F Lucy

    2017-01-01

    Objective To determine the utility of International Classification of Diseases (ICD) codes in investigating trends in ST-segment elevation myocardial infarction (STEMI) and non-ST-segment elevation myocardial infarction (NSTEMI) using person-linked electronic hospitalisation data in England and Western Australia (WA). Methods All hospital admissions with myocardial infarction (MI) as the principal diagnosis were identified from 2000 to 2013 from both jurisdictions. Fourth-digit ICD-10 codes were used to delineate all MI types—STEMI, NSTEMI, unspecified and subsequent MI. The annual frequency of each MI type was calculated as a proportion of all MI admissions. For all MI and each MI type, age-standardised rates were calculated and age-adjusted Poisson regression models used to estimate annual percentage changes in rates. Results In 2000, STEMI accounted for 49% of all MI admissions in England and 59% in WA, decreasing to 35% and 25% respectively by 2013. Less than 10% of admissions were recorded as NSTEMI in England throughout the study period, whereas by 2013, 70% of admissions were NSTEMI in WA. Unspecified MI comprised 60% of all MI admissions in England by 2013, compared with standards in each country. This has important implications for using electronic hospital data for monitoring MI and identifying MI types for outcome studies. PMID:29133337

  20. Honour and Shame in a Church of England Primary School

    Science.gov (United States)

    Wilson, Tom

    2014-01-01

    While students of Islamic societies and cultures are aware of the influence of dynamics of honour and shame on behaviour, these factors are not always recognized by those who engage with Muslims in the UK. This paper will discuss the impact of concerns related to honour and shame on the behaviour of Muslim pupils in a Church of England primary…

  1. Free Air Quality Alerts Help New Englanders Prepare for Summer Smog Season

    Science.gov (United States)

    With the onset of warm summer weather, the USEPA advises New Englanders to be aware of the increased risk of ground-level ozone and fine particle air pollution (when combined, often referred to as smog), & take health precautions when smog levels are high.

  2. Radon baseline monitoring around a potential shale gas development site in Yorkshire, England

    International Nuclear Information System (INIS)

    Daraktchieva, Z.; Wasikiewicz, J. M.; Howarth, C. B.; Bradley, E.J.

    2017-01-01

    The Vale of Pickering in Yorkshire, England has been identified as a potential area for shale gas extraction. Public Health England joined a collaboration led by the British Geological Survey for environmental baseline monitoring near the potential shale gas extraction site following a grant award from UK Government Department for Business, Energy and Industrial Strategy. The analysis of results for the first 6 months of indoor monitoring indicated that the results followed a log-normal distribution. The numbers of homes found to be at or above the Action Level followed the numbers predicted by the radon potential maps. The results from the measurements of outdoor air in this study indicated that the radon concentrations are slightly higher than previously measured but close to the detection limit of the technique. (authors)

  3. The Roxby Downs Indenture

    International Nuclear Information System (INIS)

    Warnick, L.A.

    1983-01-01

    The Roxby Downs Indenture is an agreement between the South Australian Government and the companies proposing development at the Roxby Downs uranium deposit. A detailed analysis of the indenture and its ratifying act is presented. The act is intended to provide authority for aspects of performance by either State or developers and security for developers against inconsistent action by the State and interference by third parties

  4. Childhood cancer incidence and survival in Japan and England: A population-based study (1993-2010).

    Science.gov (United States)

    Nakata, Kayo; Ito, Yuri; Magadi, Winnie; Bonaventure, Audrey; Stiller, Charles A; Katanoda, Kota; Matsuda, Tomohiro; Miyashiro, Isao; Pritchard-Jones, Kathy; Rachet, Bernard

    2018-02-01

    The present study aimed to compare cancer incidence and trends in survival for children diagnosed in Japan and England, using population-based cancer registry data. The analysis was based on 5192 children with cancer (age 0-14 years) from 6 prefectural cancer registries in Japan and 21 295 children diagnosed in England during 1993-2010. Differences in incidence rates between the 2 countries were measured with Poisson regression models. Overall survival was estimated using the Kaplan-Meier method. Incidence rates for Hodgkin lymphoma, renal tumors and Ewing sarcomas in England were more than twice as high as those in Japan. Incidence of germ cell tumors, hepatic tumors, neuroblastoma and acute myeloid leukemia (AML) was higher in Japan than in England. Incidence of all cancers combined decreased in Japan throughout the period 1993 to 2010, which was mainly explained by a decrease in registration of neuroblastoma in infants. For many cancers, 5-year survival improved in both countries. The improvement in survival in chronic myeloid leukemia (CML) was particularly dramatic in both countries. However, 5-year survival remained less than 80% in 2005-2008 in both countries for AML, brain tumors, soft tissue sarcomas, malignant bone tumors and neuroblastoma (age 1-14 years). There were significant differences in incidence of several cancers between countries, suggesting variation in genetic susceptibility and possibly environmental factors. The decrease in incidence for all cancers combined in Japan was related to the cessation of the national screening program for neuroblastoma. The large improvement in survival in CML coincided with the introduction of effective therapy (imatinib). © 2017 The Authors. Cancer Science published by John Wiley & Sons Australia, Ltd on behalf of Japanese Cancer Association.

  5. Financing of the National Churches in the Nordic Countries, England and Scotland

    DEFF Research Database (Denmark)

    Kjems, Sidsel; Bille, Trine

    This article analyses the financing of seven national churches in a large comparative study. The national churches in the Nordic countries and in England and Scotland are compared. They have many similarities in terms of history, intertwinement with the state, type and level of religiosity...... of the population, public role and public responsibilities, but the level of financing differs greatly. The purpose of the article is to discuss possible explanations for the differences in the level of financing. Adjusting for cost of public service tasks and for GDP leaves a large difference in financing among...... the seven national churches. We suggest that the source of finance is a determinant factor for the level of finance of national churches. Comparing the sources and level of financing of seven national churches in the Nordic countries, England and Scotland shows that financing by a taxation right yields...

  6. Summary Characteristics from Ethnographic Interviews of New England Groundfish Fishermen on Adaptation and Transition

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Database of fisherman and vessel characteristics selected from ethnographic interviews of New England groundfish fishermen on adaptation and transition.

  7. Steps being taken to resolve questions on natural gas use for power generation in the New England region

    International Nuclear Information System (INIS)

    Gulick, C.

    1995-01-01

    Steps being taken to resolve questions on natural gas use for power generation in the New England Region are outlined. The following topics are discussed: bridging the gap, gas/electric discussion group, energy consumption by fuel, NEPOOL energy mix forecast, the players and their needs, pipelines serving New England, evaluation of pipeline reliability, industry survey, summary of survey conclusions, communications, operational differences, recommended red alert information sequence, handling a crisis, and major accomplishments to date

  8. An outbreak of Salmonella dublin infection in England and Wales associated with a soft unpasteurized cows' milk cheese.

    OpenAIRE

    Maguire, H.; Cowden, J.; Jacob, M.; Rowe, B.; Roberts, D.; Bruce, J.; Mitchell, E.

    1992-01-01

    An outbreak of Salmonella dublin infection occurred in England and Wales in October to December 1989. Forty-two people were affected, mainly adults, and most lived in south-east England. Microbiological and epidemiological investigations implicated an imported Irish soft unpasteurized cows' milk cheese as the vehicle of infection. A case-control study showed a statistically significant association between infection and consumption of the suspect cheese (p = 0.001). Salmonella dublin was subse...

  9. Genetic variation in populations of Culicoides variipennis complex in the six New England states, U.S.A.

    Science.gov (United States)

    Holbrook, F R; Tabachnick, W J; Brady, R

    1996-04-01

    We investigated the identity and distribution of members of the Culicoides variipennis complex in the six New England states of the U.S.A., a region where bluetongue transmission has not been detected. Analyses of seven polymorphic isozyme-encoding loci showed that only C.v.variipennis, not considered to be a vector of the bluetongue viruses, was present. The populations of C.v.variipennis were significantly more hetero-zygous than C.v.sonorensis and C.v.occidentalis populations from similar studies in the state of California. Estimates of genetic diversity among populations of C.v.variipennis in New England were similar to C.v.sonorensis in the state of Colorado, but were significantly more genetically divergent than California populations of C.v.occidentalis. The impact of these findings on the status of New England as a possible bluetongue-free region for the purpose of international trade in ruminant livestock and their germplasm is discussed.

  10. The Evaluation of a Personal Narrative Language Intervention for School-Age Children with Down Syndrome

    Science.gov (United States)

    Finestack, Lizbeth; O'Brien, Katy H.; Hyppa-Martin, Jolene; Lyrek, Kristen A.

    2017-01-01

    The purpose of this study was to evaluate the feasibility of an intervention focused on improving personal narrative skills of school-age children with Down syndrome (DS) using an approach involving visual supports. Four females with DS, ages 10 through 15 years, participated in this multiple baseline across participants single-subject…

  11. RI State Profile. Rhode Island: New England Common Assessments Program (NCAP)

    Science.gov (United States)

    Center on Education Policy, 2010

    2010-01-01

    This paper provides information about Rhode Island's New England Common Assessments Program (NCAP), a comprehensive test. Its purpose is to measure each student's overall proficiency for graduation in the six core academic areas. In 2008, the Board of Regents in Rhode Island established new regulations for high school diplomas. Beginning with the…

  12. Fatal methadone and heroin overdoses : Time trends in England and Wales

    NARCIS (Netherlands)

    Neeleman, J; Farrell, M

    Study objective-Although the total number of self poisonings in England and Wales has dropped by 32%, the number involving methadone and/or heroin rose by 900% in 1974-92. Because of concern about the role of methadone in this increase, the part played by methadone and heroin in poisoning deaths in

  13. Opposing effects of expectancy and somatic focus on pain.

    Directory of Open Access Journals (Sweden)

    Natalie E Johnston

    Full Text Available High-pain expectancy increases pain and pain-related brain activity, creating a cycle of psychologically maintained pain. Though these effects are robust, little is known about how expectancy works and what psychological processes either support or mitigate its effects. To address this, we independently manipulated pain expectancy and "top-down" attention to the body, and examined their effects on both a performance-based measure of body-focus and heat-induced pain. Multi-level mediation analyses showed that high-pain expectancy substantially increased pain, replicating previous work. However, attention to the body reduced pain, partially suppressing the effects of expectancy. Furthermore, increased body-focus had larger pain-reducing effects when pain expectancy was high, suggesting that attempts to focus on external distractors are counterproductive in this situation. Overall, the results show that attention to the body cannot explain pain-enhancing expectancy effects, and that focusing on sensory/discriminative aspects of pain might be a useful pain-regulation strategy when severe pain is expected.

  14. Origins of modern economic system: England or Holland

    Directory of Open Access Journals (Sweden)

    Rozinskaya Natalia, A.

    2015-06-01

    Full Text Available This paper, following the approach of the Dutch scholars de Vries and vab der Woude, claims that the Netherlands, rather than England (as it is generally assumed, were the first country, which performed the transition from the traditional society to modern one. Identification of criteria distinguishing traditional and modern societies follows the works of W. Rostow, S. Kuznets and other authors who studied the issue. In order to prove the thesis, author compares urbanization level in Holland and in England, as well as degree of commercialization of those economies, and considers the process of commercial and productive specialization in the United Provinces. Besides that, the formation of modern-type institutional system in Holland is analyzed: the genesis of the markets of factors of production, development of monetary and credit systems and of institutional and technological basis of the industry, strengthening of competitive forces in the economy. Land ownership structure in Holland is considered and its role in genesis of the markets of factors of production. Attention is paid to technological basis of the industry, examined is the impact of immigration. It concludes that the Netherlands were the first country where modern economic growth, as defined by S. Kuznets, started. It was Holland where for the first time the markets of factors of production were formed and, what is particularly important, the industry began to operate on a competitive basis.

  15. Rates of surgery for frozen shoulder: an experience in England.

    Science.gov (United States)

    Kwaees, Tariq A; Charalambous, Charalambos P

    2015-01-01

    the aim of this study was to identify the incidence of surgical treatment for frozen shoulder in a western population. patients included in this study all resided within a well-defined area in the North West of England, all had surgery for frozen shoulder over a 3-year period and were identified from theatre logbooks of two local hospitals. Cases having surgery for shoulder stiffness other than frozen shoulder were excluded. Local and national population size estimates were based on data obtained from the UK Office for National Statistics. 117 patients underwent surgery for frozen shoulder during the period examined; of these 101 had arthroscopic arthrolysis and 16 had manipulation under anaesthesia. The overall incidence of frozen shoulder surgery was calculated at 2.67 procedures per 10,000 general population per year, and at 7.55 for those aged 40-60. surgical intervention for frozen shoulder is common, estimated at over 14,180 cases per year in England. Given the variation in costs associated with arthroscopic arthrolysis and manipulation under anaesthesia, comparative studies of the cost effectiveness of the two procedures would be of great value. 2C (outcome research).

  16. Handbook for inventorying downed woody material

    Science.gov (United States)

    James K. Brown

    1974-01-01

    To facilitate debris management, procedures for inventorying downed woody material are presented. Instructions show how to estimate weights and volumes of downed woody material, fuel depth, and duff depth. Using the planar intersect technique, downed material is inventoried by 0- to 0.25-inch, 0.25- to 1-inch, and 1- to 3-inch diameter classes; and by 1-inch classes...

  17. Herbarium specimens show patterns of fruiting phenology in native and invasive plant species across New England.

    Science.gov (United States)

    Gallinat, Amanda S; Russo, Luca; Melaas, Eli K; Willis, Charles G; Primack, Richard B

    2018-01-01

    Patterns of fruiting phenology in temperate ecosystems are poorly understood, despite the ecological importance of fruiting for animal nutrition and seed dispersal. Herbarium specimens represent an under-utilized resource for investigating geographical and climatic factors affecting fruiting times within species, patterns in fruiting times among species, and differences between native and non-native invasive species. We examined over 15,000 herbarium specimens, collected and housed across New England, and found 3159 specimens with ripe fruits, collected from 1849-2013. We examined patterns in fruiting phenology among 37 native and 18 invasive woody plant species common to New England. We compared fruiting dates between native and invasive species, and analyzed how fruiting phenology varies with temperature, space, and time. Spring temperature and year explained a small but significant amount of the variation in fruiting dates. Accounting for the moderate phylogenetic signal in fruiting phenology, invasive species fruited 26 days later on average than native species, with significantly greater standard deviations. Herbarium specimens can be used to detect patterns in fruiting times among species. However, the amount of intraspecific variation in fruiting times explained by temporal, geographic, and climatic predictors is small, due to a combination of low temporal resolution of fruiting specimens and the protracted nature of fruiting. Later fruiting times in invasive species, combined with delays in autumn bird migrations in New England, may increase the likelihood that migratory birds will consume and disperse invasive seeds in New England later into the year. © 2018 Botanical Society of America.

  18. Top-Down Beta Enhances Bottom-Up Gamma.

    Science.gov (United States)

    Richter, Craig G; Thompson, William H; Bosman, Conrado A; Fries, Pascal

    2017-07-12

    Several recent studies have demonstrated that the bottom-up signaling of a visual stimulus is subserved by interareal gamma-band synchronization, whereas top-down influences are mediated by alpha-beta band synchronization. These processes may implement top-down control of stimulus processing if top-down and bottom-up mediating rhythms are coupled via cross-frequency interaction. To test this possibility, we investigated Granger-causal influences among awake macaque primary visual area V1, higher visual area V4, and parietal control area 7a during attentional task performance. Top-down 7a-to-V1 beta-band influences enhanced visually driven V1-to-V4 gamma-band influences. This enhancement was spatially specific and largest when beta-band activity preceded gamma-band activity by ∼0.1 s, suggesting a causal effect of top-down processes on bottom-up processes. We propose that this cross-frequency interaction mechanistically subserves the attentional control of stimulus selection. SIGNIFICANCE STATEMENT Contemporary research indicates that the alpha-beta frequency band underlies top-down control, whereas the gamma-band mediates bottom-up stimulus processing. This arrangement inspires an attractive hypothesis, which posits that top-down beta-band influences directly modulate bottom-up gamma band influences via cross-frequency interaction. We evaluate this hypothesis determining that beta-band top-down influences from parietal area 7a to visual area V1 are correlated with bottom-up gamma frequency influences from V1 to area V4, in a spatially specific manner, and that this correlation is maximal when top-down activity precedes bottom-up activity. These results show that for top-down processes such as spatial attention, elevated top-down beta-band influences directly enhance feedforward stimulus-induced gamma-band processing, leading to enhancement of the selected stimulus. Copyright © 2017 Richter, Thompson et al.

  19. The Black diaspora and health inequalities in the US and England: does where you go and how you get there make a difference?

    Science.gov (United States)

    Nazroo, James; Jackson, James; Karlsen, Saffron; Torres, Myriam

    2007-09-01

    The relatively poor health of Black American people in the US and Black Caribbean people in England is a consistent finding in the health inequalities literature. Indeed, there are many similarities between the health, social, economic and demographic profiles of these two groups. However, there is evidence that Caribbean people in the US are faring considerably better. This paper explores differences in the social and economic position of Black American, Black Caribbean and white people in the US and Black Caribbean and white people in England, how these relate to ethnic inequalities in health, and may be underpinned by differences in patterns and contexts of migration. We use similar surveys from the US and England to explore these questions. The US data were drawn from the National Survey of American Life and the English data were drawn from the Health Survey for England and a follow up study. Findings show the advantaged health position of Caribbean American people in comparison with both Caribbean people in England and Black American people. Multivariate analyses indicate that these differences, and the differences in health between Black and white people in the two countries, are a consequence of social and economic inequalities.

  20. Prices, Wages and Fertility in Pre-Industrial England

    DEFF Research Database (Denmark)

    Klemp, Marc

    A two-sector Malthusian model is formulated in terms of a cointegrated vector autoregressive (CVAR) model on error correction form. The model allows for both agricultural product wages and relative prices to affect fertility. The model is estimated using new data for the pre-industrial period...... in England, and the analysis reveals a strong, positive effect of agricultural wages as well as a small and, surprisingly, positive effect of real agricultural prices on fertility. Furthermore, it is demonstrated that there is constant returns to scale with respect to labour in the manufacturing sector...

  1. Prices, wages and fertility in pre-industrial England

    DEFF Research Database (Denmark)

    Klemp, Marc Patrick Brag

    2012-01-01

    and relative prices to affect fertility. The model is estimated using new data for the pre-industrial period in England, and the analysis reveals a strong, positive effect of agricultural wages as well as a nonnegative effect of real agricultural prices on fertility. Furthermore, it is demonstrated......To shed light on the economic-demographic mechanisms operating in the epoch of pre-industrial economic stagnation, a two-sector Malthusian model is formulated in terms of a cointegrated vector autoregressive model on error correction form. The model allows for both agricultural product wages...

  2. Molybdenum distributions and variability in drinking water from England and Wales.

    Science.gov (United States)

    Smedley, P L; Cooper, D M; Lapworth, D J

    2014-10-01

    An investigation has been carried out of molybdenum in drinking water from a selection of public supply sources and domestic taps across England and Wales. This was to assess concentrations in relation to the World Health Organization (WHO) health-based value for Mo in drinking water of 70 μg/l and the decision to remove the element from the list of formal guideline values. Samples of treated drinking water from 12 water supply works were monitored up to four times over an 18-month period, and 24 domestic taps were sampled from three of their supply areas. Significant (p  0.05) were detected. Tap water samples collected from three towns (North Wales, the English Midlands, and South East England) supplied uniquely by upland reservoir water, river water, and Chalk groundwater, respectively, also showed a remarkable uniformity in Mo concentrations at each location. Within each, the variability was very small between houses (old and new), between pre-flush and post-flush samples, and between the tap water and respective source water samples. The results indicate that water distribution pipework has a negligible effect on supplied tap water Mo concentrations. The findings contrast with those for Cu, Zn, Ni, Pb, and Cd, which showed significant differences (p water samples. In two pre-flush samples, concentrations of Ni or Pb were above drinking water limits, although in all cases, post-flush waters were compliant. The high concentrations, most likely derived from metal pipework in the domestic distribution system, accumulated during overnight stagnation. The concentrations of Mo observed in British drinking water, in all cases less than 2 μg/l, were more than an order of magnitude below the WHO health-based value and suggest that Mo is unlikely to pose a significant health or water supply problem in England and Wales.

  3. Estimation of Total Nitrogen and Phosphorus in New England Streams Using Spatially Referenced Regression Models

    Science.gov (United States)

    Moore, Richard Bridge; Johnston, Craig M.; Robinson, Keith W.; Deacon, Jeffrey R.

    2004-01-01

    The U.S. Geological Survey (USGS), in cooperation with the U.S. Environmental Protection Agency (USEPA) and the New England Interstate Water Pollution Control Commission (NEIWPCC), has developed a water-quality model, called SPARROW (Spatially Referenced Regressions on Watershed Attributes), to assist in regional total maximum daily load (TMDL) and nutrient-criteria activities in New England. SPARROW is a spatially detailed, statistical model that uses regression equations to relate total nitrogen and phosphorus (nutrient) stream loads to nutrient sources and watershed characteristics. The statistical relations in these equations are then used to predict nutrient loads in unmonitored streams. The New England SPARROW models are built using a hydrologic network of 42,000 stream reaches and associated watersheds. Watershed boundaries are defined for each stream reach in the network through the use of a digital elevation model and existing digitized watershed divides. Nutrient source data is from permitted wastewater discharge data from USEPA's Permit Compliance System (PCS), various land-use sources, and atmospheric deposition. Physical watershed characteristics include drainage area, land use, streamflow, time-of-travel, stream density, percent wetlands, slope of the land surface, and soil permeability. The New England SPARROW models for total nitrogen and total phosphorus have R-squared values of 0.95 and 0.94, with mean square errors of 0.16 and 0.23, respectively. Variables that were statistically significant in the total nitrogen model include permitted municipal-wastewater discharges, atmospheric deposition, agricultural area, and developed land area. Total nitrogen stream-loss rates were significant only in streams with average annual flows less than or equal to 2.83 cubic meters per second. In streams larger than this, there is nondetectable in-stream loss of annual total nitrogen in New England. Variables that were statistically significant in the total

  4. Growth and stocking of eastern hemlock (Tsuga canadensis) in New England

    Science.gov (United States)

    Dale S. Solomon; William B. Leak

    2000-01-01

    Summarization of the limited growth information in mixed-species stands in New England indicates that eastern hemlock (Tsuga canadensis) may be one of the fastest growing species in diameter, second only to white pine. However, on some sites hemlock diameter growth is about equal to that of associated hardwoods. Hemlock grows slowly in height and...

  5. Perceptions Audit for the General Teaching Council for England. Technical Report

    Science.gov (United States)

    Levitt, Ruth; Rabinovich, Lila; van Dijk, Lidia Villalba

    2009-01-01

    The General Teaching Council for England (GTC) commissioned RAND Europe in 2008 to undertake a perceptions audit, to take the temperature on its current status and to inform its future work with teachers, organisational partners and the wider public. A perceptions audit is a method for gathering opinions and views of selected informants about how…

  6. British Asian Women and the Costs of Higher Education in England

    Science.gov (United States)

    Bhopal, Kalwant

    2016-01-01

    This article will examine Asian women's experiences of financial support in higher education. The article is based on 30 in-depth interviews with Asian women who were studying at a "new" (post-1992) university in the South East of England. Women identified themselves as Muslim, Hindu and Sikh. The findings reveal that women's religious…

  7. Euthanasia: a summary of the law in England and Wales.

    Science.gov (United States)

    Simillis, Constantinos

    2008-07-01

    When medical treatment becomes futile, or the patient's suffering is intractable, doctors face the agonising dilemma of whether to proceed with euthanasia. It is important for a doctor to be familiar with the law surrounding euthanasia, in order to avoid prosecution. This paper explores the law in England and Wales regarding the different categories of euthanasia: voluntary euthanasia, nonvoluntary euthanasia, passive euthanasia, and active euthanasia.

  8. Knowledge, attitudes and beliefs towards e-cigarettes among e-cigarette users and stop smoking advisors in South East England: a qualitative study.

    Science.gov (United States)

    Tamimi, Nancy

    2018-03-01

    Aim To explore how e-cigarettes are perceived by a group of e-cigarette users and a group of Stop Smoking Advisors (SSAs), what are the risks and benefits they associate with e-cigarettes and how do these understandings shape participants' attitude towards e-cigarettes? Face-to-face and phone interviews were conducted with 15 e-cigarette users and 13 SSAs in South East England between 2014 and 2015. Transcribed data were analysed inductively through thematic analysis. Findings E-cigarettes were used as a therapeutic aid to stop or cut down smoking and as a smoking substitute. A prominent theme is the uncertainty e-cigarettes have generated. This included ambiguity of e-cigarettes' status and efficacy, and ambiguity of e-cigarettes' physical and social risks. Different attitudes towards e-cigarettes were identified. E-cigarettes' benefits and risks should be continuously evaluated, put into perspective and circulated to avoid ambiguity. Stop smoking services need to recognise the benefits that can be gained by using e-cigarettes as a harm reduction tool.

  9. The emergence and development of a spoken standard in England (1400-1926)

    DEFF Research Database (Denmark)

    Nielsen, Hans Frede

    2017-01-01

    The beginnings of a spoken standard in England go back to late Middle English and early Modern English times, where southern speech and especially the idiom of the Court, London and the Home Counties acquired prestige beyond that of other regional dialects. With the increasing stabilization...

  10. Understanding Linear Function: A Comparison of Selected Textbooks from England and Shanghai

    Science.gov (United States)

    Wang, Yuqian; Barmby, Patrick; Bolden, David

    2017-01-01

    This study describes a comparison of how worked examples in selected textbooks from England and Shanghai presented possible learning trajectories towards understanding linear function. Six selected English textbooks and one Shanghai compulsory textbook were analysed with regards to the understanding required for pure mathematics knowledge in…

  11. Research Article ( New England Journal of Medicine ) A trial of a 7 ...

    African Journals Online (AJOL)

    Research Article (New England Journal of Medicine) A trial of a 7-valent pneumococcal conjugate vaccine in HIV-infected adults. Neil French, Stephen B. Gordon, Thandie Mwalukomo, Sarah A. White, Gershom Mwafulirwa, Herbert Longwe, Martin Mwaiponya, Eduard E. Zijlstra, Malcolm E. Molyneux, Charles F. Gilks ...

  12. The Impact of the Free Swimming Programme in a Local Community in the South East of England: Giving with One Hand, Taking Away with the Other

    Directory of Open Access Journals (Sweden)

    Themis Kokolakakis

    2015-04-01

    Full Text Available The purpose of this study is to examine the impact of the introduction of the Free Swimming Programme (FSP in a local community (not identified to preserve anonymity in the South East of England. The question has been approached in a variety of ways: by using primary quantitative data from leisure centres and logistic regressions based on the Active People Survey (APS. Problems are identified related to the introduction of the FSP in this community and suggestions are made for future policy. A brief examination of swimming participation in England enables researchers to place this community into a national context. The problems and policies of sport organisation developed in this community are not dissimilar to a more general application reflecting the English experience; in this sense it is anticipated that the findings will enable managers of sport organisations, along with public health policy makers, to focus more effectively on raising sport participation. The unique selling points of this article are the examination of FSP for adult participants, the local analysis of junior and senior participation, and the overall assessment of the policy based on APS.

  13. Keeping the focus on children: the challenges of safeguarding children affected by domestic abuse.

    Science.gov (United States)

    Peckover, Sue; Trotter, Fiona

    2015-07-01

    Safeguarding children affected by domestic abuse is a key responsibility for all professionals working with children and families, but can be difficult to achieve in practice. Despite a policy emphasis on early intervention and child-centred work, limited attention has been paid to how professionals in universal and additional support services address this important area of work. This paper reports findings from qualitative research undertaken in one local authority area in the north of England during 2011 which examines the challenges facing professionals in safeguarding children affected by domestic abuse. Six mixed professional focus groups were held, attended by a total of 23 participants. Discussion focused upon participants' awareness of domestic abuse, how they assessed and met children and young peoples' needs, and their views about service provision and safeguarding processes. Data were transcribed and thematic analysis undertaken. The themes presented in this paper--embodied recognition, someone else's job, service gaps, skills deficits, and focusing upon children and young people--illustrate the scope and limitations of professionals' work with children and young people affected by domestic abuse. Areas for practice improvement are discussed. © 2014 John Wiley & Sons Ltd.

  14. Chemical Methods to Knock Down the Amyloid Proteins

    Directory of Open Access Journals (Sweden)

    Na Gao

    2017-06-01

    Full Text Available Amyloid proteins are closely related with amyloid diseases and do tremendous harm to human health. However, there is still a lack of effective strategies to treat these amyloid diseases, so it is important to develop novel methods. Accelerating the clearance of amyloid proteins is a favorable method for amyloid disease treatment. Recently, chemical methods for protein reduction have been developed and have attracted much attention. In this review, we focus on the latest progress of chemical methods that knock down amyloid proteins, including the proteolysis-targeting chimera (PROTAC strategy, the “recognition-cleavage” strategy, the chaperone-mediated autophagy (CMA strategy, the selectively light-activatable organic and inorganic molecules strategy and other chemical strategies.

  15. Airbreathing Hypersonic Systems Focus at NASA Langley Research Center

    Science.gov (United States)

    Hunt, James L.; Rausch, Vincent L.

    1998-01-01

    This paper presents the status of the airbreathing hypersonic airplane and space-access vehicle design matrix, reflects on the synergies and issues, and indicates the thrust of the effort to resolve the design matrix and to focus/advance systems technology maturation. Priority is given to the design of the vision operational vehicles followed by flow-down requirements to flight demonstrator vehicles and their design for eventual consideration in the Future-X Program.

  16. Evidence for an apartheid-like social structure in early Anglo-Saxon England.

    Science.gov (United States)

    Thomas, Mark G; Stumpf, Michael P H; Härke, Heinrich

    2006-10-22

    The role of migration in the Anglo-Saxon transition in England remains controversial. Archaeological and historical evidence is inconclusive, but current estimates of the contribution of migrants to the English population range from less than 10000 to as many as 200000. In contrast, recent studies based on Y-chromosome variation posit a considerably higher contribution to the modern English gene pool (50-100%). Historical evidence suggests that following the Anglo-Saxon transition, people of indigenous ethnicity were at an economic and legal disadvantage compared to those having Anglo-Saxon ethnicity. It is likely that such a disadvantage would lead to differential reproductive success. We examine the effect of differential reproductive success, coupled with limited intermarriage between distinct ethnic groups, on the spread of genetic variants. Computer simulations indicate that a social structure limiting intermarriage between indigenous Britons and an initially small Anglo-Saxon immigrant population provide a plausible explanation of the high degree of Continental male-line ancestry in England.

  17. Options for the management of Chernobyl-restricted areas in England and Wales

    International Nuclear Information System (INIS)

    Nisbet, A.; Woodman, R.

    1999-01-01

    Areas in England and Wales are still subject to restrictions on tile movement, sale and slaughter of sheep because concentrations of radiocaesium in sheep meat may exceed the 1000 Bq kg -1 limit imposed after the Chernobyl nuclear power plant accident. Various monitoring programmes have been implemented to enable lamb production to be sustained in these restricted areas, although no alternative management strategies have been considered to date. Current management practices have been reviewed and costed. An assessment has also been undertaken to establish the practicability and cost effectiveness of five alternative management options. The practicability of each option, which encompasses technical feasibility, capacity, cost, impact and acceptability, was assessed through a series of case studies carried out on farms in the restricted area of north Wales, and through consultation with a range of organisations with interests in farming and/or the environment. Recommendations are made for the future management of the restricted areas in England and Wales. (author)

  18. HPV primary cervical screening in England: Women's awareness and attitudes.

    Science.gov (United States)

    Patel, Hersha; Moss, Esther L; Sherman, Susan M

    2018-03-09

    Primary human papillomavirus (HPV) cervical screening is due to be implemented in England within the next 2 years; however, the acceptability of HPV testing as the primary screening test is unclear. This study explores women's awareness and attitudes toward HPV testing/screening. Qualitative interviews (semistructured and focus group) were conducted with 46 women (aged 25-65 years) from community and secondary care settings. Data were analyzed by using the inductive-framework method. Women were unaware that cervical screening currently includes HPV testing and lacked HPV-related knowledge. Emotions of shock, fear, and anxiety were reported upon receiving a positive HPV result. For women in long-term relationships, the realization that HPV is a sexually transmitted infection was seen as a barrier to primary HPV testing. Knowledge that HPV testing is a screening test to prevent cervical cancer did not change their attitudes. Women debated the need for continued screening following a negative result. Women feared judgment by the community if they participated with primary HPV screening because they were being tested for a sexually transmitted infection, with the possible attendant perception that they had adopted a high-risk lifestyle in comparison to nonattenders. The acceptability of HPV testing may be a limiting factor in encouraging participation with screening in the future. Copyright © 2018 John Wiley & Sons, Ltd.

  19. An Analysis of the Role and Responsibilities of Chairs of Further Education College and Sixth-Form College Governing Bodies in England

    Science.gov (United States)

    Hill, Ron; James, Chris

    2017-01-01

    This article reports research into the role and responsibilities of the chairs of governing bodies of further education colleges and sixth-form colleges in England. Further education colleges and sixth-form colleges represent a significant part of post-16 educational provision in England. Every college in the sector has a governing body, which has…

  20. Community pharmacy minor ailment services in England: Pharmacy stakeholder perspectives on the factors affecting sustainability.

    Science.gov (United States)

    Nazar, Hamde; Nazar, Zachariah

    2018-05-14

    Self-care advice and management of minor ailments have long been provided in community pharmacies across England. However, formal pharmacy minor ailment service provision is geographically variable and has yet to gain recognition and political support as a valued sustainable service for nationwide adoption and commissioning. To investigate the sustainability potential of pharmacy minor ailment services from the perspective of community pharmacy stakeholders within the North East of England. A mixed methods approach was adopted to survey and interview stakeholders from the North East of England who commission; provide; and/or represent groups influencing the design, delivery and investment in community pharmacy clinical and public health services. The 40-item Programme Sustainability Assessment Tool, a validated instrument to assess a public health programme's capacity for sustainability across eight domains, was administered to fifty-three stakeholders, identified from a pharmacy minor ailments showcase event. The same stakeholders were invited for a semi-structured interview to explore issues further. Interviews were audio-recorded, transcribed verbatim, and underwent framework analysis. Forty-two (79.2% response rate) stakeholders representing commissioning, provider and influencing (e.g. Local Professional Network) organisations completed the assessment tool. Pharmacy minor ailment services were rated as unsustainable across the majority of the domains. Elements within the domain 'Partnerships' demonstrated potential for sustainability. Stakeholder interviews provided detailed explanation for the low scoring sustainability domains, highlighting the multifaceted challenges threatening these services. The Programme Sustainability Assessment Tool allowed stakeholders to evaluate the potential of pharmacy minor ailment services in England. Follow-up interviews highlighted that initial design and implementation of services was poorly conceived and lacked evidence

  1. Will Raising the Participation Age in England Solve the NEET Problem?

    Science.gov (United States)

    Maguire, Sue

    2013-01-01

    This paper considers the rationale for introducing the raising of the participation age (RPA) in learning in England from 2013 and assesses how, if fully implemented, it could contribute to improving the outcomes for young people who do not participate in any form of post-16 education, employment or training, and are currently defined as not in…

  2. The New England travel market: generational travel patterns, 1979 to 1996

    Science.gov (United States)

    Rod Warnick

    2002-01-01

    Generations of travelers who select New England as a primary destination are examined over time from the years of 1979 through 1996 and the analysis serves to update an earlier review of generational travel patterns of the region (Warnick, 1994). Changes in travel patterns are noted by overall adjusted annual change rates by demographic and geographic regions of...

  3. The Common Good and Citizenship Education in England: A Moral Enterprise?

    Science.gov (United States)

    Peterson, Andrew

    2011-01-01

    The notion of the common good has been cited as a key constituent of citizenship education in England, within which the development of a concern for the common good represents a key disposition. The term has, however, received little critical attention to date within the discourse of the subject, either in terms of its theoretical basis or its…

  4. Every Parent Matters: Reflections from England upon New Labour's Parent Policy

    Science.gov (United States)

    Gibson, Howard; Simon, Catherine A.

    2010-01-01

    In England, until May 2010, the New Labour party had been in power for thirteen years. This paper is a reflection back upon its period in office and its strident policies on parents and families. It questions its stance on parental "voice and choice," looks at issues of trust and contract, and considers the idea of "parent…

  5. Synthesis of focusing-and-deflection columns

    International Nuclear Information System (INIS)

    Szilagyi, M.; Mui, P.H.

    1995-01-01

    Szilagyi and Szep have demonstrated that focusing lenses of high performances can be constructed from a column of circular plate electrodes. Later, Szilagyi modified that system to include dipole, quadrupole, and octupole components by partitioning each plate into eight equal sectors. It has already been shown that the additional quadrupole components can indeed bring about substantial improvements in the focusing of charged particle beams. In this article, that design procedure is expanded to construct columns capable of both focusing and deflecting particle beams by just introducing additional dipole components. In this new design, the geometry of the system remains unchanged. The only extra complication is the demand for more individual controls of the sector voltages. Two sample designs, one for negative ions and one for electrons, are presented showing that in both cases a ±2.3 mrad diverging beam can be focused down to a spot of less than 50 nm in radius over a scanning circular area of radius 0.25 mm. The details of the two systems are given in Sec. IV along with the source conditions. The performance of the negative ion system is found to be comparable to the published data. For the relativistic electron system, the interaction of individual components to reduce various aberrations is investigated. copyright 1995 American Vacuum Society

  6. The traditional commons of England and Wales in the twenty-first century: meeting new and old challenges

    Directory of Open Access Journals (Sweden)

    Chris Short

    2008-07-01

    Full Text Available The commons literature makes much of the changes within the traditional land use sectors of developed countries. This largely focuses on the decline of the economic function of commons that threaten their existence, the emergence of multiple use patterns, and the resilience and policy adaptation needed to continue. The situation in England and Wales is used to illustrate that commons are increasingly important to a number of ‘new’ rural functions and that the associated policy developments may hold an important message for progress towards sustainable multifunctional land management more generally. This article reviews and updates what is meant by the term common land within England and Wales, while outlining its current importance and threats. The commons literature is investigated to see if the approach is useful in revealing the current issues associated with the incorporation of new stakeholders and functions within a traditional structure. Recent changes and developments surrounding the Commons Act 2006 are assessed to see if they are likely to assist in sustaining these commons through the twenty-first century. The article argues that any new approach requires long term planning and a commitment to support local participation among commoners and others who are involved in the governance and management of these areas of land. In order for these challenges to be met there needs to be an understanding of the functions and cultural traditions of common land as well as of the changes in society associated with the decline in traditional agrarian management in developed countries. Such challenges can rarely if ever be achieved through legislation and policy developments, requiring an investment in developing locally based solutions.

  7. Study of Movement Speeds Down Stairs

    CERN Document Server

    Hoskins, Bryan L

    2013-01-01

    The Study of Movement Speeds Down Stairs closely examines forty-three unique case studies on movement patterns down stairwells. These studies include observations made during evacuation drills, others made during normal usage, interviews with people after fire evacuations, recommendations made from compiled studies, and detailed results from laboratory studies. The methodology used in each study for calculating density and movement speed, when known, are also presented, and this book identifies an additional seventeen variables linked to altering movement speeds. The Study of Movement Speeds Down Stairs is intended for researchers as a reference guide for evaluating pedestrian evacuation dynamics down stairwells. Practitioners working in a related field may also find this book invaluable.

  8. Implicit theories concerning the intelligence of individuals with Down syndrome.

    Directory of Open Access Journals (Sweden)

    Claire Enea-Drapeau

    Full Text Available Studies over the past three decades have shown that learning difficulties are not only determined by neurological disorders, but also by motivational and/or socio-cognitive factors Among these factors, implicit theories of intelligence (also referred to as conceptions, mindsets or beliefs about intelligence are key elements. The belief that intelligence is fixed (entity theory, as opposed to malleable (incremental theory, is generally associated with negative teaching practices and poorer student outcomes, yet beliefs about the intelligence of individuals with intellectual disabilities have not received much attention. We propose the first study on conceptions of intelligence of persons with intellectual disabilities, here people with Down syndrome. Participants were 55 professionally qualified people working with individuals with intellectual disabilities and 81 adults from the community. We compared what both groups of participants believe about intelligence of typical people and what they believe about the intelligence of individuals with Down syndrome. We also investigated implicit theories of intelligence as predictors of explicit judgments about intelligence and implicit attitudes toward people with Down syndrome. Whatever the work experience in the field of intellectual disability, implicit theories of intelligence were found to be less incremental when considering people with Down syndrome than when considering typical people; and the stronger the belief in entity theory, the more negative (and less positive the judgments expressed explicitly. Implicit theories of intelligence were also found to be predictors of negative implicit attitude but only in adults from the community. These findings offer prospects for improving practices by people working in the field of intellectual disability. They might interest a wide range of people caring for people with intellectual disabilities, such as teachers, but also other professional caregivers

  9. Implicit theories concerning the intelligence of individuals with Down syndrome.

    Science.gov (United States)

    Enea-Drapeau, Claire; Carlier, Michèle; Huguet, Pascal

    2017-01-01

    Studies over the past three decades have shown that learning difficulties are not only determined by neurological disorders, but also by motivational and/or socio-cognitive factors Among these factors, implicit theories of intelligence (also referred to as conceptions, mindsets or beliefs about intelligence) are key elements. The belief that intelligence is fixed (entity theory), as opposed to malleable (incremental theory), is generally associated with negative teaching practices and poorer student outcomes, yet beliefs about the intelligence of individuals with intellectual disabilities have not received much attention. We propose the first study on conceptions of intelligence of persons with intellectual disabilities, here people with Down syndrome. Participants were 55 professionally qualified people working with individuals with intellectual disabilities and 81 adults from the community. We compared what both groups of participants believe about intelligence of typical people and what they believe about the intelligence of individuals with Down syndrome. We also investigated implicit theories of intelligence as predictors of explicit judgments about intelligence and implicit attitudes toward people with Down syndrome. Whatever the work experience in the field of intellectual disability, implicit theories of intelligence were found to be less incremental when considering people with Down syndrome than when considering typical people; and the stronger the belief in entity theory, the more negative (and less positive) the judgments expressed explicitly. Implicit theories of intelligence were also found to be predictors of negative implicit attitude but only in adults from the community. These findings offer prospects for improving practices by people working in the field of intellectual disability. They might interest a wide range of people caring for people with intellectual disabilities, such as teachers, but also other professional caregivers, and other

  10. Enhancing the conservation of crop wild relatives in England.

    Science.gov (United States)

    Fielder, Hannah; Brotherton, Peter; Hosking, Julian; Hopkins, John J; Ford-Lloyd, Brian; Maxted, Nigel

    2015-01-01

    Humans require resilient, rapidly renewable and sustainable supplies of food and many other plant-derived supplies. However, the combined effects of climate change and population growth compromise the provision of these supplies particularly in respect to global food security. Crop wild relatives (CWR) contain higher genetic diversity than crops and harbour traits that can improve crop resilience and yield through plant breeding. However, in common with most countries, CWR are poorly conserved in England. There is currently no provision for long-term CWR conservation in situ, and comprehensive ex situ collection and storage of CWR is also lacking. However, there is a commitment to achieve their conservation in England's Biodiversity Strategy and the UK has international commitments to do so as part of the Global Plant Conservation Strategy. Here, we identify a series of measures that could enhance the conservation of English CWR, thereby supporting the achievement of these national and international objectives. We provide an inventory of 148 priority English CWR, highlight hotspots of CWR diversity in sites including The Lizard Peninsula, the Dorset coast and Cambridgeshire and suggest appropriate sites for the establishment of a complementary network of genetic reserves. We also identify individual in situ and ex situ priorities for each English CWR. Based on these analyses, we make recommendations whose implementation could provide effective, long-term conservation of English CWR whilst facilitating their use in crop improvement.

  11. Salient region detection by fusing bottom-up and top-down features extracted from a single image.

    Science.gov (United States)

    Tian, Huawei; Fang, Yuming; Zhao, Yao; Lin, Weisi; Ni, Rongrong; Zhu, Zhenfeng

    2014-10-01

    Recently, some global contrast-based salient region detection models have been proposed based on only the low-level feature of color. It is necessary to consider both color and orientation features to overcome their limitations, and thus improve the performance of salient region detection for images with low-contrast in color and high-contrast in orientation. In addition, the existing fusion methods for different feature maps, like the simple averaging method and the selective method, are not effective sufficiently. To overcome these limitations of existing salient region detection models, we propose a novel salient region model based on the bottom-up and top-down mechanisms: the color contrast and orientation contrast are adopted to calculate the bottom-up feature maps, while the top-down cue of depth-from-focus from the same single image is used to guide the generation of final salient regions, since depth-from-focus reflects the photographer's preference and knowledge of the task. A more general and effective fusion method is designed to combine the bottom-up feature maps. According to the degree-of-scattering and eccentricities of feature maps, the proposed fusion method can assign adaptive weights to different feature maps to reflect the confidence level of each feature map. The depth-from-focus of the image as a significant top-down feature for visual attention in the image is used to guide the salient regions during the fusion process; with its aid, the proposed fusion method can filter out the background and highlight salient regions for the image. Experimental results show that the proposed model outperforms the state-of-the-art models on three public available data sets.

  12. Leadership of healthcare commissioning networks in England: a mixed-methods study on clinical commissioning groups

    Science.gov (United States)

    Zachariadis, Markos; Oborn, Eivor; Barrett, Michael; Zollinger-Read, Paul

    2013-01-01

    patient needs and brought the leaders closer to frontline stakeholders. Conclusions With the new commissioning arrangements, the leaders should seek to move away from dyadic and transactional relationships to a network structure, thereby emphasising on the emerging relational focus of their roles. Managing knowledge mobility, healthcare network coherence and network stability are the three clinical leadership processes that CCG leaders need to consider in coordinating their network and facilitating the development of good clinical commissioning decisions, best practices and innovative services. To successfully manage these processes, CCG leaders need to leverage the relational capabilities of their network as well as their clinical expertise to establish appropriate collaborations that may improve the healthcare services in England. Lack of local GP engagement adds uncertainty to the system and increases the risk of commissioning decisions being irrelevant and inefficient from patient and provider perspectives. PMID:23430596

  13. Dementia of Alzheimer-type in adult patients with Down`s syndrome. Its frequency, neuroradiological findings, and biochemical study of risk factors

    Energy Technology Data Exchange (ETDEWEB)

    Sekijima, Yoshiki [Shinshu Univ., Matsumoto, Nagano (Japan). Faculty of Medicine

    1997-06-01

    We examined the frequency, neuroradiological features, and risk factors of Alzheimer-type dementia (DAT) in 123 Japanese adult patients with Down`s syndrome. Among these patients 16 were diagnosed as having DAT. The prevalence of DAT was 0% in the 18- to 39-year-old group, 16% in those aged 40 to 49 years old, and 38% in those over 50 years old. On CT examination, the earliest finding of DAT was atrophy of the temporal lobe. Patients at an advanced stage revealed extensive atrophy of the cerebral hemispheres, frequently associated with calcification of the basal ganglia. {sup 123}I-IMP-SPECT studies showed abnormally decreased isotope uptake in the posterior parietal regions in Down`s syndrome patients with DAT, and a similar finding was also seen in Down`s syndrome patients who showed severe mental retardation. The frequency of the apolipoprotein E (ApoE) E4 in Down`s syndrome patients with DAT was 18.8%, which was higher than that of non-demented Down`s syndrome patients (4.5%) and Japanese non-demented controls (6.7%). In particular, the frequency of the ApoE E4 in patients who developed DAT before 50 years of age was significantly high (28.6%). It is very likely that the ApoE E4 is a risk factor for DAT even in Down`s syndrome patients with a genetic predisposition to Alzheimer`s disease. (author)

  14. "Planned" Teenage Pregnancy: Perspectives of Young Women from Disadvantaged Backgrounds in England

    Science.gov (United States)

    Coleman, Lester; Cater, Suzanne

    2006-01-01

    The reduction of teenage pregnancy has attracted much interest in research, practice and social policy. Little is known about teenagers who report their pregnancies as "planned." Forty-one in-depth interviews were undertaken, in six different parts of England, among young women who reported their pregnancy as "planned". The…

  15. From Assimilation to Anti-Racism: Changing Educational Policies in England and Wales.

    Science.gov (United States)

    Watson, J. K. P.

    1988-01-01

    Although multicultural education has long been touted as an important educational goal in schools in England and Wales, very little has actually changed. Some individuals purporting to support anti-racist education and some governmental policies have actually undermined the little progress made toward preparing teachers and students for a…

  16. Roentgenologic abnormalities in Down's syndrome

    Energy Technology Data Exchange (ETDEWEB)

    Higuchi, Takehiko; Russell, W J; Komatsuda, Michio; Neriishi, Shotaro

    1968-07-25

    Roentgenograms of 28 patients with Down's syndrome were reviewed with emphasis on all previously reported abnormalities and any possible additional ones. Most of the abnormalities occurred with the same frequency as previously reported, but some less frequently reported findings were also seen. One abnormal vertebral measurement found in this series may be an additional stigma of Down's syndrome. All of the 27 cases studied cytogenetically had chromosomal abnormalities consistent with this disease. This study emphasizes the need for roentgenologic norms for the Japanese, and the desirability of combining chromosome studies with roentgenological abnormalities and clinical observations in diagnosing Down's syndrome. 19 references, 2 figures, 5 tables.

  17. Genetic epidemiology of Down syndrome in Iran

    OpenAIRE

    Manoochehr Shariati

    2005-01-01

    Down syndrome is the most common autosomal abnormality and occurs in approximately 1 per 700 live births. Down syndrome accounts for about one third of all moderate and sever mental handicaps in school-aged children. To reveal genetic epidemiology of Down syndrome, 545 karyotypes of referred cases to the author were evaluated. The frequencies of three cytogenetic variants of Down syndrome were trisomy 21 (77.5%), mosaicism (18%) and chromosomal translocation (4.5%). Male to female ratio was 1...

  18. Time resolved x-ray photography of a dense plasma focus

    International Nuclear Information System (INIS)

    Burnett, J.C.; Meyer, J.; Rankin, G.

    1977-01-01

    The temporal development of the hot plasma in a dense plasma focus is studied by x-ray streak photography of approximately 2 ns resolution time. It is shown that initially a uniform x-ray emitting pinch plasma is formed which subsequently cools down until x-ray emission stops after approximately 50 ns. At a time of around 100 ns after initial x-ray emission coinciding with the break-up time of the pinch a second burst of x-rays is observed coming from small localized regions. The observations are compared with results obtained from time-resolved shadow and schlieren photography of a similar dense focus discharge. (author)

  19. DOWN'S ANOMALY.

    Science.gov (United States)

    PENROSE, L.S.; SMITH, G.F.

    BOTH CLINICAL AND PATHOLOGICAL ASPECTS AND MATHEMATICAL ELABORATIONS OF DOWN'S ANOMALY, KNOWN ALSO AS MONGOLISM, ARE PRESENTED IN THIS REFERENCE MANUAL FOR PROFESSIONAL PERSONNEL. INFORMATION PROVIDED CONCERNS (1) HISTORICAL STUDIES, (2) PHYSICAL SIGNS, (3) BONES AND MUSCLES, (4) MENTAL DEVELOPMENT, (5) DERMATOGLYPHS, (6) HEMATOLOGY, (7)…

  20. Multiculturalism and England’s Muslim Minority: Solution or Problem?

    Science.gov (United States)

    2007-12-01

    Theories of Hannah Arendt and John Rex.” in Rethinking Nationalism and Ethnicity. ed. Hans-Rudolf Wicker. (Oxford, England: Berg Publishing, 1997). 26...Hans-Rudolph Wicker. “Multiculturalism and the Sphere Theories of Hannah Arendt and John Rex.” in Rethinking Nationalism and Ethnicity. ed. Hans...multiculturalism can be applied was first articulated by the social philosopher Hannah Arendt who developed a model that divided society into three spheres