A review of specialist palliative care provision and access across London - mapping the capital.

Science.gov (United States)

Cox, Sarah; Murtagh, Fliss E M; Tookman, Adrian; Gage, Andrew; Sykes, Nigel; McGinn, Maureen; Kathoria, Meeta; Wilderspin, Hilary; Chart, Liz

2017-05-01

Palliative care provision varies by diagnosis, geography, and setting. The Minimum Data-set provides high-level data on provision, but comprehensive comparative information about specialist palliative care (SPC) provision is lacking. The London Cancer Alliance - now RM Partners' Accountable Cancer Network - palliative care group (West/South London) and PallE8 (North/East London), with Marie Curie, sought to address this gap. The aim was to provide comparative data on SPC provision across London to support commissioners and providers to assess provision, identify gaps, and reduce inequity. A data-collection template was developed through expert consensus. Demographic, diagnostic, and service data was collected, plus models of care, staffing levels, and use of clinical outcome/experience measures. Results were collated by organisation and CCG. Cleaned data was provided back to each organisation for verification before final analyses. All 50 adult SPC providers in London participated, representing hospitals, hospices and community services. •Patients in all 32 CCGs have access to hospice beds, with 322 beds from 15 providers (4 NHS) for a population of 9,323,570 (with 47,583 deaths annually).•SPC in London sees more non-cancer patients than is reported nationally; 79% of hospital advisory, 74% of community, and 88% of hospice in-patient services have higher proportions of non-cancer patients.•Considerable variation in out-of-hours availability of both hospital SPC and community SPC services across London; only 9 of 30 hospital and 17 of 26 community services provide seven-day visiting.•Wide variation in the models of community-based SPC; proportions of community patients attending day services vary from 1 in 4, to 1 in 17, just 13 CCGs have H@H-type provision, with few Rapid Response or Care Coordination services. This detailed survey demonstrates important gaps in availability and provision of SPC services. Recommendations are made for commissioners and

The stretch reflex and the contributions of C David Marsden

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Kalyan B Bhattacharyya

2017-01-01

Full Text Available The stretch reflex or myotatic reflex refers to the contraction of a muscle in response to its passive stretching by increasing its contractility as long as the stretch is within physiological limits. For ages, it was thought that the stretch reflex was of short latency and it was synonymous with the tendon reflex, subserving the same spinal reflex arc. However, disparities in the status of the two reflexes in certain clinical situations led Marsden and his collaborators to carry out a series of experiments that helped to establish that the two reflexes had different pathways. That the two reflexes are dissociated has been proved by the fact that the stretch reflex and the tendon reflex, elicited by stimulation of the same muscle, have different latencies, that of the stretch reflex being considerably longer. They hypothesized that the stretch reflex had a transcortical course before it reached the spinal motor neurons for final firing. Additionally, the phenomenon of stimulus-sensitive cortical myoclonus lent further evidence to the presence of the transcortical loop where the EEG correlate preceded the EMG discharge. This concept has been worked out by later neurologists in great detail , and the general consensus is that indeed, the stretch reflex is endowed with a conspicuous transcortical component.

Some radiation protection problems in a cancer hospital and associated research institute

International Nuclear Information System (INIS)

Trott, N.G.; Anderson, W.; Davis, R.P.; Carden, D.M.

1980-01-01

Experience gained at the Royal Marsden Hospital and Institute of Cancer Research has shown that with attention to the design of facilities and procedures and an active personnel monitoring policy, relatively large scale radiation commitments can proceed with individual whole body doses to staff being held well below 15 mSv/annum. In spite of detailed attention to control of radiation work, traumatic radiation incidents may still occur. (H.K.)

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

Directory of Open Access Journals (Sweden)

Parshall Alice M

2005-02-01

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

Autistic Disorder in Nineteenth-Century London. Three Case Reports

Science.gov (United States)

Waltz, Mitzi; Shattock, Paul

2004-01-01

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

Dose reduction in diagnostic radiology. Proceedings of the Hospital Physicists' Association meeting on 8th December 1983 at Birbeck College, London

International Nuclear Information System (INIS)

Brennen, S.E.; Putney, R.G.

1984-01-01

Nine chapters review the Proceedings of the Hospital Physicists' Association Meeting held in London in 1983 on 'Dose Reduction in Diagnostic Radiology'. Among the topics discussed were the balance between dose reduction and image quality, various procedures and techniques for keeping the dose to the patient to a minimum including the use of K-edge filtration and rare-earth intensifying screens, equipment for assessing the area exposure product in patients and the balance between radiation risk and benefit from radiographic examinations. All nine chapters are indexed separately. (U.K.)

14 April 2014 - UK University College London Hospitals and National Health Service Foundation Trust Chairman R. Murley in the ATLAS cavern with CERN Head of Medical Applications S. Myers and Collaboration Spokesperson D. Charlton.

CERN Multimedia

Gadmer, Jean-Claude

2014-01-01

Mr Richard Murley Chairman Sir Robert Naylor Chief Executive University College London Hospitals (UCLH) – National Health Service (NHS) Foundation Trust United Kingdom of Great Britain and Northern Ireland

As contribuições de Charcot e de Marsden para o desenvolvimento dos distúrbios do movimento nos séculos XIX e XX

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Teive Hélio A.G.

2001-01-01

Full Text Available Charcot contribuiu significativamente no século XIX na descrição de várias enfermidades neurológicas, em particular na área dos distúrbios do movimento. Charcot contribuiu de forma exponencial na descrição clínica minuciosa da doença de Parkinson, além de introduzir o primeiro tratamento farmacológico. Na área das hipercinesias realizou estudos sobre a síndrome de Tourette, o diagnóstico diferencial dos tremores, das coréias e o estudo inicial sobre startle. Marsden, recentemente falecido, destacou-se no século XX com inúmeras publicações na área dos movimentos anormais.São contribuições seminais os estudos sobre a doença de Parkinson, distonias, mioclonias , tremor essencial, a descrição das síndromes " Painful Legs Moving Toes ", "Gait Ignition Failure" e o "Tremor Primário da Escrita". As contribuições de Charcot no século XIX e de Marsden no século XX na área dos distúrbios do movimento permitem concluir que ambos foram as figuras mais representativas desta área nos últimos dois séculos.

A listing of cosmogenic, optically-stimulated-luminescence, (U-Th)/He, and fission-track sample locations, analyses, and age data compiled as part of Marsden contract GNS002 (2000-2004) : subduction initiation beneath Fiordland, southwest New Zealand

International Nuclear Information System (INIS)

Sutherland, R.

2007-01-01

This report is an archive of data relevant to Fiordland tectonic evolution. Specifically these are the data that were collected and compiled as part of Marsden contract GNS002 (2000-2004); samples were collected between 1987 and 2002. The principal investigator of the Marsden Fund project was Rupert Sutherland (GNS Science). Additional named investigators (with responsibilities and affiliations) were: Kyeong Kim (cosmogenic isotope dating; GNS Science); Peter Kamp (fission track dating; Waikato University); Martha House (U-Th/He dating; Caltech, USA); and Michael Gurnis (numerical models of subduction initiation; Caltech, USA). After the project began, Uwe Rieser from Victoria University agreed to undertake optically-stimulated luminescence (OSL) dating as part of the project. (author). 6 refs

The Institute of Epileptology of King's College, University of London.

Science.gov (United States)

Reynolds, E H

1995-01-01

The Institute of Epileptology of King's College, London has arisen from need and from opportunity. The need is due to the relative neglect nationally and internationally of the most common serious brain disorder with important physical, psychological, and social complications. The relative neglect is reflected in services, research, charitable donations, public profile, and stigma and in a serious lack of professional education. The opportunity arose because of the existence in several medical institutions at Denmark Hill, London, of a group of medical and related colleagues with a special interest covering almost every aspect of this multidisciplinary disorder who agreed to combine their expertise in this initiative. The idea was born and developed in 1991-1992 and was supported by all the parent institutions: The Maudsley and King's College Hospitals, St. Piers Lingfield, The Institute of Psychiatry, King's College School of Medicine and Dentistry, and the School of Life, Basic Medical and Health Sciences, all under the umbrella of King's College, University of London. Further stimulus and help came from a group of dedicated supporters in private and public life. There are three strands to this initiative: (a) a charity, The Fund for Epilepsy; (b) the clinical Centre for Epilepsy, which was formally opened at the Maudsley Hospital in July 1994; and (c) the academic Institute of Epileptology for research and teaching, which was launched on November 15, 1994.

Strategy to reduce E. coli bacteraemia based on cohort data from a London teaching hospital.

Science.gov (United States)

Hsu, Desmond; Melzer, Mark

2018-04-01

In 2017, National Health Service Improvement set a 10% reduction target for Escherichia coli bacteraemia by 2018, followed by a 50% reduction in healthcare-associated Gram-negative bacteraemias by 2022. We analysed consecutive cases of E. coli bacteraemia and devised a strategy to achieve these targets. From December 2012 to November 2013, demographic, clinical and microbiological data were prospectively collected on all patients with bacteraemia at the Royal London Hospital in East London, UK. There were 594 significant bacteraemic episodes and 207 (34.8%) were E. coli . Twenty-four (11.6%) of the E. coli isolates were extended spectrum beta-lactamase producers, 22 (10.6%) gentamicin resistant and 2 (1.0%) amikacin resistant. The three most common sites of infection were pyelonephritis 105 (56.7%), catheter-associated urinary tract infection 22 (10.6%), and other medical devices and procedures that cause bacteraemia 32 (15.5%). In the pyelonephritis group, trimethoprim resistance in urinary isolates was 16/47 (34.0%) compared with 3/47 (6.4%) for nitrofurantoin. Twelve months postbacteraemia, recurrent bacteraemia rates were 10/105 (9.5%). There were 44 medical device-associated E. coli bacteraemias, and 22 (50%) were urinary catheter associated. There were 10 patients with E. coli bacteraemia caused by procedures, seven genitourinary or biliary tract instrumentation and three postgastrointestinal surgery. E. coli bacteraemias related to urosepsis could have been prevented by better empirical treatment and targeted prophylaxis. Urinary catheter quality improvement programmes should contribute to a further reduction. For patients undergoing high-risk urinary or biliary tract procedures or device manipulation, we advocate single-dose amikacin prophylaxis. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

Pan-London tuberculosis services: a service evaluation

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Belling Ruth

2012-07-01

Full Text Available Abstract Background London has the largest proportion of tuberculosis (TB cases of any western European capital, with almost half of new cases drug-resistant. Prevalence varies considerably between and within boroughs with research suggesting inadequate control of TB transmission in London. Economic pressures may exacerbate the already considerable challenges for service organisation and delivery within this context. This paper presents selected findings from an evaluation of London’s TB services’ organisation, delivery, professional workforce and skill mix, intended to support development of a strategic framework for a pan-London TB service. These may also interest health service professionals and managers in TB services in the UK, other European cities and countries and in services currently delivered by multiple providers operating independently. Methods Objectives were: 1 To establish how London’s TB services are structured and delivered in relation to leadership, management, organisation and delivery, coordination, staffing and support; 2 To identify tools/models for calculating skill mix as a basis for identifying skill mix requirements in delivering TB services across London; 3 To inform a strategic framework for the delivery of a pan-London TB service, which may be applicable to other European cities. The multi-method service audit evaluation comprised documentary analysis, semi-structured interviews with TB service users (n = 10, lead TB health professionals and managers (n = 13 representing London’s five sectors and focus groups with TB nurses (n = 8 and non-London network professionals (n = 2. Results Findings showed TB services to be mainly hospital-based, with fewer community-based services. Documentary analysis and professionals’ interviews suggested difficulties with early access to services, low suspicion index amongst some GPs and restricted referral routes. Interviews indicated lack of managed

Fritz London

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Gavroglu, Kostas

2005-11-01

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

Management of hepatitis B in pregnant women and infants: a multicentre audit from four London hospitals.

Science.gov (United States)

Godbole, Gauri; Irish, Dianne; Basarab, Marina; Mahungu, Tabitha; Fox-Lewis, Andrew; Thorne, Claire; Jacobs, Michael; Dusheiko, Geoffrey; Rosenberg, William M C; Suri, Deepak; Millar, Andrew D; Nastouli, Eleni

2013-12-01

Pregnant women with hepatitis B virus (HBV) infection can transmit the infection to their infants, screening of patients and appropriate interventions reduce vertical transmission. This audit was conducted to assess adherence to the national guidelines for management of HBV infection in pregnancy. A retrospective audit was conducted on pregnant women diagnosed with hepatitis B on screening in antenatal clinics, across four hospitals in London over 2 years (2009-2010). Data was collected from antenatal records and discharge summaries using a standard audit form. The outcomes measured included HBV serological markers, HBV DNA, detection of other blood borne viruses and referral to hepatology services, administration of active and passive prophylaxis to infants at birth. Descriptive statistics are presented. Proportions were compared using the χ2 test and 95% confidence intervals (CI) were calculated for prevalence estimates. Analyses were conducted using STATA 12. HBsAg was detected in 1.05% (n = 401, 95% CI 0.95-1.16) of women attending an antenatal appointment, 12% (n = 48) of the women were at a high risk of vertical transmission (HBe Ag positive or antiHBe and HBeAg negative or HBV DNA >106 IU/ml). Only 62% (n = 248) women were referred to hepatology or specialist clinics and 29% (n = 13) of women of high infectivity were on antiviral agents. Testing for hepatitis C and delta virus was suboptimal. 75% (n = 36) of the infants at a high risk of acquisition of HBV received both active and passive prophylaxis. In certain sectors of London, implementation of the pathway for management of women with hepatitis B and their infants is suboptimal. National guidelines should be followed and improved intersectorial sharing of information is needed to reduce the risk of women of high infectivity being lost to follow up.

Working in London hospitals: perceptions of place in nursing students' employment considerations.

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Brodie, David A; Andrews, Gavin J; Andrews, Justin P; Thomas, B Gail; Wong, Josephine; Rixon, Lorna

2005-11-01

During the past decade, a distinct body of research has started to investigate the dynamics between nursing and place. However, despite attention being paid to a wide-range of nursing subjects, few studies have engaged with the important topic of labour force recruitment. In this context, this study uses a combined questionnaire (n=650), interview (n=30) and focus group (n=7) survey of London-based students, and investigates the complex mix of experiences and perceptions that result in hospitals having varying degrees of popularity as potential workplaces. The findings suggest experiences and perceptions of institutions-often gained on clinical placements-to be important, particularly relating to feeling valued, the quality of patient care, clinical and educational opportunities and team cohesion. These are often combined with experiences and perceptions of locality, relating to factors such as cost of living, travel considerations and sense of personnel safety. The study demonstrates that place is relevant to employment decision-making on multiple scales from wards to regions. Furthermore, that perceptions of potential workplaces result from engagements with complex mixes of cultural, economic and physical features, many of which are the consequences of management. It is argued that in order to effectively unpack workplaces, geographical research of nursing labour may benefit from researching simultaneously both 'inside' institutions, focusing on their dominant cultures of production and sub-cultures, and 'outside', focusing on their local urban or rural contexts.

The social impact of dizziness in London and Siena.

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Bronstein, Adolfo M; Golding, John F; Gresty, Michael A; Mandalà, Marco; Nuti, Daniele; Shetye, Anu; Silove, Yvonne

2010-02-01

Although dizziness is a common presenting symptom in general and hospital practice, its social cost is not known. We assessed the social and work life impact of dizziness on patients in two contrasting European cities, Siena and London. First, we developed the 'Social life & Work Impact of Dizziness questionnaire' (SWID), which was validated by administering it to 43 patients with dizziness and 45 normal controls and by correlating the results with the EQ-5D (Europe quality of life) questionnaire. The SWID and EQ-5D scores were worse in patients than controls (p work as a result of the dizziness. Over 50% of patients felt that their efficiency at work had dropped considerably. The mean number of days off work attributed to the dizziness in the previous 6 months was 7.15 days. Social life was disrupted in 57% of all 400 patients. Factor analysis identified that detrimental effects on work, travel, social and family life combine to create a single factor accounting for much of the overall impact of their dizziness. Significant differences in some measures of handicap between London and Siena emerged, with London patients often faring worse. Reasons for these location differences include, as expected, a higher proportion of neurological patients in London than in Siena. However, factors related to city demographics and social cohesion may also modulate the impact on quality of life and working practice. Regardless of inter-city differences, these findings highlight the high social and economic impact of dizziness.

London's historic ''pea-soupers''

International Nuclear Information System (INIS)

Urbinato, D.

1994-01-01

Americans may think smog was invented in Los Angeles. Not so. In fact, a Londoner coined the term ''smog'' in 1905 to describe the city's insidious combination of natural fog and coal smoke. By then, the phenomenon was part of London history, and dirty, acrid smoke-filled ''pea-soupers'' were as familiar to Londoners as Big Ben and Westminster Abby. Smog in London predates Shakespeare by four centuries. Until the 12th century, most Londoners burned wood for fuel. But as the city grew and the forests shrank, wood became scarce and increasingly expensive. Large deposits of ''sea-coal'' off the northeast coast provided a cheap alternative. Soon, Londoners were burning the soft, bituminous coal to heat their homes and fuel their factories. Sea-coal was plentiful, but it didn't burn efficiently. A lot of its energy was spent making smoke, not heat. Coal smoke drifting through thousands of London chimneys combined with clean natural fog to make smog. If the weather conditions were right, it would last for days. Early on, no one had the scientific tools to correlate smog with adverse health effects, but complaints about the smoky air as an annoyance date back to at least 1272, when King Edward I, on the urging of important noblemen and clerics, banned the burning of sea-coal. Anyone caught burning or selling the stuff was to be tortured or executed. The first offender caught was summarily put to death. This deterred nobody. Of necessity, citizens continued to burn sea-coal in violation of the law, which required the burning of wood few could afford

In vitro transfer of multiple resistance observed in vivo during a Salmonella london epidemic.

Science.gov (United States)

Lantos, J; Marjai, E

1980-01-01

Between 1976 and 1978, waves of Salmonella london infections conveyed by raw meat and meat products were observed. The strains isolated during the epidemic were first susceptible then developed multiple antibiotic resistance. The identical antibiotic resistance patterns of the strain and their more frequent occurrence in hospital environments indicated plasmid-mediated resistance. R-plasmid transfer, minimum inhibition concentration and resistance elimination were studied in representative strains. The resistant S. london strain and transconjugants of Escherichia coli rendered resistant were compared. The results proved that multiple resistance was plasmid-mediated.

The sins of the fathers--Africans with HIV infection in London; lessons for others?

Science.gov (United States)

Bingham, J S

2002-12-01

Many European countries have taken in immigrants from sub-Saharan Africa. The reasons for this are discussed and the particular problems experienced by HIV-infected Africans in London, and the approach to their care at St Thomas' Hospital, is delineated.

The Rise of Massage and Medical Gymnastics in London and Paris before the First World War.

Science.gov (United States)

Quin, Grégory

2017-01-01

Massage and medical gymnastics experienced a rapid institutionalization across Europe and North America between 1850 and 1914. This article explores how this process took place in London and Paris. Physiotherapy developed many of the hallmarks of an independent discipline during this period, including an identified corpus of manipulations and exercises, some autonomous training courses and degrees for future practitioners, and even the creation of departments within several hospitals. The article analyzes all of the processes surrounding this rise, paying special attention to the influence of the ambassadors of Swedish gymnastics (which led to the re-invention of massage across Europe), to the installation of physiotherapy in hospitals in London and in Paris, and to the practical and institutional innovations driven by nurses in England and by doctors in France.

Olympics Legacy: the London Olympics 2012

OpenAIRE

Gulsen, Guler; Holden, Robert

2010-01-01

The reasons for proposing a London 2012 bid are outlined in the light of London city planning over the past sixty years. The processes influencing the bid for the London 2012 Olympics are investigated in respect of the lessons from Barcelona and Sydney. The role of environmental\\ud and landscape improvement is examined and the importance of legacy is described and analysed. The cost of Olympiads since Sydney 2000 are described and compared. Then progress of the London 2012 Olympics developmen...

Patterns and prevalence of violence-related skull trauma in medieval London.

Science.gov (United States)

Krakowka, Kathryn

2017-11-01

This study aims to identify the patterns and prevalence of violence-related skull trauma (including the cranium and mandible) among a large sample of skeletons from medieval London (1050-1550 AD). In total, data from 399 skulls, representing six different sites from across medieval London, were analyzed for evidence of trauma and assessed for the likelihood that it was caused by violence. The sites include the three parish cemeteries of St Nicholas Shambles (GPO75), St Lawrence Jewry (GYE92), and St Benet Sherehog (ONE94); the two monastic houses of London Blackfriars (PIC87) and St Mary Graces (MIN86); and the early inmate cemetery from the medieval hospital of St Mary Spital (NRT85). The overall findings suggest that violence affected all aspects of medieval London society, but how that violence was characterized largely depended on sex and burial location. Specifically, males from the lay cemeteries appear to have been the demographic most affected by violence-related skull injuries, particularly blunt force trauma to the cranial vault. Using both archaeological and historical evidence, the results suggest that violence in medieval London may have been more prevalent than in other parts of medieval England, particularly rural environments, but similar to other parts of medieval Europe. However, more studies focusing on medieval trauma, and violence specifically, need to be carried out to further strengthen these results. In particular, males from the lay cemeteries were disproportionately affected by violence-related trauma, especially blunt force trauma. It perhaps indicates a means of informal conflict resolution as those of lower status did not always have the newly established medieval legal system available to them. © 2017 Wiley Periodicals, Inc.

Olympic emblem guidelines: London 2012

OpenAIRE

2013-01-01

These guidelines issued by the London Organising Committee of the Olympic Games and Paralympic Games Ltd (“LOCOG”) provide standards, requirements and guidelines for use of the London 2012 Olympic Games Emblem (the “Emblem”) by LOCOG and the International Olympic Committee (IOC) creative, marketing and communications personnel, agencies and consultants only who are authorised to use the London 2012 marks. The purpose of these guidelines is to preserve and enhance the value of the Emblem for t...

London´s erotic masterpiece

DEFF Research Database (Denmark)

Kerchlango, Jørg

2004-01-01

Londoners call it the erotic ghurkin. Architects proclaim Norman Foster´s new building a revolutionary masterwork......Londoners call it the erotic ghurkin. Architects proclaim Norman Foster´s new building a revolutionary masterwork...

HHARP: The Historical Hospital Admission Records Project – a review

Directory of Open Access Journals (Sweden)

Cara Hirst

2018-04-01

Full Text Available Hospital records have frequently been used in epidemiological research (Kilgore et al. 2017; Rushton 2016, and in some cases palaeopathological research. However, the availability of data is problematic, with written records requiring considerable time to interpret, digitise and analyse. In 2001, the Historical Hospital Records Project (HHARP began digitising over 140,000 hospital admission records from four hospitals in London and Glasgow, providing researchers with an online data base of hospital records (Figure 1. I review the data available in the HHARP database, as well as make a preliminary analysis of the hospital records from London and Glasgow between c.1852-1921 which illustrates the value of the HHARP database in understanding disease and medical care during this period.

Recording of hospitalizations for acute exacerbations of COPD in UK electronic health care records

Directory of Open Access Journals (Sweden)

Rothnie KJ

2016-11-01

Full Text Available Kieran J Rothnie,1,2 Hana Müllerová,3 Sara L Thomas,2 Joht S Chandan,4 Liam Smeeth,2 John R Hurst,5 Kourtney Davis,3 Jennifer K Quint1,2 1Respiratory Epidemiology, Occupational Medicine and Public Health, National Heart and Lung Institute, Imperial College London, London, UK; 2Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, UK; 3Respiratory Epidemiology, GlaxoSmithKline R&D, Uxbridge, London; 4Medical School, 5UCL Respiratory, University College London, London, UK Background: Accurate identification of hospitalizations for acute exacerbations of chronic obstructive pulmonary disease (AECOPD within electronic health care records is important for research, public health, and to inform health care utilization and service provision. We aimed to develop a strategy to identify hospitalizations for AECOPD in secondary care data and to investigate the validity of strategies to identify hospitalizations for AECOPD in primary care data. Methods: We identified patients with chronic obstructive pulmonary disease (COPD in the Clinical Practice Research Datalink (CPRD with linked Hospital Episodes Statistics (HES data. We used discharge summaries for recent hospitalizations for AECOPD to develop a strategy to identify the recording of hospitalizations for AECOPD in HES. We then used the HES strategy as a reference standard to investigate the positive predictive value (PPV and sensitivity of strategies for identifying AECOPD using general practice CPRD data. We tested two strategies: 1 codes for hospitalization for AECOPD and 2 a code for AECOPD other than hospitalization on the same day as a code for hospitalization due to unspecified reason. Results: In total, 27,182 patients with COPD were included. Our strategy to identify hospitalizations for AECOPD in HES had a sensitivity of 87.5%. When compared with HES, using a code suggesting hospitalization for AECOPD in CPRD resulted in a PPV of 50.2% (95

Safety and security in acute admission psychiatric wards in Ireland and London: a comparative study.

Science.gov (United States)

Cowman, Seamus; Bowers, Len

2009-05-01

The comparative element of this study is to describe safety and security measures in psychiatric acute admission wards in the Republic of Ireland and London; to describe differences and similarities in terms of safety and security patterns in the Republic of Ireland and London; and to make recommendations on safety and security to mental health services management and psychiatric nurses. Violence is a serious problem in psychiatric services and staff experience significant psychological reactions to being assaulted. Health and Safety Authorities in the UK and Ireland have expressed concern about violence and assault in healthcare, however, there remains a lack of clarity on matters of procedure and policy pertaining to safety and security in psychiatric hospitals. A descriptive survey research design was employed. Questionnaires were circulated to all acute wards in London and in Ireland and the resulting data compared. A total of 124 psychiatric wards from London and 43 wards from Ireland were included in this study and response rates of 70% (London) and 86% (Ireland) were obtained. Differences and similarities in safety and security practices were identified between London and Ireland, with Irish wards having generally higher and more intensive levels of security. There is a lack of coherent policy and procedure in safety and security measures across psychiatric acute admission wards in the Republic of Ireland and London. Given the trends in European Union (EU) regulation, there is a strong argument for the publication of acceptable minimum guidelines for safety and security in mental health services across the EU. There must be a concerted effort to ensure that all policy and procedure in safety and security is founded on evidence and best practice. Mental health managers must establish a review of work safety and security procedures and practices. Risk assessment and environmental audits of all mental health clinical environments should be mandatory.

Non-London electrodynamics in a multiband London model: Anisotropy-induced nonlocalities and multiple magnetic field penetration lengths

Science.gov (United States)

Silaev, Mihail; Winyard, Thomas; Babaev, Egor

2018-05-01

The London model describes strongly type-2 superconductors as massive vector field theories, where the magnetic field decays exponentially at the length scale of the London penetration length. This also holds for isotropic multiband extensions, where the presence of multiple bands merely renormalizes the London penetration length. We show that, by contrast, the magnetic properties of anisotropic multiband London models are not this simple, and the anisotropy leads to the interband phase differences becoming coupled to the magnetic field. This results in the magnetic field in such systems having N +1 penetration lengths, where N is the number of field components or bands. That is, in a given direction, the magnetic field decay is described by N +1 modes with different amplitudes and different decay length scales. For certain anisotropies we obtain magnetic modes with complex masses. That means that magnetic field decay is not described by a monotonic exponential increment set by a real penetration length but instead is oscillating. Some of the penetration lengths are shown to diverge away from the superconducting phase transition when the mass of the phase-difference mode vanishes. Finally the anisotropy-driven hybridization of the London mode with the Leggett modes can provide an effectively nonlocal magnetic response in the nominally local London model. Focusing on the two-component model, we discuss the magnetic field inversion that results from the effective nonlocality, both near the surface of the superconductor and around vortices. In the regime where the magnetic field decay becomes nonmonotonic, the multiband London superconductor is shown to form weakly-bound states of vortices.

Turner's prize[London transport policy

Energy Technology Data Exchange (ETDEWEB)

Sherrington, M.

2000-10-26

The article describes Ken Livingstone's plans for solving London's traffic problems: Derek Turner will be 'in charge of the capital's streets' but Livingstone will chair the board meetings. The radical new scheme will apply to both the Greater London Authority, its transport branch Transport for London (TfL) and 33 London Boroughs. Within TfL there is a core division called 'street management services' which has five area teams for day-to-day street management including road maintenance and street lighting. Other departments are communications, support services, traffic technology services, service development and performance, a London bus department and a department concentrating on congestion charging. There are plans to support pedestrians and cyclists but 'bus travel is really what it is all about'.

The Making of London Narratives

DEFF Research Database (Denmark)

Carbone, Claudia; Toft, Anne Elisabeth

2009-01-01

Den følgende tekst består af to dele. Begge dele omhandler workshoppen The Making of London Narratives, der var et undervisningsforløb for 52 studerende fra Arkitektskolen Aarhus og School of Architecture and the Visual Arts University of East London. I den første del perspektiveres workshoppens...

The Olympic legacy: feeding London

NARCIS (Netherlands)

Janssens, F.

2012-01-01

Over the last decades, the Olympic Games have increasingly claimed to deliver a social and economic ‘legacy’ to the host city. The 2012 Olympic Games in London have set out to deliver a legacy of better food for east London, an area perceived as ‘deprived’, with higher than average rates of obesity

London International Youth Science Forum

Science.gov (United States)

Auty, Geoff

2010-01-01

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

The London handicap scale: a re-evaluation of its validity using standard scoring and simple summation

OpenAIRE

Jenkinson, C.; Mant, J.; Carter, J.; Wade, D.; Winner, S.

2000-01-01

OBJECTIVE—To assess the validity of the London handicap scale (LHS) using a simple unweighted scoring system compared with traditional weighted scoring
METHODS—323 patients admitted to hospital with acute stroke were followed up by interview 6 months after their stroke as part of a trial looking at the impact of a family support organiser. Outcome measures included the six item LHS, the Dartmouth COOP charts, the Frenchay activities index, the Barthel index, and the hospital...

Classification guide: Paralympic Games London 2012

OpenAIRE

2013-01-01

The London 2012 Paralympic Games Classification Guide is designed to provide National Paralympic Committees (NPCs) and International Paralympic Sport Federations (IPSFs) with information about the classification policies and procedures that will apply to the London 2012 Paralympic Games.

Splenic marginal zone lymphoma: a review of the clinical presentation, pathology, molecular biology, and management

Directory of Open Access Journals (Sweden)

Teixeira Mendes LS

2014-07-01

Full Text Available Larissa Sena Teixeira Mendes,1 Ming-Qing Du,2 Estella Matutes,3 Andrew Wotherspoon11Histopathology Department, Royal Marsden Hospital, London, UK; 2Molecular Malignancy Laboratory and Department of Histopathology, University Hospital NHS Foundation Trust/Division of Molecular Histopathology, Department of Pathology, University of Cambridge, Cambridge, UK; 3Hematopathology Unit, Hospital Clinic, Barcelona University, Barcelona, Spain Abstract: Splenic marginal zone lymphoma is a distinct low grade B-cell lymphoma primarily occurring in the spleen and separate from nodal marginal zone lymphoma and extranodal marginal zone lymphoma of mucosa-associated lymphoid tissue. It is characterized by a relative indolent course, splenomegaly, moderate lymphocytosis, and an intrasinusoidal pattern of involvement, especially in the bone marrow. It is postulated that the neoplastic clone originates from persistent antigenic stimulation of marginal zone B-cells. Molecular and cytogenetic studies have failed to show specific alterations. There is no standard criterion to initiate treatment, which may include a watch and wait policy, splenectomy, or chemo/immunotherapy. This review highlights the main features of this entity, reassessing the guidelines for diagnosis, prognostic factors, staging, and management published by the SMZL Working Group (2008. Keywords: splenectomy, villous lymphocytes, guidelines

Listening to those on the frontline: service users' experiences of London tuberculosis services

Directory of Open Access Journals (Sweden)

Boudioni M

2011-06-01

Full Text Available Markella Boudioni, Susan McLaren, Ruth Belling, Leslie WoodsInstitute for Leadership and Service Improvement, Faculty of Health and Social Care, London South Bank University, London, UKAim: To explore tuberculosis (TB service users' experiences and satisfaction with care provision.Background: Thirty-nine percent of all new UK TB cases occur in London. Prevalence varies considerably between and within boroughs. Overall, research suggests inadequate control of London's TB transmission; TB has become a health care priority for all London Primary Care Trusts. Service users' experiences and satisfaction with care provision have not been explored adequately previously.Methods: A qualitative research design, using semi-structured face-to-face interviews was used. Ten service users, purposively selected in key risk groups across London, were interviewed. All interviews were digitally recorded with users' permission, transcribed verbatim, and analyzed thematically.Results: Participants were treated in local hospitals for 6–12 months. Treatment was administered by TB nurses to inpatients and outpatients receiving directly observed therapy in consultation with medical staff and home visits for complex cases. Two participants did not realize the importance of compliance. Overall, they were satisfied with many TB services' aspects, communication, and service organization. Early access, low suspicion index amongst some GPs, and restricted referral routes were identified as service barriers. Other improvement areas were information provision on drug side effects, diet, nutritional status, and a few health professionals' attitudes. The effects on people varied enormously from minimal impact to psychological shock; TB also affected social and personal aspects of their life. With regard to further support facilities, some positive views on managed accommodation by TB-aware professionals for those with accommodation problems were identified.Conclusion: This

The London polonium poisoning: Events and medical implications

International Nuclear Information System (INIS)

Perkins, A.C.

2007-01-01

The poisoning of Alexander Litvinenko on 23 November 2006 was an unprecedented event. Po-210 is a highly toxic radioactive heavy metal with a physical half-life of 138 days. Dispersal of the material by the perpetrators and the victim resulted in widespread contamination that led to a trail across London and abroad. This resulted in a massive operation for health protection staff and the police service. The surreptitious nature of this act almost escaped detection. The fact that the nature of the poison was not known for a number of weeks after admission to hospital indicates the difficulty in detecting alpha radiation. In this article, the sequence of events, the nature and uses of this radioactive element and the medical consequences of ingestion are outlined. The illicit use of radioactive materials raises important health and security issues. Medical and scientific staff in nuclear medicine and hospital emergency departments should be aware of these issues. (author)

Institutional profile: the London Centre for Nanotechnology.

Science.gov (United States)

Weston, David; Bontoux, Thierry

2009-12-01

Located in the London neighborhoods of Bloomsbury and South Kensington, the London Centre for Nanotechnology is a UK-based multidisciplinary research center that operates at the forefront of science and technology. It is a joint venture between two of the world's leading institutions, UCL and Imperial College London, uniting their strong capabilities in the disciplines that underpin nanotechnology: engineering, the physical sciences and biomedicine. The London Centre for Nanotechnology has a unique operating model that accesses and focuses the combined skills of the Departments of Chemistry, Physics, Materials, Medicine, Electrical and Electronic Engineering, Mechanical Engineering, Chemical Engineering, Biochemical Engineering and Earth Sciences across the two universities. It aims to provide the nanoscience and nanotechnology required to solve major problems in healthcare, information processing, energy and the environment.

London-type congestion tax with revenue-recycling

OpenAIRE

Yukihiro Kidokoro

2005-01-01

Road pricing in London attracts a great deal of interest. A challenging aspect of the London scheme is that congestion tax revenue is used to upgrade public transit networks. Although Parry and Bento (2001) show that the total social surplus would increase if congestion tax revenues are used to cut labor taxes, political difficulties exist in implementing revenue-recycling between congestion taxes and labor taxes. Given such political difficulties, the London scheme seems to be very attractiv...

The 'other' London effect: the diversification of London's suburban grammar schools and the rise of hyper-selective elite state schools.

Science.gov (United States)

Gamsu, Sol

2018-03-30

This paper examines the rise of a new elite of 'super-state' schools in London, revealing a growing divide within the state sector which problematizes claims that the capital is a 'hotspot' for social mobility (Social Mobility Commission ). Although recent research has revealed a 'London effect' in which students in the capital on Free School Meals outperform their peers in other regions (Greaves, Macmillan and Sibieta ), inequalities between London's schools in access to elite universities have been overlooked. Drawing on a case study of a suburban London grammar school, 'King Henry's School', I show how ethnic-minority suburbanization has combined with an institutional strategy to compete with elite private schools. Strategies of selection have been mobilized alongside elements of elite 'gentlemanly' educational culture in order to reposition the school within the hierarchy of London's schools. The result is a hyper-selective school which provides a conduit to elite universities for upwardly mobile British-Asian students. I show that this strategy has strong parallels with the school's attempts in the early twentieth century to compete with London's fee-paying 'public' schools. The continuing symbolic value of 'traditional' forms of elite educational culture to a school seeking to reposition itself within the field reflects deep structural patterns of inequality in English education. To understand how apparent improvements in social mobility can sit alongside deepening inequalities between state schools, there is a need for a historical sociological approach that takes account of long-term processes of institutional change (Savage ; Inglis ). © London School of Economics and Political Science 2018.

Host government directorate: London 2012 Olympic and Paralympic emblem guidelines

OpenAIRE

2015-01-01

These guidelines issued by the London Organising Committee of the Olympic Games and Paralympic Games Ltd (“LOCOG”) provide standards, requirements and guidelines for use of the London 2012 Olympic Games Emblem (the “Emblem”), the London 2012 Paralympic Games Emblem (the “Paralympic Emblem”) and the Dual London 2012 Olympic and Paralympic Emblems (“Dual Emblems”) by authorised Host Government Directorate only.

Targeting gastrointestinal stromal tumors: the role of regorafenib

Directory of Open Access Journals (Sweden)

Schroeder B

2016-05-01

Full Text Available Brett Schroeder,1 Zula Li,2,3 Lee D Cranmer,2,3 Robin L Jones,4 Seth M Pollack2,3 1College of Human Medicine, Michigan State University, Grand Rapids, MI, 2Division of Medical Oncology, University of Washington, 3Clinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, WA, USA; 4Royal Marsden Hospital, Institute of Cancer Research, London, UK Abstract: Gastrointestinal stromal tumor (GIST is a devastating disease in the metastatic setting, but its natural history has been dramatically altered by the development of small molecule tyrosine kinase inhibitors, most notably imatinib. Although patients with advanced GIST live much longer today than they did in the past, imatinib-refractory disease remains a tremendous problem. For disease that is refractory to imatinib and sunitinib, regorafenib is an excellent option. In this review, we discuss the biology and clinical work establishing regorafenib as the standard of care for advanced GIST refractory to both imatinib and sunitinib. Keywords: regorafenib, GIST, refractory, imatinib

Spectator Consumer Behaviors at the 2012 London Paralympic Games

Directory of Open Access Journals (Sweden)

Ridvan Ekmekci

2013-01-01

Full Text Available Although the Paralympics are the world’s second largest sporting event after the Olympics and continue to grow in popularity, there is little available research regarding spectators of sport competitions for disabled athletes. The purpose of this study was to profile spectators’ consumer behaviors in order to understand what factors explain spectators’ spending, length of stay, and attendance at the London Paralympic Games. Data was collected in a six-day period from a sample of 504 people present in London at three Paralympic sport facilities during the 2012 Paralympic Games. The results of the regression analyses revealed that nationality, attended contests, group size, having a connection with a Paralympic athlete, length of stay, gender and London Olympics’ spectators were significant determinants of Paralympics spectators’ spending in London. The data also indicated that spending, being from England (or not, gender, and being a friend/relative of a Paralympic athlete significantly affected spectators’ length of stay in London. Additionally, spectators’ attendance at the London Paralympic contests was predicted by spending, the size of the travel group, Beijing Paralympics’ spectators and age.

"Chase CRP", "Review patient": Improving the Quality of Weekend Medical Handover at a London Teaching Hospital.

Science.gov (United States)

Saifuddin, Aamir; Magee, Lucia; Barrett, Rachael

2015-01-01

Clinical handover has been identified as a "major preventable cause of harm" by the Royal College of Physicians (RCP). Whilst working at a London teaching hospital from August 2013, we noted substandard weekend handover of medical patients. The existing pro forma was filled incompletely by day doctors so it was difficult for weekend colleagues to identify unwell patients, with inherent safety implications. Furthermore, on-call medical staff noted that poor accessibility of vital information in patients' files was affecting acute clinical management. We audited the pro formas over a six week period (n=83) and the Friday ward round (WR) entries for medical inpatients over two weekends (n=84) against the RCP's handover guidance. The results showed poor documentation of several important details on the pro formas, for example, ceiling of care (4%) and past medical history (PMH) (23%). Problem lists were specified on 62% of the WR entries. We designed new handover pro formas and 'Friday WR sheets' to provide prompts for this information and used Medical Meetings and emails to explain the project's aims. Re-audit demonstrated significant improvement in all parameters; for instance, PMH increased to 52% on the pro formas. Only 10% of Friday WR entries used our sheet. However, when used, outcomes were much better, for example, problem list documentation increased to 100%. In conclusion, our interventions improved the provision of crucial information needed to prioritise and manage patients over the weekend. Future work should further highlight the importance of safe handover to all doctors to induce a shift in culture and optimise patient care.

Taaskasutuses London / Marlen Promann

Index Scriptorium Estoniae

Promann, Marlen

2007-01-01

"100% Disain London" messist, kus peateemaks oli säästlikkus disainis, materjalides, tehnoloogias ja tootmises. Markko Karu jõudis sellel noore disainiettevõtja auhinna finaali (International Young Design Entrepreneur of the Year)

Mind the gap: 11 years of train-related injuries at the Royal London Hospital Major Trauma Centre.

Science.gov (United States)

Virdee, J; Pafitanis, G; Alamouti, R; Brohi, K; Patel, H

2018-06-18

Introduction This study presents an extensive retrospective database of patients with polytrauma following train-related injuries and highlights the key lessons learnt in this rare clinical presentation. Materials and methods We retrospectively collected data from 127 patients who presented to Royal London Hospital after sustaining train related trauma. We analysed demographics, accident report data, aetiologies and clinical management interventions. All data were screened and injuries were mapped to various anatomical regions. The revised trauma score, injury severity score and new injury severity scores were used to quantify injury extent. Results Mean patient age was 41 years (range 16-81 years) with a 73% to 27% male to female ratio. Deliberate injuries occurred in 71% of patients, with accidental injury accounting for 29%. The mean new injury severity score was 26.48 (range 1-75), with the most common injuries sustained to the chest and the extremities. Pneumothorax, haemothorax or tension pneumothorax occurred in 44% of patients, with 11% suffering a flail chest injury. Traumatic amputations occurred in 33% of patients and 56% of patients required admission to intensive care. Total mortality rates were 19%, with 12% of patients dying at day 0 and 18% at day 7, respectively. Conclusions This study demonstrated the significant impact of train-related polytrauma and provided a comprehensive injury patterns. It was observed that deliberate polytrauma is related to psychiatric deliberate harm but there is no significant difference in the patterns of injuries between accidental and deliberately caused injuries. Overall injuries to the thorax and extremities were the most severe, demonstrating the highest mean injury scores.

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

International Nuclear Information System (INIS)

1993-01-01

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

Community Engagement using World Café: The Well London Experience.

Science.gov (United States)

Sheridan, Kevin; Adams-Eaton, Faye; Trimble, Allison; Renton, Adrian; Bertotti, Marcello

2010-01-01

The Well London programme was launched across twenty boroughs in London during late 2007 to improve the health and well-being of residents living in some of the most deprived communities in London. Well London employed a multi-stage community engagement process which informed the overall project strategy for each intervention area. In this article we establish and describe the key principles that guided the design of this innovative community engagement process. Principles included building collaborative partnerships, working with whole-systems, privileging community knowledge and working with the deficit of experience in each area. The article then describes in detail how these principles were operationalised throughout the preparation and delivery of forty World Cafes, which were the first open community activities of the Well London community engagement process. Finally, this article reflects on and summarises the lessons learned when employing innovative, inclusive and transparent community engagement for health promotion.

Changing the Subject: English in London, 1945-1967

Science.gov (United States)

Yandell, John

2014-01-01

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

Development of training-related health care software by a team of clinical educators: their experience, from conception to piloting

Directory of Open Access Journals (Sweden)

ap Dafydd D

2016-11-01

Full Text Available Derfel ap Dafydd,1 Ruth Williamson,2 Philip Blunt,3 Dominic M Blunt4 1Department of Radiology, Royal Marsden NHS Foundation Trust, London, 2Imaging Department, Royal Bornemouth Hospital, Bornemouth, 3Savernake IT Ltd, Marlborough, 4Imaging Department, Imperial College Healthcare NHS Trust, London, UK Abstract: The difficulties of producing useful, bespoke, and affordable information technology systems for large health care organizations are well publicized, following several high-profile endeavors in the UK. This article describes the experience of a small group of clinical radiologists and their collaborators in producing an information technology system – from conception to piloting. This system, called Trainee Tracker, enables automated target date recalculation of trainee milestones, depending on their work patterns and other individual circumstances. It utilizes an automated email alert system to notify the educational supervisors and trainees of approaching and elapsed target dates, in order to identify trainees in difficulty early and address their training needs accordingly. The challenges and advantages, both common to and contrasting with larger-scale projects, are also considered. The benefits of the development team’s “agile” approach to software development and the lessons learned will be of interest to medical educators, particularly those with expertise in e-portfolios and other training-related software. Keywords: training, appraisal, ARCP, Annual Review of Clinical Progression, portfolio, trainer

Towards a sociological analysis of London 2012

OpenAIRE

Silk, Michael L

2011-01-01

Within this article, I focus on a number of productive scholarly avenues to which sociological analysis of London 2012 might want to attend. Understanding major sporting events - and thus the Olympic Games - as inextricably entangled with the media-industrial complex, I suggest London 2012 as a commodity spectacle that will emphasize gleaming aesthetics, a (sporting) city and nation collapsed into (simple) tourist images, and the presentation of a particular expression of self within the logi...

The Royal Entries of Henry VI in a London Civic Manuscript

DEFF Research Database (Denmark)

Bourassa, Kristin

2016-01-01

London Metropolitan Archives, MS Letter Book K, contains descriptions of Henry VI’s royal entries into both Paris (1431) and London (1432). Their placement one after the other in a London Letter Book was likely the work of the city’s common clerk, John Carpenter, who was the author of the descrip...

Joseph Clover and the cobra: a tale of snake envenomation and attempted resuscitation with bellows in London, 1852.

Science.gov (United States)

Ball, C

2010-07-01

The Industrial Revolution saw the creation of many new jobs, but probably none more curious than that of zookeeper. The London Zoological Gardens, established for members in 1828, was opened to the general public in 1847. In 1852 the "Head Keeper in the Serpent Room", Edward Horatio Girling, spent a night farewelling a friend departing for Australia. He arrived at work in an inebriated state and was bitten on the face by a cobra that he was handling in a less than sensible manner. He was taken by cab to University College Hospital where he was resuscitated by a number of doctors, including Joseph Clover then the resident medical officer to the hospital and later to become the leading anaesthetist in London. Clover recorded this event in his diary along with the resuscitation method used. The patient eventually died but his treatment created a flurry of correspondence in the medical and lay press. Interestingly, the attempted resuscitation was with bellows, which had been abandoned by the Royal Humane Society twenty years earlier Clover records other cases of resuscitation with bellows at University College Hospital during his time as a resident medical officer there (1848 to 1853). There is a casebook belonging to Joseph Clover in the Geoffrey Kaye Museum, in Melbourne. This story is one of the many interesting stories uncovered during a study of this book and Clover's other personal papers.

Teaching the History of Astronomy On Site in London

Science.gov (United States)

French, Linda M.

2016-01-01

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

Clean Air for London (CLEARFLO) Final Campaign Summary

Energy Technology Data Exchange (ETDEWEB)

Worsnop, D. R. [Aerodyne Research, Inc., Billerica, MA (United States); Williams, L. R. [Aerodyne Research, Inc., Billerica, MA (United States); Herndon, S. C. [Aerodyne Research, Inc., Billerica, MA (United States); Dubey, M. [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Ng, N. L. [Georgia Inst. of Technology, Atlanta, GA (United States); Thornton, J. [Univ. of Washington, Seattle, WA (United States); Knighton, B. [Montana State Univ., Bozeman, MT (United States); Coulter, R. [Argonne National Lab. (ANL), Argonne, IL (United States); Prévôt, Ash [Paul Scherrer Inst. (PSI), Villigen (Switzerland)

2016-03-01

This field campaign funded the participation of scientists from seven different research groups and operated over thirty instruments during the Winter Intensive Operating Period (January-February 2012) of the Clean Air for London (ClearfLo) campaign. The campaign took place at a rural site in Detling, UK, 45 kilometers southeast of central London. The primary science questions for the ClearfLo winter IOP (intensive operational periods) were: 1) “what is the urban increment of particulate matter (PM) and other pollutants in the greater London area?” and 2) “what is the contribution of solid fuel use for home heating to wintertime PM?” An additional motivation for the Detling measurements was the question of whether coatings on black carbon particles enhance absorption.

Learning as Social Exchange in City Year London

DEFF Research Database (Denmark)

Revsbech, Christine

Learning as Social Exchange in City Year London: Action towards an image of greatness contributes to the growing field of research on social entrepreneurship. The thesis is the result of an interesting, anthropological study of a social voluntary organisation, City Year London, a British affiliate...... of an American charity. Young volunteers were followed in their daily activities working as mentors for public primary school children, and the interaction between staff and volunteers in City Year London were observed. Also, interviews with both volunteers and staff were carried out. The thesis explores...... the empirical findings applying an understanding of learning as social exchange of value. The rich empirical data has led to analyses that draw on and contribute to economic anthropology, learning theories and social entrepreneurship....

The theatrical portrait in eighteenth century London

OpenAIRE

West, Shearer

1986-01-01

A theatrical portrait is an image of an actor or actors in character. This genre was widespread in eighteenth century London and was practised by a large number of painters and engravers of all levels of ability. The sources of the genre lay in a number of diverse styles of art, including the court portraits of Lely and Kneller and the fetes galantes of Watteau and Mercier. Three types of media for theatrical portraits were particularly prevalent in London, between c.1745...

CITY OF LONDON: THE SECRETS OF STABILITY

OpenAIRE

M. K. Belyaev

2010-01-01

Reasons why the City, oldest London global financial centre, keeps to hold up leading positions in the financial world, are thoroughly discussed. Initially, this phenomenon was explained by dominating position England held as world industrial power. However, the City has not lost its leadership over last decades when England economics suffered bad times. This is explained by traditions, by the history as well as by specific position London holds as place where «business is made» as well as by...

Kommunisme i London

DEFF Research Database (Denmark)

Hansen, Brian Benjamin; Nielsen, Kasper Porsgaard

2010-01-01

Begrebet ”kommunisme” var på dagsordenen, da over 800 mennesker mødtes i Birkbeck University College i London, den 13.-15. marts, 2009. En perlerække af talere var inviteret: Alain Badiou, Michael Hardt, Bruno Bosteels, Peter Hallward, Allesandro Russo, Alberto Toscano, Toni Negri, Terry Eagleton......, Jacques Rancière, Slavoj Žižek, Gianni Vattimo og Judith Balso. Her følger en rapport fra begivenheden....

The Influence of Green Infrastructure on Urban Resilience in Greater London

Science.gov (United States)

Oh, Yukyung

2017-04-01

High population densities and diverse economic activities in urban areas create social issues as well as a range of environmental impacts including air pollution, soil contamination, loss of biodiversity and health problems (Alberti et al., 2003; Dobbs, Escobedo, & Zipperer, 2011; Grimm et al., 2008). The concept of urban resilience has been used for increasing the capacity of the entities and players to adapt to rapid changes, and urban green spaces play a crucial role in increasing urban resilience. Greater London has a good case for increasing urban green spaces and resilience under the London Plan. The relevance of urban open spaces and several socioeconomic indicators would provide researchers and policy makers with the information for managing green coverage. The correlation analysis of two quantitative data such as open space and socioeconomic data of Greater London was conducted with SPSS. The data for open spaces in Greater London was gained through Greenspace Information for Greater London. The data was converted from vector to raster in Geographic Information System (GIS), so as to calculate landscape metrics for open spaces in Greater London through a spatial pattern analysis program, FRAGSTATS 4.2. The socioeconomic data was obtained from "London Borough Profile", London Datastore. In addition, data on total carbon emissions from Industry and Commercial, Domestic, Transport, LULUCF Net Emissions, and per capita emissions were gained from UK local authority and regional carbon dioxide emissions national statistics: 2005-2014 released from Department of Energy and Climate Change. The indicators from open spaces are total area of open space and patch density or contagion of open spaces. The latter indicator allows to figure out the level of fragmentation of open spaces. The socioeconomic indicators cover number of jobs by workplace, jobs density, crime rates per thousand population, and several wellbeing indicators such as life satisfaction

Cookery, diet and district nursing in late nineteenth-century London.

Science.gov (United States)

Akiyama, Yuriko

2009-03-01

While health education in late nineteenth-century Britain could be beneficial for every household, it was particularly so where district nurses understood family circumstances and adapted knowledge to individual needs. During this period sick room cookery training and lectures on hygiene and dietetics became standard for nurses--especially following the reforms of Matron Eva Lückes at the London Hospital. Because understanding about health was not widespread in society, due to the living conditions and poverty of so many patients, and because doctors had few opportunities to convey such knowledge, the active support of nurses in the community proved to be essential for translating professional knowledge into words commonly understood. By demonstrating cooking and other health-related skills in the homes of the poor, nurses played an important part in improving the nation's health.

Dark London: Dimensions and characteristics of dark tourism supply in the UK capital

OpenAIRE

Powell, Raymond; Iankova, Katia

2016-01-01

This paper will investigate the characteristics of the supply of dark tourism in London, UK through an examination of the identified main dark sites in London, UK. Our methodology is based on web analysis of the presence of marketed and non-marketed dark tourist sites in London, their web visitation, the level of their commercialisation and the characteristics which place them in the various scales as categorised in current literature, notably Stone (2006). We identified that London offers a ...

Comparison of safety equipment between London underground and Beijing subway

Science.gov (United States)

Chen, T.; Zhang, S. Y.; Zhao, L. Z.; Xia, J. J.; Fu, X. C.; Bao, Z. M.; Chen, Y.; Zhang, X. Z.; Wang, R. J.; Hu, C.; Jing, L. S.; Wang, Y.

2017-06-01

The purpose of this paper was to improve the safety equipment’s effectiveness through the comparison. Firstly, the history and safety accident of London Underground and Beijing Subway were shown. Secondly, fire equipment between these two cities was compared including station’s hardware installations and carriage’s hardware installations. Thirdly, the relative software installations were also compared such as emergency drills. The results showed that Beijing Subway’s hardware installations were better than London. However, London Underground’s some installations were more effective than Beijing. Both cities would pay more attention on anti-terrorist in tunnel.

Lichen flora of London: effects of air pollution

Energy Technology Data Exchange (ETDEWEB)

Laundon, J R

1967-01-01

There is good, but not conclusive, evidence that sulfur dioxide is the pollutant which deleteriously affects lichens. The distribution of many lichens in London corresponds closely with the concentrations of sulfur dioxide. Low humidity is also a factor. Apart from actually killing lichens, increasing air pollution can render certain species incapable of colonizing new surfaces, although the old thalli themselves are able to survive as relicts. Until the early nineteenth century air pollution affected the lichen flora only in the small built-up area of London. The halting of building around London since 1938 has brought stability to the lichen vegetation of the area, and since then changes have been minor ones. Recent changes in pollution emissions have had little effect on the lichen flora between 1950 and 1967. This is to be expected as sulfur dioxide concentrations have remained fairly constant at ground level.

Cosmopolitanism, geographical imaginaries and belonging in North London.

Science.gov (United States)

Devadason, Ranji

2010-01-01

Cosmopolitanism has been described as the cultural habitus of globalisation. It is therefore, albeit defined somewhat loosely, often associated with ethnically diverse, global cities. This paper considers the extent to which London engenders cosmopolitan values amongst its residents. It draws on survey data from the LOCAL MULTIDEM study of minorities' political participation to address these themes. The analysis examines perceptions of respect, belonging and geographical imaginaries - amongst established minorities and the ethnic majority - in north London. It is argued that cosmopolitan ethics are transformative and dialectical and, critically, cannot remain the preserve of the privileged in multi-ethnic neighbourhoods. The analysis presented demonstrates that a sense of belonging and cosmopolitan imaginaries are not evenly accessed by different ethnic groups; notably, that Bangladeshi Londoners who are born and bred in the city are less likely to appropriate these discourses than Caribbean, Indian or White residents.

Wealth, health and frailty in industrial-era London.

Science.gov (United States)

DeWitte, Sharon N; Hughes-Morey, Gail; Bekvalac, Jelena; Karsten, Jordan

2016-05-01

Socioeconomic status is a powerful predictor of mortality in living populations, as status affects exposure or access to a variety of factors that impact health and survival, such as diet, healthcare, infectious disease and pollution. This study examines the effect of socioeconomic status on mortality and survival in London during a period spanning the early 18th through mid-19th centuries. During this period, London experienced rapid industrialization and heightened class distinctions. This study examines whether low-socioeconomic status was associated with reduced survival at a time when the distinctions between social strata were peaking. The samples for this study are drawn from three skeletal assemblages in London that represent lower and higher social strata. The upper socioeconomic status sample (n = 394) is from Chelsea Old Church and St Bride's Fleet Street (crypt assemblage). The low socioeconomic status sample (n = 474) is from St. Bride's Lower Churchyard (also known as St Bride's Farringdon Street). The effect of status on mortality and survival is assessed using hazard analysis and Kaplan-Meier analysis. The results reveal elevated mortality and reduced survival for lower socioeconomic status children, but no strong effect of status on adult mortality or survival. These results might indicate strong selective mortality operating during childhood or the effects of migration in the industrial-era population of London.

On the dynamic London-van der Waals interaction

International Nuclear Information System (INIS)

Guzman, A.

2003-08-01

We present a theory of atomic reflection by evanescent waves in the quantized electromagnetic field vacuum that yields an analytical expression for the radiation pressure resulting from the combined effect of the evanescent field and spontaneous emission. The dynamic London-van der Waals potential between atoms and a dielectric wall is introduced as the effective interaction between the induced oscillating atomic dipole and its dipole image. Dissipative effects due to the imaginary part of the London-van der Waals potential are predicted. (author)

Sources and contributions of wood smoke during winter in London

Science.gov (United States)

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

2014-05-01

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

Diaspora and peer support working: benefits of and challenges for the Butabika-East London Link.

Science.gov (United States)

Baillie, Dave; Aligawesa, Mariam; Birabwa-Oketcho, Harriet; Hall, Cerdic; Kyaligonza, David; Mpango, Richard; Mulimira, Moses; Boardman, Jed

2015-02-01

The International Health Partnership ('the Link') between the East London NHS Foundation Trust and Butabika Hospital in Uganda was set up in 2005. It has facilitated staff exchanges and set up many workstreams (e.g. in child and adolescent psychiatry, nursing and psychology) and projects (e.g. a peer support worker project and a violence reduction programme). The Link has been collaborative and mutually beneficial. The authors describe benefits and challenges at individual and organisational levels. Notably, the Link has achieved a commitment to service user involvement and an increasingly central involvement of the Ugandan diaspora working in mental health in the UK.

Practicing Reflexivity in the Study of Italian Migrants in London

Science.gov (United States)

Seganti, Francesca Romana

2010-01-01

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

Eating fuet in London: From Autoethnography to Transnational Ethnography

Directory of Open Access Journals (Sweden)

Clara Rubio

2017-08-01

Full Text Available My own experience as a young Spanish migrant in London drove me to consider the importance that Spanish food has for emigrants and to consider its role within the community. This article presents food as a metaphor of the youth migration process to London during the economic crisis, and is based on three elements: how they construct their identity, their transition to adulthood and their condition as transmigrants.

Cohort profile: Examining Neighbourhood Activities in Built Living Environments in London: the ENABLE London-Olympic Park cohort.

Science.gov (United States)

Ram, Bina; Nightingale, Claire M; Hudda, Mohammed T; Kapetanakis, Venediktos V; Ellaway, Anne; Cooper, Ashley R; Page, Angie; Lewis, Daniel; Cummins, Steven; Giles-Corti, Billie; Whincup, Peter H; Cook, Derek G; Rudnicka, Alicja R; Owen, Christopher G

2016-10-28

The Examining Neighbourhood Activities in Built Living Environments in London (ENABLE London) project is a natural experiment which aims to establish whether physical activity and other health behaviours show sustained changes among individuals and families relocating to East Village (formerly the London 2012 Olympics Athletes' Village), when compared with a control population living outside East Village throughout. Between January 2013 and December 2015, 1497 individuals from 1006 households were recruited and assessed (at baseline) (including 392 households seeking social housing, 421 seeking intermediate and 193 seeking market rent homes). The 2-year follow-up rate is 62% of households to date, of which 57% have moved to East Village. Assessments of physical activity (measured objectively using accelerometers) combined with Global Positioning System technology and Geographic Information System mapping of the local area are being used to characterise physical activity patterns and location among study participants and assess the attributes of the environments to which they are exposed. Assessments of body composition, based on weight, height and bioelectrical impedance, have been made and detailed participant questionnaires provide information on socioeconomic position, general health/health status, well-being, anxiety, depression, attitudes to leisure time activities and other personal, social and environmental influences on physical activity, including the use of recreational space and facilities in their residential neighbourhood. The main analyses will examine the changes in physical activity, health and well-being observed in the East Village group compared with controls and the influence of specific elements of the built environment on observed changes. The ENABLE London project exploits a unique opportunity to evaluate a 'natural experiment', provided by the building and rapid occupation of East Village. Findings from the study will be generalisable to

“This fabulous flotsam”: Michael Moorcock’s Urban Anthropology in “London under London”

Directory of Open Access Journals (Sweden)

Houswitschka Christoph

2015-07-01

Full Text Available Michael Moorcock is often described as “one of the most prolific and varied writers working in Britain” (Malcolm 146. His success as a writer and editor of science fiction and fantasy literature is well established, but he is also the author of two novels about London, Mother London (1988 and King of the City (2000. Hardly known, Mother London by Michael Moorcock, offers itself to a variety of approaches that have been widely discussed in the context of studies on English literature during the Thatcher years, post-modernism, and psycho-geography. The novel resonates with the author’s own childhood in war-time London without being autobiographical. It tells the story of three Londoners who were traumatised during the Blitz. The following article focuses on the mysteries of subterranean London that represents the hidden and unconscious identities of its inhabitants in the post-war period.

Case studies of transport for London.

Science.gov (United States)

2009-01-01

This project was motivated by the election of Ken Livingston as Mayor of London in : 2000. Mayor Livingston campaigned on a platform of improving transportation service through : such innovative means as congestion pricing. Mayor Livingston relied on...

The London low emission zone baseline study.

Science.gov (United States)

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

2011-11-01

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

Further observations on London fog

Energy Technology Data Exchange (ETDEWEB)

Waller, R E; Lawther, P J

1957-01-01

The degree of illness in a group of people with bonchitis or emphysema residing in London during the winter of 1955--56 was monitored by personal diary methods. Concentration of smoke was related to degree of illness, with rapid response at onset and slow recovery. Wet fogs were no worse than dry ones.

Enhancing Resilience of London by Learning from Experiences

Directory of Open Access Journals (Sweden)

Funda Atun

2012-07-01

Full Text Available The concept of resilience was introduced at the beginning of the 70s to indicate the capability of natural systems to absorb perturbations, preserving their structure and keeping the system functioning. The paper considers London as an example to a resilient city by focusing on some remarkable disasters in the history of London, such as the Great Fire of 1666, the air raids during the World War 2, 18 December 1987 Kings Cross Fire, terrorist attack to tube network on the 7th of July 2005, 1928 flooding and 1953 storm surge. The paper starts by giving short descriptions of these disasters and continues by discussing the lessons learned. In this paper, the concept of resilience has been studied in three phases: prepare for, respond to and recover from a disaster. Besides, actions that have to be taken according to these three phases are going to be explored in detail. In conclusion, the notable effects of the mentioned disasters on the structural and non-structural tools for disaster prevention have been revealed by considering resilience of London.

London, England

Science.gov (United States)

2003-01-01

For almost 2,000 years, the River Thames has served as the life force of London, capital of the United Kingdom and one of the world's most famous cities. In AD 43 the Romans established the trading settlement of Londinium at a favorable crossing point on the river. The Romans remained until the 5th century, when the city came under Saxon control. The early 17th century saw enormous growth, but the deadly plague of 1664 and 1665 ravaged the population, and in the following year the Great Fire, which burned for four days, destroyed most of the city. A public transportation system and other city services in the early 19th century eased many of the increasing urban problems of the burgeoning capital of the wealthy British Empire. After coping with the devastating effects of bombing during World War II and the gradual dismantling of the empire, London today thrives as a vital modern metropolis. London is one of 100 cities being studied using ASTER data to map and monitor urban use patterns and growth.This image was acquired on October 12, 2001 by the Advanced Spaceborne Thermal Emission and Reflection Radiometer (ASTER) on NASA's Terra satellite. With its 14 spectral bands from the visible to the thermal infrared wavelength region, and its high spatial resolution of 15 to 90 meters (about 50 to 300 feet), ASTER images Earth to map and monitor the changing surface of our planet.ASTER is one of five Earth-observing instruments launched December 18, 1999, on NASA's Terra satellite. The instrument was built by Japan's Ministry of Economy, Trade and Industry. A joint U.S./Japan science team is responsible for validation and calibration of the instrument and the data products.The broad spectral coverage and high spectral resolution of ASTER will provide scientists in numerous disciplines with critical information for surface mapping, and monitoring of dynamic conditions and temporal change. Example applications are: monitoring glacial advances and retreats; monitoring

Dementia in older people admitted to hospital: a regional multi-hospital observational study of prevalence, associations and case recognition

Science.gov (United States)

Timmons, Suzanne; Manning, Edmund; Barrett, Aoife; Brady, Noeleen M.; Browne, Vanessa; O’Shea, Emma; Molloy, David William; O'Regan, Niamh A.; Trawley, Steven; Cahill, Suzanne; O'Sullivan, Kathleen; Woods, Noel; Meagher, David; Ni Chorcorain, Aoife M.; Linehan, John G.

2015-01-01

Background: previous studies have indicated a prevalence of dementia in older admissions of ∼42% in a single London teaching hospital, and 21% in four Queensland hospitals. However, there is a lack of published data from any European country on the prevalence of dementia across hospitals and between patient groups. Objective: to determine the prevalence and associations of dementia in older patients admitted to acute hospitals in Ireland. Methods: six hundred and six patients aged ≥70 years were recruited on admission to six hospitals in Cork County. Screening consisted of Standardised Mini-Mental State Examination (SMMSE); patients with scores dementia; with 29% in public hospitals. Prevalence varied between hospitals (P dementia had a previous diagnosis. Patients with dementia were older and frailer, with higher co-morbidity, malnutrition and lower functional status (P dementia (57%) on admission. Conclusion: dementia is common in older people admitted to acute hospitals, particularly in acute medical admissions, and rural hospitals, where services may be less available. Most dementia is not previously diagnosed, emphasising the necessity for cognitive assessment in older people on presentation to hospital. PMID:26420638

Burke-Fahn-Marsden dystonia severity, Gross Motor, Manual Ability, and Communication Function Classification scales in childhood hyperkinetic movement disorders including cerebral palsy: a 'Rosetta Stone' study.

Science.gov (United States)

Elze, Markus C; Gimeno, Hortensia; Tustin, Kylee; Baker, Lesley; Lumsden, Daniel E; Hutton, Jane L; Lin, Jean-Pierre S-M

2016-02-01

Hyperkinetic movement disorders (HMDs) can be assessed using impairment-based scales or functional classifications. The Burke-Fahn-Marsden Dystonia Rating Scale-movement (BFM-M) evaluates dystonia impairment, but may not reflect functional ability. The Gross Motor Function Classification System (GMFCS), Manual Ability Classification System (MACS), and Communication Function Classification System (CFCS) are widely used in the literature on cerebral palsy to classify functional ability, but not in childhood movement disorders. We explore the concordance of these three functional scales in a large sample of paediatric HMDs and the impact of dystonia severity on these scales. Children with HMDs (n=161; median age 10y 3mo, range 2y 6mo-21y) were assessed using the BFM-M, GMFCS, MACS, and CFCS from 2007 to 2013. This cross-sectional study contrasts the information provided by these scales. All four scales were strongly associated (all Spearman's rank correlation coefficient rs >0.72, pdisorders including cerebral palsy can be effectively evaluated using these scales. © 2015 Mac Keith Press.

Diaspora and peer support working: benefits of and challenges for the Butabika–East London Link

Science.gov (United States)

Baillie, Dave; Aligawesa, Mariam; Birabwa-Oketcho, Harriet; Hall, Cerdic; Kyaligonza, David; Mpango, Richard; Mulimira, Moses; Boardman, Jed

2015-01-01

The International Health Partnership (‘the Link’) between the East London NHS Foundation Trust and Butabika Hospital in Uganda was set up in 2005. It has facilitated staff exchanges and set up many workstreams (e.g. in child and adolescent psychiatry, nursing and psychology) and projects (e.g. a peer support worker project and a violence reduction programme). The Link has been collaborative and mutually beneficial. The authors describe benefits and challenges at individual and organisational levels. Notably, the Link has achieved a commitment to service user involvement and an increasingly central involvement of the Ugandan diaspora working in mental health in the UK. PMID:29093835

Audit of appendicectomies at Frere Hospital | Rogers | South African ...

African Journals Online (AJOL)

Objective. We sought to evaluate the surgical service in the central part of the Eastern Cape Province by reviewing the practice of appendicectomy at Frere Hospital. Specifically, it was our aim to compare the service to those patients who reside in and outside the East London metropolitan area and the outcomes of patients ...

Accelerated Innovation Deployment (AID) Demonstration : KYTC—Roundabout Installation Project in London, Kentucky.

Science.gov (United States)

2017-11-01

This document serves as the final report on the construction and opening of the Roundabout Project in London, Kentucky (Kentucky Item Number 11904.1). This project (hereafter referred to as the London Roundabout) was constructed on the authority o...

Sex Trafficking and State Intervention: Conflicts and Contradictions during the 2012 London Olympics

OpenAIRE

Jelbert, Charmaine

2015-01-01

This thesis focuses on the British human trafficking prevention policies adopted for the 2012 London Olympics using mixed methods including participation-observation, qualitative interviews, theoretical analysis and policy evaluation. I was invited to observe the Human Trafficking Network and London 2012, the Mayor of London’s official response to the claim that human trafficking would increase at the London Olympics. My presence enabled me to witness first-hand the key policy debates su...

Nurses and opioids: results of a bi-national survey on mental models regarding opioid administration in hospitals

Directory of Open Access Journals (Sweden)

Guest C

2017-03-01

Full Text Available Charlotte Guest,1 Fabian Sobotka,2 Athina Karavasopoulou,3 Stephen Ward,3 Carsten Bantel4,5 1Pain Medicine, Chelsea and Westminster Hospital NHS Foundation Trust, London, UK; 2Division of Epidemiology and Biometry, Department of Health Services Research, Faculty 6, Medicine and Health Sciences, Carl von Ossietzky Universität Oldenburg, Oldenburg, Germany; 3Pain Service, Barts Health, St Bartholomew’s Hospital, London, UK; 4Department of Anaesthesiology, Intensive Care, Emergency Medicine and Pain Therapy, Oldenburg University, Klinikum Oldenburg Campus, Oldenburg, Germany; 5Department of Surgery and Cancer, Anaesthetics Section, Imperial College London, Chelsea and Westminster Hospital Campus, London, UK Objective: Pain remains insufficiently treated in hospitals. Increasing evidence suggests human factors contribute to this, due to nurses failing to administer opioids. This behavior might be the consequence of nurses’ mental models about opioids. As personal experience and conceptions shape these models, the aim of this prospective survey was to identify model-influencing factors. Material and methods: A questionnaire was developed comprising of 14 statements concerning ideations about opioids and seven questions concerning demographics, indicators of adult learning, and strength of religious beliefs. Latent variables that may underlie nurses’ mental models were identified using undirected graphical dependence models. Representative items of latent variables were employed for ordinal regression analysis. Questionnaires were distributed to 1,379 nurses in two London, UK, hospitals (n=580 and one German (n=799 hospital between September 2014 and February 2015. Results: A total of 511 (37.1% questionnaires were returned. Mean (standard deviation age of participants were 37 (11 years; 83.5% participants were female; 45.2% worked in critical care; and 51.5% had more than 10 years experience. Of the nurses, 84% were not scared of opioids, 87

Analysis of the London dumping convention

International Nuclear Information System (INIS)

Nauke, M.K.

1983-05-01

This report gives an in-depth review of the provisions of the London Dumping Convention and of its origins in the context of the international legal framework for controlling all aspects of marine pollution. Particular attention is paid to the provisions concerning radioactive waste. (NEA) [fr

Amsterdam and London as financial centers in the eighteenth century

OpenAIRE

Ann M. Carlos; Larry Neal

2011-01-01

In the seventeenth century, Amsterdam and London developed distinctive innovations in finance through both banks and markets that facilitated the growth of trade in each city. In the eighteenth century, a symbiotic relation developed that led to bank-oriented finance in Amsterdam cooperating with market-oriented finance in London. The relationship that emerged allowed each to rise to unprecedented dominance in Europe, while the respective financial innovations in each city provided the means ...

Reading Samuel Selvon's The Lonely Londoners

African Journals Online (AJOL)

User

is represented when he says to Moses in confidence: 'Don't worry, I will get fix up as .... of the immigrants in London, these are the things they strive .... cultures could be done, a task one can argue he sets out to do and reconcile in his novel.

Kingsnorth-London dc transmission link

Energy Technology Data Exchange (ETDEWEB)

1966-03-11

The hvdc transmission link between one of the 500 MW generators at Kingsnorth Power Station and two receiving stations in London will use a three-wire dc cable system rated to carry 1200 A at +- 266 kV. This 51-mile system will be the first dc link in the world to be used as an integral part of a complex interconnected ac network.

Franchise. Quantum leap.

Science.gov (United States)

Mooney, Helen

2008-05-15

The Royal Marsden's chemotherapy unit in Kingston will not only treat its own patients who live locally, but also accept referrals from local GPs. The move is part of a trend by well-known hospitals to open franchises, led by the Moorfields Eye Hospital which has 11 satellite units, including one in Dubai. Franchising by specialist hospitals can increase services, raise income and expand their brand. It also allows specialist staff to work in a range of settings.

Droughts and Dragons: Geography, Rainfall, and Eighteenth-Century London's Water Systems.

Science.gov (United States)

Van Lieshout, Carry

By the end of the eighteenth century the majority of households in London received a piped water supply. This article examines the geographical, technological, and environmental challenges that London's private water companies faced as they created and expanded the large technological networks necessary to provide the growing city's water supply. It identifies geography and drought as the main drivers of innovation in London's water supply neworks, and argues that the main impediment to expansion for the majority of the water companies was overcoming the differences in elevation between their intake points and customer bases, with major improvements often made as a result of water shortages. The timing and the success or failure of a company's technological improvements proved pivotal in the subsequent development of the water market.

Short-term effects of air pollution on hospital admissions of respiratory diseases in Europe : A quantitative summary of APHEA study results

NARCIS (Netherlands)

Spix, C; Anderson, HR; Schwartz, J; Vigotti, MA; LeTertre, A; Vonk, JM; Touloumi, G; Balducci, F; Piekarski, T; Bacharova, L; Tobias, A; Ponka, A; Katsouyanni, K

1998-01-01

The Air Pollution and Health: a European Approach (APHEA) project is a coordinated study of the short-term effects of air pollution on mortality and hospital admissions. Five West European cities (i.e., London, Amsterdam, Rotterdam, Paris, Milano) contributed several years of hospital admissions

Studies of quality control procedures for radiopharmaceuticals

International Nuclear Information System (INIS)

Zivanovic, M.; Trott, N.G.

1983-01-01

In this paper, a short description is given of a radiopharmaceutical preparation suite set up at the Royal Marsden Hospital and an account is presented of methods used for quality control of radiopharmaceuticals and of the results obtained over a period of about two and a half years

Movement and Character. Lecture, London, 1946

Science.gov (United States)

Montesorri, Maria

2013-01-01

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

Accounting for Impact at Imperial College London

DEFF Research Database (Denmark)

Perkmann, Markus; Fini, Riccardo; Ross, Jan-Michael

We report findings of a study of academic engagement and commercialisation at Imperial College London. We detail the extent of collaboration with industry, consulting, patenting and entrepreneurship by Imperial academics, as well as individuals’ motivations and perceived barriers to engagement. T...

To Moscow with love: partial reconstruction of Vygotsky's trip to London.

Science.gov (United States)

van der Veer, René; Zavershneva, Ekaterina

2011-12-01

The Russian psychologist Lev Vygotsky (1896-1934) left the Soviet Union only once to attend a conference on the education of the deaf in London. So far almost nothing was known about this trip, which took place in a period when Vygotsky was still completely unknown as a psychologist, both inside his own country and abroad. Making use of a newly discovered notebook, it proved possible to partially reconstruct Vygotsky's journey and stay in London. Vygotsky's very personal remarks show him to have been a very sensitive and spirited man, who was prey to strong emotions during the conference and afterwards. Rather surprisingly, Vygotsky's own paper about the education of the deaf was never presented during the conference and the stay in London appears to have had a limited value for his own scientific development.

My Ward: The Story of St Thomas', Guy's and the Evelina Children's Hospitals and their Ward Names Wendy Mathews My Ward: The Story of St Thomas', Guy's and the Evelina Children's Hospitals and their Ward Names | Walpole House Publishing £5 I 135pp | 9780956394200 0956394205 [Formula: see text].

Science.gov (United States)

2011-05-01

This is a fascinating record of the stories behind the names of wards at three London hospitals and of the hospitals themselves. Made possible by a grant from Guy's and st Thomas' Charity, it is beautifully produced and illustrated and is a great historical read.

Lichen and bryophyte distribution on oak in London in relation to air pollution and bark acidity

International Nuclear Information System (INIS)

Larsen, R.S.; Bell, J.N.B.; James, P.W.; Chimonides, P.J.; Rumsey, F.J.; Tremper, A.; Purvis, O.W.

2007-01-01

Epiphytic lichen and bryophyte distribution and frequency were investigated on the trunks of 145 young oak trees throughout London and surrounding counties, and compared with pollution levels and bark pH. Sixty-four lichen and four bryophyte species were recorded. Three major zones were identified: (i) two central regions with a few lichens, bryophytes absent; (ii) a surrounding region with a more diverse flora including a high cover of nitrophyte lichens; and (iii) an outer region, characterised by species absent from central London, including acidophytes. Nineteen species were correlated with nitrogen oxides and 16 with bark pH, suggesting that transport-related pollution and bark acidity influence lichen and bryophyte distribution in London today. Lichens and bryophytes are responding to factors that influence human and environmental health in London. Biomonitoring therefore has a practical role to assess the effects of measures to improve London's air quality. - Transport-related pollutants and bark acidity influence lichen and bryophyte distribution and abundance in London today

Emergency procedures in London

International Nuclear Information System (INIS)

Cree, D.

1984-01-01

This chapter discusses the following: emergency services (fire brigade, ambulance and police) that would be involved in dealing with an accident to a nuclear fuel flask in transport through London, with special reference to procedures used by the Metropolitan Police; geographical area covered by Metropolitan Police; initiation of action; decision whether to evacuate the area of the accident; examples of action taken to deal with non-radiation accidents (in absence of any example of relevant radiation accident); specific instructions, or advice, to police relating to the movement of irradiated fuel; training exercises. (U.K.)

Psychoanalysis of Jack London's "The Call of the Wild" and "White Fang"

Science.gov (United States)

Yang, Hongyan

2015-01-01

"The Call of the Wild" and "White Fang" both are masterpieces of Jack London. The protagonists Buck and White Fang are the incarnation of Jack himself to some extent for the two novels reveal a great deal of the writer. This essay aims at psychoanalyzing Jack London's creative process, the Oedipus complex and the confliction…

Tracer concentration profiles measured in central London as part of the REPARTEE campaign

Directory of Open Access Journals (Sweden)

D. Martin

2011-01-01

Full Text Available There have been relatively few tracer experiments carried out that have looked at vertical plume spread in urban areas. In this paper we present results from two tracer (cyclic perfluorocarbon experiments carried out in 2006 and 2007 in central London centred on the BT Tower as part of the REPARTEE (Regent's Park and Tower Environmental Experiment campaign. The height of the tower gives a unique opportunity to study vertical dispersion profiles and transport times in central London. Vertical gradients are contrasted with the relevant Pasquill stability classes. Estimation of lateral advection and vertical mixing times are made and compared with previous measurements. Data are then compared with a simple operational dispersion model and contrasted with data taken in central London as part of the DAPPLE campaign. This correlates dosage with non-dimensionalised distance from source. Such analyses illustrate the feasibility of the use of these empirical correlations over these prescribed distances in central London.

Launch of the London Centre for Nanotechnology.

Science.gov (United States)

Aeppli, Gabriel; Pankhurst, Quentin

2006-12-01

Is nanomedicine an area with the promise that its proponents claim? Professors Gabriel Aeppli and Quentin Pankhurst explore the issues in light of the new London Centre for Nanotechnology (LCN)--a joint enterprise between Imperial College and University College London--opened on November 7, 2006. The center is a multidisciplinary research initiative that aims to bridge the physical, engineering and biomedical sciences. In this interview, Professor Gabriel Aeppli, LCN co-Director, and Deputy Director Professor Quentin Pankhurst discuss the advent and future role of the LCN with Nanomedicine's Morag Robertson. Professor Aeppli was formerly with NEC, Bell Laboratories and MIT and has more than 15 years' experience in the computer and telecommunications industry. Professor Pankhurst is a physicist with more than 20 years' experience of working with magnetic materials and nanoparticles, who now works closely with clinicians and medics on innovative healthcare applications. He also recently formed the new start-up company Endomagnetics Inc.

London SPAN version 4 parameter file format

International Nuclear Information System (INIS)

2004-06-01

Powernext SA is a Multilateral Trading Facility in charge of managing the French power exchange through an optional and anonymous organised trading system. Powernext SA collaborates with the clearing organization LCH.Clearnet SA to secure and facilitate the transactions. The French Standard Portfolio Analysis of Risk (SPAN) is a system used by LCH.Clearnet to calculate the initial margins from and for its clearing members. SPAN is a computerized system which calculates the impact of several possible variations of rates and volatility on by-product portfolios. The initial margin call is equal to the maximum probable loss calculated by the system. This document contains details of the format of the London SPAN version 4 parameter file. This file contains all the parameters and risk arrays required to calculate SPAN margins. London SPAN Version 4 is an upgrade from Version 3, which is also known as LME SPAN. This document contains the full revised file specification, highlighting the changes from Version 3 to Version 4

Price, exclusivity and luxury: Exploring London's luxury hotels

African Journals Online (AJOL)

2016-07-11

Jul 11, 2016 ... Price, exclusivity and luxury: Exploring London's luxury hotels. Andy Heyes ... strategy now looks to target middle-market consumers with reasonable ...... celebrities and high profiles from politics to corporate…whom are well ...

An analysis of the economic and patient outcome impact of an integrated COPD service in east London.

Science.gov (United States)

Garner, Anna; Hodson, Matthew; Ketsetzis, Georgios; Pulle, Laurence; Yorke, Janelle; Bhowmik, Angshu

2017-01-01

Exacerbations of COPD carry a huge burden of morbidity and a significant economic impact. It has been shown that home care may be useful for exacerbations of COPD. This article presents a review of an integrated COPD service in east London. Hospital Episode Statistics, Public Health Mortality Files and clinical data were used to analyze differences in health care usage and COPD patient outcomes, including COPD assessment test (CAT) scores for a subsample, before and after the introduction of the integrated service. There was a significant (30%) reduction in the number of hospital bed days for COPD patients ( P economic model shows that the economic benefits of the service (via impact on place of death and reduction in length of hospital stay) were almost equal to the cost of the service. The increase in proportion of short-stay admissions and the reduction in bed days suggest an impact of the service on early supported discharge and that this along with an improvement in patient clinical outcomes and in quality of end-of-life care shows that an exemplar integrated COPD service can provide benefits that equate to a nearly cost-neutral service.

The district nursing and community matron services workforce: A scoping review in South London for the South London Nursing Network

OpenAIRE

Drennan, Vari

2014-01-01

This report presents both an overview of the issues influencing district nursing and community matron \\ud workforces and also a scoping of key issues in respect of workforce development in district nursing and\\ud community matron services in South London

Pollen exposure and hospitalization due to asthma exacerbations: daily time series in a European city

Science.gov (United States)

Osborne, Nicholas J.; Alcock, Ian; Wheeler, Benedict W.; Hajat, Shakoor; Sarran, Christophe; Clewlow, Yolanda; McInnes, Rachel N.; Hemming, Deborah; White, Mathew; Vardoulakis, Sotiris; Fleming, Lora E.

2017-10-01

Exposure to pollen can contribute to increased hospital admissions for asthma exacerbation. This study applied an ecological time series analysis to examine associations between atmospheric concentrations of different pollen types and the risk of hospitalization for asthma in London from 2005 to 2011. The analysis examined short-term associations between daily pollen counts and hospital admissions in the presence of seasonal and long-term patterns, and allowed for time lags between exposure and admission. Models were adjusted for temperature, precipitation, humidity, day of week, and air pollutants. Analyses revealed an association between daily counts (continuous) of grass pollen and adult hospital admissions for asthma in London, with a 4-5-day lag. When grass pollen concentrations were categorized into Met Office pollen `alert' levels, `very high' days (vs. `low') were associated with increased admissions 2-5 days later, peaking at an incidence rate ratio of 1.46 (95%, CI 1.20-1.78) at 3 days. Increased admissions were also associated with `high' versus `low' pollen days at a 3-day lag. Results from tree pollen models were inconclusive and likely to have been affected by the shorter pollen seasons and consequent limited number of observation days with higher tree pollen concentrations. Future reductions in asthma hospitalizations may be achieved by better understanding of environmental risks, informing improved alert systems and supporting patients to take preventive measures.

Limited urban growth: London's street network dynamics since the 18th century.

Directory of Open Access Journals (Sweden)

A Paolo Masucci

Full Text Available We investigate the growth dynamics of Greater London defined by the administrative boundary of the Greater London Authority, based on the evolution of its street network during the last two centuries. This is done by employing a unique dataset, consisting of the planar graph representation of nine time slices of Greater London's road network spanning 224 years, from 1786 to 2010. Within this time-frame, we address the concept of the metropolitan area or city in physical terms, in that urban evolution reveals observable transitions in the distribution of relevant geometrical properties. Given that London has a hard boundary enforced by its long standing green belt, we show that its street network dynamics can be described as a fractal space-filling phenomena up to a capacitated limit, whence its growth can be predicted with a striking level of accuracy. This observation is confirmed by the analytical calculation of key topological properties of the planar graph, such as the topological growth of the network and its average connectivity. This study thus represents an example of a strong violation of Gibrat's law. In particular, we are able to show analytically how London evolves from a more loop-like structure, typical of planned cities, toward a more tree-like structure, typical of self-organized cities. These observations are relevant to the discourse on sustainable urban planning with respect to the control of urban sprawl in many large cities which have developed under the conditions of spatial constraints imposed by green belts and hard urban boundaries.

Limited urban growth: London's street network dynamics since the 18th century.

Science.gov (United States)

Masucci, A Paolo; Stanilov, Kiril; Batty, Michael

2013-01-01

We investigate the growth dynamics of Greater London defined by the administrative boundary of the Greater London Authority, based on the evolution of its street network during the last two centuries. This is done by employing a unique dataset, consisting of the planar graph representation of nine time slices of Greater London's road network spanning 224 years, from 1786 to 2010. Within this time-frame, we address the concept of the metropolitan area or city in physical terms, in that urban evolution reveals observable transitions in the distribution of relevant geometrical properties. Given that London has a hard boundary enforced by its long standing green belt, we show that its street network dynamics can be described as a fractal space-filling phenomena up to a capacitated limit, whence its growth can be predicted with a striking level of accuracy. This observation is confirmed by the analytical calculation of key topological properties of the planar graph, such as the topological growth of the network and its average connectivity. This study thus represents an example of a strong violation of Gibrat's law. In particular, we are able to show analytically how London evolves from a more loop-like structure, typical of planned cities, toward a more tree-like structure, typical of self-organized cities. These observations are relevant to the discourse on sustainable urban planning with respect to the control of urban sprawl in many large cities which have developed under the conditions of spatial constraints imposed by green belts and hard urban boundaries.

Staging the orient in Aladdin: London - Copenhagen

DEFF Research Database (Denmark)

Svane, Marie-Louise

2018-01-01

En sammenligning af John O'Keefes / Charles Farleys sceniske opsætning af Aladdin-eventyret fra Tusind og én nats eventyr i London (1813) med Adam Oehlenschlägers Aladdin-lystspil i København (1805). Artiklen diskuterer de to versioner af eventyrstykket som fortolkning og respons på to forskellige...

EDITORIAL: 50th anniversary issue

Science.gov (United States)

Beddoe, Alun H.

2006-07-01

1972, firstly on behalf of the Hospital Physicists' Association and then on behalf of the Institute of Physics and Engineering in Medicine (IPEM). I wish to pay tribute to the staff at the IOP Publishing Office for the continuing excellent quality and short publication times for articles appearing in PMB. There can be no doubt that this contributes to the popularity with authors and readers alike. It almost goes without saying but I should also thank all the contributors, referees, Editorial Board members and International Advisory Board members who have, collectively, made PMB the success that it is. For historical interest I list below the 11 editors of PMB since its inception. Three of these editors have contributed papers to this issue. 1956-1961 Professor J E Roberts, Middlesex Hospital, London 1961-1972 Professor Sir Joseph Rotblat, St Bartholomew's Hospital, London 1973-1978 Professor H A B Simons, Royal Free Hospital, London 1979-1982 Mr J Clifton, University College Hospital, London 1983-1985 Professor R P Parker, University of Leeds, Leeds 1986-1987 Dr M J Day, Newcastle General Hospital, Newcastle 1988-1991 Professor S C Lillicrap, Royal United Hospital, Bath 1992-1995 Professor B L Diffey, Dryburn Hospital, Durham 1996-1999 Professor M O Leach, Royal Marsden NHS Foundation Trust, London 2000-2005 Professor A H Beddoe, University Hospital, Birmingham 2006- Professor S Webb, Royal Marsden NHS Foundation Trust, London Finally, apart from noting the usual caveat that the Guest Editor, Editor-in Chief, IOP and IPEM take no responsibility for opinions expressed by authors, I would like to conclude by wishing Professor Steve Webb and future editors every success. While I may not be around for the centenary issue in July 2056 I have every reason to believe that it will be a good one.

London tõukas New Yorgi troonilt / Kertu Ruus

Index Scriptorium Estoniae

Ruus, Kertu, 1977-

2007-01-01

Maailma finantskeskuste indeksi järgi on London tõuganud New Yorgi teisele kohale, neile järgnevad Hongkong, Singapur ja Zürich. Vt. samas: IPOd on USAs kokku kuivanud. Tabel: Londoni börsile tuli mullu rohkem firmasid

Origins and properties of Mycobacterium tuberculosis isolates in London.

Science.gov (United States)

Dale, Jeremy W; Bothamley, Graham H; Drobniewski, Francis; Gillespie, Stephen H; McHugh, Timothy D; Pitman, Richard

2005-06-01

Using similarities of IS6110 banding patterns, isolates of Mycobacterium tuberculosis from a population-based study in London were assigned to 12 large groups termed 'superfamilies' (sfams). Analysis of patient data showed a marked geographical association in the distribution of these sfams. In particular, isolates from patients born in Europe were from different sfams than those born elsewhere, indicating that there had been relatively little transmission of tuberculosis in London from immigrant communities into the endogenous population. Multivariate analysis showed that certain sfams were significantly associated with pulmonary rather than extrapulmonary disease, or with sputum smear negativity, independently of country of birth or ethnicity, suggesting that the properties of the infecting organism play a role in the nature of the disease process.

Political opposition in patriarchal East London

OpenAIRE

Atkinson, D

2010-01-01

This paper describes the growing level of politicization in East London in the 1950s, and the way this affected the patriarchal normative system, which prevailed in urban administration. Patriarchalism, as a system, was susceptible of different interpretations by white municipal officials, and their response to black political opposition ranged from liberal forbearance to rigid and uncompromising intolerance. Black leaders’ attitudes to the patriarchal order were similarly nuan...

The economic costs of intrapartum care in Tower Hamlets: A comparison between the cost of birth in a freestanding midwifery unit and hospital for women at low risk of obstetric complications.

Science.gov (United States)

Schroeder, Liz; Patel, Nishma; Keeler, Michelle; Rocca-Ihenacho, Lucia; Macfarlane, Alison J

2017-02-01

to compare the economic costs of intrapartum maternity care in an inner city area for 'low risk' women opting to give birth in a freestanding midwifery unit compared with those who chose birth in hospital. micro-costing of health service resources used in the intrapartum care of mothers and their babies during the period between admission and discharge, data extracted from clinical notes. the Barkantine Birth Centre, a freestanding midwifery unit and the Royal London Hospital's consultant-led obstetric unit, both run by the former Barts and the London NHS Trust in Tower Hamlets, a deprived inner city borough in east London, England, 2007-2010. maternity records of 333 women who were resident in Tower Hamlets and who satisfied the Trust's eligibility criteria for using the Birth Centre. Of these, 167 women started their intrapartum care at the Birth Centre and 166 started care at the Royal London Hospital. women who planned their birth at the Birth Centre experienced continuous intrapartum midwifery care, higher rates of spontaneous vaginal delivery, greater use of a birth pool, lower rates of epidural use, higher rates of established breastfeeding and a longer post-natal stay, compared with those who planned for care in the hospital. The total average cost per mother-baby dyad for care where mothers started their intrapartum care at the Birth Centre was £1296.23, approximately £850 per patient less than the average cost per mother and baby who received all their care at the Royal London Hospital. These costs reflect intrapartum throughput using bottom up costing per patient, from admission to discharge, including transfer, but excluding occupancy rates and the related running costs of the units. the study showed that intrapartum throughput in the Birth Centre could be considered cost-minimising when compared to hospital. Modelling the financial viability of midwifery units at a local level is important because it can inform the appropriate provision of these

Mind the gap: financial London and the regional class pay gap.

Science.gov (United States)

Friedman, Sam; Laurison, Daniel

2017-09-01

The hidden barriers, or 'gender pay gap', preventing women from earning equivalent incomes to men is well documented. Yet recent research has uncovered that, in Britain, there is also a comparable class-origin pay gap in higher professional and managerial occupations. So far this analysis has only been conducted at the national level and it is not known whether there are regional differences within the UK. This paper uses pooled data from the 2014 and 2015 Labour Force Survey (N = 7,534) to stage a more spatially sensitive analysis that examines regional variation in the class pay gap. We find that this 'class ceiling' is not evenly spatially distributed. Instead it is particularly marked in Central London, where those in high-status occupations who are from working-class backgrounds earn, on average, £10,660 less per year than those whose parents were in higher professional and managerial employment. Finally, we inspect the Capital further to reveal that the class pay gap is largest within Central London's banking and finance sector. Challenging policy conceptions of London as the 'engine room' of social mobility, these findings suggest that class disadvantage within high-status occupations is particularly acute in the Capital. The findings also underline the value of investigating regional differences in social mobility, and demonstrate how such analysis can unravel important and previously unrecognized spatial dimensions of class inequality. © London School of Economics and Political Science 2017.

Stage Voice Training in the London Schools.

Science.gov (United States)

Rubin, Lucille S.

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

The Sindhi Hindus of London − Language Maintenance or Language Shift?

Directory of Open Access Journals (Sweden)

Maya Khemlani David

2001-09-01

Full Text Available The linguistic situation of the Sindhi language in London is examined with a view to determining whether the community is maintaining the use of its ethnic language. The Sindhi Hindus of London are a language community, which have never been researched. The language choice of the community in different domains and for a range of language functions is discussed. Both external and internal factors of language shift have weakened the linguistic and communicative competence of Sindhi speakers in the language contact situation of the United Kingdom.

JACK LONDON ETNÓLOGO AMATEUR DEL PUGILISMO

Directory of Open Access Journals (Sweden)

Loïc Wacquant

2012-12-01

Full Text Available De los relatos que Jack London ha consagrado al boxeo, A Piece of Steak es sin dudas aquel que merece hoy nuestra mayor atención, e incluso un lugar en el panteón de los textos literarios sobre el Noble Arte, y junto a él otros tres títulos...

Dentists with enhanced skills (Special Interest) in Endodontics: gatekeepers views in London.

Science.gov (United States)

Ghotane, Swapnil G; Al-Haboubi, Mustafa; Kendall, Nick; Robertson, Claire; Gallagher, Jennifer E

2015-09-21

Dentists with a special interest hold enhanced skills enabling them to treat cases of intermediate complexity. The aim of this study was to explore primary dental care practitioners' views of dentists with a special interest (DwSIs) in Endodontics in London, with reference to an educational and service initiative established by (the former) London Deanery in conjunction with the NHS. A cross-sectional postal survey of primary care dentists working across different models of care within London was conducted, with a target to achieve views of at least 5 % of London's dentists. The questionnaire instrument was informed by qualitative research and the dental literature and piloted prior to distribution; data were analysed using SPSS v19 and STATA v12.0. Six per cent of London's primary care dentists (n = 243) responded to the survey; 53 % were male. Just over one third (37 %; n = 90) were aware of the DwSI service being provided. Most practitioners reported that having access to a DwSI in Endodontics would support the care of their patients (89 %; n = 215), would carry out more endodontic treatment in the NHS primary dental care if adequately reimbursed (93 %; n = 220), and had more time (76 %; n = 180). Female respondents appeared to be less confident in doing endodontic treatment (p = 0.001). More recently qualified respondents reported greater need for training/support for performing more endodontic treatment in the NHS primary dental care (p = 0.001), were more dissatisfied with access to endodontic service in the NHS primary dental care (p = 0.007) and more interested to train as a DwSI in endodontics (p = 0.001) compared with respondents having a greater number of years of clinical experience since qualification. The findings lend support to the concept of developing dentists with enhanced skills as well as ensuring additional funding, time and support to facilitate more routine endodontics through the NHS primary care to meet

Uterine sarcoma – current perspectives

Directory of Open Access Journals (Sweden)

Benson C

2017-08-01

Full Text Available Charlotte Benson,1 Aisha B Miah1,2 1Sarcoma Unit, Royal Marsden Hospital, 2Department of Radiotherapy and Imaging, The Institute of Cancer Research, London, UK Abstract: Uterine sarcomas comprise a group of rare tumors with differing tumor biology, natural history and response to treatment. Diagnosis is often made following surgery for presumed benign disease. Currently, preoperative imaging does not reliably distinguish between benign leiomyomas and other malignant pathology. Uterine leiomyosarcoma is the most common sarcoma, but other subtypes include endometrial stromal sarcoma (low grade and high grade, undifferentiated uterine sarcoma and adenosarcoma. Clinical trials have shown no definite survival benefit of adjuvant radiotherapy or chemotherapy and have been hampered by the rarity and heterogeneity of these disease types. There is a role of adjuvant treatment in carefully selected cases following multidisciplinary discussion at sarcoma reference centers. In patients with metastatic disease, systemic chemotherapy can then be considered. There is activity of a number of agents, including doxorubicin, trabectedin, gemcitabine-based chemotherapy, eribulin and pazopanib. Patients should be considered for clinical trial entry where possible. Close international collaboration is important to allow progress in this group of diseases. Keywords: sarcoma, leiomyosarcoma, endometrial stromal sarcoma, undifferentiated uterine sarcoma, leiomyoma

CLINICAL STUDY OF APPENDICULAR PERFORATION IN A TERTIARY CARE HOSPITAL

OpenAIRE

Venkata Anantha Lakshmi Manabala; Krishna Mohan Narayanrao

2016-01-01

INTRODUCTION Acute Appendicitis is the commonest abdominal surgical emergency in young adults all over the world. In early 1900s, Ochsner in Chicago and Sherren at the London Hospital were both advocates of conservative treatment in late cases. Appendicular perforation is a serious complication in view of the ensuing peritonitis with the consequent sequelae and morbidity. AIM To study the incidence, morbidity and sequelae of appendicular perforation. MATERIALS & METHODS ...

Time-dependent London approach: Dissipation due to out-of-core normal excitations by moving vortices

Science.gov (United States)

Kogan, V. G.

2018-03-01

The dissipative currents due to normal excitations are included in the London description. The resulting time-dependent London equations are solved for a moving vortex and a moving vortex lattice. It is shown that the field distribution of a moving vortex loses its cylindrical symmetry. It experiences contraction that is stronger in the direction of the motion than in the direction normal to the velocity v . The London contribution of normal currents to dissipation is small relative to the Bardeen-Stephen core dissipation at small velocities, but it approaches the latter at high velocities, where this contribution is no longer proportional to v2. To minimize the London contribution to dissipation, the vortex lattice is oriented so as to have one of the unit cell vectors along the velocity. This effect is seen in experiments and predicted within the time-dependent Ginzburg-Landau theory.

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

Science.gov (United States)

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

2016-01-01

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

Post-Event Volunteering Legacy: Did the London 2012 Games Induce a Sustainable Volunteer Engagement?

Directory of Open Access Journals (Sweden)

Niki Koutrou

2016-11-01

Full Text Available The hosting of the London 2012 Olympic Games was seen as an opportunity to harness the enthusiasm of the 70,000 volunteers involved and to provide a post-event volunteer legacy. A total of 77 individuals who had acted as volunteers in London 2012 were contacted approximately four years after the Games and agreed to complete a web-based open-ended survey. The participants were asked to indicate their level of current volunteering engagement and whether volunteering at the Games had an impact on their current volunteering levels. The study found that the London Olympics were the first volunteer experience for most of the volunteers who completed the survey, with the main motivation to volunteer being anything related to the Olympic Games. Just over half of the respondents are currently volunteering. Lack of time is shown to be the main barrier towards further volunteering commitment. Only half of respondents had been contacted by a volunteering scheme after London 2012. The implications of the findings for a potential volunteering legacy are then explored.

Tuberculosis in inner London: evidence for an increase in young adults and immigrants.

Science.gov (United States)

Barkham, T. M.; Drury, A.; Pearson, A. D.; Dybowski, R.; Atkinson, H.

1995-01-01

We report a marked increase in the rate of notifications of tuberculosis in young adults in the London Borough of Lambeth. Analysis of notifications made to the Proper Officer over a 10-year period showed that the age specific notification rate in the cohort aged 20-44 years increased from 30/100,000 in 1983 to 51/100,000 in 1992. Analysis of St. Thomas' Hospital laboratory records of patients seen between 1984 and 1991 from whom Mycobacterium tuberculosis was isolated showed an increase in the number of patients of African origin from five in the first half of the study period (1984-7) to 25 in the second half (1988-91): 21 of these 25 had immigrated into England within 4 years of their illness. This finding is being further investigated in a prospective study of ethnicity, travel history and date of immigration of Lambeth residents notified with tuberculosis. PMID:7641826

Sex-related dietary changes of Portuguese university students after migration to London, UK

OpenAIRE

Santos, S.; Vilela, S.; Padrão, P.; Caraher, M.

2015-01-01

Aim: To assess the changes in eating habits and food choice motives of Portuguese university students after migration to London, according to sex.\\ud \\ud Methods: Fifty-five Portuguese university students (52.7% female) from 12 randomly selected London universities underwent a face-to-face interview. Trained interviewers administered a structured questionnaire comprising questions on socio-demographic characteristics, the frequency of consumption of selected food and beverage items, and the m...

Cross-cultural adaptation in urban ethnobotany: the Colombian folk pharmacopoeia in London.

Science.gov (United States)

Ceuterick, Melissa; Vandebroek, Ina; Torry, Bren; Pieroni, Andrea

2008-12-08

To investigate traditional health care practices and changes in medicinal plant use among the growing Colombian community in London. Ethnobotanical fieldwork consisted of qualitative, in-depth, semi-structured interviews with 23 Colombians living in London and botanical identification of 46 plant species actively used as herbal remedies. Subsequently, research data were compared with literature on ethnobotany and traditional herbal medicine in the home country, using a framework on cross-cultural adaptation, adjusted for the purpose of this study. Similarities and discrepancies between data and literature are interpreted as potential indicators of continuity and loss (or deculturation) of traditional remedies, respectively. Remedies used in London that are not corroborated by the literature suggest possible newly acquired uses. Cross-cultural adaptation related to health care practices is a multifaceted process. Persistence, loss and incorporation of remedies into the Colombian folk pharmacopoeia after migration are influenced by practical adaptation strategies as well as by symbolic-cultural motives of ethnic identity.

The Analysis of the Relationship Between IT and the organizational Agility of Bojnourd Social Security Hospital

OpenAIRE

Saeed Bahramzadeh; Hossein Ali Bahramzadeh; Gorji Mohammad Bagher

2014-01-01

In the current research the relationship between the acceptance of IT and organizational agility of Bojnourd Social Security Hospital is analyzed. In this regard, Davis's technology acceptance model (TAM) and organizational agility, based on the model of London Institute study, has been examined. The statistical population is the entire hospital staff of 360. The sample size was determined 186 by using Krejcie and Morgan table. This research is practical in terms of purpose, and in terms of m...

Idealism to Realism- Representing London in Black British Writing ...

African Journals Online (AJOL)

... self denigration, exploitation and discrimination meted on them by the British as well as their feeling of alienation, cultural dislocation and their struggle for self ... adaptation through which these immigrants will make the best out of London ...

Space, Emotions and the Everyday: The Affective Ecology of 1980s London.

Science.gov (United States)

Brooke, Stephen

2017-03-01

This article explores the relationship between emotions, space and politics in 1980s London, using the Greater London Council, childcare, and racial harassment as particular foci. It brings together political history, the history of emotions, and geography to offer a new way of thinking about political culture, as well as contributing to the history of the 1980s. It is based upon archival sources. © The Author [2016]. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

A Little Known Utraquist Gradual in the British Library London

Czech Academy of Sciences Publication Activity Database

Šárovcová, Martina

2014-01-01

Roč. 62, Suppl. 1 (2014), s. 250-278 ISSN 0015-1831 Institutional support: RVO:68378033 Keywords : illuminated manuscripts * British library * London Subject RIV: AL - Art, Architecture, Cultural Heritage

DEVELOPMENT PROSPECTS OF LONDON AS THE WORLD’S FINANCIAL CENTER IN THE CONDITIONS OF BREXIT

Directory of Open Access Journals (Sweden)

Zhanna Sydorova

2017-09-01

Full Text Available The purpose of the study is to examine the role of London as the global financial center in the modern international financial system under the conditions of Britain's withdrawal from the European Union. Methodology. During the study, the comparative method, methods of statistics and economic-mathematical modeling were used. The methodological and theoretical basis of the study is the fundamental provisions of international economic relations, the study of economists in the field of international monetary and financial relations. Information basis is analytical reports of international financial centers and statistical databases of international organizations. Results. Nowadays, London has all the necessary factors for success: open economy, developed financial infrastructure, stability of taxation system, geographical location, long-term government support, transparent policy, investor diversity and multi-culture. It is revealed that a growing variety of financial instruments is a characteristic feature of London as a modern global financial center. As a result, London is gradually winning the battle for the title of the world's leading financial center. The Government of the United Kingdom constantly develops growth strategies of the City of London, creates favorable conditions for the work of international companies, and attracts highly qualified specialists from other countries in the field of finance and law. The competent policy of the state and the wide range of services provided for the successful transactions on stock exchanges and commodity markets help London to maintain undisputed leadership in the global financial market and minimize losses associated with Brexit. At the same time, the decision of the UK to withdraw from the EU had a negative impact on the stability of the country's banking system, it had provoked a decline in the country's credit ratings, a drop in the pound sterling against the dollar and the euro. Another problem

The use of AEDs by police officers in the City of London. Automated external defibrillators.

Science.gov (United States)

Ross, P; Nolan, J; Hill, E; Dawson, J; Whimster, F; Skinner, D

2001-08-01

The Guidelines 2000 for cardiopulmonary resuscitation recommend shock delivery to victims in ventricular fibrillation within 5 min of call receipt by the Emergency Medical Services. In an effort to achieve this goal, in some parts of the United States, police officers have been trained to use automated external defibrillators (AEDs). We undertook a 3-year pilot evaluation of the use of AEDs by City of London police (CPOL) officers. Over a period of 3 years, 147 CPOL officers were trained in the use of an AED. Four AEDs were placed on rapid response vehicles covering the City of London. An overall call-response interval target was set at 8 min. The CPOL attended 1103 (90%) of the total of 1232 calls to which they were summoned. The mean interval between the first call received and arrival of the CPOL on scene was 8.9+/-4.0 min. The CPOL applied AEDs to 25 victims, 13 of whom were initially in ventricular fibrillation; at least one shock was delivered to all 13. The interval between call reception and delivery of the first shock was 5.5+/-2.5 min. The mean interval between switching on the AED and delivery of the first shock was 24+/-12 s. Two (15%) of these victims survived to hospital discharge. This study has confirmed the feasibility of training police officers in the UK to use AEDs as first responders. The call received to arrival on scene interval should be reduced by improvements in communication between LAS and CPOL.

Multiconfigurational self-consistent field calculations of nuclear shieldings using London atomic orbitals

DEFF Research Database (Denmark)

Ruud, Kenneth; Helgaker, Trygve; Kobayashi, Rika

1994-01-01

to corresponding individual gauges for localized orbitals (IGLO) results. The London results show better basis set convergence than IGLO, especially for heavier atoms. It is shown that the choice of active space is crucial for determination of accurate nuclear shielding constants.......Nuclear shielding calculations are presented for multiconfigurational self-consistent field wave functions using London atomic orbitals (gauge invariant atomic orbitals). Calculations of nuclear shieldings for eight molecules (H2O, H2S, CH4, N2, CO, HF, F2, and SO2) are presented and compared...

77 FR 54495 - Regulated Navigation Area; Thames River Degaussing Range Replacement Operations; New London, CT

Science.gov (United States)

2012-09-05

... London Harbor, New London, CT. The proposed RNA would establish speed and wake restrictions as well as... comments by mail and would like to know that they reached the Facility, please enclose a stamped, self.... 0170.1. This proposal would establish speed and wake restrictions as well as allow the Coast Guard to...

Contrasting VOC Composition in London, UK and Beijing, China

Science.gov (United States)

Dunmore, R.; Hopkins, J. R.; Shaw, M.; Squires, F. A.; Lee, J. D.; Lewis, A. C.; Hamilton, J. F.

2017-12-01

With an increasing fraction of the world's population now living in megacities, urban air quality in those locations has the potential to be one of the largest controllable factors for public health. Both London and Beijing are classified as megacities, with the latter almost twice as densely populated. The key drivers and trajectory of air pollution are unique to each location; London has substantially reduced PM10 concentrations over the past two decades but continues to have high urban NO2. Beijing has had well-reported high levels of PM, is now in a phase of gradual decline, and has proportionately low NO2. Both locations however, continue to emit a mix of gas phase pollutants with the potential to form photochemical ozone. Whilst the abundance of NOx in each city is relatively straightforward to quantify, the VOC mixtures that are present differ between these two cities and this has consequential impacts on the downwind ozone formation potential. This work reports a comprehensive assessment of VOC speciation, reactivity and abundance in the two cities using a common set of inter-comparable measurement approaches. Hourly observations of VOCs over the range C2 - C13+ were made using two gas chromatography (GC) instruments; a PLOT column based GC for the most volatile fraction (C2-C7) and a comprehensive two-dimensional GC (GCxGC) for VOCs with more than 7 carbons. London has atmospheric VOC concentrations that in mass and reactivity terms are dominated by longer chain VOCs from diesel fuel. The VOC mixture in ambient Beijing air is dominated by short chain VOCs, a mix of both alkenes from incomplete combustion sources and alkanes and aromatics from petrochemical sources. The substantial difference in the fleet proportions of gasoline and diesel powered vehicles between the two cities is clearly reflected in ambient VOCs. In summertime, isoprene was a notable contributor to VOC reactivity in both cities despite both being highly urbanised locations. The absolute

VOC emission rates over London and South East England obtained by airborne eddy covariance.

Science.gov (United States)

Vaughan, Adam R; Lee, James D; Shaw, Marvin D; Misztal, Pawel K; Metzger, Stefan; Vieno, Massimo; Davison, Brian; Karl, Thomas G; Carpenter, Lucy J; Lewis, Alastair C; Purvis, Ruth M; Goldstein, Allen H; Hewitt, C Nicholas

2017-08-24

Volatile organic compounds (VOCs) originate from a variety of sources, and play an intrinsic role in influencing air quality. Some VOCs, including benzene, are carcinogens and so directly affect human health, while others, such as isoprene, are very reactive in the atmosphere and play an important role in the formation of secondary pollutants such as ozone and particles. Here we report spatially-resolved measurements of the surface-to-atmosphere fluxes of VOCs across London and SE England made in 2013 and 2014. High-frequency 3-D wind velocities and VOC volume mixing ratios (made by proton transfer reaction - mass spectrometry) were obtained from a low-flying aircraft and used to calculate fluxes using the technique of eddy covariance. A footprint model was then used to quantify the flux contribution from the ground surface at spatial resolution of 100 m, averaged to 1 km. Measured fluxes of benzene over Greater London showed positive agreement with the UK's National Atmospheric Emissions Inventory, with the highest fluxes originating from central London. Comparison of MTBE and toluene fluxes suggest that petroleum evaporation is an important emission source of toluene in central London. Outside London, increased isoprene emissions were observed over wooded areas, at rates greater than those predicted by a UK regional application of the European Monitoring and Evaluation Programme model (EMEP4UK). This work demonstrates the applicability of the airborne eddy covariance method to the determination of anthropogenic and biogenic VOC fluxes and the possibility of validating emission inventories through measurements.

Spatially resolved flux measurements of NOx from London suggest significantly higher emissions than predicted by inventories.

Science.gov (United States)

Vaughan, Adam R; Lee, James D; Misztal, Pawel K; Metzger, Stefan; Shaw, Marvin D; Lewis, Alastair C; Purvis, Ruth M; Carslaw, David C; Goldstein, Allen H; Hewitt, C Nicholas; Davison, Brian; Beevers, Sean D; Karl, Thomas G

2016-07-18

To date, direct validation of city-wide emissions inventories for air pollutants has been difficult or impossible. However, recent technological innovations now allow direct measurement of pollutant fluxes from cities, for comparison with emissions inventories, which are themselves commonly used for prediction of current and future air quality and to help guide abatement strategies. Fluxes of NOx were measured using the eddy-covariance technique from an aircraft flying at low altitude over London. The highest fluxes were observed over central London, with lower fluxes measured in suburban areas. A footprint model was used to estimate the spatial area from which the measured emissions occurred. This allowed comparison of the flux measurements to the UK's National Atmospheric Emissions Inventory (NAEI) for NOx, with scaling factors used to account for the actual time of day, day of week and month of year of the measurement. The comparison suggests significant underestimation of NOx emissions in London by the NAEI, mainly due to its under-representation of real world road traffic emissions. A comparison was also carried out with an enhanced version of the inventory using real world driving emission factors and road measurement data taken from the London Atmospheric Emissions Inventory (LAEI). The measurement to inventory agreement was substantially improved using the enhanced version, showing the importance of fully accounting for road traffic, which is the dominant NOx emission source in London. In central London there was still an underestimation by the inventory of 30-40% compared with flux measurements, suggesting significant improvements are still required in the NOx emissions inventory.

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

Science.gov (United States)

Southern Regional Education Board, Atlanta, GA.

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

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

Science.gov (United States)

Martin, Jane

2008-01-01

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

Carbon Capture and Storage and the London Protocol

Energy Technology Data Exchange (ETDEWEB)

NONE

2011-07-01

The International Energy Agency (IEA) estimates that 100 Carbon Capture and Storage (CCS) projects will be required by 2020 and over 3000 by 2050 if CCS is to contribute fully to the least-cost technology portfolio for CO2 mitigation. For CCS to reach its emissions reduction potential, the 2009 IEA publication Technology Roadmap: Carbon Capture and Storage recommends that international legal obstacles associated with global CCS deployment be removed by 2012 -- including the prohibition on transboundary CO2 transfer under the London Protocol. The London Protocol was amended by contracting parties in 2009 to allow for cross-border transportation of CO2 for sub-seabed storage, but the amendment must be ratified by two-thirds of contracting parties to enter into force. It is unlikely that this will occur in the near term; this working paper therefore outlines options that may be available to contracting parties under international law to address the barrier to deployment presented by Article 6, pending formal entry into force of the 2009 amendment.

'ah famous citie' : women, writing, and early modern London

NARCIS (Netherlands)

Wilcox - Boulton, Helen

2010-01-01

This article explores aspects of the textual relationship between women and early modern London by examining three verbal 'snapshots' of the city in works either written by women or focusing on women in their urban environment. The first text, Isabella Whitney's 'Wyll and Testament' (1573),

Connecting Londoners with Their City through Digital Technologies

Science.gov (United States)

Swift, Frazer

2013-01-01

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

Using GIS to Understand and Prioritise Worker Movements during the 2012 London Olympics

Science.gov (United States)

McGuinness, I. M.

2013-05-01

The performance of the transport network and the associated movement of people was one of the most critical elements to London's successful delivery of the 2012 Olympic Games. During the planning stages Transport for London asked the London Borough of Newham to mitigate the impact of the authority's 13 500 employees on transport infrastructure close to the Olympic Park. To achieve this, the authority needed to understand the geographic distribution of its workforce and the demand it placed on roads and local transport hubs. The authority's Geospatial Team led the research based on four cross-referenced data sources, and spatial analysis was used to determine priorities for special absence arrangements and a commissioned coach service. The research was used to support a targeted information campaign but also presented considerations on large-scale data collection, the use of Human Resources data, and the degree to which the movement of people can be measured and managed.

"Mothering through Islam": Narratives of Religious Identity in London

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Louise Ryan

2013-04-01

Full Text Available This paper draws upon research with mothers of diverse Muslim backgroundsin London to explore how these women use ‘conservative’ interpretations ofIslamic beliefs and practices to underpin their parenting strategies. In particularthe paper looks at how mothers use religion as a frame to make sense of andgive meaning to their experiences and encounters in Britain. We suggest thatthe women use Islam in four key ways: (i as a framework for teaching theirchildren right and wrong, (ii as a means of protecting children from the ‘moral’dangers of British society, (iii as an authoritative voice that reinforces parentingand (iv as a means of critiquing specific aspects of both the traditional andBritish culture in which they live and daily negotiate their different cultural andreligious belonging. In attempting to instil religious values in their London-basedchildren, these mothers have to negotiate the hostility that Islam increasinglyprovokes in British society’s public arenas.

Exploration of the Energy Efficiency of the Greater London Authority ...

African Journals Online (AJOL)

GLA Building/City Hall) ... Journal Home > Vol 11, No 2 (2007) > ... The Greater London Authority building was acclaimed as being energy efficient, with claims of 75 % reduction in its annual energy consumption compared to a high specification ...

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

Science.gov (United States)

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

2009-01-01

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

Iain Sinclair: Noise, Neoliberalism and the Matter of London

NARCIS (Netherlands)

Martin, N.

2015-01-01

For much of the 20th century the modernist city was articulated in terms of narratives of progress and development. Today the neoliberal city confronts us with all the cultural 'noise' of disorder and excess meaning. As this book demonstrates, for more than 40 years London-based writer, film-maker

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

Science.gov (United States)

Congdon, P

1989-01-01

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

Comparison and assessment of the participation of Polish swimmers at the Olympic and Paralympic Games in London

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Wojciech Seidel

2014-08-01

Full Text Available Purpose : to assess and analyze the results of the Polish national team swimmers (Olympic and Paralympic at the XIV Summer Games 2012 in London (UK . Material : Score Polish swimmers start in London was carried out on the basis of medals won, participation in the finals. London also comparing the results with respect to the personal life record. The studies used the method of improving the outcome of the relative percentages - RPG% (relative performance gain %. It is based on the equation of RPG% = start time - end time / start time x 100. Material was to analyze and develop the results obtained by the Polish swimmers at the XIV Olympic and Paralympic Games in 2012 in London. Results : the basic criterion for evaluating the training and participation of Polish swimmers at the games in London was the number of medals won. By this criterion, the Poles showed a rather weak result. Healthy athletes do not receive medals. Thus, they confirmed their poor showing four years ago. Athletes with disabilities unable to get on the podium three times. In relation to the previous games (they won 10 medals the result was rather weak. Conclusions : in terms of participation in the Olympic finals and improve individual life records, the results were slightly better swimmers with disabilities.

Central and East European migrant men who have sex with men in London: a comparison of recruitment methods

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Gerry Christopher J

2011-05-01

Full Text Available Abstract Background Following the expansion of the European Union, there has been a large influx of Central and East European (CEE migrants to the UK. CEE men who have sex with men (MSM represent a small minority within this population that are none-the-less important to capture in sexual health research among the CEE migrant community. This paper examines the feasibility of recruiting CEE MSM for a survey of sexual behaviour in London using respondent driven sampling (RDS, via gay websites and in GUM clinics. Methods We sought CEE MSM to start RDS chain referral among GUM clinic attendees, our personal contacts and at gay events and venues in central London. We recruited CEE MSM (n = 485 via two popular websites for gay men in Britain (March-May 2009 and at two central London GUM clinics (n = 51 (July 2008-March 2009. Results We found seventeen men who knew other CEE MSM in London and agreed to recruit contacts into the study. These men recruited only three men into the study, none of whom recruited any further respondents, and RDS was abandoned after 7 months (July 2008-January 2009. Half of the men that we approached to participate in RDS did not know any other CEE MSM in London. Men who agreed to recruit contacts for RDS were rather more likely to have been in the UK for more than one year (94.1% vs 70.0%, p = 0.052. Men recruited through gay websites and from GUM clinics were similar. Conclusions The Internet was the most successful method for collecting data on sexual risk behaviour among CEE MSM in London. CEE MSM in London were not well networked. RDS may also have failed because they did not fully understand the procedure and/or the financial incentive was not sufficient motivation to take part.

A Community Approach to Youth Work in East London.

Science.gov (United States)

Cox, Derek M.

Instituted as part of "Avenues Unlimited" (The Tower Hamlets Youth Project), a community development approach to youth services was attempted in the cosmopolitan inner city slum district of Spitalfields, East London. Efforts began in 1966 with a clean up campaign, a neighborhood club for parents and youth, and other activities by the…

Impact of Air Temperature on London Ambulance Call-Out Incidents and Response Times

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Marliyyah A. Mahmood

2017-08-01

Full Text Available Ambulance services are in operation around the world and yet, until recently, ambulance data has only been used for operational purposes rather than for assessing public health. Ambulance call-out data offers new and valuable (near real-time information that can be used to assess the impact of environmental conditions, such as temperature, upon human health. A detailed analysis of London ambulance data at a selection of dates between 2003 and 2015 is presented and compared to London temperature data. In London, the speed of ambulance response begins to suffer when the mean daily air temperature drops below 2 °C or rises above 20 °C. This is explained largely by the increased number of calls past these threshold temperatures. The baseline relationships established in this work will inform the prediction of likely changes in ambulance demand (and illness types that may be caused by seasonal temperature changes and the increased frequency and intensity of extreme/severe weather events, exacerbated by climate change, in the future.

Looking for ‘Home’? New Zealand Soldiers Visiting London during the First World War

OpenAIRE

Maguire, Anna

2016-01-01

For colonial troops from the British Empire, the military mobilizations of the First World War created the opportunity to visit the imperial metropolis – London – leaving the war behind. This article explores the experience and encounters of New Zealand's soldiers in London during the First World War and the ambiguity of their identity and belonging in a city that could be positioned as ‘home’. Using diaries, letters, newspapers and oral testimonies, the article builds on the work of Felicity...

Determining the Suitability of Materials for Disposal at Sea under the London Convention 1972 and London Protocol 1996: A Radiological Assessment Procedure. 2015 Edition

International Nuclear Information System (INIS)

2015-01-01

This publication provides guidance on performing specific assessments of candidate materials for dumping at sea, to determine whether the materials are de minimis in the meaning of the Convention on the Prevention of Marine Pollution by Dumping of Wastes and Other Matter 1972 (the London Convention 1972) and the related Protocol 1996 (the London Protocol 1996). It presents a detailed radiological procedure to assess doses to workers and members of the public and doses to marine flora and fauna related to the dumping of materials at sea. The procedures in this publication follow the requirements to protect the environment in the IAEA Safety Standards and in the recommendations by the International Commission of Radiological Protection. It is expected to be used by national regulatory authorities responsible for authorizing disposal at sea of candidate materials as well as by those companies and individuals applying to obtain permission to dispose these materials at sea

Making Bengali Brick Lane: claiming and contesting space in East London.

Science.gov (United States)

Alexander, Claire

2011-06-01

Based on a recent empirical project on 'the Bengal diaspora', the paper explores the construction and contestation of meanings around the iconic East London street, Brick Lane. Taking the 2006 protests around the film Brick Lane as its starting point, the paper draws on original interviews conducted in 2008 with a range of Bengali community representatives, to examine the narratives of space, community and belonging that emerge around the idea of Brick Lane as the 'cultural heartland' of the British Bangladeshi community. By exploring the representation, production and contestation of 'social space' through everyday practices, the paper engages with and contests the representation of minority ethnic 'communities' in the context of contemporary multicultural London and examines the process of 'claiming' and 'making' space in East London. In so doing, the paper contributes to a critical tradition that challenges essentialising and pathologizing accounts of ethnic communities and racialized spaces, or that places them outside of broader social and historical processes - redolent, for example, in contemporary discussions about 'parallel lives' or 'the clash of civilizations'. By contrast, this paper views social space as made through movement and narration, with a particular emphasis on the social agency of local Bengali inhabitants and the multiple meanings that emerge from within this 'imagined community'. However, rather than simply stressing the unfinished and processual nature of spatial meanings, the paper insists on the historical, embodied and affective dimensions of such meaning making, and a reckoning with the broader social and political landscape within which such meanings take shape. The focus on Brick Lane provides an empirically rich, geographically and historically located lens through which to explore the complex role of ethnicity as a marker of social space and of spatial practices of resistance and identity. By exploring Bengali Brick Lane through

Offshore wind power fundaments. Practical experience from the projects London Array and Dan Tysk; Offshore Windkraft Fundamente. Praxiserfahrung aus den Projekten London Array und DanTysk

Energy Technology Data Exchange (ETDEWEB)

Horn, Moritz [Bilfinger Berger Ingenieurbau GmbH, Hamburg (Germany). Ingenieurwasserbau

2012-11-01

Based on a collection of diagrams and images the authors of the contribution under consideration report on practical experiences resulting from the project London Array and Dan Tysk with respect to the foundations of offshore wind turbines.

An Evaluation of Male Partners’ Perceptions of Antenatal Classes in a National Health Service Hospital: Implications for Service Provision in London

Science.gov (United States)

Shia, Nessie; Alabi, Oluseyi

2013-01-01

Few studies have considered whether the gender of educator or same-gender classes have any influence on the participation of male partners, and even fewer studies have examined any factors that limit attendance from ethnic minority groups. The objective of this study was to investigate male partners’ initial experience and associated factors that limit attendance. Data were collected by means of a questionnaire given to 69 male partners in North London. In total, 49 male partners preferred to attend the same class with their partners even if all male forums were offered. The gender of the educator had no influence on their participation. Comments from 23 participants from three different ethnic minority groups indicated that they preferred to have a separate class from their partners. PMID:24381476

Outcomes of domestic violence screening at an acute London trust: are there missed opportunities for intervention?

Science.gov (United States)

Warren-Gash, Charlotte; Bartley, Angela; Bayly, Jude; Dutey-Magni, Peter; Edwards, Sarah; Madge, Sara; Miller, Charlotte; Nicholas, Rachel; Radhakrishnan, Sheila; Sathia, Leena; Swarbrick, Helen; Blaikie, Dee; Rodger, Alison

2016-01-04

Domestic violence screening is advocated in some healthcare settings. Evidence that it increases referral to support agencies or improves health outcomes is limited. This study aimed to (1) investigate the proportion of hospital patients reporting domestic violence, (2) describe characteristics and previous hospital attendances of affected patients and (3) assess referrals to an in-house domestic violence advisor from Camden Safety Net. A series of observational studies. Three outpatient clinics at the Royal Free London NHS Foundation Trust. 10,158 patients screened for domestic violence in community gynaecology, genitourinary medicine (GUM) and HIV medicine clinics between 1 October 2013 and 30 June 2014. Also 2253 Camden Safety Net referrals over the same period. (1) Percentage reporting domestic violence by age group gender, ethnicity and clinic. (2) Rates of hospital attendances in the past 3 years for those screening positive and negative. (3) Characteristics, uptake and risk assessment results for hospital in-house domestic violence referrals compared with Camden Safety Net referrals from other sources. Of the 10,158 patients screened, 57.4% were female with a median age of 30 years. Overall, 7.1% reported ever-experiencing domestic violence, ranging from 5.7% in GUM to 29.4% in HIV services. People screening positive for domestic violence had higher rates of previous emergency department attendances (rate ratio (RR) 1.63, 95% CI 1.09 to 2.48), emergency inpatient admissions (RR 2.27, 95% CI 1.37 to 3.84) and day-case admissions (RR 2.03, 95% CI 1.23 to 3.43) than those screening negative. The 77 hospital referrals to the hospital-based domestic violence advisor during the study period were more likely to be taken up and to be classified as high risk than referrals from elsewhere. Selective screening for domestic violence in high-risk hospital clinic populations has the potential to identify affected patients and promote good uptake of referrals for in

Singularity of the London penetration depth at quantum critical points in superconductors.

Science.gov (United States)

Chowdhury, Debanjan; Swingle, Brian; Berg, Erez; Sachdev, Subir

2013-10-11

We present a general theory of the singularity in the London penetration depth at symmetry-breaking and topological quantum critical points within a superconducting phase. While the critical exponents and ratios of amplitudes on the two sides of the transition are universal, an overall sign depends upon the interplay between the critical theory and the underlying Fermi surface. We determine these features for critical points to spin density wave and nematic ordering, and for a topological transition between a superconductor with Z2 fractionalization and a conventional superconductor. We note implications for recent measurements of the London penetration depth in BaFe2(As(1-x)P(x))2 [K. Hashimoto et al., Science 336, 1554 (2012)].

The Frontier Speaks Back: Two Australian Artists Working in Paris and London

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Catherine Margaret Speck

2013-07-01

Full Text Available Australian artists living and working in Paris and London in the Belle Époque and modern eras had a deep engagement with cosmopolitanism in cities that were at the frontiers of international modernism. They experienced the liberation of putting aside issues of nation, and of working in large, alienating but culturally challenging multi-nation environs in the pre and post war years. This paper will explore how two women artists, Hilda Rix in Paris, a hub of internationalism; and Nora Heysen in London, a city ill-described in the Empire language of ‘home’ for Australians, connected with and articulated cosmopolitan culture. Expatriatism facilitated an offshore variant of Australian modernism.

How patients perceive the role of hospital chaplains: a preliminary exploration.

Science.gov (United States)

Ellis, J M; McManus, C; Newton, B A

1995-09-01

An exploratory study of the attitudes of hospital patients to the service provided by hospital chaplains. Questionnaire study of hospital inpatients in December 1992. One large teaching hospital in London. 180 hospital inpatients in 14 different general wards, 168 (93%) of whom agreed to take part. Attitudes to chaplains and their role contained in 12 questions developed during a pilot study on hospital inpatients (16) and staff (14) and their relation to patients' age, sex, length of hospital stay, and religious beliefs, according to Kendall rank order correlations. Of 168(93%) respondents, 72(43%) were women; mean age of patients was 63.1 (SD 16.8) years. Forty five (27%) were inpatients of three days or less and 22(13%) for one month or more. 136(81%) were Christian; 17(10%) atheist, agnostic, or had no religion; and 15(9%) were of other religions. In general, patients showed positive attitudes towards the role of hospital chaplains and to the services they provided. The correlation analysis showed that there was a significant tendency for older patients, those who had been inpatients for longer, and those with religious beliefs to be more sympathetic to the role of hospital chaplains. Hospital chaplains provide a service which is appreciated by patients. This study provides a simple instrument for assessing patients' attitudes to chaplains.

"Delays and Vexation": Jack London and the Russo-Japanese War.

Science.gov (United States)

Sweeney, Michael S.

1998-01-01

Contributes to scholarship on journalism history and censorship by discussing Jack London's efforts as a war correspondent to cover the Russo-Japanese War in Korea and Manchuria in 1904. Focuses on the difficulties he encountered as a result of systematic and highly restrictive censorship by the Japanese. (SR)

Skin Colour Awareness and Preference in London Nursery School Children

Science.gov (United States)

Laishley, Jenny

1971-01-01

Study focuses on children aged 3 to 5 years from 3 London areas. Contrary to expectation, awareness of differences in skin color was not a simple function of age and contact with colored children and adults; no clear evidence of prejudiced thinking was found in the subjects studied. (RJ)

The careers of women graduates from St Mary's Hospital Medical School, London, 1961--72.

Science.gov (United States)

Shaw, H E

1979-07-01

The careers of women doctors who qualified from St Mary's Hospital Medical School between 1961 and 1972 inclusive have been studied. Thirty-eight per cent were in full-time work, 47% were working part-time, and 15% were not practising medicine at the time of the survey. Those working full-time were predominantly single women and married women with no children. With the birth of children most women stopped working for a time, and 38% of those whose children were all under school age were not working. However, 90% returned to medicine, usually to part-time jobs that were compatible with family responsibilities. Eighty-six per cent of the respondents held one or more postgraduate qualifications. More of those with higher qualifications were in full-time work than was the case for women with a basic medical degree only, and fewer were not practising medicine. An equal proportion of single and married women intended to make their career in general practice. Fewer married women than single women chose a hospital career, because the possibilities of part-time work in this field were seen as limited.

London limit for lattice model of superconductor

International Nuclear Information System (INIS)

Ktitorov, S.A.

2004-01-01

The phenomenological approach to the strong-bond superconductor, which is based on the Ginzburg-Landau equation in the London limit, is considered. The effect of the crystalline lattice discreteness on the superconductors electromagnetic properties is studied. The classic problems on the critical current and magnetic field penetration are studied within the frames of the lattice model for thin superconducting films. The dependence of the superconducting current on the thin film order parameter is obtained. The critical current dependence on the degree of deviation from the continual approximation is calculated [ru

London forces in highly oriented pyrolytic graphite

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L.V. Poperenko

2017-07-01

Full Text Available Surface of highly oriented pyrolytic graphite with terrace steps was studied using scanning tunneling microscopy with high spatial resolution. Spots with positive and negative charges were found in the vicinity of the steps. Values of the charges depended both on the microscope needle scan velocity and on its motion direction. The observed effect was theoretically explained with account of London forces that arise between the needle tip and the graphite surface. In this scheme, a terrace step works as a nanoscale diode for surface electric currents.

Prise en compte des ``courants de London'' dans la modélisation des supraconducteurs

Science.gov (United States)

Bossavit, Alain

1997-10-01

A model is given, in variational form, in which volumic “Bean currents”, ruled by Bean's law, and surface “London currents” coexist. This macroscopic model generalizes Bean's one, by appending to the critical density j_c a second parameter, with the dimension of a length, similar to London's depth λ. The one-dimensional version of the model is investigated, in order to link this parameter with the standard observable H-M characteristics On propose un modèle, sous forme variationnelle, associant des “courants de Bean” volumiques, décrits par la loi de Bean, et des “courants de London”, surfaciques. Ce modèle macroscopique généralise celui de Bean, caractérisé par le courant critique j_c, et fait intervenir un second paramètre, homogène à une longueur, analogue au λ de London. La version unidimensionnelle du modèle est étudiée en détail de manière à relier ce paramètre à l'observation des caractéristiques H-M usuelles.

Global sport mega-events and the politics of mobility: the case of the London 2012 Olympics.

Science.gov (United States)

Giulianotti, Richard; Armstrong, Gary; Hales, Gavin; Hobbs, Dick

2015-03-01

This paper examines the politics of mobility which surrounded the London 2012 Olympics. We provide a critical discussion of the mobility conflicts, problems and criticisms which emerged from our research with local people in the Stratford and wider Newham areas of London, where most Olympic events were located. The paper is divided into four broad parts. First, we identify and discuss the relevant components of the 'mobilities paradigm' in social science which underpin our analysis. Second, we briefly outline our research methods, centring particularly on fieldwork and interviews with different social groups. Third, we examine in detail the six main themes of mobility politics which were evident at London 2012, relating to social context, event construction, event mobility systems, commercial mobilities, the mobile politics of exclusion, and contested modes of mobility. In doing so, we seek to extend the mobilities paradigm by introducing various concepts and keywords - notably on the three-speed city, entryability, mobility panics, instrumental mobility, and corporate kettling - which may be utilized by social scientists to examine mobility systems in other social contexts. We conclude by reaffirming the significance of mobility-focused research at sport and other mega-events, and by indicating future lines of inquiry for social scientists. © London School of Economics and Political Science 2014.

Rationale and development of image-guided intensity-modulated radiotherapy post-prostatectomy: the present standard of care?

Directory of Open Access Journals (Sweden)

Murray JR

2015-11-01

Full Text Available Julia R Murray,1,2 Helen A McNair,2 David P Dearnaley1,2 1Academic Urology Unit, Institute of Cancer Research, London, 2Department of Radiotherapy, The Royal Marsden NHS Foundation Trust, Sutton, UK Abstract: The indications for post-prostatectomy radiotherapy have evolved over the last decade, although the optimal timing, dose, and target volume remain to be well defined. The target volume is susceptible to anatomical variations with its borders interfacing with the rectum and bladder. Image-guided intensity-modulated radiotherapy has become the gold standard for radical prostate radiotherapy. Here we review the current evidence for image-guided techniques with intensity-modulated radiotherapy to the prostate bed and describe current strategies to reduce or account for interfraction and intrafraction motion. Keywords: radiotherapy, prostate cancer, post-prostatectomy, image-guided radiation therapy

Inventory of Radioactive Material Resulting from Historical Dumping, Accidents and Losses at Sea. For the Purposes of the London Convention 1972 and London Protocol 1996

International Nuclear Information System (INIS)

2015-10-01

The IAEA was requested by the Contracting Parties to the Convention on the Prevention of Marine Pollution by Dumping of Wastes and Other Matter (London Convention) and the 1996 Protocol (London Protocol) to develop and maintain an inventory of radioactive material entering directly into the ocean from all human made origins. The intent in producing such an inventory is to establish a record of past waste dumping and of accidents and losses at sea involving radioactive material, based on official reports, for use as an information base for the assessment of the impact of radionuclide sources in the marine environment, when deemed necessary. To respond to the request of the London Convention and Protocol, the IAEA has undertaken the development of the inventory to include radioactive waste resulting from dumping at sea, and accidents and losses which occurred at sea and involved radioactive material. The first IAEA report on this subject, Inventory of Radioactive Material Entering the Marine Environment: Sea Disposal of Radioactive Waste (IAEA-TECDOC-588), was published in 1991. The report was subsequently revised to include information provided by the Russian Federation regarding waste dumping operations conducted by the former Soviet Union in the Arctic and North-west Pacific Seas and some additional information provided by Sweden and the United Kingdom. The revised report, Inventory of Radioactive Waste Disposals at Sea (IAEA-TECDOC-1105), was published in 1999. A report on the information available at the IAEA on such incidents was published in 2001 as Inventory of Accidents and Losses at Sea Involving Radioactive Material (IAEA-TECDOC-1242). The present publication updates and combines IAEA-TECDOCs 1105 and 1242. It describes the contents of the inventory on waste dumping, accidents and losses at sea involving radioactive material. In order to prepare the publication, the IAEA, in cooperation with the International Maritime Organization (IMO), conducted a

The Competition between London Companies Regarding Their Financial Performance

Directory of Open Access Journals (Sweden)

Simionescu Mihaela

2016-06-01

Full Text Available There is a high level of competition between companies and the final result is often measured by their financial performance. The main purpose of this study is to evaluate the financial performance of a sample of companies from London. Statistical analysis is performed of 293 companies randomly selected from the population of firms resident in London, the economic indicators being registered for 2014. The main results indicated that most of the variation in financial performance is explained by the book-to-market ratio and cash-to-assets ratio. On the other hand, financial performance is also explained by cash flow and leverage. Most of the firms that were placed in the same group had a successful financial performance in 2014. Few companies located in the other cluster encountered some difficulties regarding cash flow and sales. This situation could be explained by the difficulties of facing the economic crisis. Thus the financial performance evaluation is useful in improving a firm’s financial indicators in order to achieve a higher profit. The diagnosis will help managers in taking the most suitable decisions to solve the financial problems by selecting the best strategies.

The foundation and evolution of the Middlesex Hospital's lying-in service, 1745-86.

Science.gov (United States)

Croxson, B

2001-01-01

The Middlesex Hospital was founded in 1745, and opened the first British in-patient lying-in service in 1747. Men-Midwives were instrumental in founding and supporting the service. The hospital's lying-in service featured prominently in its fundraising literature, and the level of demand from benefactors suggests it was popular. From 1764 the hospital also provided domiciliary services, initially to cope with excess demand and later to compete with domiciliary charities. In 1786 it closed the in-patient services, and from this date provided only domiciliary lying-in services. From 1757, in common with the London lying-in hospitals, the Middlesex Hospital faced competition from a domiciliary charity: The Lying-In Charity for Delivering Poor Married Women in Their Own Homes. Later in the century it also faced competition from dispensaries. This paper describes the foundation and evolution of the Middlesex Hospital's lying-in service, including quantitative information about admissions and about the hospitals income and expenditure during the eighteenth century. It compares the characteristics of domiciliary and in-patient services, to analyse why in-patient services were supported by men-midwives and by benefactors.

Primary Adult Renal Ewing's Sarcoma: A Rare Entity

OpenAIRE

Ravindra Mukkunda; Ramachandran Venkitaraman; Khin Thway; Toon Min; Cyril Fisher; Alan Horwich; Ian Judson

2009-01-01

Background. Ewing's sarcoma of extraskeletal origin is uncommon and that is of primary renal origin in adults are rare. There is no consensus on the optimal management of Ewing's tumors of renal origin. Methods. A retrospective review of the clinical features, treatment, and outcome of adult patients with primary renal extra-skeletal Ewing's sarcoma who were treated at the Royal Marsden hospital from January 1993–December 2007 is reported. Results. Seven adult patien...

Relativistic theory of nuclear spin-rotation tensor with kinetically balanced rotational London orbitals

Energy Technology Data Exchange (ETDEWEB)

Xiao, Yunlong; Zhang, Yong; Liu, Wenjian, E-mail: liuwjbdf@gmail.com [Beijing National Laboratory for Molecular Sciences, Institute of Theoretical and Computational Chemistry, State Key Laboratory of Rare Earth Materials Chemistry and Applications, College of Chemistry and Molecular Engineering, and Center for Computational Science and Engineering, Peking University, Beijing 100871 (China)

2014-10-28

Both kinetically balanced (KB) and kinetically unbalanced (KU) rotational London orbitals (RLO) are proposed to resolve the slow basis set convergence in relativistic calculations of nuclear spin-rotation (NSR) coupling tensors of molecules containing heavy elements [Y. Xiao and W. Liu, J. Chem. Phys. 138, 134104 (2013)]. While they perform rather similarly, the KB-RLO Ansatz is clearly preferred as it ensures the correct nonrelativistic limit even with a finite basis. Moreover, it gives rise to the same “direct relativistic mapping” between nuclear magnetic resonance shielding and NSR coupling tensors as that without using the London orbitals [Y. Xiao, Y. Zhang, and W. Liu, J. Chem. Theory Comput. 10, 600 (2014)].

The Great London Smog of 1952.

Science.gov (United States)

Polivka, Barbara J

2018-04-01

: The Great London Smog of December 1952 lasted five days and killed up to 12,000 people. The smog developed primarily because of extensive burning of high-sulfur coal. The health effects were both immediate and long lasting, with a recent study revealing an increased likelihood of childhood asthma development in those exposed to the Great Smog while in utero or during their first year of life. Subsequent pollution legislation-including the U.S. Clean Air Act and its amendments-have demonstrably reduced air pollution and positively impacted health outcomes. With poor air quality events like the Great Smog continuing to occur today, nurses need to be aware of the impact such environmental disasters can have on human health.

A spatio-temporal model for estimating the long-term effects of air pollution on respiratory hospital admissions in Greater London.

Science.gov (United States)

Rushworth, Alastair; Lee, Duncan; Mitchell, Richard

2014-07-01

It has long been known that air pollution is harmful to human health, as many epidemiological studies have been conducted into its effects. Collectively, these studies have investigated both the acute and chronic effects of pollution, with the latter typically based on individual level cohort designs that can be expensive to implement. As a result of the increasing availability of small-area statistics, ecological spatio-temporal study designs are also being used, with which a key statistical problem is allowing for residual spatio-temporal autocorrelation that remains after the covariate effects have been removed. We present a new model for estimating the effects of air pollution on human health, which allows for residual spatio-temporal autocorrelation, and a study into the long-term effects of air pollution on human health in Greater London, England. The individual and joint effects of different pollutants are explored, via the use of single pollutant models and multiple pollutant indices. Copyright © 2014 The Authors. Published by Elsevier Ltd.. All rights reserved.

Management of response to the polonium-210 incident in London

International Nuclear Information System (INIS)

Croft, John; Bailey, Michael; Tattersall, Phil; Morrey, Mary; McColl, Neil; Prosser, Lesley; Maguire, Helen; Fraser, Graham; Gross, Roger

2008-01-01

On the 23 November 2006, Alexander Litvinenko died in London allegedly from poisoning by 210 Po, an alpha particle emitter. The spread of radioactive contamination, arising from the poisoning and the events leading up to it, involved many locations in London. The potential for intakes of 210 Po arising from the contamination posed a public health risk and generated significant public concern. The scale of the event required a multi-agency response, including top level UK Government emergency response management arrangements. The Health Protection Agency (HPA) had a leading role in co-ordinating and managing the public health response. This paper reviews the management of the incident response and the issues involved. The fatal poisoning of Mr Litvinenko with 210 Po, and the associated public health hazard from the spread of contamination to many locations across London, was an unprecedented event. Fortunately, no one else is known to have suffered any acute effects. Results from the programme of individual monitoring showed that whilst more than 100 people had measurable intakes of 210 Po, only 17 had assessed doses in excess of 6 mSv. The highest dose of about 100 mSv gives rise to an increased risk of fatal cancer of about 0.5%, compared with the natural incidence of about 25%. The incident required a co-ordinated and sustained multi-agency emergency response. The Health Protection Agency, as the lead on public health matters played a significant role in this. Whilst inevitably some lessons have been identified, the response is considered to have been very effective and to have benefited from the wide spectrum of experience and expertise developed through normal work, together with the effort put into emergency preparedness and the various emergency response. (author)

Pseudoislets as primary islet replacements for research: report on a symposium at King's College London, London UK.

Science.gov (United States)

Persaud, Shanta J; Arden, Catherine; Bergsten, Peter; Bone, Adrian J; Brown, James; Dunmore, Simon; Harrison, Moira; Hauge-Evans, Astrid; Kelly, Catriona; King, Aileen; Maffucci, Tania; Marriott, Claire E; McClenaghan, Neville; Morgan, Noel G; Reers, Christina; Russell, Mark A; Turner, Mark D; Willoughby, Emma; Younis, Mustafa Y G; Zhi, Z L; Jones, Peter M

2010-01-01

Laboratory-based research aimed at understanding processes regulating insulin secretion and mechanisms underlying β-cell dysfunction and loss in diabetes often makes use of rodents, as these processes are in many respects similar between rats/mice and humans. Indeed, a rough calculation suggests that islets have been isolated from as many as 150,000 rodents to generate the data contained within papers published in 2009 and the first four months of 2010. Rodent use for islet isolation has been mitigated, to a certain extent, by the availability of a variety of insulin-secreting cell lines that are used by researchers world-wide. However, when maintained as monolayers the cell lines do not replicate the robust, sustained secretory responses of primary islets which limits their usefulness as islet surrogates. On the other hand, there have been several reports that configuration of MIN6 β-cells, derived from a mouse insulinoma, as three-dimensional cell clusters termed ‘pseudoislets’ largely recapitulates the function of primary islet β-cells. The Diabetes Research Group at King’s College London has been using the MIN6 pseudoislet model for over a decade and they hosted a symposium on “Pseudoislets as primary islet replacements for research”, which was funded by the UK National Centre for the Replacement, Refinement and Reduction of Animals in Research (NC3Rs), in London on 15th and 16th April 2010. This small, focused meeting was conceived as an opportunity to consolidate information on experiences of working with pseudoislets between different UK labs, and to introduce the theory and practice of pseudoislet culture to laboratories working with islets and/or β-cell lines but who do not currently use pseudoislets. This short review summarizes the background to the development of the cell line-derived pseudoislet model, the key messages arising from the symposium and emerging themes for future pseudoislet research.

Brahms J. Hungarian Dances. London Symphony Orchestra, Neeme Järvi / Jonathan Swain

Index Scriptorium Estoniae

Swain, Jonathan

1991-01-01

Uuest heliplaadist "Brahms J. Hungarian Dances. London Symphony Orchestra, Neeme Järvi. Chandos MC ABTD 1496; CD CHAN 8885 (57 minutes). Brahms J. Hungarian Dances. Staatskapelle Berlin. Otmar Suitner." Denon CD CO- 74597 (53 minutes)

Impact of the London 2012 Olympic and Paralympic Games on demand for microbiology gastrointestinal diagnostic services at the Public Health Laboratory London.

Science.gov (United States)

Williams, K; Sinclair, C; McEwan, R; Fleet, K; Balasegaram, S; Manuel, R

2014-07-01

Planning for the London 2012 Olympic and Paralympic Games at the Public Health Laboratory London was based on the requirement to meet potential increased demand with scalable capacity. The aim of this study was to determine the impact on demand for microbiology gastrointestinal diagnostic services during the Games period. Retrospective cross-sectional time-series data analysis was used to assess the number of gastrointestinal specimens received in the laboratory and the number of positive results. There was no increase in the number of gastrointestinal specimens received during the Games period, thus the Games had no impact on demand for microbiology gastrointestinal diagnostic services at the laboratory. There was a decrease in the number of public health specimens received for culture [incidence rate ratio = 0.34, 95% confidence interval (CI) = 0.13-0.86, P = 0.02] and a decrease in the number of culture positive community specimens (odds ratio = 0.59, 95 % CI = 0.40-0.85, P = 0.005), suggesting a decrease in gastrointestinal illness during the Games period. As previous planning assumptions were not based on actual specimen activity, the results of this study may modify the extent of additional planning for microbiological services required for mass gatherings. © 2014 The Authors.

Embodied Protest in Occupy London

DEFF Research Database (Denmark)

Costas, Jana; Reinecke, Juliane

In this paper we discuss the relation of embodied protest and public space in Occupy London. We draw on Agamben’s notion of the homo sacer – the excluded included life embodied by the figure of the homeless, refugee and so forth – to analyze how in protest camps embodied protest relates...... with the general public and media. Particularly, tensions became manifest as the homines sacri of the homeless people joined the camp. We discuss the implications of Agamben’s biopolitical insights for the relation of resistance, public space and community building in protest movements....... sacri – “bare life” challenging sovereign power. Yet, we also show how protesters struggled to navigate tensions between representing such “bare life” of the homo sacer and the biopolitical body. This lead not only to various difficulties in building protest community but also in the interactions...

Meeting the challenge in performance management: the diffusion and implementation of the balanced scorecard in Chinese hospitals.

Science.gov (United States)

Gao, Tian; Gurd, Bruce

2015-03-01

The bonus system used in Chinese hospitals has been criticized for eroding doctors' professional ethics and aggravating patient expense. This research article focuses on one system to improve hospital performance, the balanced scorecard (BSC). We use three data sources to examine the diffusion and implementation of the BSC in China: a questionnaire survey in Shandong Province, a print-media indicators and content analysis of the published BSC papers and semi-structured interviews with managers of Chinese hospitals that use the BSC. The research evidence shows that bonus systems are important, partially because of the poor pay of hospital professionals, and the BSC is perceived as providing a fair system to award such bonuses. This helps explain the relative endurance of the BSC in Chinese hospitals. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine © The Author 2014; all rights reserved.

Language Shift and Vitality Perceptions amongst London's Second-Generation Bangladeshis

Science.gov (United States)

Rasinger, Sebastian M.

2013-01-01

With more than 64,500 members, the Bangladeshi community in London is one of the largest in the UK. Originating from a wave of immigration during the 1970s, a considerable part of the community now consists of a second, UK-born generation. This explorative study seeks to address, first, the extent of the intergenerational language shift from…

A London shop window for PPARC industry partnership successes

CERN Multimedia

Neale, R

2002-01-01

The UK Particle Physics and Astronomy Research Council recently held a seminar in London to reveal the results of the impressive work they are doing in fostering partnerships between science and industry. They have many different types of funded programmes, the purpose of all of them is to encourage industry and entrepreneurs to both benefit from and service the requirements of particle physics science and technology (1 page).

Model Making and Anti-Competitive Practices in the Late Eighteenth-Century London Sculpture Trade

Directory of Open Access Journals (Sweden)

Craske, Matthew

2014-03-01

Full Text Available This article concerns the generation of anti-competitive practices, and the associated discontents, that rose to the fore in the London sculpture trade in the late eighteenth century (1770-1799. It charts the business strategies and technical procedures of the most economically successful practitioners, whose workshops had some of the characteristics of manufactories, and whose critics accused them of conducting a "monopoly" trade. Small-scale practitioners lost out in the competition for great public contracts on account of their design processes and their inability to represent any manifestation of "establishment". A combination of three factors increased the gap between a handful of powerful "manufacturers" and the rest of the trade: the foundation of the Royal Academy, shifts in the ways designs were evaluated, and a growing number of very lucrative contracts for public sculpture. I conclude that such were the discontents within the London trade that by the 1790s, there was a marked tendency for practitioners who were not manufacturers to be attracted to democratic political movements, to the Wilkite call for liberty and the rise of civic radicalism in the merchant population of London.

An evaluation of systemic reforms of public hospitals: the Sanming model in China.

Science.gov (United States)

Fu, Hongqiao; Li, Ling; Li, Mingqiang; Yang, Chunyu; Hsiao, William

2017-10-01

Low- and middle-income countries (LMICs) have been searching for effective strategies to reform their inefficient and wasteful public hospitals. Recently, China developed a model of systemic reforms called the Sanming model to address the inefficiency and waste at public hospitals. In this article, we explain and evaluate how the Sanming model reformed its 22 public hospitals in 2013 by simultaneously restructuring the hospital governance structure, altering the payment system to hospitals, and realigning physicians' incentives. By employing the difference-in-difference (DID) method and using the hospital-level data from 187 public hospitals in Fujian province, we find that the Sanming model has reduced medical costs significantly without measurably sacrificing clinical quality and productive efficiency. The systemic reform, on average, has reduced the medical care cost per outpatient visit and per inpatient admission by 6.1% (P-value = 0.0445) and 15.4% (P-value transformation of public hospitals, where the governance structure, payment system and physician compensation methods are aligned, are crucial to improving their performance; it holds critical lessons for China and other LMICs. © The Author 2017. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

Political opposition in patriarchal East London, 1950-1960: dilemmas of paternalism

Directory of Open Access Journals (Sweden)

D Atkinson

2010-04-01

Full Text Available This paper describes the growing level of politicization in East London in the 1950s, and the way this affected the patriarchal normative system, which prevailed in urban adminis tration. Patriarchal ism, as a sys tem, was susceptible of different interpretations by white municipal officials, and their response to black political opposition ranged from liberal forbearance to rigid and uncompromising intolerance. Black leaders’ attitudes to the patriarchal order were similarly nuanced. The Location Native Advisory Boards vacillated between opposition to the white patriarchal order and compliance with it. Towards the late 1950s, the political climate became ever more polarized. The paper draws on archival sources from East London to show that patriarchalism, as a moral system, was sufficiently robust to accommodate a variety of viewpoints, within the white and black communities. But as violent resistance took its toll during the 1950s, more coercive forms of paternalism came increasingly to the fore.

Lessons for climate policy from The Great Stink of London

Science.gov (United States)

Skuce, A.

2012-12-01

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

The Condensate Saga: From London's proposal to a convincing experimental answer

International Nuclear Information System (INIS)

Svensson, E.G.

1983-01-01

The Condensate Sata, which began with Fritz London's intriguing proposal of 1938, is summarized with particular emphasis on the study of Sears, Svensson, Martel and Woods of 1982 which gave the first convincing experimental evidence for a macroscopic occupation of the zero-momentum state in superfluid /sup 4/He

Resilience of Self-Organised and Top-Down Planned Cities--A Case Study on London and Beijing Street Networks.

Directory of Open Access Journals (Sweden)

Jiaqiu Wang

Full Text Available The success or failure of the street network depends on its reliability. In this article, using resilience analysis, the author studies how the shape and appearance of street networks in self-organised and top-down planned cities influences urban transport. Considering London and Beijing as proxies for self-organised and top-down planned cities, the structural properties of London and Beijing networks first are investigated based on their primal and dual representations of planar graphs. The robustness of street networks then is evaluated in primal space and dual space by deactivating road links under random and intentional attack scenarios. The results show that the reliability of London street network differs from that of Beijing, which seems to rely more on its architecture and connectivity. It is found that top-down planned Beijing with its higher average degree in the dual space and assortativity in the primal space is more robust than self-organised London using the measures of maximum and second largest cluster size and network efficiency. The article offers an insight, from a network perspective, into the reliability of street patterns in self-organised and top-down planned city systems.

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

Science.gov (United States)

Nicholson, Rafaelle M.; Nicholson, John W.

2012-01-01

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

A history of Guy's, King's and St. Thomas' hospitals from 1649 to 2009: 360 years of innovation in science and surgery.

Science.gov (United States)

Agha, Riaz; Agha, Maliha

2011-01-01

Much has been achieved in the scientific and surgical fields over the last 360 years. Some institutions have contributed disproportionately to these advances. The medical schools and hospitals of Guy's (est. 1721), King's (est. 1840) and St. Thomas' (est. 1173) seem to provide a focus and a catalyst for much innovation and creativity dating back to 1608. This review sets to provide an overview of the major contributors to surgical advances at these institutions over the last 360 years and what factors affected unique to these institutions contributed to the climate of discovery. It is based on a lecture given to the Osler Club of London (est. 1928) at the Royal College of Physicians in London on 4 November 2010. It is the author's premise that the people and the discoveries they made within these institutions within three square miles of London changed the practice and understanding of science and healthcare as we know it today. Copyright © 2011 Surgical Associates Ltd. Published by Elsevier Ltd. All rights reserved.

Sport psychology consultants’ perceptions of their challenges at the London 2012 Olympic Games

DEFF Research Database (Denmark)

Elsborg, Peter; Diment, Gregory; Elbe, Anne-Marie

2014-01-01

The aim of the study was to explore the challenges sport psychology consultants perceived at the 2012 London Olympic Games. Semi-structured interviews were conducted with 11 sport psychology consultants up to six weeks after the London Games. The interviews were transcribed and inductively content...... analyzed. The results show that consultants perceived a number of challenges important to being successful at the Olympic Games. These challenges were divided into two general themes: Challenges before the Olympics (e.g. negotiating your role) and Challenges during the Olympics (e.g. dealing with the media......). Furthermore, four different Sport psychology consultant roles during the Olympics could be defined. On the one hand, the reported challenges validate and cohere with the challenge descriptions in the literature. On the other hand, the data identifies individual contextual differences between the consultants...

‘To the great public’: The Architectural Image in the Early Illustrated London News

Directory of Open Access Journals (Sweden)

Anne Hultzsch

2017-12-01

Full Text Available The 'Illustrated London News', launched in May 1842 as the first illustrated newspaper and quickly copied across Europe, North America and beyond, was full of architectural images. New buildings, ancient ruins, construction sites, royal visits, wars, theatre performances, exotic expeditions, historical essays and innumerable other subjects gave occasion to feature the built, whether for its own sake or as background setting. Images and texts were produced and consumed with an urge and at a speed never seen before. The building, through the illustrated press, left the static confines of the book and the framed print and became peopled by the purposeful bourgeoisie. Through a close analysis of a range of articles on the new Royal Exchange, the refurbished London Colosseum as well as the Queen’s Scotland tour, this essay explores the role of the architectural image in the illustrated press by focusing on its relationship to the accompanying text. Untangling the mechanics of representation and perception, it identifies modes of intellectual, affective, and kinetic vision through which architecture was represented to the remote reading public. By externalising and stabilising vision, the 'Illustrated London News' thus created a virtual public sphere in which the dramatic technological and material changes occurring in the period could be absorbed and normalized.

Assessing support for supervised injection services among community stakeholders in London, Canada.

Science.gov (United States)

Bardwell, Geoff; Scheim, Ayden; Mitra, Sanjana; Kerr, Thomas

2017-10-01

Few qualitative studies have examined support for supervised injection services (SIS), and these have been restricted to large cities. This study aimed to assess support for SIS among a diverse representation of community stakeholders in London, a mid-sized city in southwestern Ontario, Canada. This qualitative study was undertaken as part of the Ontario Integrated Supervised Injection Services Feasibility Study. We used purposive sampling methods to recruit a diversity of key informants (n=20) from five sectors: healthcare; social services; government and municipal services; police and emergency services; and the business and community sector. Interview data, collected via one-to-one semi structured interviews, were coded and analyzed using thematic analyses through NVivo 10 software. Interview participants unanimously supported the implementation of SIS in London. However, participant support for SIS was met with some implementation-related preferences and/or conditions. These included centralization or decentralization of SIS; accessibility of SIS for people who inject drugs; proximity of SIS to interview participants; and other services and strategies offered alongside SIS. The results of this study challenge the assumptions that smaller cities like London may be unlikely to support SIS. Community stakeholders were supportive of the implementation of SIS with some preferences or conditions. Interview participants had differing perspectives, but ultimately supported similar end goals of accessibility and reducing community harms associated with injection drug use. Future research and SIS programming should consider these factors when determining optimal service delivery in ways that increase support from a diversity of community stakeholders. Copyright © 2017 Elsevier B.V. All rights reserved.

The role of the IAEA in the London Convention 1972 on Dumping of Wastes at Sea

International Nuclear Information System (INIS)

Telleria, Diego; Berkovsky, Volodymyr; Jova Sed, Luis; Louvat, Didier

2008-01-01

Full text: The Convention on the Prevention of Marine Pollution by Dumping of Wastes and Other Matter was adopted after an Inter-Governmental Conference, held in London in 1972, following the principles for environmental protection enunciated in the Report of the United Nations Conference on Human Environment, held the same year in Stockholm. The IAEA has been involved since the early days of the London Convention when the Contracting Parties designated the IAEA as the competent international authority in matters related to sea disposal of radioactive waste, providing technical advice and services. The IAEA developed, for the Convention, the definition of 'radioactive wastes or radioactive matters unsuitable for dumping at sea' (e.g., high level radioactive waste) and recommended the technical basis applicable by the national authorities to issue special permits for those radioactive materials which could be dumped (mainly low and intermediate level radioactive waste, properly conditioned and 'de minimis' quantities). However, in 1985, based more on political reasons than on the existing radiation protection principles and policies, the Contracting Parties to the London Convention introduced a 'voluntary moratorium' on the disposal of low level radioactive wastes at sea, and later in 1993, a total ban of radioactive waste disposal at sea. The IAEA continues to support the objectives of the London Convention by providing scientific advice. Since 1989, at the request of the Contracting Parties, the IAEA has developed and maintained global databases on radioactive waste disposed of at sea in the past and on accidents and losses at sea involving radioactive material. The purpose of these databases is to serve as the basis for radiological impact assessment on the marine environment. The last revised reports on the above mentioned inventories were published in 1999 and in 2001 respectively. The databases are currently in the process of being updated. The paper presents

Bronchitis: sickness absence in London Transport

Energy Technology Data Exchange (ETDEWEB)

Cornwall, C J; Raffle, P A.B.

1961-01-01

Analysis of records of bronchitis morbidity of 4 days or more among 60,000 male London Transport employees for the years 1952 to 1956 is discussed. Bronchitis morbidity accounted for about 10% of the absences, similar to that for the country as a whole. Annual inception rate increased with age after age 45; average length of spell increased with age over the whole age range. Absence from bronchitis broadly correlated with foggy periods (Dec, 52; Jan, 56), more so with city workers. Higher rates exist in north sectors where pollution is higher (south wind), and there is more industry and a higher population density. Lower rates exist among country workers. 20 to 25% of bronchitis morbidity can be ascribed to air pollution when country and city workers are compared.

Leading increasingly linguistically diverse London schools

Directory of Open Access Journals (Sweden)

Dina Mehmedbegović

2008-10-01

Full Text Available Engaging with bilingual parents, students and teachers with little awareness of the benefits of bilingualism has initiated a search for factors resulting in the low value attached to certain types of bilingualism. Working on the hypothesis that prevalent practice is influenced more by attitudes to bilingualism rather than relevant research and pedagogical theory, this research focuses on attitudes. This small-scale qualitative study conducted with a group of London headteachers provides an insight into the attitudes to bilingualism and how they impact on policy and practice in schools with significant proportions of multilingual learners. It also raises the question if schools which claim to support multilingual students in realising their full potential can achieve that without including home languages as an integral part of learning.

Teaching the Very Recent Past: "Miriam's Vision" and the London Bombings

Science.gov (United States)

Kitson, Alison; Thompson, Sarah

2015-01-01

"Miriam's Vision" is an educational project developed by the Miriam Hyman Memorial Trust, an organisation set up in memory of Miriam Hyman, one of the 52 victims of the London bombings of 2005. The project has developed a number of subject-based modules, including history, which are provided free to schools through the website…

Requirements of the London Convention for dumping radioactive waste at sea

International Nuclear Information System (INIS)

Sutton, H.C.

1982-10-01

This report outlines the requirements of the London Convention for dumping radioactive waste at sea and considers their scientific basis more fully. It is intended primarily as an appraisal and aid to understanding of the two documents IAEA 210 and IAEA 211, published by the International Atomic Energy Agency, and relating to the oceanographic and radiobiological basis of their definitions of high level waste and recommendations relating to its dumping at sea, which were required for London Convention purposes. The adequacy and conservation in these recommendations are considered, and the report also compares the predictions of the model on which the recommendations are based with some limited but relevant observations on radiation doses resulting from natural causes (radium in the sea), and from fallout from nuclear bomb tests. It is concluded that if dumping is carried out within the limits and according to the recommendations required by the IAEA, then it is extremely unlikely that this could lead to significant human hazard, either now or in the future. Some of the reasons for this conclusion are summarised in the final chapter

Carbon dioxide and methane emission dynamics in central London (UK)

Science.gov (United States)

Helfter, Carole; Nemitz, Eiko; Barlow, Janet F.; Wood, Curtis R.

2013-04-01

London, with a population of 8.2 million, is the largest city in Europe. It is heavily built-up (typically 8% vegetation cover within the central boroughs) and boasts some of the busiest arteries in Europe despite efforts to reduce traffic in the city centre with the introduction of a congestion charging scheme in 2007. We report on two substantial pollution monitoring efforts in the heart of London between October 2006 and present. Fluxes of carbon dioxide (CO2) and water (H2O) were measured continuously by eddy-covariance in central London from October 2006 until May 2008 from a 190 m telecommunication tower (BT tower; 51° 31' 17.4'' N 0° 8' 20.04'' W). The eddy-covariance system consisted of a Gill R3-50 ultrasonic anemometer operated at 20 Hz and a LI-COR 6262 infrared gas analyser. Air was sampled 0.3 m below the sensor head of the ultrasonic anemometer - which was itself mounted on a 3 m mast to the top of a 15 m lattice tower situated on the roof of the tower (instrument head at 190 m above street level) - and pulled down 45 m of 12.7 mm OD Teflon tubing. In addition, meteorological variables (temperature, relative humidity, pressure, precipitation, wind speed and direction) were also measured with a multi-sensor (Weather Transmitter WXT510, Vaisala). Eddy-covariance measurements at the BT tower location were reinstated in July 2011 and include methane (CH4), CO2 and H2O concentrations measured by a Picarro fast methane analyser (G2301-f). CO2 emissions were found to be mainly controlled by fossil fuel combustion (e.g. traffic, commercial and domestic heating). Diurnal averages of CO2 fluxes were found to be highly correlated to traffic. However changes in heating-related natural gas consumption and, to a lesser extent, photosynthetic activity in two large city centre green spaces (Hyde Park and Regent's Park) explained the seasonal variability. Annual estimates of net exchange of CO2 obtained by eddy-covariance agreed well with up-scaled data from the UK

An integrated tool to assess the role of new planting in PM10 capture and the human health benefits: A case study in London

International Nuclear Information System (INIS)

Tiwary, Abhishek; Sinnett, Danielle; Peachey, Christopher; Chalabi, Zaid; Vardoulakis, Sotiris; Fletcher, Tony; Leonardi, Giovanni; Grundy, Chris; Azapagic, Adisa; Hutchings, Tony R.

2009-01-01

The role of vegetation in mitigating the effects of PM 10 pollution has been highlighted as one potential benefit of urban greenspace. An integrated modelling approach is presented which utilises air dispersion (ADMS-Urban) and particulate interception (UFORE) to predict the PM 10 concentrations both before and after greenspace establishment, using a 10 x 10 km area of East London Green Grid (ELGG) as a case study. The corresponding health benefits, in terms of premature mortality and respiratory hospital admissions, as a result of the reduced exposure of the local population are also modelled. PM 10 capture from the scenario comprising 75% grassland, 20% sycamore maple (Acer pseudoplatanus L.) and 5% Douglas fir (Pseudotsuga menziesii (Mirb.) Franco) was estimated to be 90.41 t yr -1 , equating to 0.009 t ha -1 yr -1 over the whole study area. The human health modelling estimated that 2 deaths and 2 hospital admissions would be averted per year. - A combination of models can be used to estimate particulate matter concentrations before and after greenspace establishment and the resulting benefits to human health.

Adverse incidents resulting in exposure to body fluids at a UK dental teaching hospital over a 6-year period

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Hughes A

2012-10-01

Full Text Available A Hughes,1 L Davies,1 R Hale,1 JE Gallagher21Kings College Hospital NHS Foundation Trust, 2King's College London Dental Institute, London, United KingdomBackground: The safety and protection of patients and health care workers is of paramount importance in dentistry, and this includes students in training who provide clinical care. Given the nature of dental care, adverse incidents can and do occur, exposing health care workers to body fluids and putting them at risk of infection, including contracting a blood-borne virus. The aim of this research was to analyze trends in the volume, rate, nature, management, and outcome of adverse incidents reported at one dental teaching hospital from 2005 to 2010.Methods: Descriptive analysis of trends in the volume, rate, nature, management, and outcome of adverse incidents reported at one dental teaching hospital over a six-year period was undertaken in relation to the level of outpatient and day surgery activity.Results: In total, 287 incidents were reported over a six-year period, which amounted to 0.039% of outpatient or day surgery appointments. Nearly three quarters of all the incidents (n = 208, 72% took place during treatment or whilst clearing away after the appointment. The most frequent incidents were associated with administration of local anesthetic (n = 63, 22%, followed by burs used in dental hand pieces (n = 51, 18%.Conclusion: This research confirms that adverse incidents are a feature of dental hospitals and reports the common sources. The importance of accurate and consistent reporting of data to ensure that these issues are monitored to inform action and reduce risks to staff, students, and patients are highlighted.Keywords: risk management, blood-borne virus, dental hospital, body fluids exposure, adverse event reporting

Marketing modest fashion or fashioning modesty? HijUp Unveiled at London Fashion Week

OpenAIRE

Wilson, Jonathan

2016-01-01

The Indonesians came, they saw and we learned more about their spicy blend of fashion and fun, in the streets of London. Here’s a slice of what’s going on in the emerging global Modest Fashion scene.

Regeneralized London free energy for high-Tc vortex lattices

Directory of Open Access Journals (Sweden)

M. A. Shahzamanian

2006-09-01

Full Text Available   The London free-energy is regeneralized by the Ginsburg-Landau free-energy density in the presence of both d and s order parameters. We have shown that the strength of the s-d coupling, makes an important rule to determine the form of the lattice vortex. Appearance of the ratios of the coherence length to penetration depth in the higher order corrections of the free-energy density will truncate these corrections for even large values of .

Geographically varying associations between personality and life satisfaction in the London metropolitan area

NARCIS (Netherlands)

Jokela, M.; Bleidorn, W.; Lamb, M.E.; Gosling, S.D.; Rentfrow, P.J.

2015-01-01

Residential location is thought to influence people’s well-being, but different individuals may value residential areas differently. We examined how life satisfaction and personality traits are geographically distributed within the UK London metropolitan area, and how the strength of associations

Evaluating the use of an urban consolidation centre and electric vehicles in central London

Directory of Open Access Journals (Sweden)

Michael Browne

2011-07-01

Full Text Available The paper focuses on the role that can be played by urban consolidation centres (UCCs in reducing freight traffic and its environmental impacts in towns and cities. It is based on the before and after evaluation of a trial led by a major stationery and office supplies company in which urban freight deliveries in central London made from a depot in the suburbs using diesel vehicles were replaced with the use of an urban micro-consolidation centre located in the delivery area together with the use of electrically-assisted cargo tricycles and electric vans. The results show that the total distance travelled and the CO2eq emissions per parcel delivered fell by 20% and 54% respectively as a result of this delivery system. However, the evaluation has also indicated that the distance travelled per parcel rose substantially in the City of London delivery area as a result of the electric vehicles having far smaller load limits in both weight and volume compared with diesel vans. But, at the same time, the trial system was able to virtually eliminate CO2eq emissions per parcel delivered in the City of London. The trial proved successful from the company's perspective in transport, environmental and financial terms. The company therefore decided to continue the operation beyond the end of the trial with it being officially launched during 2010.

Mothering through Islam: narratives of religious identity in London

OpenAIRE

Ryan, Louise; Vacchelli, Elena

2013-01-01

This paper draws upon research with mothers of diverse Muslim backgrounds in London to explore how these women use ‘conservative’ interpretations of Islamic beliefs and practices to underpin their parenting strategies. In particular the paper looks at how mothers use religion as a frame to make sense of and give meaning to their experiences and encounters in Britain. We suggest that the women use Islam in four key ways: (i) as a framework for teaching their children right and wrong, (ii) as a...

A Virtual Walk through London: Culture Learning through a Cultural Immersion Experience

Science.gov (United States)

Shih, Ya-Chun

2015-01-01

Integrating Google Street View into a three-dimensional virtual environment in which users control personal avatars provides these said users with access to an innovative, interactive, and real-world context for communication and culture learning. We have selected London, a city famous for its rich historical, architectural, and artistic heritage,…

Spatial and temporal associations of road traffic noise and air pollution in London: Implications for epidemiological studies.

Science.gov (United States)

Fecht, Daniela; Hansell, Anna L; Morley, David; Dajnak, David; Vienneau, Danielle; Beevers, Sean; Toledano, Mireille B; Kelly, Frank J; Anderson, H Ross; Gulliver, John

2016-03-01

Road traffic gives rise to noise and air pollution exposures, both of which are associated with adverse health effects especially for cardiovascular disease, but mechanisms may differ. Understanding the variability in correlations between these pollutants is essential to understand better their separate and joint effects on human health. We explored associations between modelled noise and air pollutants using different spatial units and area characteristics in London in 2003-2010. We modelled annual average exposures to road traffic noise (LAeq,24h, Lden, LAeq,16h, Lnight) for ~190,000 postcode centroids in London using the UK Calculation of Road Traffic Noise (CRTN) method. We used a dispersion model (KCLurban) to model nitrogen dioxide, nitrogen oxide, ozone, total and the traffic-only component of particulate matter ≤2.5μm and ≤10μm. We analysed noise and air pollution correlations at the postcode level (~50 people), postcodes stratified by London Boroughs (~240,000 people), neighbourhoods (Lower layer Super Output Areas) (~1600 people), 1km grid squares, air pollution tertiles, 50m, 100m and 200m in distance from major roads and by deprivation tertiles. Across all London postcodes, we observed overall moderate correlations between modelled noise and air pollution that were stable over time (Spearman's rho range: |0.34-0.55|). Correlations, however, varied considerably depending on the spatial unit: largest ranges were seen in neighbourhoods and 1km grid squares (both Spearman's rho range: |0.01-0.87|) and was less for Boroughs (Spearman's rho range: |0.21-0.78|). There was little difference in correlations between exposure tertiles, distance from road or deprivation tertiles. Associations between noise and air pollution at the relevant geographical unit of analysis need to be carefully considered in any epidemiological analysis, in particular in complex urban areas. Low correlations near roads, however, suggest that independent effects of road noise and

London 2012 and beyond: concluding reflections on peacemaking, sport and the Olympic movement

NARCIS (Netherlands)

Spaaij, R.; Burleson, C.

2012-01-01

The 2012 London Olympic and Paralympic Games have reinvigorated the debate on Olympic legacies for peace and development. Addressing this debate and building on the articles in this collection, this epilogue argues that the theoretical-conceptual understanding of peace and peacemaking remains poorly

Social Media as Contact Zones : Young Londoners Remapping the Metropolis through Digital Media

NARCIS (Netherlands)

Leurs, K.H.A.|info:eu-repo/dai/nl/343295334

2015-01-01

Social media use among urban, young Londoners of diverse cultural backgrounds constitutes a contemporary, postcolonial contact zone in Europe. By taking digital practices as an entry point to consider intercultural encounters in the postcolonial metropolis, I bring new media studies into a much

Measurements of free radicals in a megacity during the Clean Air for London Project

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Heard, Dwayne; Whalley, Lisa; Stone, Daniel; Clancy, Noel; Lee, James; Kleffman, Jorg; Laufs, Sebastian; Bandy, Brian

2013-04-01

Free radicals control the photo-oxidative chemistry of the atmosphere, being responsible for the transformation of primary emissions into secondary pollutants such as NO2, O3, multifunctional species and particulates. Here we present measurements of OH, HO2 and RO2 radicals and OH reactivity recorded at North Kensington, Central London, during two Intensive Operational Periods (IOPs) of the Clear Air for London (Clearflo) project in the summer and winter of 2012. OH and HO2 were measured using laser-induced fluorescence (LIF) spectroscopy at low pressure (the FAGE technique), and RO2 was measured using the recently developed ROXLIF technique, which utilises an external flow-reactor interfaced to FAGE, and which is able to discriminate between HO2 and organic peroxy radicals. Through control of reagent gases we are further able to provide a separate measurement of those RO2 species which are known to give an interference for HO2 measurements (namely alkene, aromatic and large-chain alkane derived RO2). OH reactivity was measured using laser-flash photolysis combined with FAGE. Low concentrations of radicals were observed during the winter IOP, with mixing ratios of [OH] ~ 0.04 pptv, [HO2] ~ 0.4 pptv, and [RO2] ~ 1.6 pptv at noon, all displaying a negative correlation with NO. The photolysis of O3 and subsequent reaction of O(1D) with H2O vapour was only a minor contribution to radical production in winter, with photolysis of HONO a major radical source. The summer IOP coincided with the London Olympic Games, with a number of pollution events, with ozone peaking at 100 ppbv (exceeding EU air quality directives) and elevated radical concentrations (peak [OH] ~ 0.14 pptv, [HO2] ~ 4 pptv, [RO2] ~ 6.4 pptv) being observed. The net rate of ozone production was calculated from radical observations and agreed well with measured ozone production, suggesting that advection/dilution by continental air-masses was not playing a significant role in determining ozone

Developing a new syndromic surveillance system for the London 2012 Olympic and Paralympic Games.

Science.gov (United States)

Harcourt, S E; Fletcher, J; Loveridge, P; Bains, A; Morbey, R; Yeates, A; McCloskey, B; Smyth, B; Ibbotson, S; Smith, G E; Elliot, A J

2012-12-01

Syndromic surveillance is vital for monitoring public health during mass gatherings. The London 2012 Olympic and Paralympic Games represents a major challenge to health protection services and community surveillance. In response to this challenge the Health Protection Agency has developed a new syndromic surveillance system that monitors daily general practitioner out-of-hours and unscheduled care attendances. This new national system will fill a gap identified in the existing general practice-based syndromic surveillance systems by providing surveillance capability of general practice activity during evenings/nights, over weekends and public holidays. The system will complement and supplement the existing tele-health phone line, general practitioner and emergency department syndromic surveillance systems. This new national system will contribute to improving public health reassurance, especially to meet the challenges of the London 2012 Olympic and Paralympic Games.

A high HIV-1 strain variability in London, UK, revealed by full-genome analysis: Results from the ICONIC project

Science.gov (United States)

Frampton, Dan; Gallo Cassarino, Tiziano; Raffle, Jade; Hubb, Jonathan; Ferns, R. Bridget; Waters, Laura; Tong, C. Y. William; Kozlakidis, Zisis; Hayward, Andrew; Kellam, Paul; Pillay, Deenan; Clark, Duncan; Nastouli, Eleni; Leigh Brown, Andrew J.

2018-01-01

Background & methods The ICONIC project has developed an automated high-throughput pipeline to generate HIV nearly full-length genomes (NFLG, i.e. from gag to nef) from next-generation sequencing (NGS) data. The pipeline was applied to 420 HIV samples collected at University College London Hospitals NHS Trust and Barts Health NHS Trust (London) and sequenced using an Illumina MiSeq at the Wellcome Trust Sanger Institute (Cambridge). Consensus genomes were generated and subtyped using COMET, and unique recombinants were studied with jpHMM and SimPlot. Maximum-likelihood phylogenetic trees were constructed using RAxML to identify transmission networks using the Cluster Picker. Results The pipeline generated sequences of at least 1Kb of length (median = 7.46Kb, IQR = 4.01Kb) for 375 out of the 420 samples (89%), with 174 (46.4%) being NFLG. A total of 365 sequences (169 of them NFLG) corresponded to unique subjects and were included in the down-stream analyses. The most frequent HIV subtypes were B (n = 149, 40.8%) and C (n = 77, 21.1%) and the circulating recombinant form CRF02_AG (n = 32, 8.8%). We found 14 different CRFs (n = 66, 18.1%) and multiple URFs (n = 32, 8.8%) that involved recombination between 12 different subtypes/CRFs. The most frequent URFs were B/CRF01_AE (4 cases) and A1/D, B/C, and B/CRF02_AG (3 cases each). Most URFs (19/26, 73%) lacked breakpoints in the PR+RT pol region, rendering them undetectable if only that was sequenced. Twelve (37.5%) of the URFs could have emerged within the UK, whereas the rest were probably imported from sub-Saharan Africa, South East Asia and South America. For 2 URFs we found highly similar pol sequences circulating in the UK. We detected 31 phylogenetic clusters using the full dataset: 25 pairs (mostly subtypes B and C), 4 triplets and 2 quadruplets. Some of these were not consistent across different genes due to inter- and intra-subtype recombination. Clusters involved 70 sequences, 19.2% of the dataset. Conclusions

An assessment of heavy metal pollution in the East London and Port ...

African Journals Online (AJOL)

The distribution of heavy metals (zinc, cadmium, copper, iron, manganese and lead) was investigated in seawater and in sediment samples from the East London and Port Elizabeth harbours. Both are ports of major importance to the area. The aim was to assess the impact of potential pollution sources, mainly from the ...

Change in Urban Albedo in London: A Multi-scale Perspective

Science.gov (United States)

Susca, T.; Kotthaus, S.; Grimmond, S.

2013-12-01

Urbanization-induced change in land use has considerable implications for climate, air quality, resources and ecosystems. Urban-induced warming is one of the most well-known impacts. This directly and indirectly can extend beyond the city. One way to reduce the size of this is to modify the surface atmosphere exchanges through changing the urban albedo. As increased rugosity caused by the morphology of a city results in lower albedo with constant material characteristics, the impacts of changing the albedo has impacts across a range of scales. Here a multi-scale assessment of the potential effects of the increase in albedo in London is presented. This includes modeling at the global and meso-scale informed by local and micro-scale measurements. In this study the first order calculations are conducted for the impact of changing the albedo (e.g. a 0.01 increase) on the radiative exchange. For example, when incoming solar radiation and cloud cover are considered, based on data retrieved from NASA (http://power.larc.nasa.gov/) for ~1600 km2 area of London, would produce a mean decrease in the instantaneous solar radiative forcing on the same surface of 0.40 W m-2. The nature of the surface is critical in terms of considering the impact of changes in albedo. For example, in the Central Activity Zone in London pavement and building can vary from 10 to 100% of the plan area. From observations the albedo is seen to change dramatically with changes in building materials. For example, glass surfaces which are being used increasingly in the central business district results in dramatic changes in albedo. Using the documented albedo variations determined across different scales the impacts are considered. For example, the effect of the increase in urban albedo is translated into the corresponding amount of avoided emission of carbon dioxide that produces the same effect on climate. At local scale, the effect that the increase in urban albedo can potentially have on local

Testing Efficiency of the London Metal Exchange: New Evidence

Directory of Open Access Journals (Sweden)

Jaehwan Park

2018-03-01

Full Text Available This paper explores the market efficiency of the six base metals traded on the LME (London Metal Exchange using daily data from January 2000 to June 2016. The hypothesis that futures prices 3M (3-month are unbiased predictors of spot prices (cash in the LME is rejected based on the false premise that the financialization of commodities has been growing. For the robustness check, monthly data is analyzed using ordinary least squares (OLS and GARCH (1,1 models. We reject the null hypothesis for all metals except for zinc.

Conference Scene: Summary report from EAACI: London 2010.

Science.gov (United States)

Stiehm, Matthias; Bufe, Albrecht

2010-09-01

Immunotherapy is, to date, the only effective curative method for the treatment of allergic disorders. Great efforts have been made to improve the efficacy, safety and patient compliance with this method. The growing understanding of the immunological mechanisms underlying immunotherapy has led to new approaches for immunotherapy involving the routes of administration and the kinds of molecules used. In addition, new vaccines are being created that combine the advantageous immunological charasteristics of different substances, such as virus-like particles linked to allergens. Many new results from ongoing research into these topics were presented at the 29th congress of the European Academy of Allergy and Clinical Immunology in London.

Sorption of radionuclides on London clay

International Nuclear Information System (INIS)

Berry, J.A.; Bourke, P.J.; Green, A.; Littleboy, A.K.

1989-02-01

Techniques for studying the sorption of radionuclides on London clay have been investigated. This work involved the use of through-diffusion, in-diffusion, high-pressure convection and batch methods to study the sorption of iodide, strontium, caesium and americium. Through-diffusion and high-pressure convection methods were found to be most useful for investigating weakly and moderately sorbing nuclides and give realistic values for sorptivity. The batch technique remains the most practical method of obtaining large quantities of data within a relatively short timescale but gives very high sorptivity values. It is however very useful for intercomparisons of nuclides or geological media. The in-diffusion method requires further refinement for use with strongly sorbing nuclides. Good agreement between through-diffusion and high-pressure convection methods was obtained for the sorptivity of strontium, whilst trends observed for caesium by through-diffusion were confirmed by batch measurements. (author)

A comparison of outcome for stroke patients in Barbados and South London.

Science.gov (United States)

Smeeton, Nigel C; Corbin, David O C; Hennis, Anselm J M; Hambleton, Ian R; Rose, Angela M C; Fraser, Henry S; Heuschmann, Peter U; Wolfe, Charles D A

2011-04-01

Little is known about the poststroke outcome in Caribbean populations. We investigated differences in the activities of daily living, level of social activities, living circumstances and survival for stroke patients in Barbados and London. Data were collected from the South London Stroke Register and the Barbados Register of Strokes for patients with a first-ever stroke registered between January 2001 and December 2004. The ability to perform activities of daily living was measured by the Barthel Index and level of social activities by the Frenchay Activities Index. Living circumstances were categorised into private household vs. institutional care. Death and dependency, activities of daily living and social activities were assessed at three-months, one- and two-years using logistic regression, adjusted for differences in demographic, socioeconomic and stroke severity characteristics. At three-months, a high level of social activities was more likely for the Barbados Register of Strokes (odds ratio 1.84; 95% confidence interval 1.03-3.29); there were no differences in activities of daily living; and Barbados Register of Strokes patients were less likely to be in institutional care (relative risk ratio 0.38; 95% confidence interval 0.18-0.79). Following adjustment, Barbados Register of Strokes patients had a higher risk of mortality at three-months (relative risk ratio 1.85; 95% confidence interval 1.03-3.30), one-year (relative risk ratio 1.83; 95% confidence interval 1.08-3.09) and two-years (relative risk ratio 1.82; 95% confidence interval 1.08-3.07). This difference was due to early poststroke deaths; for patients alive at four-weeks poststroke, survival thereafter was similar in both settings. In Barbados, there was evidence for a healthy survivor effect, and short-term social activity was greater than that in the South London Stroke Register. © 2010 The Authors. International Journal of Stroke © 2010 World Stroke Organization.

An Interview with Masoud Yazdani, editor of London-based Intellect Books

Directory of Open Access Journals (Sweden)

Sean Scanlan

2014-03-01

Full Text Available Sean Scanlan conducted an email interview with Masoud Yazdani, the editor of Intellect Books, an independent academic publisher in the fields of creative practice and popular culture, whose aim is to publish scholarly books and journals that provide a vital space for widening critical debate in new and emerging subjects. An Interview with Masoud Yazdani, editor of London-based Intellect Books by Sean Scanlan.

Modern Special Collections Cataloguing: A University of London Case Study

OpenAIRE

Attar, Karen

2013-01-01

Recent years have seen a growing emphasis on modern special collections (in themselves no new phenomenon), with a dichotomy between guidance for detailed cataloguing in Descriptive Cataloging of Rare Materials (Books) (DCRM(B), 2007) and the value of clearing cataloguing backlogs expeditiously. This article describes the De la Mare Family Archive of Walter de la Mare's Printed Oeuvre at Senate House Library, University of London, as an example of a modern author collections in an institutiona...

London-born black Caribbean children are at increased risk of atopic dermatitis.

Science.gov (United States)

Williams, H C; Pembroke, A C; Forsdyke, H; Boodoo, G; Hay, R J; Burney, P G

1995-02-01

Previous reports suggest that atopic dermatitis is more common in black Caribbean children born in the United Kingdom than in white children. It is unclear whether these differences are caused by selection bias or variations in the use of the word "eczema" in the groups studied. Our objective was to explore ethnic group differences in the prevalence of atopic dermatitis in London schoolchildren. A cross-sectional prevalence survey of 693 junior school children in three schools was performed. Atopic dermatitis was defined in three ways: (1) by a dermatologist, (2) by visible flexural dermatitis as recorded by an independent observer, and (3) by a history of flexural dermatitis according to the child's parents. The prevalence of atopic dermatitis according to examination by a dermatologist was 16.3% in black Caribbean children and 8.7% in white children. This increased risk was present for different methods of defining of a atopic dermatitis and persisted after adjustment for potential confounders. London-born black Caribbean children appear to be at an increased risk of having atopic dermatitis.

Level of consciousness on admission to a Heart Attack Centre is a predictor of survival from out-of-hospital cardiac arrest.

Science.gov (United States)

Deakin, Charles D; Fothergill, Rachael; Moore, Fionna; Watson, Lynne; Whitbread, Mark

2014-07-01

The relationship between the neurological status at the time of handover from the ambulance crew to a Heart Attack Centre (HAC) in patients who have achieved return of spontaneous circulation (ROSC) and subsequent outcome, in the context of current treatment standards, is unknown. A retrospective review of all patients treated by London Ambulance Service (LAS) from 1(st) April 2011 to 31(st) March 2013 admitted to a HAC in Greater London was undertaken. Neurological status (A - alert; V - responding to voice; P - responding to pain; U - unresponsive) recorded by the ambulance crew on handover was compared with length of hospital stay and survival to hospital discharge. A total of 475 sequential adult cardiac arrests of presumed cardiac origin, achieving ROSC on admission to a HAC were identified. Outcome data was available for 452 patients, of whom 253 (56.0%) survived to discharge. Level of consciousness on admission to the HAC was a predictor of duration of hospital stay (Pa shockable rhythm, 32.3% (120/371) were 'A' or 'V', compared with 9.1% (9/99) of those with non-shockable rhythms (PA or V) compared with those with non-shockable rhythms. Most patients who are conscious on admission to the HAC will survive, compared with approximately half of those who are unconscious (P or U), suggesting that critical care is generally appropriate at all levels of consciousness if ROSC has been achieved. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

Death, memory and collecting: creating the conditions for ancestralisation in South London households

NARCIS (Netherlands)

Parrott, F.; Byrne, S.; Clarke, A.; Harrison, R.; Torrence, R.

2011-01-01

This chapter presents case studies of the collections that played a part in peoples’ understanding and experience of death and bereavement, from an ethnographic study of households, loss and material culture in South London. The focus on death, memory and collecting serves to highlight the way

Lymphoid Tissue Grafts in Man

Energy Technology Data Exchange (ETDEWEB)

Kay, H. E.M. [Royal Marsden Hospital, Institute of Cancer Research, London (United Kingdom)

1969-07-15

Grafts of lymphoid tissue or of lymphoid stem cells may be appropriate in the treatment of some congenital immune deficiency disorders. The reasons for preferring tissues of foetal origin are discussed and the evidence for foetal immunocompetence is briefly summarized. Methods of storing foetal liver cells and cells or fragments of thymus are mentioned, and the organization of the Foetal Tissue Bank of the Royal Marsden Hospital is described. Clinical data from transplantation of lymphoid cells in various immune deficiency disorders are briefly presented. (author)

Forecasting peak asthma admissions in London: an application of quantile regression models

Science.gov (United States)

Soyiri, Ireneous N.; Reidpath, Daniel D.; Sarran, Christophe

2013-07-01

Asthma is a chronic condition of great public health concern globally. The associated morbidity, mortality and healthcare utilisation place an enormous burden on healthcare infrastructure and services. This study demonstrates a multistage quantile regression approach to predicting excess demand for health care services in the form of asthma daily admissions in London, using retrospective data from the Hospital Episode Statistics, weather and air quality. Trivariate quantile regression models (QRM) of asthma daily admissions were fitted to a 14-day range of lags of environmental factors, accounting for seasonality in a hold-in sample of the data. Representative lags were pooled to form multivariate predictive models, selected through a systematic backward stepwise reduction approach. Models were cross-validated using a hold-out sample of the data, and their respective root mean square error measures, sensitivity, specificity and predictive values compared. Two of the predictive models were able to detect extreme number of daily asthma admissions at sensitivity levels of 76 % and 62 %, as well as specificities of 66 % and 76 %. Their positive predictive values were slightly higher for the hold-out sample (29 % and 28 %) than for the hold-in model development sample (16 % and 18 %). QRMs can be used in multistage to select suitable variables to forecast extreme asthma events. The associations between asthma and environmental factors, including temperature, ozone and carbon monoxide can be exploited in predicting future events using QRMs.

Betel nut use among first and second generation Bangladeshi women in London, UK.

Science.gov (United States)

Núñez-de la Mora, Alejandra; Jesmin, Fahmida; Bentley, Gillian R

2007-10-01

This study evaluated the effects of socio-economic variables and migration history on the prevalence of betel nut and smokeless tobacco use in both UK- and Bangladeshi born migrant women resident in London. No significant difference in betel nut use prevalence was found among women of different generations. However, in all groups betel nut users were significantly older and less educated than non-users. Among first generation women there was no effect of either length of time living in the UK or age at migration on use of betel nut, even after controlling for current age. No significant differences in prevalence use due to language spoken, occupation, marital status or borough of residence in London were found. We conclude that, although there are some indications of a change in behavior among younger individuals, betel nut chewing is a practice very much present among Bangladeshi women born and brought up in a bicultural context.

Setting healthcare priorities in hospitals: a review of empirical studies.

Science.gov (United States)

Barasa, Edwine W; Molyneux, Sassy; English, Mike; Cleary, Susan

2015-04-01

Priority setting research has focused on the macro (national) and micro (bedside) level, leaving the meso (institutional, hospital) level relatively neglected. This is surprising given the key role that hospitals play in the delivery of healthcare services and the large proportion of health systems resources that they absorb. To explore the factors that impact upon priority setting at the hospital level, we conducted a thematic review of empirical studies. A systematic search of PubMed, EBSCOHOST, Econlit databases and Google scholar was supplemented by a search of key websites and a manual search of relevant papers' reference lists. A total of 24 papers were identified from developed and developing countries. We applied a policy analysis framework to examine and synthesize the findings of the selected papers. Findings suggest that priority setting practice in hospitals was influenced by (1) contextual factors such as decision space, resource availability, financing arrangements, availability and use of information, organizational culture and leadership, (2) priority setting processes that depend on the type of priority setting activity, (3) content factors such as priority setting criteria and (4) actors, their interests and power relations. We observe that there is need for studies to examine these issues and the interplay between them in greater depth and propose a conceptual framework that might be useful in examining priority setting practices in hospitals. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine © The Author 2014; all rights reserved.

Meeting Patient and Professional Needs: Views of Stakeholders on a Training Initiative for DwSIs in Endodontics in London.

Science.gov (United States)

Al-Haboubi, Mustafa; Newton, Paul; Gallagher, Jennifer E

2016-05-01

A pilot scheme was established across London to train NHS primary dental care practitioners to provide endodontic treatment of moderate difficulty. It was co-led by the former London Deanery (Health Education England: North West London) and local NHS commissioners. This research aimed to explore key stakeholders' perceptions about the purpose of the initiative, its advantages, disadvantages and future implications. Nineteen semi-structured interviews were conducted with stakeholders (commissioners and providers of the educational initiative; commissioners and providers of care, including trainees, principal dentists and specialists) involved in establishing, running and participating in the initiative and wider endodontic service provision in London. Interviews were based on a topic guide informed by the literature, and a workshop involving the London trainees. Interviews were recorded, transcribed and analysed using framework methodology. The project was perceived as supporting four key areas: addressing services, improving quality/outcomes, delivering education and enhancing professional status. There was evidence that dentists were harnessing health policy in facilitating 'reprofessionalisation' of dentistry with the creation of dentists with enhanced skills (DwSIs). Learning outcomes from the pilot were related to the accreditation of the participants, service tariffs, reimbursement for endodontic treatment on the NHS, and the need for continuity within and between services across the dental system. Uncertainty about funding and the changes within the NHS were among the concerns expressed regarding the future of the initiative. The findings of this research suggest that extending the skills of primary care practitioners may contribute to the reprofessionalisation of dentistry, which has much to contribute to patient care and the development of an integrated and accessible dental care system of quality, with improved outcomes for patients. The implications for

An Olympic Legacy? Did the Urban Regeneration Associated With the London 2012 Olympic Games Influence Adolescent Mental Health?

Science.gov (United States)

Clark, Charlotte; Smuk, Melanie; Cummins, Steven; Eldridge, Sandra; Fahy, Amanda; Lewis, Daniel; Moore, Derek G; Smith, Neil; Taylor, Stephanie J C; Stansfeld, Stephen A

2018-03-01

Public expenditure on large events such as the London 2012 Olympic Games is often justified by the potential legacy of urban regeneration and its associated health and well-being benefits for local communities. In the Olympic Regeneration in East London Study, we examined whether there was an association between urban regeneration related to the 2012 Games and improved mental health in young people. Adolescents aged 11-12 years attending schools in the Olympic host borough of Newham in London or in 3 adjacent comparison London boroughs completed a survey before the 2012 Games and 6 and 18 months after the Games (in 2013 and 2014, respectively). Changes in depressive symptoms and well-being between baseline and each follow-up were examined. A total of 2,254 adolescents from 25 randomly selected schools participated. Adolescents from Newham were more likely to have remained depressed between baseline and the 6- and 18-month follow-up surveys (for 6-month follow-up, relative risk = 1.78, 95% confidence interval: 1.12, 2.83; for 18-month follow-up, relative risk = 1.93, 95% confidence interval: 1.01, 3.70) than adolescents from the comparison boroughs. No differences in well-being were observed. There was little evidence that urban regeneration had any positive influence on adolescent mental health and some suggestion that regeneration may have been associated with maintenance of depressive symptoms. Such programs may have limited short-term impact on the mental health of adolescents.

Ludwig Guttmann (1899-1980), Stoke Mandeville Hospital and the Paralympic Games.

Science.gov (United States)

Silver, John R

2012-08-01

On 27 July 2012 London is hosting the Olympic and the Paralympic Games. The Olympic Games will be attended by 17,000 athletes to be followed by the Paralympic Games with 4200 athletes from 150 countries, participating in 20 different sports. This multicultural event has grown in the last 60 years from a small competition between British and Dutch athletes on the lawns of Stoke Mandeville Hospital in Buckinghamshire. The Paralympic Movement was born out of the vision of Sir Ludwig Guttmann. Before World War II, most paraplegic patients died. Guttmann came to Stoke Mandeville Hospital in 1944 and instituted the modern treatment of spinal injuries which kept paraplegic patients alive. While exercise is an essential part of rehabilitation, developing strength and agility, and a paraplegic patient can only participate in competitive sport when he or she is fully rehabilitated so the sports movement grew out of the successful treatment of paraplegic patients.

London Debates 2009. What role do museums play in the globalisation of culture ?

OpenAIRE

School of Advanced Study

2010-01-01

This report underlines the central role museums play in the globalisation of culture, and sets out action points to guide academic research, museum practice and policy-making. A report presenting the most important results of the London Debates, led at the School of Advanced Study in May 2009.

Augener & Co., London - neznámý Dvořákův nakladatel

Czech Academy of Sciences Publication Activity Database

Matějčková, Helena

2012-01-01

Roč. 49, č. 3 (2012), s. 247-266 ISSN 0018-7003 R&D Projects: GA ČR GA408/08/1020 Institutional support: RVO:68378076 Keywords : Dvořák * publishers * London Subject RIV: AL - Art, Architecture, Cultural Heritage

Role of radiotherapy and chemotherapy in management of soft tissue sarcomas

International Nuclear Information System (INIS)

Harmer, C.; Frampton, M.; Wiltshaw, E.

1986-01-01

One hundred eighty patients with soft tissue sarcoma were registered at the Royal Marsden Hospital last year, and the majority of these were seen in the Combined Sarcoma Clinic. This clinic is run by surgeons, radiotherapists, and medical oncologists who see the patients together each week. All the patients have an adequate biopsy, or if surgery has been performed at an outside hospital the previous histology is reviewed. A multidisciplinary team therefore participates in all the important decisions regarding treatment, and the patients continue to be seen in combined consultation during their physiotherapy, rehabilitation, and follow-up. By concentrating large numbers of patients with these rare tumours the scene is set for improved treatment and, hopefully, improved survival

Clostridium perfringens in London, July 2009: two weddings and an outbreak.

OpenAIRE

Eriksen, J.; Zenner, D.; Anderson, S. R.; Grant, K.; Kumar, D.

2010-01-01

: Food poisoning outbreaks caused by Clostridium perfringens enterotoxin occur occasionally in Europe but have become less common in recent years. This paper presents the microbiological and epidemiological results of a large C. perfringens outbreak occurring simultaneously at two weddings that used the same caterer. The outbreak involved several London locations and required coordination across multiple agencies. A case-control study (n=134) was carried out to analyse possible associations b...

Development of a novel walkability index for London, United Kingdom: cross-sectional application to the Whitehall II Study

Directory of Open Access Journals (Sweden)

Jemima C. Stockton

2016-05-01

Full Text Available Abstract Background Physical activity is essential for health; walking is the easiest way to incorporate activity into everyday life. Previous studies report positive associations between neighbourhood walkability and walking but most focused on cities in North America and Australasia. Urban form with respect to street connectivity, residential density and land use mix—common components of walkability indices—differs in European cities. The objective of this study was to develop a walkability index for London and test the index using walking data from the Whitehall II Study.  Methods A neighbourhood walkability index for London was constructed, comprising factors associated with walking behaviours: residential dwelling density, street connectivity and land use mix. Three models were produced that differed in the land uses included. Neighbourhoods were operationalised at three levels of administrative geography: (i 21,140 output areas, (ii 633 wards and (iii 33 local authorities. A neighbourhood walkability score was assigned to each London-dwelling Whitehall II Study participant (2003–04, N = 3020, mean ± SD age = 61.0 years ± 6.0 based on residential postcode. The effect of changing the model specification and the units of enumeration on spatial variation in walkability was examined. Results There was a radial decay in walkability from the centre to the periphery of London. There was high inter-model correlation in walkability scores for any given neighbourhood operationalisation (0.92–0.98, and moderate-high correlation between neighbourhood operationalisations for any given model (0.39–0.70. After adjustment for individual level factors and area deprivation, individuals in the most walkable neighbourhoods operationalised as wards were more likely to walk >6 h/week (OR = 1.4; 95 % CI: 1.1–1.9 than those in the least walkable. Conclusions Walkability was associated with walking time in adults. This

Development of a novel walkability index for London, United Kingdom: cross-sectional application to the Whitehall II Study.

Science.gov (United States)

Stockton, Jemima C; Duke-Williams, Oliver; Stamatakis, Emmanuel; Mindell, Jennifer S; Brunner, Eric J; Shelton, Nicola J

2016-05-18

Physical activity is essential for health; walking is the easiest way to incorporate activity into everyday life. Previous studies report positive associations between neighbourhood walkability and walking but most focused on cities in North America and Australasia. Urban form with respect to street connectivity, residential density and land use mix-common components of walkability indices-differs in European cities. The objective of this study was to develop a walkability index for London and test the index using walking data from the Whitehall II Study. A neighbourhood walkability index for London was constructed, comprising factors associated with walking behaviours: residential dwelling density, street connectivity and land use mix. Three models were produced that differed in the land uses included. Neighbourhoods were operationalised at three levels of administrative geography: (i) 21,140 output areas, (ii) 633 wards and (iii) 33 local authorities. A neighbourhood walkability score was assigned to each London-dwelling Whitehall II Study participant (2003-04, N = 3020, mean ± SD age = 61.0 years ± 6.0) based on residential postcode. The effect of changing the model specification and the units of enumeration on spatial variation in walkability was examined. There was a radial decay in walkability from the centre to the periphery of London. There was high inter-model correlation in walkability scores for any given neighbourhood operationalisation (0.92-0.98), and moderate-high correlation between neighbourhood operationalisations for any given model (0.39-0.70). After adjustment for individual level factors and area deprivation, individuals in the most walkable neighbourhoods operationalised as wards were more likely to walk >6 h/week (OR = 1.4; 95 % CI: 1.1-1.9) than those in the least walkable. Walkability was associated with walking time in adults. This walkability index could help urban planners identify and design neighbourhoods in

Famine, the Black Death, and health in fourteenth-century London

OpenAIRE

Antoine, Daniel; Hillson, Simon

2004-01-01

In the first half of the fourteenth century two catastrophes struck the population of Europe: the Great Famine and the Black Death. The latter has been extensively studied, but much less is known about the biological effects of the Great Famine. A large assemblage of skeletal remains from one of the Black Death burial grounds, the Royal Mint cemetery in London, provides a unique opportunity to investigate these effects by analyzing the teeth of individuals who survived the famine but died dur...

Toward precision medicine with next-generation EGFR inhibitors in non-small-cell lung cancer

Directory of Open Access Journals (Sweden)

Yap TA

2014-09-01

Full Text Available Timothy A Yap,1,2 Sanjay Popat1,3 1Lung Cancer Unit, Department of Medicine, The Royal Marsden National Health Service Foundation Trust, London, United Kingdom; 2The Institute of Cancer Research, London, United Kingdom; 3National Heart and Lung Institute, London, United Kingdom Abstract: The use of genomics to discover novel targets and biomarkers has placed the field of oncology at the forefront of precision medicine. First-generation epidermal growth factor receptor (EGFR inhibitors have transformed the therapeutic landscape of EGFR mutant non-small-cell lung carcinoma through the genetic stratification of tumors from patients with this disease. Somatic EGFR mutations in lung adenocarcinoma are now well established as predictive biomarkers of response and resistance to small-molecule EGFR inhibitors. Despite early patient benefit, primary resistance and subsequent tumor progression to first-generation EGFR inhibitors are seen in 10%–30% of patients with EGFR mutant non-small-cell lung carcinoma. Acquired drug resistance is also inevitable, with patients developing disease progression after only 10–13 months of antitumor therapy. This review details strategies pursued in circumventing T790M-mediated drug resistance to EGFR inhibitors, which is the most common mechanism of acquired resistance, and focuses on the clinical development of second-generation EGFR inhibitors, exemplified by afatinib (BIBW2992. We discuss the rationale, mechanism of action, clinical efficacy, and toxicity profile of afatinib, including the LUX-Lung studies. We also discuss the emergence of third-generation irreversible mutant-selective inhibitors of EGFR and envision the future management of EGFR mutant lung adenocarcinoma. Keywords: afatinib, EGFR, erlotinib, gefitinib, LUX-Lung, NSCLC 

Ethnopharmacy of Turkish-speaking Cypriots in Greater London.

Science.gov (United States)

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

2010-05-01

For centuries, in the Eastern Mediterranean region, medicinal plant use has been widely accepted as a treatment method for both minor and major diseases. Although some knowledge exists on the use of such medicinal plants within the Greek Cypriot culture and considerable information is available on various regions in Turkey, no detailed ethnopharmaceutical or ethnobotanical studies exist on Turkish-speaking Cypriots (TSC) both in Cyprus and within one of the largest TSC migrant communities in London, UK. Semi-structured interviews with members of the TSC community in London were conducted by using a questionnaire consisting both of open and closed questions. Open questions were aimed at identifying herbs, spices, medicinal plants and their uses. Also, graded questions were used to define informants' opinions as a quantitative parameter, constructing a statistical basis. A wide range of therapeutic claims were recorded, including 13 chronic illnesses within 85 different plant species, of which 18 were cited more than 10 times. The most frequently mentioned species were Mentha spicata, Salvia fruticosa and Pimpinella anisum. The plants recorded are frequently based on knowledge derived from Turkish-Cypriot traditions, but many examples of medicinal plants with a use based on UK or general western herbal medical traditions were also recorded. Informants highlighted the risk of knowledge loss in younger generations and thus this study serves as a repository of knowledge for use in the future. Due to a lack of knowledge about such usages in the healthcare professions, our study also highlights the need to develop information sources for use by healthcare practitioners in order to raise awareness about benefits and risks of such medical and health food products. Copyright (c) 2009 John Wiley & Sons, Ltd.

Self-reported oral hygiene habits, dental attendance and attitudes to dentistry during pregnancy in a sample of immigrant women in North London.

Science.gov (United States)

Hullah, Esther; Turok, Yaroslava; Nauta, Maud; Yoong, Wai

2008-05-01

The aim of this study was to describe self-reported oral health, oral hygiene habits, frequency of visits to a dentist and factors associated with dental attendance among pregnant women at a North London Hospital, the majority of whom are immigrants. Peridontal disease is associated with an increased risk of adverse pregnancy outcomes. The aim of this study is to describe self-reported oral health, oral hygiene habits, frequency of visits to a dentist and factors associated with dental attendance among pregnant women at a North London Hospital, the majority of whom are immigrants. A questionnaire designed by the authors was completed by postnatal women within 3 days of delivery. Data collected included past dental attendance, reasons for attendance and information about age, parity and socio-economic group. In total, 206 women completed the questionnaires within 3 days of delivery; 74.2% of the mothers were not born in the UK and 38.3% were Black African. The mean age of was 28.19 +/- 6.07 years. The majority reported good oral hygiene habits such as brushing their teeth twice a day (73.7%) and using mouthwash (51%). However, their dental attendance was poor and the average time since their last visit to a dentist was 1.8 +/- 1.61 years. Over a third of the women questioned did not know about the availability of free dental care during pregnancy and for 12 months after; 33% visited a dentist in pregnancy and half of them needed and received treatment; 15% of mothers had more than one pregnancy and yet were still unaware of free dental care provided during pregnancy and 12 months after birth. Only 36% of questioned women regularly visited a dentist. Pregnancy did little to change their attitudes to dental care. There appears no difference in attitudes to dental care between immigrant and British born pregnant women. Efforts to improve the uptake of dental care should be directed towards immigrant groups in order to promote better maternal health. Further research is

Collider – the LHC in London

CERN Multimedia

Emma Sanders

2013-01-01

In November the London Science Museum will open a major new exhibition about the LHC. The project marks an ambitious new approach for the museum who will work with an eclectic design team that includes a video artist and a playwright. Both Olivier Award winners, they are more renowned for their work on stage and screen than inside museums.   Image courtesy of Science Museum / Nissen Richards Studio. The Science Museum team came to Geneva expecting to be blown away by the extraordinary physics and engineering at CERN and they weren’t disappointed. But what impressed them most was the people who made it all happen. Physicists of all kinds, restaurant staff, engineers, administrators, those working in transport and logistics, all had in common a passion for CERN and an enthusiasm for communicating their work. “What really struck us was how every single person mentioned the spirit of international collaboration and the importance of curiosity,” Alison Boyle told the ...

Dedicated outreach service for hard to reach patients with tuberculosis in London: observational study and economic evaluation.

Science.gov (United States)

Jit, Mark; Stagg, Helen R; Aldridge, Robert W; White, Peter J; Abubakar, Ibrahim

2011-09-14

To assess the cost effectiveness of the Find and Treat service for diagnosing and managing hard to reach individuals with active tuberculosis. Economic evaluation using a discrete, multiple age cohort, compartmental model of treated and untreated cases of active tuberculosis. London, United Kingdom. Population Hard to reach individuals with active pulmonary tuberculosis screened or managed by the Find and Treat service (48 mobile screening unit cases, 188 cases referred for case management support, and 180 cases referred for loss to follow-up), and 252 passively presenting controls from London's enhanced tuberculosis surveillance system. Incremental costs, quality adjusted life years (QALYs), and cost effectiveness ratios for the Find and Treat service. The model estimated that, on average, the Find and Treat service identifies 16 and manages 123 active cases of tuberculosis each year in hard to reach groups in London. The service has a net cost of £1.4 million/year and, under conservative assumptions, gains 220 QALYs. The incremental cost effectiveness ratio was £6400-£10,000/QALY gained (about €7300-€11,000 or $10,000-$16 000 in September 2011). The two Find and Treat components were also cost effective, even in unfavourable scenarios (mobile screening unit (for undiagnosed cases), £18,000-£26,000/QALY gained; case management support team, £4100-£6800/QALY gained). Both the screening and case management components of the Find and Treat service are likely to be cost effective in London. The cost effectiveness of the mobile screening unit in particular could be even greater than estimated, in view of the secondary effects of infection transmission and development of antibiotic resistance.

The London Geography Alliance: Re-Connecting the School Subject with the University Discipline

Science.gov (United States)

Standish, Alex; Hawley, Duncan; Willy, Tessa

2016-01-01

The London Geography Alliance was established to provide a network of subject-based support to primary and secondary schools, by linking teachers and university lecturers. Workshops and fieldwork were conducted over a 17-month period to address different aspects of the geography curriculum. The effects of the project were evaluated using…

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

Science.gov (United States)

Heinsbroek, E; Said, B; Kirkbride, H

2012-08-02

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

Emissions of CO2 from road freight transport in London: Trends and policies for long run reductions

International Nuclear Information System (INIS)

Zanni, Alberto M.; Bristow, Abigail L.

2010-01-01

Freight transport has been receiving increasing attention in both literature and practice following the growing recognition of its importance in urban transport planning. This paper analyses historical and projected road freight CO 2 emissions in the city of London and explores the potential mitigation effect of a set of freight transport policies and logistics solutions. Findings indicate a range of policies with potential to reduce emissions in the period up to 2050. However, this reduction would appear to only be capable of partly counterbalancing the projected increase in freight traffic. More profound behavioural measures therefore appear to be necessary for London's CO 2 emissions reduction targets to be met.

Clinical Commentary by Barbara Segal, a Consultant Child and Adolescent Psychotherapist Working in University College London Hospitals

Science.gov (United States)

Segal, Barbara

2010-01-01

This moving clinical account describes the psychotherapeutic work of a child psychotherapist undertaken in a hospital room with 13-year-old Maya, after the sudden onset of a terrifying and serious illness, Guillain-Barre syndrome, leaving her with paralysis and extreme weakness. The first session takes place almost three weeks after Maya's…

Sufficient condition for the linearization stability of N = 1 supergravity: A preliminary report

International Nuclear Information System (INIS)

Bao, D.

1984-01-01

This paper outlines how the methods developed by Fischer, Marsden, and Moncrief (A. Fischer and J. Marsden, ''Isolated Gravitating Systems in General Relativity,'' (J. Ehlers, Ed.), Proceedings of the International School of Physics Enrico Fermi Course XVII, North-Holland, Amsterdam, 1979; A. Fischer, J. Marsden, and V. Moncrief, Ann. Inst. Henri Poincare 33 (1980), 147-194) for general relativity are being used to show that classical N = 1 supergravity, as a non-linear system of partial differential equtions, is linearization stable at any solution which lacks Killing symmetry. It is assumed (for convenience) throughout that the underlying spacetime is topologically Σ 0 x R, where Σ 0 is a compact, spacelike, and boundaryless 3-dimensional hypersurface

Dealing with risk: Underwriting sovereign bond issues in London 1870-1914

OpenAIRE

Mikkelsen, Anders L.

2014-01-01

Using the records of several leading 19th century issuing houses, this paper analyses the transformation of underwriting practices in London's primary sovereign bond market from 1870 to 1914. It shows how underwriting risk developed from being a liability, which market intermediaries sought to avoid, to becoming a valuable financial commodity. The impetus for this development was increased competition in the loan business from the 1880s onwards, which weakened the negotiating position of issu...

Political opposition in patriarchal East London, 1950-1960: dilemmas of paternalism

OpenAIRE

D Atkinson

2010-01-01

This paper describes the growing level of politicization in East London in the 1950s, and the way this affected the patriarchal normative system, which prevailed in urban adminis tration. Patriarchal ism, as a sys tem, was susceptible of different interpretations by white municipal officials, and their response to black political opposition ranged from liberal forbearance to rigid and uncompromising intolerance. Black leaders’ attitudes to the patriarchal order were similarly nuanced. The Loc...

Peer Mentoring Experiences of Psychology Students at the London Metropolitan University Writing Centre

Science.gov (United States)

Bakhshi, Savita; Harrington, Kathy; O'Neill, Peter

2008-01-01

"It really helps knowing that you are going to have someone around to help you..." This short article reports on research taking place into peer writing tutorials at London Metropolitan University and examines in particular, the experiences of psychology students who have taken part in the scheme. Some of the implications of this…

Fra Bartolomeo della Porta detto Fra Bartolomeo, Adorazione del Bambino, National Gallery, London

DEFF Research Database (Denmark)

Fischer, Chris

2014-01-01

En artikel om et maleri af Fra Bartolomeo i National Gallery i London udlånt til en udstilling i Museo Tosio Martinengo I Brescia i forbindelse med opdagelsen af et fuldstændigt overensstemmende maleri i dette museums magasiner. Hypotesen var at Bresciabilledet var et værkstedsarbejde lavet på ba...

Whole exome sequencing reveals a MLL de novo mutation ...

Indian Academy of Sciences (India)

article/fulltext/jgen/094/04/0755-0758 ... University of Messina, Messina, 98123, Italy; National Hospital for Neurology and Neurosurgery, London, WC1N 3BG, United Kingdom; The Portland Hospital for Women and Children, London, W1W 5AH, ...

Martin Van Butchell (1735-1814): the eccentric, "kook" dentist of old London.

Science.gov (United States)

Christen, A G; Christen, J A

1999-11-01

This article is a thumbnail sketch of the life and times of Martin Van Butchell (1735-1814), an eccentric, "kook" advertising dentist of Old London. Van Butchell earned these descriptive labels by displaying an unorthodox lifestyle, an outrageous personal appearance and outlandish, extreme and socially unacceptable personal and professional behaviors. While the general populace seemed to be fascinated by his strange ways, dentists and physicians were generally alienated by them. Nevertheless, he was considered a good dentist for his time, and he was extremely popular with his patients. Martin practiced dentistry for 23 years, and he practiced medicine as well, specializing in the treatment of ruptures and anal fistulas. Van Butchell interacted greatly with both John and William Hunter, who became two of the most famous and talented physicians, surgeons, anatomists and biologists of all time. When his first wife, Mary died, Martin arranged for her body to be embalmed and publicly displayed in his dental office for advertising purposes. Her preserved body was shown at the Museum of the Royal College of Surgeons (London), until it was destroyed by a German fire bomb in May, 1941. Mary's remains were on public display for a total of 166 years.

RETHINKING THE ROLE OF SMALL-GROUP COLLABORATORS AND ADVERSARIES IN THE LONDON KLEINIAN DEVELOPMENT (1914-1968).

Science.gov (United States)

Aguayo, Joseph; Regeczkey, Agnes

2016-07-01

The authors historically situate the London Kleinian development in terms of the small-group collaborations and adversaries that arose during the course of Melanie Klein's career. Some collaborations later became personally adversarial (e.g., those Klein had with Glover and Schmideberg); other adversarial relationships forever remained that way (with A. Freud); while still other long-term collaborations became theoretically contentious (such as with Winnicott and Heimann). After the Controversial Discussions in 1944, Klein marginalized one group of supporters (Heimann, Winnicott, and Riviere) in favor of another group (Rosenfeld, Segal, and Bion). After Klein's death in 1960, Bion maintained loyalty to Klein's ideas while quietly distancing his work from the London Klein group, immigrating to the United States in 1968. © 2016 The Psychoanalytic Quarterly, Inc.

Respect, trust, and the management of sickle cell disease pain in hospital: comparative analysis of concern-raising behaviors, preliminary model, and agenda for international collaborative research to inform practice

Science.gov (United States)

Elander, James; Beach, Mary Catherine; Haywood, Carlton

2011-01-01

Background/objectives Qualitative interview studies suggest that adult patients’ experiences of hospital treatment for sickle cell disease (SCD) pain reflect an absence of respect by providers for patients, and an absence or breakdown of trust. Systematic comparisons between treatment settings could help identify contextual influences on respect and trust. Design Quantitative comparison of concern-raising behaviors (pain treatment outcomes indicating breakdowns of trust) among adult SCD patients in Baltimore, Maryland, USA, and London, UK, followed by analysis of potential explanations for differences, including socio-cultural and behavioral factors, with a preliminary model of the processes leading to concern-raising behaviors. Results Rates of concern-raising behaviors were significantly higher in Baltimore than London. The model identifies respect and trust as key factors which could be targeted in efforts to improve the quality of SCD pain management in hospital. Conclusion An agenda for international, interdisciplinary research to improve the treatment of SCD pain in hospital should include: comparative analyses between countries and treatment settings of factors that could influence respect and trust; research to test hypotheses derived from models about the roles of respect and trust in the treatment of pain; studies of the impact of healthcare structures and policy on patients’ experiences of care; research focusing on developmental and interpersonal processes related to respect and trust; applications of attribution and other social psychology theories; and development and evaluation of interventions to improve the hospital treatment of SCD pain by increasing respect and trust. PMID:21797726

Simulating secondary organic aerosol from missing diesel-related intermediate-volatility organic compound emissions during the Clean Air for London (ClearfLo campaign

Directory of Open Access Journals (Sweden)

R. Ots

2016-05-01

Full Text Available We present high-resolution (5 km  ×  5 km atmospheric chemical transport model (ACTM simulations of the impact of newly estimated traffic-related emissions on secondary organic aerosol (SOA formation over the UK for 2012. Our simulations include additional diesel-related intermediate-volatility organic compound (IVOC emissions derived directly from comprehensive field measurements at an urban background site in London during the 2012 Clean Air for London (ClearfLo campaign. Our IVOC emissions are added proportionally to VOC emissions, as opposed to proportionally to primary organic aerosol (POA as has been done by previous ACTM studies seeking to simulate the effects of these missing emissions. Modelled concentrations are evaluated against hourly and daily measurements of organic aerosol (OA components derived from aerosol mass spectrometer (AMS measurements also made during the ClearfLo campaign at three sites in the London area. According to the model simulations, diesel-related IVOCs can explain on average  ∼  30 % of the annual SOA in and around London. Furthermore, the 90th percentile of modelled daily SOA concentrations for the whole year is 3.8 µg m−3, constituting a notable addition to total particulate matter. More measurements of these precursors (currently not included in official emissions inventories is recommended. During the period of concurrent measurements, SOA concentrations at the Detling rural background location east of London were greater than at the central London location. The model shows that this was caused by an intense pollution plume with a strong gradient of imported SOA passing over the rural location. This demonstrates the value of modelling for supporting the interpretation of measurements taken at different sites or for short durations.

A Migrant Culture on Display: The French Migrant and French Gastronomy in London (19th – 21st centuries)

OpenAIRE

Kelly, D.

2016-01-01

The large contemporary French migrant population – estimated by the French Consulate at around 300,000–400,000 in the UK, the majority living in London and the South-East – remains ‘absent’ from studies on migration, and, in a study of migrant food history in Britain, is considered not to have left traces as a migrant community. Over the centuries, the presence of various French communities in London has varied significantly as far as numbers are concerned, but what does not change is their s...

Tales of Two Cities: Architecture, Print and Early Guidebooks to Paris and London

Directory of Open Access Journals (Sweden)

Elizabeth McKellar

2013-07-01

Full Text Available This pioneering paper is the first to consider the contribution of a new type of urban literature to perceptions and portrayals of the city in the late seventeenth and early eighteenth centuries. It focuses on London and Parisian guidebooks, a genre that has been little studied to date, particularly those of: Germaine Brice, Description nouvelle de ce qui’il ya de plus remarquable dans la Ville de Paris (1684; F. Colsoni, Le Guide de Londres (1693; and Edward Hatton, A New View of London (1708. The article is the first to establish the significance of language primers as source for tourist guidebooks and the prevalence of lexicographers among those producing them. It examines the modern type of non-antiquarian urban guidebook as part of the new urban consumer culture. It also explores the genre’s contribution to a novel form in the writing and understanding of the city in the period focussed on the contemporary and the experiential, rather than the traditional orientation towards the historical and the monumental.

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

Centers for Disease Control (CDC) Podcasts

2016-08-16

Sarah Gregory reads an abridged version of the article, Scarlet Fever Upsurge in England and Molecular-Genetic Analysis in North-West London, 2014.  Created: 8/16/2016 by National Center for Emerging and Zoonotic Infectious Diseases (NCEZID).   Date Released: 8/16/2016.

Cohort profile: Examining Neighbourhood Activities in Built Living Environments in London: the ENABLE London—Olympic Park cohort

Science.gov (United States)

Ram, Bina; Nightingale, Claire M; Hudda, Mohammed T; Kapetanakis, Venediktos V; Ellaway, Anne; Cooper, Ashley R; Page, Angie; Lewis, Daniel; Cummins, Steven; Giles-Corti, Billie; Whincup, Peter H; Cook, Derek G; Rudnicka, Alicja R; Owen, Christopher G

2016-01-01

Purpose The Examining Neighbourhood Activities in Built Living Environments in London (ENABLE London) project is a natural experiment which aims to establish whether physical activity and other health behaviours show sustained changes among individuals and families relocating to East Village (formerly the London 2012 Olympics Athletes' Village), when compared with a control population living outside East Village throughout. Participants Between January 2013 and December 2015, 1497 individuals from 1006 households were recruited and assessed (at baseline) (including 392 households seeking social housing, 421 seeking intermediate and 193 seeking market rent homes). The 2-year follow-up rate is 62% of households to date, of which 57% have moved to East Village. Findings to date Assessments of physical activity (measured objectively using accelerometers) combined with Global Positioning System technology and Geographic Information System mapping of the local area are being used to characterise physical activity patterns and location among study participants and assess the attributes of the environments to which they are exposed. Assessments of body composition, based on weight, height and bioelectrical impedance, have been made and detailed participant questionnaires provide information on socioeconomic position, general health/health status, well-being, anxiety, depression, attitudes to leisure time activities and other personal, social and environmental influences on physical activity, including the use of recreational space and facilities in their residential neighbourhood. Future plans The main analyses will examine the changes in physical activity, health and well-being observed in the East Village group compared with controls and the influence of specific elements of the built environment on observed changes. The ENABLE London project exploits a unique opportunity to evaluate a ‘natural experiment’, provided by the building and rapid occupation of East

Famine, the Black Death, and health in fourteenth-century London

Directory of Open Access Journals (Sweden)

Daniel Antoine

2004-08-01

Full Text Available In the first half of the fourteenth century two catastrophes struck the population of Europe: the Great Famine and the Black Death. The latter has been extensively studied, but much less is known about the biological effects of the Great Famine. A large assemblage of skeletal remains from one of the Black Death burial grounds, the Royal Mint cemetery in London, provides a unique opportunity to investigate these effects by analyzing the teeth of individuals who survived the famine but died during the Black Death.

PACS and its hospital-wide implementation: A case study at the Madigan Army Medical Center

International Nuclear Information System (INIS)

Choi, Hyung Sik; Kim, Yong Min; Smith, Donald V.; Bender, Gregory N.

1993-01-01

PACS represents the future of radiology in modern hospitals. Workstations and databases can be developed to substantially increase clinician's productivity, improve diagnostic accuracy, and make a large amount of knowledge and patient information available on-line to the physician. Currently, there are several hospitals in the process of implementing a total PACS system. They include Madigan Army Medical Center (Tacoma, Washington), VA Hospital in Baltimore, and Hammersmith Hospital in London (1). In order to provide the radiologist, the clinicians, and other health personnel in Korea with the general concept of PACS and its up-to-date status report, we describe the MDIS system being implemented in MAMC (Madigan Army Medical Center) which is the first hospital-wide large-scale PACS in the world. The major PACS components in MAMC have been installed since March 1992 and the full system implementation will be completed by summer 1993. The goal of the MDIS system in MAMC is to increase to more than 90% filmless by the end of 1993. In this paper, we discuss the introduction and background of PACS and its potential benefits, the current status of PACS installation in MAMC and the future plan, and the flow of image data and text information in MAMC

77 FR 32898 - Safety & Security Zones; OPSAIL 2012 Connecticut, Thames River, New London, CT

Science.gov (United States)

2012-06-04

... 1625-AA00; AA87 Safety & Security Zones; OPSAIL 2012 Connecticut, Thames River, New London, CT AGENCY... 20, 2012 the Coast Guard published a notice of proposed rulemaking entitled Safety & Security Zones... Homeland Security Delegation No. 0170.1, which collectively authorize the Coast Guard to define safety and...

Bilingual Behaviour, Attitudes, Identity and Vitality: Some Data from Japanese Speakers in London, UK

Science.gov (United States)

Brown, Ivan; Sachdev, Itesh

2009-01-01

Although the Japanese community in London is relatively small, its composition is stable and reflects several aspects of Japan's relationship with the international community. Yet there appears to have been no systematic research exploring patterns of bilingual behaviour in relation to social psychological processes amongst Japanese nationals in…

EUFEMED London Conference 2017: Exploratory Medicines Development: Innovation and Risk Management

Directory of Open Access Journals (Sweden)

Luc Van Bortel

2018-01-01

Full Text Available The first formal conference of the EUropean Federation for Exploratory MEdicines Development (EUFEMED held in London was the result of a collaborative effort of its founding associations: the Association for Applied Human Pharmacology (AGAH; Germany, the Association for Human Pharmacology in the Pharmaceutical Industry (AHPPI; UK, the Belgian Association of Phase-I Units (BAPU; Belgium, and Club Phase-I (France. The conference focused on innovation and risk management in early clinical drug development. Among other innovations, immunotherapy in oncology and inflammatory diseases were discussed as well as the importance of adaptive trial designs in early clinical drug development. Consideration was given to assessing and mitigating risk in early clinical drug development, and included a preconference workshop. Different measures to minimize risks in healthy volunteers and patients in first-in-human trials were discussed in addition to the importance of non-clinical data, the need for reliable biomarkers, improved communication on adverse events (AEs and well-trained study sites with ready access to intensive care units and clinical specialists. The need for a European-wide system for prevention of over-volunteering was also discussed. The conference provided opportunity to discuss these developments and concerns and the changing regulatory environment with stakeholders from academia, industry, and regulatory agencies including the European Medicines Agency (EMA. Presentations given by invited speakers are published on http://www.eufemed.eu/london-conference-2017/.

EUFEMED London Conference 2017: Exploratory Medicines Development: Innovation and Risk Management.

Science.gov (United States)

Van Bortel, Luc; Sourgens, Hildegard; Breithaupt-Grögler, Kerstin; Caplain, Henri; Donazzolo, Yves; Klingmann, Ingrid; Hammond, Michael; Hardman, Timothy C; Stringer, Steffan; de Hoon, Jan

2017-01-01

The first formal conference of the EUropean Federation for Exploratory MEdicines Development (EUFEMED) held in London was the result of a collaborative effort of its founding associations: the Association for Applied Human Pharmacology (AGAH; Germany), the Association for Human Pharmacology in the Pharmaceutical Industry (AHPPI; UK), the Belgian Association of Phase-I Units (BAPU; Belgium), and Club Phase-I (France). The conference focused on innovation and risk management in early clinical drug development. Among other innovations, immunotherapy in oncology and inflammatory diseases were discussed as well as the importance of adaptive trial designs in early clinical drug development. Consideration was given to assessing and mitigating risk in early clinical drug development, and included a preconference workshop. Different measures to minimize risks in healthy volunteers and patients in first-in-human trials were discussed in addition to the importance of non-clinical data, the need for reliable biomarkers, improved communication on adverse events (AEs) and well-trained study sites with ready access to intensive care units and clinical specialists. The need for a European-wide system for prevention of over-volunteering was also discussed. The conference provided opportunity to discuss these developments and concerns and the changing regulatory environment with stakeholders from academia, industry, and regulatory agencies including the European Medicines Agency (EMA). Presentations given by invited speakers are published on http://www.eufemed.eu/london-conference-2017/.

The radiological impact on the Greater London population of postulated accidental releases from the Sizewell PWR

CERN Document Server

Kelly, G N; Charles, D; Hemming, C R

1983-01-01

This report contains an assessment of the radiological impact on the Greater London population of postulated accidental releases from the Sizewell PWR. Three of the degraded core accident releases postulated by the CEGB are analysed. The consequences, conditional upon each release, are evaluated in terms of the health impact on the exposed population and the impact of countermeasures taken to limit the exposure. Consideration is given to the risk to the Greater London population as a whole and to individuals within it. The consequences are evaluated using the NRPB code MARC (Methodology for Assessing Radiological Consequences). The results presented in this report are all conditional upon the occurrence of each release. In assessing the significance of the results, due account must be taken of the frequency with which such releases may be predicted to occur.

Mapping the ‘End Austerity Now’ protest day in Central London using a 3D Twitter density grid

Directory of Open Access Journals (Sweden)

Seungho Yoo

2016-01-01

Full Text Available The mapping and spatial analysis of social media data can show the dynamics of activities in urban space, such as protest events. This work focuses on the spatial relationship between the density of geo-tagged tweets and a large anti-government protest in London on 20 June 2015. The tweets are aggregated to hexagonal grid cells to visualize activity density in different Central London areas. The results of the mapping illustrate very high densities at the beginning and endpoints of the protest (the Bank of England and Parliament Square. Additionally, there are high tweet densities in the West End and Bank than in other neighbouring areas.

East London Modified-Broset as Decision-Making Tool to Predict Seclusion in Psychiatric Intensive Care Units

Directory of Open Access Journals (Sweden)

Felice Loi

2017-10-01

Full Text Available Seclusion is a last resort intervention for management of aggressive behavior in psychiatric settings. There is no current objective and practical decision-making instrument for seclusion use on psychiatric wards. Our aim was to test the predictive and discriminatory characteristics of the East London Modified-Broset (ELMB, to delineate its decision-making profile for seclusion of adult psychiatric patients, and second to benchmark it against the psychometric properties of the Broset Violence Checklist (BVC. ELMB, an 8-item modified version of the 6-item BVC, was retrospectively employed to evaluate the seclusion decision-making process on two Psychiatric Intensive Care Units (patients n = 201; incidents n = 2,187. Data analyses were carried out using multivariate regression and Receiver Operating Characteristic (ROC curves. Predictors of seclusion were: physical violence toward staff/patients OR = 24.2; non-compliance with PRN (pro re nata medications OR = 9.8; and damage to hospital property OR = 2.9. ROC analyses indicated that ELMB was significantly more accurate that BVC, with higher sensitivity, specificity, and positive likelihood ratio. Results were similar across gender. The ELMB is a sensitive and specific instrument that can be used to guide the decision-making process when implementing seclusion.

East London Modified-Broset as Decision-Making Tool to Predict Seclusion in Psychiatric Intensive Care Units.

Science.gov (United States)

Loi, Felice; Marlowe, Karl

2017-01-01

Seclusion is a last resort intervention for management of aggressive behavior in psychiatric settings. There is no current objective and practical decision-making instrument for seclusion use on psychiatric wards. Our aim was to test the predictive and discriminatory characteristics of the East London Modified-Broset (ELMB), to delineate its decision-making profile for seclusion of adult psychiatric patients, and second to benchmark it against the psychometric properties of the Broset Violence Checklist (BVC). ELMB, an 8-item modified version of the 6-item BVC, was retrospectively employed to evaluate the seclusion decision-making process on two Psychiatric Intensive Care Units (patients n  = 201; incidents n  = 2,187). Data analyses were carried out using multivariate regression and Receiver Operating Characteristic (ROC) curves. Predictors of seclusion were: physical violence toward staff/patients OR = 24.2; non-compliance with PRN (pro re nata) medications OR = 9.8; and damage to hospital property OR = 2.9. ROC analyses indicated that ELMB was significantly more accurate that BVC, with higher sensitivity, specificity, and positive likelihood ratio. Results were similar across gender. The ELMB is a sensitive and specific instrument that can be used to guide the decision-making process when implementing seclusion.

Constructing and Contesting City of London Power

DEFF Research Database (Denmark)

Baker, Andrew; Wigan, Duncan

2017-01-01

Existing literature on the City of London has tended to focus on its ‘structural power’, while neglecting political and narrative agency. This paper acts as a corrective by presenting evidence to show that since the financial crash of 2008 the political terrain the City operates on has become more...... contested, crowded and noisier. The contribution develops a middle course between a positive assessment of the role of civil society in relation to global finance, and a more pessimistic reading. We demonstrate how macro-narratives and public story-telling both construct and contest City and financial...... sector power. In a new pattern since the financial crash, NGOs have moved from campaigns of limited duration and narrow focus, to a more sustained presence on macro-structural issues. Adopting a supply–demand framework for assessing governance and regulatory change, we look at the emergence of TheCity...

THEORETICAL CALCULATIONS OF THE MAGNETIZABILITY OF SOME SMALL FLUORINE-CONTAINING MOLECULES USING LONDON ATOMIC ORBITALS

DEFF Research Database (Denmark)

Ruud, K.; Helgaker, T.; Jørgensen, Poul

1994-01-01

We report a systematic investigation of the magnetizability of a series of small molecules. The use of London atomic orbitals ensures gauge invariance and a fast basis set convergence. Good agreement is obtained with experimental magnetizabilities, both isotropic and anisotropic. The calculations...

Inequalities in the Provision of Paediatric Speech and Language Therapy Services across London Boroughs

Science.gov (United States)

Pring, Tim

2016-01-01

Background: The inverse-care law suggests that fewer healthcare resources are available in deprived areas where health needs are greatest. Aims: To examine the provision of paediatric speech and language services across London boroughs and to relate provision to the level of deprivation of the boroughs. Methods & Procedures: Information on the…

Determining the suitability of materials for disposal at sea under the London Convention 1972: A radiological assessment procedure

International Nuclear Information System (INIS)

2003-10-01

The Convention on the Prevention of Marine Pollution by Dumping of Wastes and Other Matter (London Convention 1972) prohibits the disposal at sea of radioactive wastes and other radioactive matter. However natural radionuclides are present in all materials, including natural and inert materials, which can also contain artificial radionuclides from anthropogenic sources such as fallout due to past atmospheric nuclear testing. Therefore, the Contracting Parties to the London Convention 1972 recognized the need to develop definitions and guidelines so that candidate materials (those wastes or other matter not otherwise prohibited from disposal at sea in accordance with Annex I to the Convention) containing less than de minimis levels of specific activity, can be regarded as 'non-radioactive' and may be disposed of at sea subject to the other provisions of the Convention. At the Nineteenth Consultative Meeting in 1997, Contracting Parties to the London Convention 1972 agreed to request the IAEA to develop further the concept of de minimis levels and, in particular, to 'provide guidance for making judgements on whether materials planned to be dumped could be exempted from radiological control or whether a specific assessment was needed' (LC 19/10, paragraph 6.31). This paragraph continues: 'The IAEA would then further be requested to provide guidance to national authorities responsible for conducting specific assessments.' The IAEA presented its advice on de minimis in IAEA-TECDOC-1068, entitled Application of Radiological Exclusion and Exemption Principles to Sea Disposal, to the Twenty-first Consultative Meeting of Contracting Parties to the London Convention 1972 in October 1999. The Contracting Parties accepted these principles and criteria and interpreted them further in the Guidelines for the Application of the De Minimis Concept Under the London Convention 1972 (the Guidelines). At that time, the Contracting Parties asked the IAEA to prepare additional guidance

The Expenditure Impacts of London's Higher Education Institutions: The Role of Diverse Income Sources

Science.gov (United States)

Hermannsson, Kristinn; Lisenkova, Katerina; McGregor, Peter G.; Swales, J. Kim

2015-01-01

This paper analyses the impact of London-based higher education institutions (HEIs) on the English economy. When we treat each of the HEIs as separate sectors in conventional input-output analysis, their expenditure impacts appear rather homogenous, with the apparent heterogeneity of their overall impacts being primarily driven by scale. However,…

Investing in Diversity in London Schools: Leadership Preparation for Black and Global Majority Educators

Science.gov (United States)

Johnson, Lauri; Campbell-Stephens, Rosemary

2010-01-01

This article traces the historical roots, describes the philosophy and curriculum, and analyzes the approach to leadership in Investing in Diversity, a 1-year Black-led leadership development course in the London schools. An exploratory qualitative case study approach was used to collect historical and empirical data about the program over a…

Authoritative Images. The Kiwi and the Transactions of the Zoological Society of London.

Science.gov (United States)

Canadelli, Elena

2015-01-01

The first exemplar of a kiwi, the wingless bird of New Zealand, arrived in the form of a lifeless specimen in Europe in 1812. A debate was sparked over the appearance and nature of this strange creature and indeed whether it actually existed. In 1833 the Transactions of the Zoological Society of London entered the debate and the illustrations published in this journal contributed greatly to the acceptance and further study of the kiwi. Some of the most eminent British zoologists and anatomists of the time were involved, from William Yarrell to Richard Owen, and from John Gould to Abraham Dee Bartlett. This crucial period in the discussion, which would extend over two decades and would only be brought to a close with the arrival of the first living specimen in the London Zoological Garden in 1851, will be analyzed based on a detailed examination of the reports published in the Transactions and other journals. This essay will show how images of the bird were produced and used by zoologists during different stages in the early research on the bird and how these figures circulated inside and outside the zoologists' community.

Improving mental health knowledge of the Charedi Orthodox Jewish Community in North London: A partnership project.

Science.gov (United States)

Perry, Aradhana; Gardener, Chelsea; Dove, Jonathan; Eiger, Yocheved; Loewenthal, Kate

2018-05-01

This article describes a successful community-based partnership project between statutory and third-sector services targeting the strictly Orthodox Jewish community (OJC). The City and Hackney Black and Minority Ethnic (BME) Access Service (East London NHS Foundation Trust (ELFT)) collaborated with Bikur Cholim, a local third-sector organisation based in the heart of a north London Charedi OJC, to develop a brief culturally tailored psychoeducational group intervention focusing on mental health promotion and prevention. In total, 34 carers in the Charedi OJC were provided with general information on mental health, the availability of support services and self-care. Overall improvements in well-being, increased intentions to access services, particularly talking therapies, and qualitative feedback indicated that the group was very well received. The project endorses the value of culturally relevant psychoeducation, enabling suggestions for culturally appropriate service development.

A survey of attitudes, knowledge and practice of dentists in London towards child protection. Are children receiving dental treatment at the Eastman Dental Hospital likely to be on the child protection register?

Science.gov (United States)

Al-Habsi, S A; Roberts, G J; Attari, N; Parekh, S

2009-02-28

To investigate the attitudes, knowledge and practices of general dental practitioners (GDPs), specialists and consultants in paediatric dentistry in London, towards child protection. Additionally, to determine if children attending paediatric dental casualty at the Eastman Dental Hospital (EDH) and those who need treatment of caries under general anaesthesia (GA) are on the child protection register (CPR). The survey was conducted by postal questionnaires with 14 closed questions. A total of 228 dentists were invited to participate in the study. Children who attended EDH and required treatment under GA or at paediatric dental casualty were checked against the CPR. The respond rate was 46% (105/228). Overall 15% (16/105) of dentists had seen at least one patient with suspected child abuse in the last six months, but only 7% (7/105) referred or reported cases to child protection services. Reasons for dentists not referring included: fear of impact on practice (10%; 11/105); fear of violence to child (66%; 69/105); fear of litigation (28%; 29/105); fear of family violence against them (26%; 27/105); fear of consequences to the child (56%; 59/105); lack of knowledge regarding the procedures for referral (68%; 71/105); and lack of certainty about the diagnosis (86%; 90/105). Of the 220 children attending for dental GA and casualty from October 2004 to March 2005, one child was found to be on the CPR. More information and training is required to raise awareness of the potential importance of the role of dentists in child protection. Improved communication between dental and medical departments is important for safeguarding children.

Emissions of CO{sub 2} from road freight transport in London: Trends and policies for long run reductions

Energy Technology Data Exchange (ETDEWEB)

Zanni, Alberto M., E-mail: a.m.zanni@lboro.ac.u [Transport Studies Group, Department of Civil and Building Engineering, Loughborough University, LE11 3TU Loughborough (United Kingdom); Bristow, Abigail L., E-mail: a.l.bristow@lboro.ac.u [Transport Studies Group, Department of Civil and Building Engineering, Loughborough University, LE11 3TU Loughborough (United Kingdom)

2010-04-15

Freight transport has been receiving increasing attention in both literature and practice following the growing recognition of its importance in urban transport planning. This paper analyses historical and projected road freight CO{sub 2} emissions in the city of London and explores the potential mitigation effect of a set of freight transport policies and logistics solutions. Findings indicate a range of policies with potential to reduce emissions in the period up to 2050. However, this reduction would appear to only be capable of partly counterbalancing the projected increase in freight traffic. More profound behavioural measures therefore appear to be necessary for London's CO{sub 2} emissions reduction targets to be met.

Emissions of CO{sub 2} from road freight transport in London. Trends and policies for long run reductions

Energy Technology Data Exchange (ETDEWEB)

Zanni, Alberto M.; Bristow, Abigail L. [Transport Studies Group, Department of Civil and Building Engineering, Loughborough University, LE11 3TU Loughborough (United Kingdom)

2010-04-15

Freight transport has been receiving increasing attention in both literature and practice following the growing recognition of its importance in urban transport planning. This paper analyses historical and projected road freight CO{sub 2} emissions in the city of London and explores the potential mitigation effect of a set of freight transport policies and logistics solutions. Findings indicate a range of policies with potential to reduce emissions in the period up to 2050. However, this reduction would appear to only be capable of partly counterbalancing the projected increase in freight traffic. More profound behavioural measures therefore appear to be necessary for London's CO{sub 2} emissions reduction targets to be met. (author)

Pandemic Fear and Literature: Observations from Jack London’s The Scarlet Plague

Centers for Disease Control (CDC) Podcasts

2014-11-18

Sarah Gregory reads an abridged version of the essay, Pandemic Fear and Literature: Observations from Jack London’s The Scarlet Plague.  Created: 11/18/2014 by National Center for Emerging and Zoonotic Infectious Diseases (NCEZID).   Date Released: 11/20/2014.

Patterns of Drug Use in a Sample of 200 Young Drug Users in London

Science.gov (United States)

McCambridge, Jim; Strang, John

2004-01-01

A cross-sectional analysis of baseline data collected during a secondary prevention intervention study was conducted to describe patterns of drug use in a non-treatment sample of young drug users recruited in ten further-education colleges across inner London. Participants were 200 young people who were either weekly cannabis users and/or who had…

The incidence and severity of errors in pharmacist-written discharge medication orders

OpenAIRE

Onatade, Raliat; Sawieres, Sara; Veck, Alexandra; Smith, Lindsay; Gore, Shivani; Al-Azeib, Sumiah

2017-01-01

Background Errors in discharge prescriptions are problematic. When hospital pharmacists write discharge prescriptions improvements are seen in the quality and efficiency of discharge. There is limited information on the incidence of errors in pharmacists’ medication orders. Objective To investigate the extent and clinical significance of errors in pharmacist-written discharge medication orders. Setting 1000-bed teaching hospital in London, UK. Method Pharmacists in this London hospital routin...

From Sanctuaries to Prefigurative Social Change: Creating Health-Enabling Spaces in East London Community Gardens

Directory of Open Access Journals (Sweden)

Madeleine A. Guerlain

2016-05-01

for effective community mobilization. AIDS Care, 22(Suppl. 2, 1569-1579; and a discussion of how creating these spaces is an act of prefigurative social change. Our findings suggest that in East London, participation in community gardens is not based on a common political intention or self-conscious motive to prefigure a new society, but instead on the shared practice of gardening. This results in unintended benefits that often address participants’ personal adversities in ways that contribute to the material, relational and symbolic deprivation of their daily lives – opening up new possibilities for being, seeing and doing. In this sense, community gardens in East London offer an alternative to traditional notions of prefigurative social action that are predicated on strategic intention. We argue for an understanding of prefiguration that better accounts for what participants themselves would like to achieve in their own lives, rather than in relation to externally imposed notions of what counts as political change.

Impact on and use of health services by international migrants: questionnaire survey of inner city London A&E attenders

Directory of Open Access Journals (Sweden)

Eliahoo Joseph

2006-11-01

Full Text Available Abstract Background Changing immigration trends pose new challenges for the UK's open access health service and there is considerable speculation that migrants from resource-poor countries place a disproportionate burden on services. Data are needed to inform provision of services to migrant groups and to ensure their access to appropriate health care. We compared sociodemographic characteristics and impact of migrant groups and UK-born patients presenting to a hospital A&E/Walk-In Centre and prior use of community-based General Practitioner (GP services. Methods We administered an anonymous questionnaire survey of all presenting patients at an A&E/Walk-In Centre at an inner-city London hospital during a 1 month period. Questions related to nationality, immigration status, time in the UK, registration and use of GP services. We compared differences between groups using two-way tables by Chi-Square and Fisher's exact test. We used logistic regression modelling to quantify associations of explanatory variables and outcomes. Results 1611 of 3262 patients completed the survey (response rate 49.4%. 720 (44.7% were overseas born, representing 87 nationalities, of whom 532 (73.9% were new migrants to the UK (≤10 years. Overseas born were over-represented in comparison to local estimates (44.7% vs 33.6%; p Conclusion Recently arrived migrants are a diverse and substantial group, of whom migrants from refugee-generating countries and asylum seekers comprise only a minority group. Service reorganisation to ensure improved access to community-based GPs and delivery of more appropriate care may lessen their impact on acute services.

Victims and survivors: stable isotopes used to identify migrants from the Great Irish Famine to 19th century London.

Science.gov (United States)

Beaumont, Julia; Geber, Jonny; Powers, Natasha; Wilson, Andrew; Lee-Thorp, Julia; Montgomery, Janet

2013-01-01

Historical evidence documents mass migration from Ireland to London during the period of the Great Irish Famine of 1845-52. The rural Irish were reliant on a restricted diet based on potatoes but maize, a C(4) plant, was imported from the United States of America in 1846-47 to mitigate against Famine. In London, Irish migrants joined a population with a more varied diet. To investigate and characterize their diet, carbon and nitrogen isotope ratios were obtained from bone collagen of 119 and hair keratin of six individuals from Lukin Street cemetery, Tower Hamlets (1843-54), and bone collagen of 20 individuals from the cemetery at Kilkenny Union Workhouse in Ireland (1847-51). A comparison of the results with other contemporaneous English populations suggests that Londoners may have elevated δ(15) N compared with their contemporaries in other cities. In comparison, the Irish group have lower δ(15) N. Hair analysis combined with bone collagen allows the reconstruction of perimortem dietary changes. Three children aged 5-15 years from Kilkenny have bone collagen δ(13) C values that indicate consumption of maize (C(4)). As maize was only imported into Ireland in quantity from late 1846 and 1847, these results demonstrate relatively rapid bone collagen turnover in children and highlight the importance of age-related bone turnover rates, and the impact the age of the individual can have on studies of short-term dietary change or recent migration. Stable light isotope data in this study are consistent with the epigraphic and documentary evidence for the presence of migrants within the London cemetery. Copyright © 2012 Wiley Periodicals, Inc.

Enforcing planning regulations in areas of high immigration: a case study of London

OpenAIRE

Harris, Neil

2017-01-01

This paper explores the interface between immigration and compliance with planning regulations using data from interviews and a focus group with senior planning enforcement officers in London. The data reveal distinctive issues that arise for immigrants’ compliance with planning regulations; specific types of residential, commercial and cultural breach that occur with immigration; and operational issues that arise when investigating and resolving planning breaches involving immigrant communit...

The impact of public transportation strikes on use of a bicycle share program in London: interrupted time series design.

Science.gov (United States)

Fuller, Daniel; Sahlqvist, Shannon; Cummins, Steven; Ogilvie, David

2012-01-01

To investigate the immediate and sustained effects of two London Underground strikes on use of a public bicycle share program. An interrupted time series design was used to examine the impact of two 24 hour strikes on the total number of trips per day and mean trip duration per day on the London public bicycle share program. The strikes occurred on September 6th and October 4th 2010 and limited service on the London Underground. The mean total number of trips per day over the whole study period was 14,699 (SD=5390) while the mean trip duration was 18.5 minutes (SD=3.7). Significant increases in daily trip count were observed following strike 1 (3864: 95% CI 125 to 7604) and strike 2 (11,293: 95% CI 5169 to 17,416). Events that greatly constrain the primary motorised mode of transportation for a population may have unintended short-term effects on travel behaviour. These findings suggest that limiting transportation options may have the potential to increase population levels of physical activity by promoting the use of cycling. Copyright © 2011 Elsevier Inc. All rights reserved.

THE CONCEPT “LONDON” AS A TEMPORAL CODE OF LINGUOCULTURE IN THE LITERARY AND REGIONAL WORK OF PETER ACKROYD “LONDON: THE BIOGRAPHY”

OpenAIRE

Kaliev, Sultan; Zhumagulova, Batima

2018-01-01

This article analyzes the spatial-temporal code oflingua-culture as one of the components of the general cognitive-matrix modelof the structure of the concept "London" in the literary and regionalwork of Peter Ackroyd "London: The Biography". This approachimplements integration of cognitive-matrix modeling of the structure of theconcept and the system of codes of lingua-culture (anthropomorphic,temporal, vegetative, spiritual, social, chemical, etc.) The space-timecode of ...

Fluxes and concentrations of volatile organic compounds above central London, UK

Directory of Open Access Journals (Sweden)

B. Langford

2010-01-01

Full Text Available Concentrations and fluxes of eight volatile organic compounds (VOCs were measured during October 2006 from a high telecom tower above central London, as part of the CityFlux contribution to the REPARTEE I campaign. A continuous flow disjunct eddy covariance technique with analysis by proton transfer reaction mass spectrometry was used. Daily averaged VOC mixing ratios were within the range 1–19 ppb for the oxygenated compounds (methanol, acetaldehyde and acetone and 0.2–1.3 ppb for the aromatics (benzene, toluene and C₂-benzenes. Typical VOC fluxes were in the range 0.1–1.0 mg m⁻² h⁻¹. There was a non-linear relationship between VOC fluxes and traffic density for most of the measured compounds. Traffic activity was estimated to account for approximately 70% of the aromatic compound fluxes, whereas non-traffic related sources were found to be more important for methanol and isoprene fluxes. The measured fluxes were comparable to the estimates of the UK national atmospheric emission inventory for the aromatic VOCs and CO. In contrast, fluxes of the oxygenated compounds were about three times larger than inventory estimates. For isoprene and acetonitrile this difference was many times larger. At temperatures over 25° C it is estimated that more than half the isoprene observed in central London is of biogenic origin.

A cross-sectional study of knife injuries at a London major trauma centre.

Science.gov (United States)

Pallett, J R; Sutherland, E; Glucksman, E; Tunnicliff, M; Keep, J W

2014-01-01

No national recording systems for knife injuries exist in the UK. Understanding the true size and nature of the problem of knife injuries is the first stage in reducing the burden of this injury. The aim of this study was to survey every knife injury seen in a single inner city emergency department (ED) over a one-year period. A cross-sectional observational study was performed of all patients attending with a knife injury to the ED of a London major trauma centre in 2011. Demographic characteristics, patterns of injury, morbidity and mortality data were collected. A total of 938 knife injuries were identified from 127,191 attendances (0.77% of all visits) with a case fatality rate of 0.53%. A quarter (24%) of the major trauma team's caseload was for knife injuries. Overall, 44% of injuries were selfreported as assaults, 49% as accidents and 8% as deliberate self-harm. The highest age specific incident rate occurred in the 16-24 year age category (263/100,000). Multiple injuries were seen in 19% of cases, of which only 81% were recorded as assaults. The mean length of stay for those admitted to hospital was 3.04 days. Intrathoracic injury was seen in 26% of cases of chest trauma and 24% of abdominal injuries had a second additional chest injury. Violent intentional injuries are a significant contributory factor to the workload of the major trauma team at this centre. This paper contributes to a more comprehensive understanding of the nature of these injuries seen in the ED.

Improving feedback from outpatient medical appointments attended by escorted psychiatric patients in the North London Forensic Service.

Science.gov (United States)

McCurdy, Kathleen; Croxford, Anna

2015-01-01

It is well established that patients with mental illness are known to have a high level of morbidity and mortality compared to the general population. This is particularly prominent in long-stay psychiatric patients, such as those in secure settings. The Royal College of Psychiatrists recommends that psychiatrists should promote the physical health of their patients and liaise with other specialties. However, there is evidence that communication between psychiatry and other specialties is poor. A survey was carried out at the North London Forensic Service in June 2014. This looked at the views of clinical staff about the frequency and quality of feedback obtained when inpatients attend outpatient hospital appointments at local general hospitals. This survey highlighted the general perception among staff that feedback is poor, with 68.43% of respondents saying that they were "very unsatisfied" or "unsatisfied" with the level and quality of feedback. Clinical staff felt that many patients who attended hospital outpatient appointments, even when escorted by staff, returned with little or no feedback. This was confirmed by a baseline audit across 3 wards showing that details of the appointment (date, time, hospital, and specialty) were only documented in 54.5% of cases and the content of the appointment documented in even fewer cases. A form was designed by junior doctors that provided a simple framework of 6 questions to be answered at the outpatient clinic about the problem, diagnosis, and further actions needed. This was introduced and its impact assessed with a 3-month and 6-month audit of electronic notes, as well as a follow-up survey after 6 months. The audit showed significant improvement in the quality of feedback about the appointment at both the 3-month and 6-month point. The follow-up survey showed that 70% of respondents were aware of the form and 100% of those who were aware of the form had used it at least once and found it helpful. The general

A pilot Diabetic Support Service based on family practice attenders: comparison with diabetic clinics in east London.

Science.gov (United States)

Boucher, B J; Claff, H R; Edmonson, M; Evans, S; Harris, B T; Hull, S A; Jones, E J; Mellins, D H; Safir, J G; Taylor, B

1987-01-01

A pilot Diabetic Support Service (DSS) based on a computer register was devised for diabetic patients identified within three group practices in an inner city district of London. Of 159 eligible diabetics, 142 were followed over 2 years. Glycosylated haemoglobin (GHb) monitoring and adequacy of clinic reviews were audited. Care achieved by the DSS was compared with conventional Diabetic Clinic (DC) management of a sample of 200 diabetics from the same district. Serial GHb measurements were made on 66.2% of DSS and 44.5% of DC patients: GHb fell significantly only in DSS patients (13.1% to 11.4%). Proportional falls in GHb were comparable in each DSS treatment group (diet alone, oral hypoglycaemic agents, and insulin) and for hospital attenders and non-attenders equally. The planned clinical reviews were achieved in 40.1% of DSS patients entered (29% GP only, 54% of clinic attenders) and in 15% of DC patients (plus 75% fundal and blood pressure examination). The study led to provision of a formal diabetic clinic annual review system, diabetic mini-clinics in two of the three group practices, and the appointment of two Diabetic Liaison Sisters. With administrative simplification the system is to be made available to all diabetics in the District through their GPs during 1986-8.

The trypanosomatid evolution workshop London School of Hygiene and Tropical Medicine

Directory of Open Access Journals (Sweden)

Stevens Jamie

2000-01-01

Full Text Available The trypanosome evolution workshop, a joint meeting of the University of Exeter and the London School of Hygiene and Tropical Medicine, focused on topics relating to trypanosomatid and vector evolution. The meeting, sponsored by The Wellcome Trust, The Special Programme for Research and Training in Tropical Disease of World Health Organization and the British Section of the Society of Protozoologists, brought together an international group of experts who presented papers on a wide range of topics including parasite and vector phylogenies, molecular methodology and relevant biogeographical data.

The epidemiology of injuries at the London 2012 Paralympic Games.

Science.gov (United States)

Willick, Stuart E; Webborn, Nick; Emery, Carolyn; Blauwet, Cheri A; Pit-Grosheide, Pia; Stomphorst, Jaap; Van de Vliet, Peter; Patino Marques, Norma Angelica; Martinez-Ferrer, J Oriol; Jordaan, Esmè; Derman, Wayne; Schwellnus, Martin

2013-05-01

The characteristics and incidence of injuries at the Summer Paralympic Games have not previously been reported. A better understanding of injuries improves the medical care of athletes and informs future injury prevention strategies. The objective of this prospective cohort study was to characterise the incidence and nature of injuries during the London 2012 Summer Paralympic Games. Injury information was obtained from two databases. One database was populated from medical encounter forms completed by providers at the time of assessment in one of the medical stations operated by the Organising Committee. The second database was populated daily with information provided by team medical personnel who completed a comprehensive, web-based injury survey. The overall injury incidence rate was 12.7 injuries/1000 athlete-days. Injury rates were similar in male and female athletes. The precompetition injury rates in women were higher than those in the competition period. Higher injury rates were found in older athletes and certain sports such as football 5-a-side (22.4 injuries/1000 athlete-days). Overall, 51.5% of injuries were new onset acute traumatic injuries. The most commonly injured region (percentage of all injuries) was the shoulder (17.7%), followed by the wrist/hand (11.4%), elbow (8.8%) and knee (7.9%). This is the largest and most comprehensive epidemiological report examining injuries in Paralympic athletes. Injury rates differ according to age and sport. Upper limb injuries are common. The knowledge gained from this study will inform future injury surveillance studies and the development of prevention strategies in Paralympic sport. The Epidemiology of Injuries at the London 2012 Paralympic Games.

Preliminary Bedrock Geologic Map of the Old Lyme Quadrangle, New London and Middlesex Counties, Connecticut

Science.gov (United States)

Walsh, Gregory J.; Scott, Robert B.; Aleinikoff, John N.; Armstrong, Thomas R.

2006-01-01

This report presents a preliminary map of the bedrock geology of the Old Lyme quadrangle, New London and Middlesex Counties, Connecticut. The map depicts contacts of bedrock geologic units, faults, outcrops, and structural geologic information. The map was published as part of a study of fractured bedrock aquifers and regional tectonics.

Londonfahrten mit Hauptschuelern--ein Erfahrungsbericht (Trips to London with Junior High School Students--Experience Report)

Science.gov (United States)

Schepp, Peter

1975-01-01

Discusses trips to London with junior high school students: planning, choice of goals, costs, pocket money, board and lodging, language preparation, programming. Gives a detailed account of a trip which was particularly geared to the students' circumstances. The possibility of partnership with English schools is discussed. (Text is in German.)…

The first lady almoner: the appointment, position, and findings of Miss Mary Stewart at the Royal Free Hospital, 1895-99.

Science.gov (United States)

Cullen, Lynsey T

2013-10-01

This article examines the professional roots of the hospital almoner, a position which has been widely neglected in medical history. The first almoner was Miss Mary Stewart, a former Charity Organization Society employee, appointed at the Royal Free Hospital of central London in 1895. The Royal Free was a charitable hospital which offered free medical treatment to patients considered morally deserving but unable to afford medical care elsewhere. The role expected of Stewart was to means test patients in order to ensure that only those deemed "appropriate" received free medical treatment, and to establish the extent to which the hospital was being abused by those who could afford to contribute toward their medical care. While in office, Stewart continually reshaped the role of almoner. She fashioned the position into that of a medical social worker and undertook such duties as referring patients to other means of medical and charitable assistance, visiting patients' homes, and training almoners for positions at other voluntary hospitals. Through the examination of Mary Stewart's Almoners Report Book, this article considers the circumstances of her appointment, the role she performed, and the findings of her investigations.

Drama to Inspire: A London Drama Guide to Excellent Practice in Drama for Young People

Science.gov (United States)

Coventon, John, Ed.

2011-01-01

"Drama to Inspire" is a timely selection of practice based accounts produced by fifteen workshop leaders and friends of the long established association for teachers of drama, London Drama. Many of the authors are internationally renowned for their work. Each piece affirms the immense potential for dynamic learning that is at the heart…

'A place for men to come and do their thing': constructing masculinities in betting shops in London.

Science.gov (United States)

Cassidy, Rebecca

2014-03-01

During fieldwork conducted with workers and customers in betting shops in London research participants consistently conceptualized betting shops as masculine spaces in contrast to the femininity of other places including home and the bingo hall. According to this argument, betting on horses and dogs was 'men's business' and betting shops were 'men's worlds'. Two explanations were offered to account for this situation. The first suggested that betting was traditionally a pastime enjoyed by men rather than women. The second was that betting is intrinsically more appealing to men because it is based on calculation and measurement, and women prefer more intuitive, simpler challenges. I use interviews with older people to describe how the legalisation of betting in cash in 1961 changed the geography of betting. I then draw upon interviews with regular customers in order to show how knowledge about betting is shared within rather than between genders. Finally, I use my experience of training and working as a cashier to describe how the particular hegemonic masculinity found in betting shops in London is maintained through myriad everyday practices which reward certain kinds of gendered performances while at the same time suppressing alternatives. The article shows how particular spaces may become gendered as an unanticipated consequence of legislation and how contingent gendered associations are both naturalized and, at the same time, subjected to intense attention. © London School of Economics and Political Science 2013.

Retrospective audit of the acute management of stroke in two district general hospitals in the uk.

Science.gov (United States)

Faluyi, O O; Omodara, J A; Tay, K H; Muhiddin, K

2008-06-01

There is some evidence to suggest that the standard of acute medical care provided to patients with cerebrovascular disease is a major determinant of the eventual outcome. Consequently, the Royal College of Physicians (RCP) of London issues periodic guidelines to assist healthcare providers in the management of patients presenting with stroke. An audit of the acute management of stroke in two hospitals belonging to the same health care trust in the UK. Retrospective review of 98 randomly selected case-notes of patients managed for cerebrovascular disease in two acute hospitals in the UK between April and June 2004. The pertinent guidelines of RCP (London) are highlighted while audit targets were set at 70%. 84% of patients presenting with cerebrovascular disease had a stroke rather than a TIA, anterior circulation strokes were commonest. All patients with stroke were admitted while those with TIAs were discharged on the same day but most patients with TIA were not followed up by Stroke specialists. Most CT-imaging of the head was done after 24 hours delaying the commencement of anti-platelets for patients with ischaemic stroke or neurosurgical referral for haemorrhagic stroke. Furthermore, there was a low rate of referral for carotid ultrasound in patients with anterior circulation strokes. Anti-platelets and statins were commenced for most patients with ischaemic stroke while diabetes was well controlled in most of them. However, ACE-inhibitors and diuretics such as indapamide were under-utilized for secondary prevention in such patients. Warfarin anti-coagulation was underutilized in patients with ischaemic stroke who had underlying chronic atrial fibrillation. While there was significant multi-disciplinary team input, dysphagia and physiotherapy assessments were delayed. Similarly, occupational therapy input and psychological assesment were omitted from the care of most patients. Hospital service provision for the management of cerebrovascular disease needs to

The Haunting Presence of the Feminine: Virginia Woolf in the Streets of London

Directory of Open Access Journals (Sweden)

Agnieszka Pantuchowicz

2017-10-01

Full Text Available Beginning with the theme of the location of haunting in Gothic interiors and the confusion of life and death and the “sub-central” positioning of the feminine as the hidden source of fearfulness, the paper analyzes Virginia Woolf’s “Street Haunting: A London Adventure” as an example of a narrative written from the position of the haunting in which the figure of fearful feminine is transformed into a “hauntess” participating in the public world on equal rights with others. Woolf’s text, though seemingly positing the protagonist in the position of flâneuse, in fact implicitly criticizes flâneuring as a masculine kind of looking and participating in the public space. Taking place away from home, Woolf’s strolling in the streets of London carnivalizes (in the Bakhtinian sense the activity by way of a joyful blurring of the split between the home and the market. Transgressing what Kathryn Simpson calls “the male privilege of the flâneur” (2010, p. 47 and rendering the transgression as haunting, Woolf evades participation in the masculine world of traffic and exchange by way of bringing the space of the Gothic confinement, and also of entombment, to the public.

Mapping the evolution of 'food deserts' in a Canadian city: Supermarket accessibility in London, Ontario, 1961–2005

Directory of Open Access Journals (Sweden)

Gilliland Jason

2008-04-01

Full Text Available Abstract Background A growing body of research suggests that the suburbanization of food retailers in North America and the United Kingdom in recent decades has contributed to the emergence of urban 'food deserts', or disadvantaged areas of cities with relatively poor access to healthy and affordable food. This paper explores the evolution of food deserts in a mid-sized Canadian city (London, Ontario by using a geographic information system (GIS to map the precise locations of supermarkets in 1961 and 2005; multiple techniques of network analysis were used to assess changing levels of supermarket access in relation to neighbourhood location, socioeconomic characteristics, and access to public transit. Results The findings indicate that residents of inner-city neighbourhoods of low socioeconomic status have the poorest access to supermarkets. Furthermore, spatial inequalities in access to supermarkets have increased over time, particularly in the inner-city neighbourhoods of Central and East London, where distinct urban food deserts now exist. Conclusion Contrary to recent findings in larger Canadian cities, we conclude that urban food deserts exist in London, Ontario. Policies aimed at improving public health must also recognize the spatial, as well as socioeconomic, inequities with respect to access to healthy and affordable food. Additional research is necessary to better understand how supermarket access influences dietary behaviours and related health outcomes.

Mapping the evolution of 'food deserts' in a Canadian city: Supermarket accessibility in London, Ontario, 1961–2005

Science.gov (United States)

Larsen, Kristian; Gilliland, Jason

2008-01-01

Background A growing body of research suggests that the suburbanization of food retailers in North America and the United Kingdom in recent decades has contributed to the emergence of urban 'food deserts', or disadvantaged areas of cities with relatively poor access to healthy and affordable food. This paper explores the evolution of food deserts in a mid-sized Canadian city (London, Ontario) by using a geographic information system (GIS) to map the precise locations of supermarkets in 1961 and 2005; multiple techniques of network analysis were used to assess changing levels of supermarket access in relation to neighbourhood location, socioeconomic characteristics, and access to public transit. Results The findings indicate that residents of inner-city neighbourhoods of low socioeconomic status have the poorest access to supermarkets. Furthermore, spatial inequalities in access to supermarkets have increased over time, particularly in the inner-city neighbourhoods of Central and East London, where distinct urban food deserts now exist. Conclusion Contrary to recent findings in larger Canadian cities, we conclude that urban food deserts exist in London, Ontario. Policies aimed at improving public health must also recognize the spatial, as well as socioeconomic, inequities with respect to access to healthy and affordable food. Additional research is necessary to better understand how supermarket access influences dietary behaviours and related health outcomes. PMID:18423005

Reframing sociologies of ethnicity and migration in encounters with Chinese London.

Science.gov (United States)

Knowles, Caroline

2017-09-01

In this paper I argue that the intersecting sociologies of ethnicity and migration work from a series of interconnected blind spots hindering effective analysis of the current UK situation. Both operate analytically within the limitations of an 'immigrant problem' framework; are overinvested in state agendas; privilege a nation state analysis; are narrowly focused on distributions of migrant bodies, and on receiving, at the expense of sending, contexts. Exploring these limitations with data derived from a modest small-scale qualitative study of young Chinese migrants in London, I argue for a reframing along four dimensions. Firstly, in an era of elite migration, sociology could reach beyond its immigrant problem framework and open up to a broader range of UK migrant ethnicities and circumstances. Secondly, a stronger focus on cities as the scale on which lives are lived, and through which diverse streams of translocal activity are routed, would open new avenues of sociological exploration. Thirdly, including translocal activities connected with distributions of ethnic migrant bodies, such as capital transfers, would broaden its focus, taking migration and ethnicity more centrally into the analysis of globalization as one of its constituting practices. Finally, paying attention to sending, as well as arrival cities, reveals migrants' thinking and shapes the ways in which they live, as my data shows. The Chinese are both one of the UK's neglected minorities, and one of its fastest growing populations. They are a good example of new UK migrants and they bring globalization's realignment with the rising significance of China to the UK. © London School of Economics and Political Science 2017.

Impact of the 2012 London Olympic and Paralympic Games on physical activity of rheumatology patients.

Science.gov (United States)

Müther, Michael; Williamson, Marie; Williamson, Lyn

2014-10-01

Lack of physical activity in the general population is one of the biggest health challenges we face. For rheumatology patients, and other patients with chronic disease, exercise is an essential part of disease management. However, very few patients exercise effectively.One of the aspirations of the London 2012 Olympic/Paralympic Games was to catalyze people into long-term physical activity. We surveyed our rheumatology patients at 3 high-profile times in the year after the Olympics. Two hundred fifty-three patients were enrolled within the study; the largest diagnosis subgroup being rheumatoid arthritis (36%). Ninety-five percent of our patients regard exercise as beneficial; 36% still think it does harm. Most common barriers to exercise were pain (53%), tiredness (44%), and lack of time (36%). Forty-five percent exercise daily, mostly just walking. Twnety-seven patients (16%) were motivated by the 2012 Olympic and Paralympic Games toward physical activity. They were mostly motivated by athletics' individual stories (67%), taking part in a big sports festival (11%) and demonstration of top sporting levels (4%). Eighteen patients in total (7%) increased their amount of exercise in response to the London 2012 Olympic and Paralympic Games. There was no difference between patient diagnostic groups. Only a small minority of patients increased their amount of exercise in response to the 2012 Olympic and Paralympic Games. The message about the importance of physical exercise to health needs to be clear, unambiguous, and consistent, because a significant number of patients still think that physical activity does harm. Big sporting events such as the London 2012 Olympic and Paralympic Games can be used as an opportunity to remind patients that physical activity does good and is not harmful. Athletes' individual stories could be used in future as part of a strategy to encourage exercise for all patients.

The Aspirations and Realities of Prison Education for Under-25s in the London Area

Science.gov (United States)

Rogers, Lynne; Hurry, Jane; Simonot, Margaret; Wilson, Anita

2014-01-01

The purpose of this study, undertaken in 2012, was to describe provision available for under- 25s in prisons and to gain insight into the particularities of prison education. Six custodial establishments serving the London area were visited (prisons or Young Offender Institutions) and available statistical data were collected from a larger sample.…

Magnetic Monopoles and the Dual London Equation in SU(3) Lattice Gauge Theory

OpenAIRE

Skala, Peter; Faber, Manfried; Zach, Martin

1996-01-01

We propose a method for the determination of magnetic monopole currents in non-Abelian gauge theories which does not need a projection to Abelian degrees of freedom. With this definition we are able to determine the distribution of magnetic currents and electric fields for the gluonic flux tube between a pair of static charges. Further we check the validity of the Gauss law and the dual London equation in a gauge invariant formulation.

A Typical Model Audit Approach: Spreadsheet Audit Methodologies in the City of London

OpenAIRE

Croll, Grenville J.

2007-01-01

Spreadsheet audit and review procedures are an essential part of almost all City of London financial transactions. Structured processes are used to discover errors in large financial spreadsheets underpinning major transactions of all types. Serious errors are routinely found and are fed back to model development teams generally under conditions of extreme time urgency. Corrected models form the essence of the completed transaction and firms undertaking model audit and review expose themselve...

Police service in Victorian and Edwardian London: a somwhat atypical case of a hazardous occupation.

Science.gov (United States)

Shpayer-Makov, H

1995-01-01

British society in the nineteenth century showed a growing concern with public-health issues and with occupational hazards. Police service, which is at the centre of this paper, was not viewed by many as a hazardous occupation. Using the London Metropolitan Police as a case study, the paper suggests that working conditions in the Victorian and Edwardian police had detrimental effects on the health of officers. It is true that medical statistics of the time showed that police officers in London had a lower death rate than the average working man, but this comparison should not obscure the fact that policemen entered the force much healthier than when they retired and that this gap was not merely age-related. The paper sets out to answer the following questions: What were the prevalent injuries and illnesses in the Metropolitan Police? What was the work experience of the police officer and what impact did it have on his state of health? In addition to accounting for the deteriorating health of police officers, the paper provides the views of contemporary observers on the subject.

The First Lady Almoner: The Appointment, Position, and Findings of Miss Mary Stewart at the Royal Free Hospital, 1895–99

Science.gov (United States)

Cullen, Lynsey T.

2013-01-01

This article examines the professional roots of the hospital almoner, a position which has been widely neglected in medical history. The first almoner was Miss Mary Stewart, a former Charity Organization Society employee, appointed at the Royal Free Hospital of central London in 1895. The Royal Free was a charitable hospital which offered free medical treatment to patients considered morally deserving but unable to afford medical care elsewhere. The role expected of Stewart was to means test patients in order to ensure that only those deemed “appropriate” received free medical treatment, and to establish the extent to which the hospital was being abused by those who could afford to contribute toward their medical care. While in office, Stewart continually reshaped the role of almoner. She fashioned the position into that of a medical social worker and undertook such duties as referring patients to other means of medical and charitable assistance, visiting patients' homes, and training almoners for positions at other voluntary hospitals. Through the examination of Mary Stewart's Almoners Report Book, this article considers the circumstances of her appointment, the role she performed, and the findings of her investigations. PMID:22474098

Herbert Aldersmith (1847-1918): Christ's Hospital medical officer and co-founder of the Medical Officers of Schools Association.

Science.gov (United States)

Hoskins, Trevor

2008-02-01

Herbert Aldersmith spent his entire working life, from the age of 23 years until his retirement at 65 years, as Resident Medical Officer to Christ's Hospital School. It was a crucial period in the school's history, from the overdue reforms of the late Victorian era to its historic move from the City of London to Sussex in 1902. He became an acknowledged authority on ringworm and also published extensively on the other great interest of his life, the British-Israel Society. He was the prime mover in founding the first-ever professional association of school doctors in 1884.

Tracker electronics testing at Imperial College London

CERN Multimedia

PPARC, UK

2006-01-01

Jonathon Fulcher and Rob Bainbridge testing a rack of CMS Tracker readout electronics at Imperial College London. The signals from the front end APV chips will be transmitted optically to racks of electronics ~100m away in an adjacent underground cavern where they are fed into ~20 crates where 500 CMS Front End Driver boards (FEDs) are located. The FED inputs are 8 fibre ribbons, each ribbon consisting of 12 fibres, each fibre carrying the serially multiplexed data originating from 2 APVs. To test the FEDs special tester boards have been designed to produce simulated APV data in optical form. In the picture the yellow cables are the fibres, which originate from the FED tester boards on the left hand side of the crate as 96 individual fibres, which are then combined into the 8 fibre ribbons feeding the FED board on the right hand side of the crate. Fig. 2 shows an APV25 test board mounted in the X-ray irradiation setup, Fig. 3 the X-ray machine where the chips are irradiated and Fig. 4 the MGPA (Multi-Gain Pre...

How Do Visitors Relate to Biodiversity Conservation? An Analysis of London Zoo's "BUGS" Exhibit

Science.gov (United States)

Chalmin-Pui, Lauriane Suyin; Perkins, Richard

2017-01-01

Using a case study of London Zoo's BUGS (Biodiversity Underpinning Global Survival) exhibit, this article assesses the role of experiential learning in raising biodiversity knowledge, concern and potential pro-conservation actions. Using Personal Meaning Mindmapping, a novel method in visitor research, the study examines how adult visitors relate…

The Design of a Renewable Hydrogen Fuel Infrastructure for London

International Nuclear Information System (INIS)

Parissis, O.; Bauen, A.

2006-01-01

The development of a least cost hydrogen infrastructure is key to the introduction of hydrogen fuel in road transport. This paper presents a generic framework for modelling the development of a renewable hydrogen infrastructure that can be applied to different cases and geographical regions. The model was designed by means of mixed integer linear programming and developed in MATLAB. It was applied to the case of London aiming to examine the possibilities of developing a renewable hydrogen infrastructure within a 50 years time horizon. The results presented here are preliminary results from a study looking at the least cost solutions to supplying hydrogen produced exclusively from renewable energy resources to large urban centres. (authors)

Eating and drinking habits of young London-based Irish men: a qualitative study.

OpenAIRE

Kelly, Aidan; Ciclitira, Karen

2011-01-01

This qualitative study is based on interviews with young Irish men living in London about their diets and their views on healthy eating. The data were analysed using combined thematic and discourse analysis. Interviewees gave various reasons for not adopting healthy eating habits, including the cost of healthy foods, their lack of time and ability to cook, and their prioritisation of drinking. Views about the status of different foods also affected their eating habits: they considered red mea...

Transnational Migration, Integration, and Identity:\\ud A Study of Kurdish Diaspora in London

OpenAIRE

Ata, Ayar

2017-01-01

To understand the Kurdish diaspora in London requires answering two interrelated questions of Kurdish forced migration history and Kurdish cultural identity. Thus, this study firstly examines the history of Kurdish forced migration and displacement, exploring a common historical argument which positions the Kurds as powerless victims of the First World War (WW1). To this end it looks critically at the post-WW1 era and the development of the modern nation state in the Middle East, namely Turke...

The impact of introducing intensity modulated radiotherapy into routine clinical practice.

Science.gov (United States)

Miles, Elizabeth A; Clark, Catharine H; Urbano, M Teresa Guerrero; Bidmead, Margaret; Dearnaley, David P; Harrington, Kevin J; A'Hern, Roger; Nutting, Christopher M

2005-12-01

Intensity modulated radiotherapy (IMRT) at the Royal Marsden Hospital London was introduced in July 2001. Treatment delivery was dynamic using a single-phase technique. Concerns were raised regarding increased clinical workload due to introduction of new technology. The potential increased use of resources was assessed. IMRT patient selection was within guidelines of clinical trials and included patients undergoing prostate plus pelvic lymph node (PPN) irradiation and head and neck cancer (HNC) treatment. Patient planning, quality assurance and treatment times were collected for an initial IMRT patient group. A comparative group of patients with advanced HNC undergoing two- or three-phase conventional radiotherapy, requiring matched photon and electron fields, were also timed. The median overall total planning time for IMRT was greater for HNC patients compared to the PPN cohort. For HNC the overall IMRT planning time was significantly longer than for conventional. The median treatment time for conventional two- or three-phase HNC treatments, encompassing similar volumes to those treated with IMRT, was greater than that for the IMRT HNC patient cohort. A reduction in radiographer man hours per patient of 4.8h was recorded whereas physics time was increased by 4.9h per patient. IMRT currently increases overall planning time. Additional clinician input is required for target volume localisation. Physics time is increased, a significant component of this being patient specific QA. Radiographer time is decreased. For HNC a single phase IMRT treatment has proven to be more efficient than a multiple phase conventional treatment. IMRT has been integrated smoothly and efficiently into the existing treatment working day. This preliminary study suggests that IMRT could be a routine treatment with efficient use of current radiotherapy resources.

Delivering a Paper (and other works) at #LowTechLabLondon2016

OpenAIRE

O'Connell, Micheal

2016-01-01

Performance 'Delivering a Paper' and screened/presented/exhibited other works such as 'How to Buy Nothing' related to author's interventionist art practice at this three-day event.\\ud \\ud #LowTechLabLondon2016 is a project developed by Raúl Marroquín and coordinated by Daniela Medina Poch for the Educational Program of the Saatchi Gallery that will take place on January 15th, 16th and 17th of 2016.\\ud \\ud “‘LowTech means technology that is cheap or free.”\\ud James Wallback, LowTech Manifest f...

Comparison of the accuracy of the London atlas and Smith method in dental age estimation in 5-15.99-year-old Iranians using the panoramic view.

Science.gov (United States)

Ghafari, Roshanak; Ghodousi, Arash; Poordavar, Esmaeil

2018-03-07

Tooth development is widely used for age estimation and staging physical maturity. It is of great importance in dental age estimation in forensic dentistry, orthodontic treatment planning, and pediatric endocrinology. This study aimed to compare the accuracy of two age estimation methods, i.e., the London Atlas and Smith's method, using the panoramic view of developing teeth. In this descriptive-analytic study, panoramic radiographs of 339 healthy individuals, including 145 boys and 194 girls, were assessed. The participants aged between 5.00 and 15.99 years. Dental age of the subjects was determined by the London Atlas of Human Tooth Development and Eruption and Smith's method. The collected information was entered in the SPSS software (Ver.18). Differences and correlations between chronological and dental age were assessed by paired t tests and Pearson's correlation analysis. In all analyzes, the significance level was considered less than 0.05. The mean chronological age of the subjects was 10.13 ± 2.92 years. The mean ages estimated by the London Atlas and Smith's method were 10.29 ± 2.91 and 9.89 ± 2.84 years, respectively. Paired t test showed that the differences between the mean chronological age and mean estimated ages using the London Atlas and Smith's method were not significant (P = 0.15 and 0.16, respectively). Our findings showed that both methods had high accuracy for age estimation, but the London Atlas is easier to use.

Occupy London und die besetzte Friern Barnet Library

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Johannes Diesing

2013-12-01

Full Text Available Der Gegenstand des Beitrages ist die besetzte Friern Barnet Library in Nord-London. Dieser steht für eine ‚Politik des Politischen‘, die sich gegen die Privatisierungsmaßnahmen der regierenden liberal-konservativen Koalition richtet. In diesem Kampf um die Bibliothek wurden Aussagen der programmatischen Vision der Regierung von einer Allianz aus Aktivist_innen und Bürger_innen polemisch gegen die Politik gewendet, deren Umsetzung diese Vision ideologisch legitimieren sollte. Es werden zunächst die Rahmenbedingungen der Besetzung beschrieben, danach wird detailliert auf das Geschehen im Herbst 2012 und Winter 2012/13 eingegangen. Es wird erklärt, warum die Auseinandersetzung um die Bibliothek für das Verständnis gegenwärtiger sozialer Kämpfe in der ‚postpolitischen Stadt‘ hilfreich ist. Zum Begriff der Postpolitik bzw. der Postdemokratie haben sowohl Colin Crouch als auch Jacques Rancière Theorien vorgelegt. Der Aufsatz wird den theoretischen Schwerpunkt auf Rancière legen, Crouchs Überlegungen jedoch ebenfalls mit einbeziehen.

Formation and past evolution of the showers of 96P/Machholz complex

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Abedin, Abedin; Wiegert, Paul; Janches, Diego; Pokorný, Petr; Brown, Peter; Hormaechea, Jose Luis

2018-01-01

In this work we model the dynamical evolution of meteoroid streams of comet 96P/Machholz, and the largest member of the Marsden sunskirters, comet P/1999 J6. We simultaneously fit the characteristics of eight meteor showers which have been proposed to be linked to the complex, using observations from a range of techniques - visual, video, TV and radar. The aim is to obtain a self-consistent scenario of past capture of a large comet into a short-period orbit, and its subsequent fragmentation history. Moreover, we also aim to constrain the dominant parent of these showers. The fit of our simulated shower characteristics to observations is consistent with the scenario of a capture of a proto-comet 96P/Machholz by Jupiter circa 20000 BCE, and a subsequent major breakup around 100-950 CE which resulted in the formation of the Marsden group of comets. We find that the Marsden group of comets are not the immediate parents of the daytime Arietids and Northern and Southern δ-Aquariids, as previously suggested. In fact, the hypothesis that the Northern δ-Aquariids are related to the Marsden group of comets is not supported by this study. The bulk of the observational characteristics of all eight showers can be explained by meteoroid ejection primarily from comet 96P/Machholz between 10000 BCE and 20000 BCE. Assuming the Marsden group of comets originated between 100 CE-950 CE, we conclude that sunskirting comets contribute mainly to the meteoroid stream near the time of the peak of the daytime Arietids, Southern δ-Aquariids, κ-Velids. Finally, we find that the meteor showers identified by Babadzhanov and Obrubov (1992) as the α-Cetids, the Ursids and Carinids correspond to the daytime λ-Taurids, the November ι-Draconids or December α-Draconids and the θ-Carinids.

Childhood injury in Tower Hamlets: Audit of children presenting with injury to an inner city A&E department in London.

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Smith, Dianna; Kirkwood, Graham; Pott, Jason; Kourita, Lida; Jessop, Vanessa; Pollock, Allyson M

2015-01-01

Childhood injury is a leading cause of mortality and morbidity worldwide with the most socio-economically deprived children at greatest risk. Current routine NHS hospital data collection in England is inadequate to inform or evaluate prevention strategies. A pilot study of enhanced data collection was conducted to assess the feasibility of collecting accident and emergency data for national injury surveillance. To evaluate the reliability and feasibility of supplementary data collection using a paper-based questionnaire and to assess the potential relationship between income deprivation and incidence of paediatric injury. Clinical staff conducted an audit of injuries in all patients under 16 years between June and December 2012 through completion of a questionnaire while taking the medical history. Descriptive statistics were produced for age, sex, time of arrival, activity at time of injury, mechanism and location of injuries. The association between known injury incidence and area level income deprivation (2010 English Index of Multiple Deprivation [IMD] Income Deprivation Domain from home postcode) was assessed using Spearman's rank correlation. Representativeness of the audit was measured using z-test statistics for time of arrival, age, sex and ethnicity. The paper audit captured 414 (6.5%) of the 6358 under-16 injury-related attendances recorded on the NHS Care Record Service Dataset. Comparison of the audit dataset with NHS records showed that the audit was not representative of the larger dataset except for sex of the patient. There was a positive correlation between injury incidence and income deprivation measured using IMD score where data were available (n = 384, p London Hospital. The audit failed to capture a high proportion of cases, likely due to the paper-based format used. This study highlights the importance of routinely collecting enhanced injury data in computerized hospital admission systems to provide the necessary evidence base for effective

Gender, Education and Social Change: A Study of Feminist Politics and Practice in London, 1870-1990

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Martin, Jane

2013-01-01

This article explores feminist interventions in urban school politics. First, it argues that the female contribution was an essential component to politics and policy making in the 120-year period that London had a single education authority. Second, it suggests that these women politicians were advocates of a cultural praxis that involved…

Dr Edward Macgowan (1795-1860), a long-term pioneer physician in mid-nineteenth century Jerusalem: founder and director of the first modern hospital in the Holy Land.

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Lev, Efraim; Perry, Yaron

2008-02-01

At the age of 46, Dr Edward Macgowan, by now a well-established physician, joined the ranks of the London Society for Promoting Christianity among the Jews with the aim of establishing the first modern hospital in Palestine. For the first six months of 1842, Macgowan established his work among the Jerusalem population on a regular basis and managed to establish a close relationship with the Jewish community and some of its leaders in Jerusalem. On 12 December 1844, the Jews' Hospital was opened in Jerusalem and became a source of great pride for the missionaries. Edward Macgowan died in Jerusalem after 18 years of service and was buried in the Protestant cemetery in his beloved city.

The “School Foodshed”: schools and fast-food outlets in a London borough

OpenAIRE

Caraher, M.; Lloyd, S.; Madelin, T.

2014-01-01

Purpose – The purpose of this paper is to explore the location of fast-food outlets around secondary schools and the influence of fast-food availability on the food choices of school children in an inner-London borough. \\ud \\ud Design/methodology/approach – A number of methods including: mapping of outlets relative to schools; sampling food; gathering data on secondary school food policies; observing food behaviour in fast food outlets and focus groups with young people. Findings were fed bac...

CHAT 2013: Experience, University College London, 8–10 November 2013

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Colin Philip Sterling

2013-11-01

Full Text Available For ten years now CHAT (Contemporary and Historical Archaeology in Theory has set out to challenge assumptions around the archaeology of the recent past with a series of thought provoking thematic conferences. This year, the 11th  annual CHAT Conference was held at University College London and jointly organised by the Institute of Archaeology and Atkins,1  with a broad focus on the topic of ‘experience.’ Over three days, established academics, early career researchers and practicing heritage professionals from across the world offered up their take on this sometimes nebulous theme. The results were - in turn - captivating, frustrating, enlightening and provocative, but never boring.

The Geography of Diabetes in London, Canada: The Need for Local Level Policy for Prevention and Management

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Tompkins, Jordan W.; Luginaah, Isaac N.; Booth, Gillian L.; Harris, Stewart B.

2010-01-01

Recent reports aimed at improving diabetes care in socially disadvantaged populations suggest that interventions must be tailored to meet the unique needs of the local community—specifically, the community’s geography. We have examined the spatial distribution of diabetes in the context of socioeconomic determinants of health in London (Ontario, Canada) to characterize neighbourhoods in an effort to target these neighbourhoods for local level community-based program planning and intervention. Multivariate spatial-statistical techniques and geographic information systems were used to examine diabetes rates and socioeconomic variables aggregated at the census tract level. Creation of a deprivation index facilitated investigation across multiple determinants of health. Findings from our research identified ‘at risk’ neighbourhoods in London with socioeconomic disadvantage and high diabetes. Future endeavours must continue to identify local level trends in order to support policy development, resource planning and care for improved health outcomes and improved equity in access to care across geographic regions. PMID:20623032

«Propriis manibus ipse transcripsit». Il manoscritto London, British Library, Harley 5383

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Laura Pani

2013-01-01

Full Text Available This paper deals with the manuscript London, British Library, Harley 5383. So far barely known as a 14th century copy of Paul the Deacon’s Historia Langobardorum, Harley 5383 is here proven to be an autograph by Giovanni Boccaccio. More precisely, it is a membrum disiectum of a major Boccaccio’s manuscript, two parts of which are better known and now kept at the Biblioteca Riccardiana in Florence. The identification of Harley 5383 now allows us to virtually reassemble the whole Boccaccio’s ancient and medieval history book as it is described in the 15th century inventory of Santo Spirito library. It contains Orosius’ Historiae adversus paganos (Firenze, Biblioteca Riccardiana, 627, Paul the Deacon’s Historia Langobardorum (London, British Library, 5383 and Firenze, Biblioteca Riccardiana, 2975VI, ff. 70-74, Pasquale Romano’s Epistola de origine civitatis Aretii (Firenze, Biblioteca Riccardiana, 2975VI, ff. 75-76. Both Boccaccio’s handwriting features and a marginal note in Harley 5383 referring to the Black Death of 1348 show that the manuscript was copied in the early fifties of the 14th century, whereas it is not at the moment possible to establish when, where and why it was divided into three parts.

Trends in local newspaper reporting of London cyclist fatalities 1992-2012: the role of the media in shaping the systems dynamics of cycling

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Macmillan, Alex; Roberts, Alex; Woodcock, James; Aldred, Rachel; Goodman, Anna

2016-01-01

Background Successfully increasing cycling across a broad range of the population would confer important health benefits, but many potential cyclists are deterred by fears about traffic danger. Media coverage of road traffic crashes may reinforce this perception. As part of a wider effort to model the system dynamics of urban cycling, in this paper we examined how media coverage of cyclist fatalities in London changed across a period when the prevalence of cycling doubled. We compared this with changes in the coverage of motorcyclist fatalities as a control group. Methods Police records of traffic crashes (STATS19) were used to identify all cyclist and motorcyclist fatalities in London between 1992 and 2012. We searched electronic archives of London's largest local newspaper to identify relevant articles (January 1992–April 2014), and sought to identify which police-reported fatalities received any media coverage. We repeated this in three smaller English cities. Results Across the period when cycling trips doubled in London, the proportion of fatalities covered in the local media increased from 6% in 1992–1994 to 75% in 2010–2012. By contrast, the coverage of motorcyclist fatalities remained low (4% in 1992–1994 versus 5% in 2010–2012; p = 0.007 for interaction between mode and time period). Comparisons with other English cities suggested that the changes observed in London might not occur in smaller cities with lower absolute numbers of crashes, as in these settings fatalities are almost always covered regardless of mode share (79–100% coverage for both cyclist and motorcyclist fatalities). Conclusion In large cities, an increase in the popularity (and therefore ‘newsworthiness’) of cycling may increase the propensity of the media to cover cyclist fatalities. This has the potential to give the public the impression that cycling has become more dangerous, and thereby initiate a negative feedback loop that dampens down further increases in cycling

Sleep quality and psychobiological aspects of Brazilian Paralympic athletes in the London 2012 pre-Paralympics period

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Dayane Ferreira Rodrigues

2015-06-01

Full Text Available The objective of the study was to evaluate the psychobiological aspects of the Paralympic athletes athletics mode, before the London Paralympic Games 2012. We evaluated 40 athletes without 31 men and 9 women who were selected by the Brazilian Paralympic Committee to be part of the Brazilian delegation. For the evaluation of psychobiological aspects used questionnaires: Trait Anxiety Inventory-State, POMS, the Beck Depression questionnaire Pittsburgh Epworth Scale to assess, respectively, anxiety, mood, depression, sleep and sleepiness. For trait anxiety and state anxiety, athletes exhibited a mean level of anxiety in relation to the profile of mood states and higher intensity values than any other dimensions. The lower total sleep time was in athletes with bad sleep, sleep deficiency was lower in athletes with poor sleep and total sleep time was lower for those who had efficiency < 85%. All psychobiological variables evaluated in pre-competition period were normal for the athletes of the Brazilian Paralympic athletics team that took part in the London 2012 Paralympic Games.

Boosting Belligerence: How the July 7, 2005, London Bombings Affected Liberals' Moral Foundations and Prejudice.

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Van de Vyver, Julie; Houston, Diane M; Abrams, Dominic; Vasiljevic, Milica

2016-02-01

Major terrorist events, such as the recent attacks in Ankara, Sinai, and Paris, can have profound effects on a nation's values, attitudes, and prejudices. Yet psychological evidence testing the impact of such events via data collected immediately before and after an attack is understandably rare. In the present research, we tested the independent and joint effects of threat (the July 7, 2005, London bombings) and political ideology on endorsement of moral foundations and prejudices among two nationally representative samples (combined N = 2,031) about 6 weeks before and 1 month after the London bombings. After the bombings, there was greater endorsement of the in-group foundation, lower endorsement of the fairness-reciprocity foundation, and stronger prejudices toward Muslims and immigrants. The differences in both the endorsement of the foundations and the prejudices were larger among people with a liberal orientation than among those with a conservative orientation. Furthermore, the changes in endorsement of moral foundations among liberals explained their increases in prejudice. The results highlight the value of psychological theory and research for understanding societal changes in attitudes and prejudices after major terrorist events. © The Author(s) 2015.

The superlative in front of the British coast. Offshore wind park ''London Array''; Der Superlativ vor der britischen Kueste. Offshore-Windpark ''London Array''

Energy Technology Data Exchange (ETDEWEB)

Rechenbach, Baerbel

2012-07-01

Fossil energy is finite and is getting more expensive. In order to develop alternative energy sources, technical solutions are becoming increasingly complex. Such technical solutions usually are implementable in international cooperation. German engineering know-how is in high demand, such as the construction of the world's largest offshore wind farm London Array. This project arises 24 km east of the British coasts of Essex and Kent in the estuary of the Thames. The project cost amounts approximately 400 million Euro.

Colour magnetic currents and the dual London equation in SU(3) lattice gauge theory

International Nuclear Information System (INIS)

Skala, P.; Faber, M.; Zach, M.

1997-01-01

We propose a method for the determination of magnetic currents in non-Abelian gauge theories which does not need a projection to Abelian degrees of freedom. With this definition we are able to determine the distribution of magnetic currents and electric fields for the gluonic flux tube between a pair of static charges. Further we check the validity of the Gauss law and the dual London equation in a gauge-invariant formulation. (orig.)

Conflict in the Colonies: The London Times Coverage of Watergate from the Break-in to the Pardon.

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Stovall, James Glen

1979-01-01

From the breakin through the pardon of President Nixon, the London "Times" maintained thorough coverage of the Watergate scandal--a difficult task, considering the complexities of the American judicial and political systems. A special Watergate section was added to the other sections of the "Times," and even the British…

Second Study of Hyper-Fractionated Radiotherapy

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R. Jacob

1999-01-01

Full Text Available Purpose and Method. Hyper-fractionated radiotherapy for treatment of soft tissue sarcomas is designed to deliver a higher total dose of radiation without an increase in late normal tissue damage. In a previous study at the Royal Marsden Hospital, a total dose of 75 Gy using twice daily 1.25 Gy fractions resulted in a higher incidence of late damage than conventional radiotherapy using 2 Gy daily fractions treating to a total of 60 Gy. The current trial therefore used a lower dose per fraction of 1.2 Gy and lower total dose of 72 Gy, with 60 fractions given over a period of 6 weeks.

Investigation of market efficiency and Financial Stability between S&P 500 and London Stock Exchange: Monthly and yearly Forecasting of Time Series Stock Returns using ARMA model

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Rounaghi, Mohammad Mahdi; Nassir Zadeh, Farzaneh

2016-08-01

We investigated the presence and changes in, long memory features in the returns and volatility dynamics of S&P 500 and London Stock Exchange using ARMA model. Recently, multifractal analysis has been evolved as an important way to explain the complexity of financial markets which can hardly be described by linear methods of efficient market theory. In financial markets, the weak form of the efficient market hypothesis implies that price returns are serially uncorrelated sequences. In other words, prices should follow a random walk behavior. The random walk hypothesis is evaluated against alternatives accommodating either unifractality or multifractality. Several studies find that the return volatility of stocks tends to exhibit long-range dependence, heavy tails, and clustering. Because stochastic processes with self-similarity possess long-range dependence and heavy tails, it has been suggested that self-similar processes be employed to capture these characteristics in return volatility modeling. The present study applies monthly and yearly forecasting of Time Series Stock Returns in S&P 500 and London Stock Exchange using ARMA model. The statistical analysis of S&P 500 shows that the ARMA model for S&P 500 outperforms the London stock exchange and it is capable for predicting medium or long horizons using real known values. The statistical analysis in London Stock Exchange shows that the ARMA model for monthly stock returns outperforms the yearly. ​A comparison between S&P 500 and London Stock Exchange shows that both markets are efficient and have Financial Stability during periods of boom and bust.

Alterations in endocytic protein expression with increasing age in the transgenic APP695 V717I London mouse model of amyloid pathology: implications for Alzheimer's disease.

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Thomas, Rhian S; Alsaqati, Mouhamed; Bice, Justin S; Hvoslef-Eide, Martha; Good, Mark A; Kidd, Emma J

2017-10-18

A major risk factor for the development of Alzheimer's disease (AD) is increasing age, but the reason behind this association has not been identified. It is thought that the changes in endocytosis seen in AD patients are causal for this condition. Thus, we hypothesized that the increased risk of developing AD associated with ageing may be because of changes in endocytosis. We investigated using Western blotting whether the expression of endocytic proteins involved in clathrin-mediated and clathrin-independent endocytosis are altered by increasing age in a mouse model of amyloid pathology. We used mice transgenic for human amyloid precursor protein containing the V717I London mutation. We compared the London mutation mice with age-matched wild-type (WT) controls at three ages, 3, 9 and 18 months, representing different stages in the development of pathology in this model. Having verified that the London mutation mice overexpressed amyloid precursor protein and β-amyloid, we found that the expression of the smallest isoform of PICALM, a key protein involved in the regulation of clathrin-coated pit formation, was significantly increased in WT mice, but decreased in the London mutation mice with age. PICALM levels in WT 18-month mice and clathrin levels in WT 9-month mice were significantly higher than those in the London mutation mice of the same ages. The expression of caveolin-1, involved in clathrin-independent endocytosis, was significantly increased with age in all mice. Our results suggest that endocytic processes could be altered by the ageing process and such changes could partly explain the association between ageing and AD.

Stakeholder Positioning and Cultural Diversity in the Creative Sector: A Case Study of the London Modern Architecture Scene

NARCIS (Netherlands)

Aalbers, H.L.; Kamp, A.; Erbe, N.; Normore, A.H.

2015-01-01

This chapter explores the antecedents of stakeholder positioning in the creative sector, a sector well known for its diversity in organizational cultures. Drawing from empirical data collected at the heart of London's modern architecture scene we analyze the interactive process of commissioned

Killer smog of London, 50 years on: particle properties and oxidative capacity.

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Whittaker, Andy; BéruBé, Kelly; Jones, Tim; Maynard, Robert; Richards, Roy

2004-12-01

Total suspended particulate (TSP) samples collected on glass fibre filters in London before (1955) and after (1958-1974) the Clean Air Act was examined for physicochemical characteristics and oxidative capacity. High-resolution microscopy identified most of the material as soot with smelter spheres, fly ash (FA), sodium chloride and calcium sulphate particles. Image analysis (IA) was used to show that most of the soot aggregates were less than 1 microm in size and contained chains of individual particles of 10-50 nm. Speed mapping of large agglomerates of the historic particles confirmed that the samples were enriched with soot probably derived from a sulphur-rich coal called nutty slack which was used extensively at this time. Inductively coupled plasma-mass spectrometry (ICP-MS) was used to examine elemental composition. Meaningful quantitation of certain elements (Mg, Al and Zn) proved impossible because they were in high quantities in the glass fibre filters. However, high quantities of Fe>Pb>Cu>Mn>V>As were detected which may explain in part the bioreactivity of the samples. Using a simple in vitro test of oxidative capacity (plasmid assay), one historic particulate sample (1958) showed three times the activity of a modern-day diesel exhaust particle (DEP) sample but ten times less activity than a modern-day urban ambient particle collection. Such studies are continuing to link particle physicochemical properties and bioreactivity with a wider range of the samples collected between 1955 and 74 and how such historic samples compare with present-day London ambient particles.

Effect of Pre-Hospital Red Blood Cell Transfusion on Mortality and Time of Death in Civilian Trauma Patients.

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Rehn, Marius; Weaver, Anne; Brohi, Karim; Eshelby, Sarah; Green, Laura; Røislien, Jo; Lockey, David J

2018-04-16

Current management principles of haemorrhagic shock after trauma emphasize earlier transfusion therapy to prevent dilution of clotting factors and correct coagulopathy. London's air ambulance (LAA) was the first UK civilian pre-hospital service to routinely offer pre-hospital red blood cell (RBC) transfusion (phRTx). We investigated the effect of phRTx on mortality. Retrospective trauma database study comparing mortality before-implementation with after-implementation of phRTx in exsanguinating trauma patients. Univariate logistic regression was performed for the unadjusted association between phRTx and mortality was performed, and multiple logistic regression adjusting for potential confounders. We identified 623 subjects with suspected major haemorrhage. We excluded 84 (13.5%) patients due to missing data on survival status. Overall 187 (62.3%) patients died in the before phRTx period and 143 (59.8%) died in the after phRTx group. There was no significant improvement in overall survival after the introduction of phRTx (p = 0.554). Examination of pre-hospital mortality demonstrated 126 deaths in the pre-phRTx group (42.2%) and 66 deaths in the RBC administered group (27.6%) There was a significant reduction in pre-hospital mortality in the group who received RBC (p < 0.001). phRTx was associated with increased survival to hospital, but not overall survival. The "delay death" effect of phRTx carries an impetus to further develop in-hospital strategies to improve survival in severely bleeding patients.

Chemical composition and sources of organic aerosols over London from the ClearfLo 2012 campaigns

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Finessi, Emanuela; Holmes, Rachel; Hopkins, James; Lee, James; Harrison, Roy; Hamilton, Jacqueline

2014-05-01

Air quality in urban areas represents a major public health issue with around one third of the European population concentrated in cities and numbers expected to increase at global scale, particularly in developing countries. Particulate matter (PM) represents a primary threat for human health as numerous studies have confirmed the association between increased levels of cardiovascular and respiratory diseases with the exposure to PM. Despite considerable efforts made in improving air quality and progressively stricter emissions regulations, the PM concentrations have not changed much over the past decades for reasons that remain unclear, and highlight that studies on PM source apportionment are required for the formulation of effective policy. We investigated the chemical composition of organic aerosol (OA) collected during two intensive field campaigns held in winter and summer 2012 in the frame of the project Clean air for London (http://www.clearflo.ac.uk/). PM samples were collected both at a city background site (North Kensington) and at a rural site 50 km southeast of London (Detling) with 8 to 24 hours sampling schedule and analysed using off-line methods. Thermal-optical analysis was used to quantify OC-EC components while a suite of soft ionization mass spectrometric techniques was deployed for detailed chemical characterization. Liquid chromatography mass Spectrometry (LC-MSn) was mostly used for the simultaneous detection and quantification of various tracers for both primary and secondary OA sources. Well-established markers for wood burning primary OA like levoglucosan and azelaic acid were quantified together with various classes of nitroaromatics including methyl-nitrocatechols that are potential tracers for wood burning secondary OA. In addition, oxidation products of biogenic VOCs such as isoprene and monoterpenes were also quantified for both seasons and sites. A non-negligible contribution from biogenic SOA to urban OA was found in summertime

The Haunting Presence of the Feminine: Virginia Woolf in the Streets of London

OpenAIRE

Agnieszka Pantuchowicz

2017-01-01

Beginning with the theme of the location of haunting in Gothic interiors and the confusion of life and death and the “sub-central” positioning of the feminine as the hidden source of fearfulness, the paper analyzes Virginia Woolf’s “Street Haunting: A London Adventure” as an example of a narrative written from the position of the haunting in which the figure of fearful feminine is transformed into a “hauntess” participating in the public world on equal rights with others. Woolf’s text, though...

Drawing from Fancy: The Intersection of Art and Design in Mid-Eighteenth-Century London

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Puetz, Anne

2014-03-01

Full Text Available This paper attempts to bring the world of mid-eighteenth-century British design into fruitful conversation with contemporary art theory and practice. Taking the neighbourhood and milieu of the St Martin's Lane area in London as a starting point, I investigate connections between British "rococo" design and William Hogarth's Analysis of Beauty in terms of shared formal values and contemporary implications of "modernity". I argue for a mutual indebtedness rather than "art" directing "design".

Southbank Skateboarding, London and Urban Culture: the Undercroft, Hungerford Bridge and House of Vans

OpenAIRE

Borden, I. M.

2015-01-01

Over the last two years, skateboarding space in London has been subject to considerable controversy, debate and development. This chapter looks at 3 different spaces at or near London’s Southbank Centre to explore the connection between skateboarding and wider societal conditions in this city: the ‘Undercroft’ at the Southbank Centre itself; the proposed ‘Hungerford Bridge’ skate space; the nearby ‘House of Vans’ venue. Overall, the chapter shows how skateboarding is now becoming an ever more...

The establishment of histology in the curriculum of the London medical schools:1826-1886.

OpenAIRE

Bracegirdle, P. H.

1996-01-01

This thesis sets out the way in which histology became established in the curriculum of the London medical schools between 1826 and 1886. The text provides a very large number of references to original material, some of it previously unreported. Histology had its origins in continental Europe in the early years of the nineteenth century, in the work of Bichat. The introductory chapter examines how this was translated both as to language and as to practical experience into En...

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

Science.gov (United States)

Warwick, Ian; Aggleton, Peter

2014-01-01

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

Boundary Spanners and Advocacy Leaders: Black Educators and Race Equality Work in Toronto and London, 1968-1995

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Johnson, Lauri

2016-01-01

This comparative study examines the historical development of race equality efforts during the 1970s and 1980s in two global cities--Toronto and London--and the role of African Canadian and Black British educators in longstanding school-community partnerships. I characterize the leadership stance of Black educators as boundary spanners and…

Cross-National Policy Borrowing and Educational Innovation: Improving Achievement in the London Borough of Barking and Dagenham

Science.gov (United States)

Ochs, Kimberly

2006-01-01

This paper reports on a case study of the London Education Authority of Barking and Dagenham's borrowing of Swiss educational practices, and the implementation and internalisation of those foreign practices in the teaching of mathematics in primary schools. The study employs analytical frameworks that might be used by policy makers or researchers…

Outsourcing the State's Responsibilities? Third Sector Organizations Supporting Migrant Families' Participation in Schools in Catalonia and London

Science.gov (United States)

Paniagua, Alejandro; D'Angelo, Alessio

2017-01-01

Based on two case studies of Third Sector Organizations (TSOs) working with schools and parents in Catalonia and London, this paper aims to discuss some of the implications of "participative" programmes aimed at involving those migrant families seen by schools as "hard to reach". First, we describe how an ambiguous notion of…

CLINICAL STUDY OF APPENDICULAR PERFORATION IN A TERTIARY CARE HOSPITAL

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Venkata Anantha Lakshmi Manabala

2016-06-01

Full Text Available INTRODUCTION Acute Appendicitis is the commonest abdominal surgical emergency in young adults all over the world. In early 1900s, Ochsner in Chicago and Sherren at the London Hospital were both advocates of conservative treatment in late cases. Appendicular perforation is a serious complication in view of the ensuing peritonitis with the consequent sequelae and morbidity. AIM To study the incidence, morbidity and sequelae of appendicular perforation. MATERIALS & METHODS This is a prospective study done in our hospital where 110 cases of peritonitis due to appendicular perforation were selected for our study. All the cases where peritonitis was due to appendicular perforation at laparotomy were included. The study period was from January 2014 to December 2015. The cases of peritonitis due to other causes like duodenal, gastric, enteric perforation were excluded. Patients with acute abdominal emergency with clinical diagnosis of peritonitis were examined carefully with detailed history and clinical examination. Necessary investigations were done and patients taken up for emergency surgery. CONCLUSIONS Acute Appendicitis is the commonest abdominal surgical emergency in young adults all over the world. Age incidence of appendicular perforation is maximum in the age group of 21–30 years. Next common age group is 31–40 yrs. Incidence is more in males. Male to female ratio is 2.4:1. Pain abdomen, vomiting, fever and anorexia were common symptoms in all the patients. Majority of the patients came late to the hospital accounting for the cause of perforation and subsequent mortality and morbidity.

Effects of Air Pollution and the Introduction of the London Low Emission Zone on the Prevalence of Respiratory and Allergic Symptoms in Schoolchildren in East London: A Sequential Cross-Sectional Study.

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Helen E Wood

Full Text Available The adverse effects of traffic-related air pollution on children's respiratory health have been widely reported, but few studies have evaluated the impact of traffic-control policies designed to reduce urban air pollution. We assessed associations between traffic-related air pollutants and respiratory/allergic symptoms amongst 8-9 year-old schoolchildren living within the London Low Emission Zone (LEZ. Information on respiratory/allergic symptoms was obtained using a parent-completed questionnaire and linked to modelled annual air pollutant concentrations based on the residential address of each child, using a multivariable mixed effects logistic regression analysis. Exposure to traffic-related air pollutants was associated with current rhinitis: NOx (OR 1.01, 95% CI 1.00-1.02, NO2 (1.03, 1.00-1.06, PM10 (1.16, 1.04-1.28 and PM2.5 (1.38, 1.08-1.78, all per μg/m3 of pollutant, but not with other respiratory/allergic symptoms. The LEZ did not reduce ambient air pollution levels, or affect the prevalence of respiratory/allergic symptoms over the period studied. These data confirm the previous association between traffic-related air pollutant exposures and symptoms of current rhinitis. Importantly, the London LEZ has not significantly improved air quality within the city, or the respiratory health of the resident population in its first three years of operation. This highlights the need for more robust measures to reduce traffic emissions.

Magnetic monopoles and the dual London equation in SU(3) lattice gauge theory

International Nuclear Information System (INIS)

Skala, P.; Faber, M.; Zach, M.

1996-01-01

The dual superconductor model of confinement in non-Abelian gauge theories is studied in a gauge invariant formulation. We propose a method for the determination of magnetic monopole currents in non-Abelian gauge theories which does not need a projection to Abelian degrees of freedom. With this definition we are able to determine the distribution of magnetic currents and electric fields for the gluonic flux tube between a pair of static charges. Further we check the validity of the dual London equation in a gauge invariant formulation. (orig.)

Share Price Reactions to Sporty Performances of Soccer Clubs listed on the London Stock Exchange and the AIM

NARCIS (Netherlands)

Renneboog, L.D.R.; Vanbrabant, P.

2000-01-01

This paper investigates whether or not the share prices of soccer clubs listed on the London Stock Exchange and the Alternative Investment Market are influenced by the soccer teams' weekly sporty performances. Event studies corrected for thin trading and with Baysian updating reveal that at the

Impact on and use of health services by international migrants: questionnaire survey of inner city London A&E attenders.

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Hargreaves, Sally; Friedland, Jon S; Gothard, Philip; Saxena, Sonia; Millington, Hugh; Eliahoo, Joseph; Le Feuvre, Peter; Holmes, Alison

2006-11-29

Changing immigration trends pose new challenges for the UK's open access health service and there is considerable speculation that migrants from resource-poor countries place a disproportionate burden on services. Data are needed to inform provision of services to migrant groups and to ensure their access to appropriate health care. We compared sociodemographic characteristics and impact of migrant groups and UK-born patients presenting to a hospital A&E/Walk-In Centre and prior use of community-based General Practitioner (GP) services. We administered an anonymous questionnaire survey of all presenting patients at an A&E/Walk-In Centre at an inner-city London hospital during a 1 month period. Questions related to nationality, immigration status, time in the UK, registration and use of GP services. We compared differences between groups using two-way tables by Chi-Square and Fisher's exact test. We used logistic regression modelling to quantify associations of explanatory variables and outcomes. 1611 of 3262 patients completed the survey (response rate 49.4%). 720 (44.7%) were overseas born, representing 87 nationalities, of whom 532 (73.9%) were new migrants to the UK (immigration status' were: work permit (24.4%), EU citizens (21.5%), with only 21 (1.3%) political asylum seekers/refugees. 178 (11%) reported nationalities from refugee-generating countries (RGCs), eg, Somalia, who were less likely to speak English. Compared with RGCs, and after adjusting for age and sex, the Australians, New Zealanders, and South Africans (ANS group; OR 0.28 [95% CI 0.11 to 0.71]; p = 0.008) and the Other Migrant (OM) group comprising mainly Europeans (0.13 [0.06 to 0.30]; p = 0.000) were less likely to have GP registration and to have made prior contact with GPs, yet this did not affect mode of access to hospital services across groups nor delay access to care. Recently arrived migrants are a diverse and substantial group, of whom migrants from refugee-generating countries and

Setting healthcare priorities: a description and evaluation of the budgeting and planning process in county hospitals in Kenya.

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Barasa, Edwine W; Cleary, Susan; Molyneux, Sassy; English, Mike

2017-04-01

This paper describes and evaluates the budgeting and planning processes in public hospitals in Kenya. We used a qualitative case study approach to examine these processes in two hospitals in Kenya. We collected data by in-depth interviews of national level policy makers, hospital managers, and frontline practitioners in the case study hospitals (n = 72), a review of documents, and non-participant observations within the hospitals over a 7 month period. We applied an evaluative framework that considers both consequentialist and proceduralist conditions as important to the quality of priority-setting processes. The budgeting and planning process in the case study hospitals was characterized by lack of alignment, inadequate role clarity and the use of informal priority-setting criteria. With regard to consequentialist conditions, the hospitals incorporated economic criteria by considering the affordability of alternatives, but rarely considered the equity of allocative decisions. In the first hospital, stakeholders were aware of - and somewhat satisfied with - the budgeting and planning process, while in the second hospital they were not. Decision making in both hospitals did not result in reallocation of resources. With regard to proceduralist conditions, the budgeting and planning process in the first hospital was more inclusive and transparent, with the stakeholders more empowered compared to the second hospital. In both hospitals, decisions were not based on evidence, implementation of decisions was poor and the community was not included. There were no mechanisms for appeals or to ensure that the proceduralist conditions were met in both hospitals. Public hospitals in Kenya could improve their budgeting and planning processes by harmonizing these processes, improving role clarity, using explicit priority-setting criteria, and by incorporating both consequentialist (efficiency, equity, stakeholder satisfaction and understanding, shifted priorities

Attitudes towards second hand smoke amongst a highly exposed workforce: survey of London casino workers.

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Pilkington, P A; Gray, S; Gilmore, A B; Daykin, N

2006-06-01

To examine knowledge, attitudes and experiences of London casino workers regarding exposure to second hand smoke (SHS) in the workplace. Postal survey of 1568 London casino workers in 25 casinos who were members of the TGWU or GMB Trade Unions. Of the workers, 559 responded to the survey (36% response), 22% of whom were current smokers. Of the respondents, 71% report being nearly always exposed to heavy levels of SHS at work, and most (65%) want all working areas in their casino to be smoke-free. The majority (78%) are bothered by SHS at work, while 91% have wanted to move away from where they are working because of it. Fifty-seven per cent believe their health has suffered as a result of SHS. Of the workers who smoke at work, 59% believe that they would try to quit smoking if no one was allowed to smoke in the casino. The majority of responders are bothered by SHS, and many are concerned about the health impacts. Most want all working areas in their casino to be smoke-free. Despite difficulties in generalizing from this limited sample, these findings add weight to the argument that the legislation on smoking in public places in England should encompass all workplaces, without exemption.

Estimation of the gender pay gap in London and the UK - an econometric approach

OpenAIRE

Margarethe Theseira; Leticia Veruete-McKay

2005-01-01

We estimate the gender pay gap in London and the UK based on Labour Force Survey data 2002/03. Our approach decomposes the mean average wages of men and women into two parts (a) Differences in individual and job characteristics between men and women (such as age, number of children, qualification, ethnicity, region of residence, working in the public or private sector, working part-time or full-time, industry, occupation and size of company) (b) Unequal treatment and/or unexplained factors. S...

International Symposium for Thyroid Eye Disease (June 2016, London

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Natalia Y. Sviridenko

2017-03-01

Full Text Available In June 2016, an International Symposium dedicated to the cutting edge research and achievements in Thyroid Eye Disease (TED diagnosis and treatment was held in London. The symposium was organized by the International Thyroid Eye Disease (ITEDs. It was attended EUGOGO, North American Neuro-Ophthalmological Society (NANOS and Orbit Society members. The symposium was attended by leading experts in the field of ophthalmology, orbital surgery and endocrinology: Rebecca S. Bahn, Maarten Mourits, Claudio Marcocci, George Kahaly, Mario Salvi, Antony Weetman, Anja Eckstein, Daniel Rootman, Geoffrey Rose, Robert Goldberg and Susanne Pitz, as well as doctors, specializing in the field of endocrinology, ophthalmology, radiology and other specialties. The symposium program was focused on the discussion of TED pathogenesis, classification and new therapeutic and surgical approaches. TED problems discussed by more than 300 professionals (65% ophthalmologists, 18% ophthalmic surgeons and 17% endocrinologists. North America was represented by 50 delegates. Representation of other continents was not less impressive.

Infinite Worlds: Eighteenth-Century London, the Atlantic Ocean, and Post-Slavery in S.I. Martin's Incomparable World, Lawrence Hill's The Book of Negroes, David Dabydeen's A Harlot's Progress, and Thomas Wharton's Salamander

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John Clement Ball

2013-05-01

Full Text Available In Black London: Life before Emancipation (1995, Gretchen Holbrook Gerzina writes of how, on discovering that 15,000 Africans and their descendants were living in London in 1768, she was struck by a vision of her present-day London as 'suddenly occupied by two simultaneous centuries' (2 - an eighteenth-century city of black pageboys and entertainers, of black beggars and prostitutes and autobiographers, overlaying the late twentieth-century one like a ghostly palimpsest. In the same decade as Gerzina was articulating these spectral imaginings, four prominent black British novelists were similarly looking back to the eighteenth century - to the final decades of the British slave trade, to the Atlantic Ocean across and around which it took place, and to London, where the abolitionist cause was advanced. Caryl Phillips, S.I. Martin, David Dabydeen, and Fred D'Aguiar all published novels in the 1990s that have black protagonists and are set entirely or partly in the eighteenth-century metropolis. In the subsequent decade, two Canadian novelists did likewise: Lawrence Hill and Thomas Wharton both published historical novels featuring female ex-slaves that end up in London after long and circuitous oceanic journeys.[i] Since historical novels are always prompted by present-tense obsessions and therefore frequently gaze at two centuries simultaneously, how does this outpouring of eighteenth-century-oriented narrative reflect and enhance our contemporary understanding of slavery, the Atlantic world, and London? What geographies and identities, what forms of mobility and dwelling, what personal quests and local or global communities do these novels imagine for the imperial capital's black inhabitants at a time when the prevailing winds were blowing abolition and revolutionary political change across the Atlantic world? And how do these texts - transhistorical, transnational, circum-Atlantic visions of London echo - or anticipate - other postcolonial

Histopathology of Polymicrogyria

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Iga Fudyma

2015-12-01

Full Text Available Investigators from Sainte Justine Hospital (Montreal, Montreal Neurological Hospital and Institute, King's College Hospital (London, and John Radcliffe Hospital (Oxford retrospectively reviewed medical records, autopsy reports, and genetic studies containing “Polymicrogyria.”

The role of one large greenspace in mitigating London's nocturnal urban heat island.

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Doick, Kieron J; Peace, Andrew; Hutchings, Tony R

2014-09-15

The term urban heat island (UHI) describes a phenomenon where cities are on average warmer than the surrounding rural area. Trees and greenspaces are recognised for their strong potential to regulate urban air temperatures and combat the UHI. Empirical data is required in the UK to inform predictions on cooling by urban greenspaces and guide planning to maximise cooling of urban populations. We describe a 5-month study to measure the temperature profile of one of central London's large greenspaces and also in an adjacent street to determine the extent to which the greenspace reduced night-time UHI intensity. Statistical modelling displayed an exponential decay in the extent of cooling with increased distance from the greenspace. The extent of cooling ranged from an estimated 20 m on some nights to 440 m on other nights. The mean temperature reduction over these distances was 1.1 °C in the summer months, with a maximum of 4 °C cooling observed on some nights. Results suggest that calculation of London's UHI using Met Stations close to urban greenspace can underestimate 'urban' heat island intensity due to the cooling effect of the greenspace and values could be in the region of 45% higher. Our results lend support to claims that urban greenspace is an important component of UHI mitigation strategies. Lack of certainty over the variables that govern the extent of the greenspace cooling influence indicates that the multifaceted roles of trees and greenspaces in the UK's urban environment merit further consideration. Crown Copyright © 2014. Published by Elsevier B.V. All rights reserved.

Atmospheric chemistry and physics in the atmosphere of a developed megacity (London: an overview of the REPARTEE experiment and its conclusions

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R. M. Harrison

2012-03-01

Full Text Available The REgents PARk and Tower Environmental Experiment (REPARTEE comprised two campaigns in London in October 2006 and October/November 2007. The experiment design involved measurements at a heavily trafficked roadside site, two urban background sites and an elevated site at 160–190 m above ground on the BT Tower, supplemented in the second campaign by Doppler lidar measurements of atmospheric vertical structure. A wide range of measurements of airborne particle physical metrics and chemical composition were made as well as measurements of a considerable range of gas phase species and the fluxes of both particulate and gas phase substances. Significant findings include (a demonstration of the evaporation of traffic-generated nanoparticles during both horizontal and vertical atmospheric transport; (b generation of a large base of information on the fluxes of nanoparticles, accumulation mode particles and specific chemical components of the aerosol and a range of gas phase species, as well as the elucidation of key processes and comparison with emissions inventories; (c quantification of vertical gradients in selected aerosol and trace gas species which has demonstrated the important role of regional transport in influencing concentrations of sulphate, nitrate and secondary organic compounds within the atmosphere of London; (d generation of new data on the atmospheric structure and turbulence above London, including the estimation of mixed layer depths; (e provision of new data on trace gas dispersion in the urban atmosphere through the release of purposeful tracers; (f the determination of spatial differences in aerosol particle size distributions and their interpretation in terms of sources and physico-chemical transformations; (g studies of the nocturnal oxidation of nitrogen oxides and of the diurnal behaviour of nitrate aerosol in the urban atmosphere, and (h new information on the chemical composition and source apportionment of particulate

Where did the acute medical trainees go? A review of the career pathways of acute care common stem acute medical trainees in London.

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Gowland, Emily; Ball, Karen Le; Bryant, Catherine; Birns, Jonathan

2016-10-01

Acute care common stem acute medicine (ACCS AM) training was designed to develop competent multi-skilled acute physicians to manage patients with multimorbidity from 'door to discharge' in an era of increasing acute hospital admissions. Recent surveys by the Royal College of Physicians have suggested that acute medical specialties are proving less attractive to trainees. However, data on the career pathways taken by trainees completing core acute medical training has been lacking. Using London as a region with a 100% fill rate for its ACCS AM training programme, this study showed only 14% of trainees go on to higher specialty training in acute internal medicine and a further 10% to pursue higher medical specialty training with dual accreditation with internal medicine. 16% of trainees switched from ACCS AM to emergency medicine or anaesthetics during core ACCS training, and intensive care medicine proved to be the most popular career choice for ACCS AM trainees (21%). The ACCS AM training programme therefore does not appear to be providing what it was set out to do and this paper discusses the potential causes and effects. © Royal College of Physicians 2016. All rights reserved.

Socioeconomic and ethnic inequalities in exposure to air and noise pollution in London.

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Tonne, Cathryn; Milà, Carles; Fecht, Daniela; Alvarez, Mar; Gulliver, John; Smith, James; Beevers, Sean; Ross Anderson, H; Kelly, Frank

2018-06-01

Transport-related air and noise pollution, exposures linked to adverse health outcomes, varies within cities potentially resulting in exposure inequalities. Relatively little is known regarding inequalities in personal exposure to air pollution or transport-related noise. Our objectives were to quantify socioeconomic and ethnic inequalities in London in 1) air pollution exposure at residence compared to personal exposure; and 2) transport-related noise at residence from different sources. We used individual-level data from the London Travel Demand Survey (n = 45,079) between 2006 and 2010. We modeled residential (CMAQ-urban) and personal (London Hybrid Exposure Model) particulate matter pollution using quantile and logistic regression. We observed inverse patterns in inequalities in air pollution when estimated at residence versus personal exposure with respect to household income (categorical, 8 groups). Compared to the lowest income group (£75,000) had lower residential NO 2 (-1.3 (95% CI -2.1, -0.6) μg/m 3 in the 95th exposure quantile) but higher personal NO 2 exposure (1.9 (95% CI 1.6, 2.3) μg/m 3 in the 95th quantile), which was driven largely by transport mode and duration. Inequalities in residential exposure to NO 2 with respect to area-level deprivation were larger at lower exposure quantiles (e.g. estimate for NO 2 5.1 (95% CI 4.6, 5.5) at quantile 0.15 versus 1.9 (95% CI 1.1, 2.6) at quantile 0.95), reflecting low-deprivation, high residential NO 2 areas in the city centre. Air pollution exposure at residence consistently overestimated personal exposure; this overestimation varied with age, household income, and area-level income deprivation. Inequalities in road traffic noise were generally small. In logistic regression models, the odds of living within a 50 dB contour of aircraft noise were highest in individuals with the highest household income, white ethnicity, and with the lowest area-level income deprivation. Odds of living within a 50�

Emerging treatments for advanced pancreatic cancer: clinical potential of albumin-bound paclitaxel

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Fontana E

2014-06-01

Full Text Available Elisa Fontana, Francesco Sclafani, David Cunningham Department of Medicine, The Royal Marsden NHS Foundation Trust, London and Surrey, UK Abstract: The management of pancreatic cancer has historically represented a major challenge for oncologists. The inherent aggressiveness of this tumor and the fibrotic features of the surrounding stromal tissue have significantly limited the impact of standard chemotherapy. Moreover, the paucity of available tumor tissue has hampered a better understanding of the biology of this disease as well as the development of new treatment strategies. Recently, the therapeutic landscape of metastatic pancreatic cancer has been enriched by two new combination regimens (FOLFIRINOX and gemcitabine-nab-paclitaxel which have been demonstrated to improve the outcome in patients with good performance status. Moreover, the peritumoral stroma has been increasingly recognized as a potential therapeutic target for this disease, and several new agents targeting stromal components are currently under investigation. In this paper, we review the current treatment options for advanced pancreatic cancer, highlight the role of the peritumoral stroma, and discuss the clinical potential of nab-paclitaxel and antistromal treatment strategies. Keywords: pancreatic cancer, nab-paclitaxel, stroma, SPARC

Influences on hospital admission for asthma in south Asian and white adults: qualitative interview study.

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Griffiths, C; Kaur, G; Gantley, M; Feder, G; Hillier, S; Goddard, J; Packe, G

2001-10-27

To explore reasons for increased risk of hospital admission among south Asian patients with asthma. Qualitative interview study using modified critical incident technique and framework analysis. Newham, east London, a deprived area with a large mixed south Asian population. 58 south Asian and white adults with asthma (49 admitted to hospital with asthma, 9 not admitted); 17 general practitioners; 5 accident and emergency doctors; 2 out of hours general practitioners; 1 asthma specialist nurse. Patients' and health professionals' views on influences on admission, events leading to admission, general practices' organisation and asthma strategies, doctor-patient relationship, and cultural attitudes to asthma. South Asian and white patients admitted to hospital coped differently with asthma. South Asians described less confidence in controlling their asthma, were unfamiliar with the concept of preventive medication, and often expressed less confidence in their general practitioner. South Asians managed asthma exacerbations with family advocacy, without systematic changes in prophylaxis, and without systemic corticosteroids. Patients describing difficulty accessing primary care during asthma exacerbations were registered with practices with weak strategies for asthma care and were often south Asian. Patients with easy access described care suggesting partnerships with their general practitioner, had better confidence to control asthma, and were registered with practices with well developed asthma strategies that included policies for avoiding hospital admission. The different ways of coping with asthma exacerbations and accessing care may partly explain the increased risk of hospital admission in south Asian patients. Interventions that increase confidence to control asthma, confidence in the general practitioner, understanding of preventive treatment, and use of systemic corticosteroids in exacerbations may reduce hospital admissions. Development of more sophisticated

Advances in Monitoring, Modelling and Forecasting Volcanic Ash Plumes over the Past 5 Years and the Impact on Preparedness from the London VAAC Perspective

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Lee, D. S.; Lisk, I.

2015-12-01

Hosted and run by the Met Office, the London VAAC (Volcanic Ash Advisory Centre) is responsible for issuing advisories on the location and likely dispersion of ash clouds originating from volcanoes in the North East Atlantic, primarily from Iceland. These advisories and additional guidance products are used by the civil aviation community to make decisions on airspace flight management. London VAAC has specialist forecasters who use a combination of volcano source data, satellite-based, ground-based and aircraft observations, weather forecast models and dispersion models. Since the eruption of the Icelandic volcano Eyjafjallajökull in 2010, which resulted in the decision by many northern European countries to impose significant restrictions on the use of their airspace, London VAAC has been active in further developing its volcanic ash monitoring, modelling and forecasting capabilities, collaborating with research organisations, industry, other VAACs, Meteorological Services and the Volcano Observatory in Iceland. It has been necessary to advance operational capabilities to address evolving requirements, including for more quantitative assessments of volcanic ash in the atmosphere. Here we summarise advances in monitoring, modelling and forecasting of volcanic ash plumes over the past 5 years from the London VAAC perspective, and the realization of science into operations. We also highlight the importance of collaborative activities, such as the 'VAAC Best Practice' Workshop, where information is exchanged between all nine VAACs worldwide on the operational practices in monitoring and forecasting volcanic ash, with the aim of working toward a more harmonized service for decision makers in the aviation community. We conclude on an evaluation of how better we are prepared for the next significant ash-rich Icelandic eruption, and the challenges still remaining.

Early risk assessment for viral haemorrhagic fever: experience at the Hospital for Tropical Diseases, London, UK.

Science.gov (United States)

Woodrow, Charles J; Eziefula, Alice C; Agranoff, Dan; Scott, Geoffrey M; Watson, Julie; Chiodini, Peter L; Lockwood, Diana N J; Grant, Alison D

2007-01-01

To implement a policy of systematic screening for viral haemorrhagic fever (VHF) among travellers returning from African countries with fever, commencing at initial clinical contact. A protocol based on UK Advisory Committee on Dangerous Pathogens guidance was developed collaboratively by medical, nursing and laboratory staff. Audit was carried out to quantify resource demands and effects on time to diagnose malaria, the main differential diagnosis. A protocol is now implemented for all patients presenting to HTD with fever, with clear guidelines for interaction with clinical and laboratory staff at each stage. The protocol required moderate amounts of clinical and laboratory staff time and resulted in some additional hospital admissions. The time to a diagnosis of malaria increased from a median of 90 (range 50-125) min in patients without VHF risk to a median of 140 (range 101-225) min (p=0.0025) in those assessed as at risk. Although all acute medical services need to have robust procedures for early detection of patients with serious transmissible conditions, few implement such a policy. Our protocol requires increased human and other resources but has no important impact on the rapidity of diagnosis of malaria, and is now embedded in local practice.

The impact of introducing intensity modulated radiotherapy into routine clinical practice

International Nuclear Information System (INIS)

Miles, Elizabeth A.; Clark, Catharine H.; Urbano, M. Teresa Guerrero; Bidmead, Margaret; Dearnaley, David P.; Harrington, Kevin J.; A'Hern, Roger; Nutting, Christopher M.

2005-01-01

Background and purpose: Intensity modulated radiotherapy (IMRT) at Royal Marsden Hospital London was introduced in July 2001. Treatment delivery was dynamic using a single-phase technique. Concerns were raised regarding increased clinical workload due to introduction of new technology. The potential increased use of resources was assessed. Patients and methods: IMRT patient selection was within guidelines of clinical trials and included patients undergoing prostate plus pelvic lymph node (PPN) irradiation and head and neck cancer (HNC) treatment. Patient planning, quality assurance and treatment times were collected for an initial IMRT patient group. A comparative group of patients with advanced HNC undergoing two- or three-phase conventional radiotherapy, requiring matched photon and electron fields, were also timed. Results: The median overall total planning time for IMRT was greater for HNC patients compared to the PPN cohort. For HNC the overall IMRT planning time was significantly longer than for conventional. The median treatment time for conventional two- or three-phase HNC treatments, encompassing similar volumes to those treated with IMRT, was greater than that for the IMRT HNC patient cohort. A reduction in radiographer man hours per patient of 4.8 h was recorded whereas physics time was increased by 4.9 h per patient. Conclusions: IMRT currently increases overall planning time. Additional clinician input is required for target volume localisation. Physics time is increased, a significant component of this being patient specific QA. Radiographer time is decreased. For HNC a single phase IMRT treatment has proven to be more efficient than a multiple phase conventional treatment. IMRT has been integrated smoothly and efficiently into the existing treatment working day. This preliminary study suggests that IMRT could be a routine treatment with efficient use of current radiotherapy resources

Developing a physical activity legacy from the London 2012 Olympic and Paralympic Games: a policy-led systematic review.

Science.gov (United States)

Weed, Mike; Coren, Esther; Fiore, Jo; Wellard, Ian; Mansfield, Louise; Chatziefstathiou, Dikaia; Dowse, Suzanne

2012-03-01

There is no evidence that previous Olympic Games have raised physical activity levels in adult populations. However, it may be premature to assume that this lack of previous evidence for an inherent effect is an indication that there is no potential to proactively harness the Games to generate a physical activity or sport legacy. Given that the political goal of achieving a physical activity legacy had already been set, the policy-led aim of this systematic review was to examine the processes by which the London 2012 Olympic and Paralympic Games might deliver a physical activity (as opposed to sport) legacy. Searches were conducted on five databases: SPORTS DISCUS, CINAHL, PsychLNFO, MEDLINE and Web of Knowledge. There are two key findings: first, that communities that are not positively engaged with hosting the 2012 Games in London are likely to be beyond the reach of any initiatives seeking to harness the Games to develop legacies in any area; second, major events such as London 2012 can, if promoted in the right way, generate a 'festival effect' that may have the potential to be harnessed to promote physical activity among the least active. The 'festival effect' derives from the promotion of the 2012 Games as a national festival that is bigger than and beyond sport, but that is also rooted in the lives of local and cultural communities, thus creating a strong desire to participate in some way in an event that is both nationally significant and locally or culturally relevant. Physical activity policy makers and professionals should seek to satisfy this desire to participate through providing physical activity (rather than sport) opportunities presented as fun community events or programmes. The key to generating a physical activity legacy among the least active adults through this process is to de-emphasise the sporting element of the 2012 Games and promote the festival element.

‘Joined together there is power, sister’: Re-viewing feminist work from the London Film-makers’ Co-operative

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Sophie Mayer

2017-01-01

Full Text Available The 'From Reel to Real' season of programmes, the first retrospective of women filmmakers' work from the London Film-makers' Co-operative, curated by Maud Jacquin with Tate Modern and LUX, bring together three generations of filmmakers, and highlight the transmission of a political aesthetics that is both theoretically-informed and embodied.

Administering "Operation Pied Piper"--How the London County Council Prepared for the Evacuation of Its Schoolchildren 1938-1939

Science.gov (United States)

Gartner, Niko

2010-01-01

In September 1939, two days before declaring war on Germany, the British government evacuated over half a million children from London to supposedly safer areas in the country. Schoolchildren went there with their teachers and infants with their mothers. Immediately after the event (and ever since) the impact of the evacuation on the children--the…

Occupational therapy for stroke patients not admitted to hospital: a randomised controlled trial.

Science.gov (United States)

Walker, M F; Gladman, J R; Lincoln, N B; Siemonsma, P; Whiteley, T

1999-07-24

Patients who have a stroke are not always admitted to hospital, and 22-60% remain in the community, frequently without coordinated rehabilitation. We aimed to assess the efficacy of an occupational therapy intervention for patients with stroke who were not admitted to hospital. In this single-blind randomised controlled trial, consecutive stroke patients on a UK community register in Nottingham and Derbyshire were allocated randomly to up to 5 months of occupational therapy at home or to no intervention (control group) 1 month after their stroke. The aim of the occupational therapy was to encourage independence in personal and instrumental activities of daily living. Patients were assessed on outcome measures at baseline (before randomisation) and at 6 months. The primary outcome measure was the score on the extended activities of daily living (EADL) scale at 6 months. Other outcome measures included the Barthel index, the general health questionnaire 28, the carer strain index, and the London handicap scale. All assessments were done by an independent assessor who was unaware of treatment allocation. The analysis included only data from completed questionnaires. 185 patients were included: 94 in the occupational therapy group and 91 in the control group. 22 patients were not assessed at 6 months. At follow-up, patients who had occupational therapy had significantly higher median scores than the controls on: the EADL scale (16 vs 12, pstroke who were not admitted to hospital.

London forum targets Africa's cancer crisis

International Nuclear Information System (INIS)

2007-01-01

Full text: Africa stands on the brink of a cancer epidemic, with more than a million new cases a year by 2020. Raising awareness of the threat is one of the biggest challenges facing the global health community today. Finding solutions is an even greater one. The University of Oxford's Africa-Oxford Cancer Consortium (AfrOx), together with the International Atomic Energy Agency (IAEA), is assembling some of the world's most prominent cancer experts and policymakers in London, UK, on 10-11 May, 2007, to take up the challenge. Cancer care services in Africa are desperately limited. Life-saving radiotherapy, which is used effectively on more than 50% of cancer patients in the developed world, is available in only 21 of Africa's 53 countries, or to less than 20% of the total population. Lack of resources and basic infrastructure mean that millions of people have no access to cancer screening, early diagnosis, treatment or palliative care. Moreover, nearly 45% of cancer deaths in Africa are due to rampant viral infection, poor nutrition and widespread tobacco use. 'Many lives in Africa could be saved through prevention strategies and investments in comprehensive cancer control,' says Massoud Samiei, Head of the IAEA's Programme of Action for Cancer Therapy (PACT). 'PACT seeks to mobilize new resources and enable African countries to expand radiotherapy and cancer care in a sustainable manner.' The Cancer Control in Africa meeting will focus on Africa's deepening cancer crisis and develop strategies for much-needed national cancer control programmes. It will also act as a forum for cancer experts and health policymakers to evaluate priorities, guided by needs and available resources. By holding the meeting in London, the organizers hope to place the African problem at the forefront of the global health agenda and to enlist support and new funding from European governments to fight cancer in Africa through joint international programmes. 'We have a timely opportunity to

London forum targets Africa's cancer crisis

International Nuclear Information System (INIS)

2007-01-01

Full text: Africa stands on the brink of a cancer epidemic, with more than a million new cases a year by 2020. Raising awareness of the threat is one of the biggest challenges facing the global health community today. Finding solutions is an even greater one. The University of Oxford's Africa-Oxford Cancer Consortium (AfrOx), together with the International Atomic Energy Agency (IAEA), is assembling some of the world's most prominent cancer experts and policymakers in London, UK, on 10-11 May, 2007, to take up the challenge. Cancer care services in Africa are desperately limited. Life-saving radiotherapy, which is used effectively on more than 50% of cancer patients in the developed world, is available in only 21 of Africa's 53 countries, or to less than 20% of the total population. Lack of resources and basic infrastructure mean that millions of people have no access to cancer screening, early diagnosis, treatment or palliative care. Moreover, nearly 45% of cancer deaths in Africa are due to rampant viral infection, poor nutrition and widespread tobacco use. 'Many lives in Africa could be saved through prevention strategies and investments in comprehensive cancer control,' says Massoud Samiei, Head of the IAEA's Programme of Action for Cancer Therapy (PACT). 'PACT seeks to mobilize new resources and enable African countries to expand radiotherapy and cancer care in a sustainable manner.' The Cancer Control in Africa meeting will focus on Africa's deepening cancer crisis and develop strategies for much-needed national cancer control programmes. It will also act as a forum for cancer experts and health policymakers to evaluate priorities, guided by needs and available resources. By holding the meeting in London, the organizers hope to place the African problem at the forefront of the global health agenda and to enlist support and new funding from European governments to fight cancer in Africa through joint international programmes. 'We have a timely opportunity to

Estimating attendance for breast cancer screening in ethnic groups in London.

Science.gov (United States)

Renshaw, Christine; Jack, Ruth H; Dixon, Steve; Møller, Henrik; Davies, Elizabeth A

2010-03-25

Breast screening uptake in London is below the Government's target of 70% and we investigate whether ethnicity affects this. Information on the ethnicity for the individual women invited is unavailable, so we use an area-based method similar to that routinely used to derive a geographical measure for socioeconomic deprivation. We extracted 742,786 observations on attendance for routine appointments between 2004 and 2007 collected by the London Quality Assurance Reference Centre. Each woman was assigned to a lower super output (LSOA) based on her postcode of residence. The proportions of the ethnic groups within each LSOA are known, so that the likelihood of a woman belonging to White, Black and Asian groups can be assigned. We investigated screening attendance by age group, socioeconomic deprivation using the Index of Deprivation 2004 income quintile, invitation type and breast screening service. Using logistic regression analysis we calculated odds ratios for attendance based on ethnic composition of the population, adjusting for age, socioeconomic status, the invitation type and screening service. The unadjusted attendance odds ratios were high for the White population (OR: 3.34 95% CI [3.26-3.42]) and low for the Black population (0.13 [0.12-0.13]) and the Asian population (0.55 [0.53-0.56]). Multivariate adjustment reduced the differences, but the Black population remained below unity (0.47 [0.44-0.50]); while the White (1.30 [1.26-1.35]) and Asian populations (1.10 [1.05-1.15]) were higher. There was little difference in the attendance between age groups. Attendance was highest for the most affluent group and fell sharply with increasing deprivation. For invitation type, the routine recall was higher than the first call. There were wide variations in the attendance for different ethnic groups between the individual screening services. Overall breast screening attendance is low in communities with large Black populations, suggesting the need to improve

Sports injuries and illnesses during the London Summer Olympic Games 2012.

Science.gov (United States)

Engebretsen, Lars; Soligard, Torbjørn; Steffen, Kathrin; Alonso, Juan Manuel; Aubry, Mark; Budgett, Richard; Dvorak, Jiri; Jegathesan, Manikavasagam; Meeuwisse, Willem H; Mountjoy, Margo; Palmer-Green, Debbie; Vanhegan, Ivor; Renström, Per A

2013-05-01

The Olympic Movement Medical Code encourages all stakeholders to ensure that sport is practised without danger to the health of the athletes. Systematic surveillance of injuries and illnesses is the foundation for developing preventive measures in sport. To analyse the injuries and illnesses that occurred during the Games of the XXX Olympiad, held in London in 2012. We recorded the daily occurrence (or non-occurrence) of injuries and illnesses (1) through the reporting of all National Olympic Committee (NOC) medical teams and (2) in the polyclinic and medical venues by the London Organising Committee of the Olympic and Paralympic Games' (LOCOG) medical staff. In total, 10 568 athletes (4676 women and 5892 men) from 204 NOCs participated in the study. NOC and LOCOG medical staff reported 1361 injuries and 758 illnesses, equalling incidences of 128.8 injuries and 71.7 illnesses per 1000 athletes. Altogether, 11% and 7% of the athletes incurred at least one injury or illness, respectively. The risk of an athlete being injured was the highest in taekwondo, football, BMX, handball, mountain bike, athletics, weightlifting, hockey and badminton, and the lowest in archery, canoe slalom and sprint, track cycling, rowing, shooting and equestrian. 35% of the injuries were expected to prevent the athlete from participating during competition or training. Women suffered 60% more illnesses than men (86.0 vs 53.3 illnesses per 1000 athletes). The rate of illness was the highest in athletics, beach volleyball, football, sailing, synchronised swimming and taekwondo. A total of 310 illnesses (41%) affected the respiratory system and the most common cause of illness was infection (n=347, 46%). At least 11% of the athletes incurred an injury during the games and 7% of the athletes' an illness. The incidence of injuries and illnesses varied substantially among sports. Future initiatives should include the development of preventive measures tailored for each specific sport and the

Robillard, Amy E. and Ron Fortune (eds. Authorship Contested. Cultural Challenges to the Authentic Autonomous Author (New York, and London: Routledge, 2015

Directory of Open Access Journals (Sweden)

Alex Ciorogar

2016-12-01

Full Text Available A review of Amy E. Robillard and Ron Fortune's (eds Authorship Contested: Cultural Challenges to the Authentic Autonomous Author. New York, and London: Routledge, 2015. 214 pp. £100.

Business operations and decommissioning strategy for imperial college London research reactor 'Consort' - A financial risk management approach

International Nuclear Information System (INIS)

Franklin, S.J.; Gardner, D.; Mumford, J.; Lea, R.; Knight, J.

2005-01-01

Imperial College London (IC) operates commercially a 100 kW research reactor, and as site licensee is responsible for funding both operations and eventual decommissioning. With long lead times ahead urgent decisions on the future business options have had to be made in 2004/5 including choices on whether to move to early decommissioning, recognising the high costs entailed, or to pursue continuing operations involving life extension measures such as refuelling. To develop a coherent overall approach strategy a financial risk driven programme was initiated to help define a robust transparent business and termination case for the reactor. This study was carried out in collaboration with a UK firm of financial risk experts, PURE Risk Management Ltd (PURE), working within a dedicated IC London reactor project team. This work evaluated immediate closure options due to financial constraints or life limiting failures, and options for continuing operation extending to 2028. Decommissioning and clean up were reviewed. Bespoke financial models created single value cost outputs and ranges of probabilistic net present values (NPV) for decommissioning costs and financial provisions to meet those costs at various levels of risk acceptance and regulatory compliance. (author)

Chinese Identity in London-An Analysis from the Aspects of Cultural Heritage and Cultural Memory

Institute of Scientific and Technical Information of China (English)

SHEN Ning

2014-01-01

The basic aim of this study is to find out and understand the strength and inspira-tion behind the identity of Chinese in London , and how it has been maintained from the aspects of cul-tural heritage and cultural memory . “Individuals have always been capable of i-dentifying with different social groups and spatial scales” ( Ashworth et al.2007, 4); and further-more, as Sewell puts it , “culture exists only in and through practices” ( 1999 in Ashworth et al . 2007, 7).Therefore, the main methodology for researching Chinese identity in London will be through interviews and questionnaires , looking for answers by asking questions about the circum-stances of Chinese daily lives; at the same time , the ways of their maintenance will be explored fur-ther . The questionnaires were divided into mainly two groups of respondents:Chinese and non-Chi-nese, and they were done in Chinatown and in my volunteer group doing the placement at the Museum of London Docklands . The purpose of question-naires was to unearth general ideas about Chinese identity. The interviews were based on semi -struc-tured questions .The questions were based on the use of an “interview guide” ( Bernard 2006, 212 ) , which directed the conversation towards their daily lives , connections with China , living habits, social surroundings such as friends , and interests . Meanwhile , during the interviewing process, the respondents were also encouraged to feel free to talk more about other things that they would like to say . Through these interviews , a general description of Chinese lives in London could be drawn . When talking to interviewees about China-town, we find that it is a place connected with dai-ly life;whereas for non-Chinese , it is considered more as tourist or leisure site full of lanterns and an enormous variety of restaurants ( Masters et al . 2008, 67) .A lot of Chinese get jobs there in or-der to survive .Chinese go to Chinatown to buy food and commodities that are not

Habitual micronutrient intake during and after pregnancy in Caucasian Londoners.

Science.gov (United States)

Derbyshire, E; Davies, G J; Costarelli, V; Dettmar, P W

2009-01-01

Micronutrient status is of fundamental importance both upon conception and throughout pregnancy. There is an abundance of literature investigating nutrient intakes during individual trimesters of pregnancy but few studies have investigated baseline intakes of nutrients throughout gestation as a continuum. The current investigation set out to measure habitual micronutrient intakes at weeks 13, 25, 35 of pregnancy and 6 weeks postpartum using a prospective background information questionnaire, 4-7-day weighed food diary and postnatal questionnaire. Seventy-two primiparous, Caucasian Londoners were recruited at the study start with 42 completing the first, second, third trimester and postpartum study stages respectively. Study findings indicated that sodium intakes were significantly higher than UK guidelines throughout and after pregnancy (P pregnancy, but to varying levels of statistical significance (P health interventions may be required to help expectant mothers achieve an optimal diet, particularly after birth when dietary recommendations increase for some micronutrients.

Epidemiology of multiple sclerosis in London and Middlesex County, Ontario, Canada.

Science.gov (United States)

Hader, W J; Elliot, M; Ebers, G C

1988-04-01

A case-controlled epidemiologic study of multiple sclerosis (MS) was carried out in London, Ontario, and its surrounding Middlesex County for the period 1974-1983. The prevalence rates for clinically definite/probable MS on January 1, 1984 were 94/100,000 for the city and 91/100,000 for the county. The estimated annual incidence rate for the decade 1974-83 was 3.4/100,000. The female-to-male sex ratio was 2.5:1. A familial history of MS was recorded in 14.4% of close relatives and a total of 17% when distant relatives are included. The MS group is predominantly of British (70%) and European (23%) origin. The urban-rural residence pattern analysis indicates no significant regional influence on the risk of developing MS.

Health impact assessment as an agent of policy change: improving the health impacts of the mayor of London's draft transport strategy.

Science.gov (United States)

Mindell, J; Sheridan, L; Joffe, M; Samson-Barry, H; Atkinson, S

2004-03-01

To increase the positive and mitigate the negative health impacts of the mayor's draft transport strategy for London. A rapid prospective health impact assessment (HIA) of the penultimate draft of the strategy, using a review commissioned by the regional director of public health; an appraisal of congestion charging; and a participatory workshop. Two audits of changes were performed to assess the impact on policy of the HIA process. Regional government policy development. Recommendations from the rapid HIA were fed back into the drafting process. Changes (a) between the penultimate draft and the draft for public consultation and (b) between that and the final mayoral strategy. The draft transport strategy published for consultation differed in a number of respects from the previous version. Almost all the recommendations from the HIA were incorporated into the final strategy. Significant changes included promoting sustainable travel plans for workplaces and schools; giving priority to infrastructure and services that benefit London's deprived communities; increased emphasis on promoting walking and cycling and reducing reliance on private cars; and a commitment to track the health impacts of the final strategy and its implementation. Specific additions included re-allocating road space. HIA was successful in influencing the transport strategy for London, resulting in several improvements from a health viewpoint. HIA is an effective method both for bringing about significant change in policy proposals and in increasing policy makers' understanding of determinants of health and hence in changing attitudes of policy makers.

Segregation or "Thinking Black"?: Community Activism and the Development Of Black-Focused Schools in Toronto and London, 1968-2008

Science.gov (United States)

Johnson, Lauri

2013-01-01

Background/Context: On January 29, 2008 the Toronto District School Board (TDSB) approved a city-wide Africentric elementary school under their Alternative School policy, sparking a contentious debate. Calls for Black-focused schools also arose in 2008 in London in response to the disengagement of African Caribbean youth. The historical record…

East London Modified-Broset as Decision-Making Tool to Predict Seclusion in Psychiatric Intensive Care Units

OpenAIRE

Loi, Felice; Marlowe, Karl

2017-01-01

Seclusion is a last resort intervention for management of aggressive behavior in psychiatric settings. There is no current objective and practical decision-making instrument for seclusion use on psychiatric wards. Our aim was to test the predictive and discriminatory characteristics of the East London Modified-Broset (ELMB), to delineate its decision-making profile for seclusion of adult psychiatric patients, and second to benchmark it against the psychometric properties of the Broset Violenc...

Survey of gaseous air pollutants at selected UK sites: XX. Data digest for Central London Laboratory, 1984

Energy Technology Data Exchange (ETDEWEB)

Broughton, G.F.J.; Bower, J.; Drury, V.J.; Lilley, K.; Powell, K.

1987-01-01

Ambient air-quality measurements of six gaseous pollutants plus black smoke and particulate lead continued during 1984 at the Central London Laboratory. The data are presented here in the form of frequency distributions, averages, and other parameters for winter, summer, annual and monthly periods. Time-series graphs of pollutant concentrations for 1984 and of the historical data base between July 1972 and December 1984 are also included.

Census of mental hospital patients and life expectancy of those unlikely to be discharged.

Science.gov (United States)

Bewley, T; Bland, J M; Ilo, M; Walch, E; Willington, G

1975-12-20

A census in a London mental hospital was performed so that the numbers of patients requiring permanent care for the next 20 to 40 years could be estimated. Of 1467 resident patients 20% had been admitted in the preceding five months and 15% in the year before that. Of the 65% who had been in hospital for over 17 months 1% (16 patients) had been in hospital for over 5o years. Altogether 257 (18%) patients would probably be discharged, 339 (23%) might possibly be discharged if there were adequate community facilities, but 871 (59%) were not likely to be discharged; 239 patients under the age of 65 who had been admitted between 1950 and 1973 were unlikely to be discharged. There were about 10 new younger long-stay patients from each year's admissions. Three conditions--schizophrenia, organic brain syndrome, and affective illness--affected 79% of the population. Fourteen per cent had been employed on admission and 28% were considered employable or possibly employable. Half of those who might be considered for discharge (296) would need a hostel. No rehabilitation was needed or possible for 40% of the patients; 299 (20%) patients were chairbound or bedridden and 400 (27%) were totally dependent on nursing and 587 (40%) partly dependent. Twenty months after the census 361 (25%) patients had left (59 had been readmitted), 284 (19%) had died, and 822 (56%) had remained as inpatients. The most realistic future prediction was that 210 (14%) of these patients would still be in the hospital in 20 years and 43 (3%) in 40 years. In the light of these findings and the scarceness of resources current Department of Health and Social Security plans for phasing out mental hospitals must be challenged.

News of the European Society of Cardiology Congress (London, 28 August - 2 September 2015: old drugs may be better than the new ones

Directory of Open Access Journals (Sweden)

S. Yu. Martsevich

2015-11-01

Full Text Available News of the European Society of Cardiology Congress (London, 2015 is presented. The results of recent randomized controlled trials and observational studies (registers data are discussed.

News of the European Society of Cardiology Congress (London, 28 August - 2 September 2015: old drugs may be better than the new ones

Directory of Open Access Journals (Sweden)

S. Yu. Martsevich

2015-01-01

Full Text Available News of the European Society of Cardiology Congress (London, 2015 is presented. The results of recent randomized controlled trials and observational studies (registers data are discussed.

An EPR methodology for measuring the London penetration depth for the ceramic superconductors

Science.gov (United States)

Rakvin, B.; Mahl, T. A.; Dalal, N. S.

1990-01-01

The use is discussed of electron paramagnetic resonance (EPR) as a quick and easily accessible method for measuring the London penetration depth, lambda for the high T(sub c) superconductors. The method utilizes the broadening of the EPR signal, due to the emergence of the magnetic flux lattice, of a free radical adsorbed on the surface of the sample. The second moment, of the EPR signal below T(sub c) is fitted to the Brandt equation for a simple triangular lattice. The precision of this method compares quite favorably with those of the more standard methods such as micro sup(+)SR, Neutron scattering, and magnetic susceptibility.

Outcome of 235 renal transplant recipients followed up at ministry of health hospitals in the State of Johor.

Science.gov (United States)

Chan, A Y; Hooi, L S; Liu, W J

2001-03-01

Retrospective analysis was done on 235 recipients, 133 males and 102 females, who were transplanted between 25th September 1979 and 25th June 1999. 85.1% were Chinese, 7.7% were Indians and 7.2% Malays. 23% (54) were living related renal transplants (LRRT) all except 5 done at Hospital Kuala Lumpur. 60% (141) were living unrelated donor renal transplants (LURT) done in India. 17% (40) were cadaveric transplants (CADT) (all done in China except 2 at Hospital Kuala Lumpur and one in London). 97% (228) were first transplants. Primary renal disease was unknown in 69.4%, 17% (40) glomerulonephritis, 5.5% diabetic nephropathy and 8.1% 19 others. All were on prednisolone, 93.2% were on azathioprine and 96.6% were on cyclosporin A. The acute rejection rate was 23.4% (55 episodes). Patient survival was 88% at five years and patients alive with functioning graft was 84% at 5 years. LRRT had significantly better survival compared to LURT. 34 grafts were lost to chronic allograft nephropathy. 46 recipients died (33 died with functioning graft).

Impact on and use of health services by international migrants: questionnaire survey of inner city London A&E attenders

Science.gov (United States)

Hargreaves, Sally; Friedland, Jon S; Gothard, Philip; Saxena, Sonia; Millington, Hugh; Eliahoo, Joseph; Le Feuvre, Peter; Holmes, Alison

2006-01-01

Background Changing immigration trends pose new challenges for the UK's open access health service and there is considerable speculation that migrants from resource-poor countries place a disproportionate burden on services. Data are needed to inform provision of services to migrant groups and to ensure their access to appropriate health care. We compared sociodemographic characteristics and impact of migrant groups and UK-born patients presenting to a hospital A&E/Walk-In Centre and prior use of community-based General Practitioner (GP) services. Methods We administered an anonymous questionnaire survey of all presenting patients at an A&E/Walk-In Centre at an inner-city London hospital during a 1 month period. Questions related to nationality, immigration status, time in the UK, registration and use of GP services. We compared differences between groups using two-way tables by Chi-Square and Fisher's exact test. We used logistic regression modelling to quantify associations of explanatory variables and outcomes. Results 1611 of 3262 patients completed the survey (response rate 49.4%). 720 (44.7%) were overseas born, representing 87 nationalities, of whom 532 (73.9%) were new migrants to the UK (≤10 years). Overseas born were over-represented in comparison to local estimates (44.7% vs 33.6%; p immigration status' were: work permit (24.4%), EU citizens (21.5%), with only 21 (1.3%) political asylum seekers/refugees. 178 (11%) reported nationalities from refugee-generating countries (RGCs), eg, Somalia, who were less likely to speak English. Compared with RGCs, and after adjusting for age and sex, the Australians, New Zealanders, and South Africans (ANS group; OR 0.28 [95% CI 0.11 to 0.71]; p = 0.008) and the Other Migrant (OM) group comprising mainly Europeans (0.13 [0.06 to 0.30]; p = 0.000) were less likely to have GP registration and to have made prior contact with GPs, yet this did not affect mode of access to hospital services across groups nor delay access

Social and cultural impact of the London 2012 Olympic Games: a lecturers' and students' perspective.

OpenAIRE

Konstantaki, Maria; Faculty of Business at Akdeniz University; School of Sport, Leisure and Travel at Buckinghamshire New University

2009-01-01

Hosting the Olympic Games is often viewed as a means of raising a nation’s sporting profile as well as a tool for economic development, social regeneration and cultural integration. The purpose of this study was to explore the perceptions of lecturers and students in higher education on the social and cultural impact of the London 2012 Olympic Games. A purposive sample of one hundred respondents (lecturers, n=30; students, n=70) was used. 73.5 per cent of respondents were male and 32.5 per ce...

Challenges in access to health services and its impact on quality of life: a randomised population-based survey within Turkish speaking immigrants in London

Directory of Open Access Journals (Sweden)

Topal Kenan

2012-01-01

Full Text Available Abstract Background and aim There are a significant number of Turkish speaking immigrants living in London. Their special health issues including women's health, mental health, and alcohol and smoking habits has been assessed. The aim of this study was to explore the ongoing challenges in access to health care services and its impact on Quality of Life of immigrants. Material and methods This cross-sectional population-based study was conducted between March and August 2010 with Turkish immigrants (n = 416 living in London. Of these, 308 (74% were Turkish and 108 (26% were Turkish Cypriots. All healthy or unhealthy adults of 17-65 years of age were enrolled. A structured questionnaire with 44 items in five subcategories and 26-items WHOQOL BREF were used. Results Mean duration of stay for Turkish Cypriots (26.9 ± 13.9 years was significantly longer than Turkish immigrants (13.3 ± 7.5 (p Conclusions The results of this study demonstrate how the health and well-being of members of the Turkish speaking community living in London are affected by social aspects of their lives. Providing culturally competent care and interpretation services and advocacy may improve the accessibility of the health care.

'Care and Prevent': rationale for investigating skin and soft tissue infections and AA amyloidosis among people who inject drugs in London.

Science.gov (United States)

Harris, M; Brathwaite, R; McGowan, Catherine R; Ciccarone, D; Gilchrist, G; McCusker, M; O'Brien, K; Dunn, J; Scott, J; Hope, V

2018-05-08

Skin and soft tissue infections (SSTIs) are a leading cause of morbidity and mortality among people who inject drugs (PWID). International data indicate up to one third of PWID have experienced an SSTI within the past month. Complications include sepsis, endocarditis and amyloid A (AA) amyloidosis. AA amyloidosis is a serious sequela of chronic SSTI among PWID. Though there is a paucity of literature reporting on AA amyloidosis among PWID, what has been published suggests there is likely a causal relationship between AA amyloidosis and injecting-related SSTI. If left untreated, AA amyloidosis can lead to renal failure; premature mortality among diagnosed PWID is high. Early intervention may reverse disease. Despite the high societal and individual burden of SSTI among PWID, empirical evidence on the barriers and facilitators to injecting-related SSTI prevention and care or the feasibility and acceptability of AA amyloidosis screening and treatment referral are limited. This study aims to fill these gaps and assess the prevalence of AA amyloidosis among PWID. Care and Prevent is a UK National Institute for Health Research-funded mixed-methods study. In five phases (P1-P5), we aim to assess the evidence for AA amyloidosis among PWID (P1); assess the feasibility of AA amyloidosis screening, diagnostic and treatment referral among PWID in London (P2); investigate the barriers and facilitators to AA amyloidosis care (P3); explore SSTI protection and risk (P4); and co-create harm reduction resources with the affected community (P5). This paper describes the conceptual framework, methodological design and proposed analysis for the mixed-methods multi-phase study. We are implementing the Care and Prevent protocol in London. The systematic review component of the study has been completed and published. Care and Prevent will generate an estimate of AA amyloidosis prevalence among community recruited PWID in London, with implications for the development of screening

Austerity Urbanism and Olympic Counter-legacies: Gendering, Defending and Expanding the Urban Commons in East London

OpenAIRE

Gillespie, Tom; Hardy, Kate; Watt, Paul

2018-01-01

This article reflects on an occupation led by single mothers to contest the destruction of social housing in post-Olympics East London. In the process, it argues for a more gendered theorisation of the urban commons. Drawing on auto-ethnography, participant observation and qualitative interviews, the article argues three central points: First, that the occupation demonstrates the gendered nature of the urban commons and the leadership of women in defending them from enclosure; second that the...

Wintertime aerosol chemical composition, volatility, and spatial variability in the greater London area

Directory of Open Access Journals (Sweden)

L. Xu

2016-02-01

Full Text Available The composition of PM1 (particulate matter with diameter less than 1 µm in the greater London area was characterized during the Clean Air for London (ClearfLo project in winter 2012. Two high-resolution time-of-flight aerosol mass spectrometers (HR-ToF-AMS were deployed at a rural site (Detling, Kent and an urban site (North Kensington, London. The simultaneous and high-temporal resolution measurements at the two sites provide a unique opportunity to investigate the spatial distribution of PM1. We find that the organic aerosol (OA concentration is comparable between the rural and urban sites, but the contribution from different sources is distinctly different between the two sites. The concentration of solid fuel OA at the urban site is about twice as high as at the rural site, due to elevated domestic heating in the urban area. While the concentrations of oxygenated OA (OOA are well-correlated between the two sites, the OOA concentration at the rural site is almost twice that of the urban site. At the rural site, more than 70 % of the carbon in OOA is estimated to be non-fossil, which suggests that OOA is likely related to aged biomass burning considering the small amount of biogenic SOA in winter. Thus, it is possible that the biomass burning OA contributes a larger fraction of ambient OA in wintertime than what previous field studies have suggested. A suite of instruments was deployed downstream of a thermal denuder (TD to investigate the volatility of PM1 species at the rural Detling site. After heating at 250 °C in the TD, 40 % of the residual mass is OA, indicating the presence of non-volatile organics in the aerosol. Although the OA associated with refractory black carbon (rBC; measured by a soot-particle aerosol mass spectrometer only accounts for < 10 % of the total OA (measured by a HR-ToF-AMS at 250 °C, the two measurements are well-correlated, suggesting that the non-volatile organics have similar sources or have

Acheronta movebo. Resilencia y revolución en The Mexican (1911 de Jack London

Directory of Open Access Journals (Sweden)

Eduardo González de la Fuente

2016-07-01

Full Text Available Este artículo maneja uno de los relatos pugilísticos de Jack London, The Mexican (1911, para explorar el mundo del boxeo como lugar público de conflictos sociales e ideológicos identificados y significados en la proteica figura del boxeador. Así pues, el ring es susceptible de devenir y analizarse como un espacio de práctica política, de antagonismo y debate que, en su reglada exposición de violencias carnales y simbólicas, condensa una particular síntesis efectiva de corporalidades y discursos.

Nutrition Labeling and Portion Size Information on Children's Menus in Fast-Food and Table-Service Chain Restaurants in London, UK

Science.gov (United States)

Reeves, Sue; Wake, Yvonne; Zick, Andrea

2011-01-01

Objective: To investigate meals, price, nutritional content, and nutrition and portion size information available on children's menus in fast-food and table-service chain restaurants in London, since the United Kingdom does not currently require such information but may be initiating a voluntary guideline. Methods: Children's menus were assessed…

Comparison of municipal solid waste management systems in Canada and Ghana: A case study of the cities of London, Ontario, and Kumasi, Ghana

International Nuclear Information System (INIS)

Asase, Mizpah; Yanful, Ernest K.; Mensah, Moses; Stanford, Jay; Amponsah, Samuel

2009-01-01

Integrated waste management has been accepted as a sustainable approach to solid waste management in any region. It can be applied in both developed and developing countries. The difference is the approach taken to develop the integrated waste management system. This review looks at the integrated waste management system operating in the city of London, Ontario-Canada and how lessons can be drawn from the system's development and operation that will help implement a sustainable waste management system in the city of Kumasi, Ghana. The waste management system in London is designed such that all waste generated in the city is handled and disposed of appropriately. The responsibility of each sector handling waste is clearly defined and monitored. All major services are provided and delivered by a combination of public and private sector forces. The sustainability of the waste management in the city of London is attributed to the continuous improvement strategy framework adopted by the city based on the principles of integrated waste management. It is perceived that adopting a strategic framework based on the principles of integrated waste management with a strong political and social will, can transform the current waste management in Kumasi and other cities in developing countries in the bid for finding lasting solutions to the problems that have plagued the waste management system in these cities.

Imaging services at the Paralympic Games London 2012: analysis of demand and distribution of workload.

Science.gov (United States)

Bethapudi, Sarath; Campbell, Robert S D; Budgett, Richard; Willick, Stuart E; Van de Vliet, Peter

2015-01-01

Very little data have been published on medical imaging services at disability games. 7.9 million euros (£6.6 million, US$11 million) were invested in setting up radiology facilities within purpose built polyclinics at the London 2012 Olympic and Paralympic games. This paper details imaging services at the 2012 Paralympic Games. Data analysis on imaging at 2012 Olympics has been published in a separate paper. To analyse the workload on the polyclinics' radiology services, provided for the Paralympic athletes during the London 2012 Paralympic Games. Data were prospectively collected during the period of the Paralympic games from the Picture Archive Communications System (PACS) and the Radiological Information System (RIS). Data were correlated with the medical encounter database (ATOS). 655 imaging episodes were recorded, which comprised 38.8% (n=254) MRI, 33% (n=216) plain radiographs, 24% (n=157) ultrasound scans and 4.2% (n=28) CT scans. Investigations on the Paralympic athletes accounted for 65.2% of workload, with the remainder divided between Paralympic family and workforce. MRI was the most used imaging resource and CT was the least used imaging modality at the Paralympic village polyclinic. Analysis of demographic data provides a useful index for planning radiology infrastructure and manpower at future international competitions for athletes with a disability. 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.

Systematic literature review of hospital medication administration errors in children

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Ameer A

2015-11-01

Full Text Available Ahmed Ameer,1 Soraya Dhillon,1 Mark J Peters,2 Maisoon Ghaleb11Department of Pharmacy, School of Life and Medical Sciences, University of Hertfordshire, Hatfield, UK; 2Paediatric Intensive Care Unit, Great Ormond Street Hospital, London, UK Objective: Medication administration is the last step in the medication process. It can act as a safety net to prevent unintended harm to patients if detected. However, medication administration errors (MAEs during this process have been documented and thought to be preventable. In pediatric medicine, doses are usually administered based on the child's weight or body surface area. This in turn increases the risk of drug miscalculations and therefore MAEs. The aim of this review is to report MAEs occurring in pediatric inpatients. Methods: Twelve bibliographic databases were searched for studies published between January 2000 and February 2015 using “medication administration errors”, “hospital”, and “children” related terminologies. Handsearching of relevant publications was also carried out. A second reviewer screened articles for eligibility and quality in accordance with the inclusion/exclusion criteria. Key findings: A total of 44 studies were systematically reviewed. MAEs were generally defined as a deviation of dose given from that prescribed; this included omitted doses and administration at the wrong time. Hospital MAEs in children accounted for a mean of 50% of all reported medication error reports (n=12,588. It was also identified in a mean of 29% of doses observed (n=8,894. The most prevalent type of MAEs related to preparation, infusion rate, dose, and time. This review has identified five types of interventions to reduce hospital MAEs in children: barcode medicine administration, electronic prescribing, education, use of smart pumps, and standard concentration. Conclusion: This review has identified a wide variation in the prevalence of hospital MAEs in children. This is attributed to

Acute general hospital admissions in people with serious mental illness.

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Jayatilleke, Nishamali; Hayes, Richard D; Chang, Chin-Kuo; Stewart, Robert

2018-02-28

Serious mental illness (SMI, including schizophrenia, schizoaffective disorder, and bipolar disorder) is associated with worse general health. However, admissions to general hospitals have received little investigation. We sought to delineate frequencies of and causes for non-psychiatric hospital admissions in SMI and compare with the general population in the same area. Records of 18 380 individuals with SMI aged ⩾20 years in southeast London were linked to hospitalisation data. Age- and gender-standardised admission ratios (SARs) were calculated by primary discharge diagnoses in the 10th edition of the World Health Organization International Classification of Diseases (ICD-10) codes, referencing geographic catchment data. Commonest discharge diagnosis categories in the SMI cohort were urinary conditions, digestive conditions, unclassified symptoms, neoplasms, and respiratory conditions. SARs were raised for most major categories, except neoplasms for a significantly lower risk. Hospitalisation risks were specifically higher for poisoning and external causes, injury, endocrine/metabolic conditions, haematological, neurological, dermatological, infectious and non-specific ('Z-code') causes. The five commonest specific ICD-10 diagnoses at discharge were 'chronic renal failure' (N18), a non-specific code (Z04), 'dental caries' (K02), 'other disorders of the urinary system' (N39), and 'pain in throat and chest' (R07), all of which were higher than expected (SARs ranging 1.57-6.66). A range of reasons for non-psychiatric hospitalisation in SMI is apparent, with self-harm, self-neglect and/or reduced healthcare access, and medically unexplained symptoms as potential underlying explanations.

Biophysics of Water: A Working Conference.

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1981-09-15

R.J.W. Hefford Royal Free Hospital Unilever Research London, England Port Sunlight, England C. Gabriel H.C. Hempling Queens College Med. Univ. of...Goodfellow J.F. Holzwarth Birkbeck College F. Haber Inst. Berlin London, England Berlin, W. Germany G.W. Gould E. Hagelberg Unilever Research Univ. of

Modelling lead bioaccessibility in urban topsoils based on data from Glasgow, London, Northampton and Swansea, UK

International Nuclear Information System (INIS)

Appleton, J.D.; Cave, M.R.; Wragg, J.

2012-01-01

Predictive linear regression (LR) modelling between bioaccessible Pb and a range of total elemental compositions and soil properties was executed for the Glasgow, London, Northampton and Swansea urban areas in order to assess the potential for developing a national urban bioaccessible Pb dataset for the UK. LR indicates that total Pb is the only highly significant independent variable for estimating the bioaccessibility of Pb. Bootstrap resampling shows that the relationship between total Pb and bioaccessible Pb is broadly the same in the four urban areas. The median bioaccessible fraction ranges from 38% in Northampton to 68% in London and Swansea. Results of this study can be used as part of a lines of evidence approach to localised risk assessment but should not be used to replace bioaccessibility testing at individual sites where local conditions may vary considerably from the broad overview presented in this study. - Highlights: ► Total Pb is the only significant predictor for bioaccessible Pb in UK urban topsoils. ► Bootstrap resampling confirms relationship similar in four urban areas. ► Median bioaccessible fraction ranges from 38 to 68%. ► Results can be used for initial risk assessment in UK urban areas. - Total Pb is the only significant predictor for bioaccessible Pb in topsoils from four urban areas in the UK.

Estimating the influence of different urban canopy cover types on atmospheric particulate matter (PM10) pollution abatement in London UK.

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Tallis, Matthew; Freer-Smith, Peter; Sinnett, Danielle; Aylott, Matthew; Taylor, Gail

2010-05-01

In the urban environment atmospheric pollution by PM10 (particulate matter with a diameter less than 10 x 10-6 m) is a problem that can have adverse effects on human health, particularly increasing rates of respiratory disease. The main contributors to atmospheric PM10 in the urban environment are road traffic, industry and power production. The urban tree canopy is a receptor for removing PM10s from the atmosphere due to the large surface areas generated by leaves and air turbulence created by the structure of the urban forest. In this context urban greening has long been known as a mechanism to contribute towards PM10 removal from the air, furthermore, tree canopy cover has a role in contributing towards a more sustainable urban environment. The work reported here has been carried out within the BRIDGE project (SustainaBle uRban plannIng Decision support accountinG for urban mEtabolism). The aim of this project is to assess the fluxes of energy, water, carbon dioxide and particulates within the urban environment and develope a DSS (Decision Support System) to aid urban planners in sustainable development. A combination of published urban canopy cover data from ground, airborne and satellite based surveys was used. For each of the 33 London boroughs the urban canopy was classified to three groups, urban woodland, street trees and garden trees and each group quantified in terms of ground cover. The total [PM10] for each borough was taken from the LAEI (London Atmospheric Emissions Inventory 2006) and the contribution to reducing [PM10] was assessed for each canopy type. Deposition to the urban canopy was assessed using the UFORE (Urban Forest Effects Model) approach. Deposition to the canopy, boundary layer height and percentage reduction of the [PM10] in the atmosphere was assessed using both hourly meterological data and [PM10] and seasonal data derived from annual models. Results from hourly and annual data were compared with measured values. The model was then

Length of migration and eating habits of Portuguese university students living in London, United Kingdom.

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Vilela, Sofia; Santos, Susana; Padrão, Patrícia; Caraher, Martin

2014-01-01

Several studies have pointed adverse effects of long term migration on eating habits. Research is needed to understand if this effect occurs also with a short length of migration, as is the case of international students. Our aim was to evaluate the effect of short and long term migration on eating habits of Portuguese university students. Participants were 46 English and 55 Portuguese students from universities in London, United Kingdom. The findings from this study highlight the difficulties that Portuguese students faced in maintaining a traditional Mediterranean diet after moving to a Northern European environment.

Breast cancer awareness and barriers to symptomatic presentation among women from different ethnic groups in East London

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Forbes, L J L; Atkins, L; Thurnham, A; Layburn, J; Haste, F; Ramirez, A J

2011-01-01

Background: During 2001 to 2005, 1-year breast cancer survival was low in ethnically diverse East London. We hypothesised that this was due to low breast cancer awareness and barriers to symptomatic presentation, leading to late stage at diagnosis in women from ethnic minorities. We examined ethnic differences in breast cancer awareness and barriers to symptomatic presentation in East London. Methods: We carried out a population-based survey of 1515 women aged 30+ using the Cancer Research UK Breast Cancer Awareness Measure. We analysed the data using logistic regression adjusting for age group and level of deprivation. Results: South Asian and black women had lower breast cancer awareness than white women. South Asian women, but not black women, reported more emotional barriers to seeking medical help than white women. White women were more likely than non-white women to report worry about wasting the doctor's time as a barrier to symptomatic presentation. Conclusion: Interventions to promote early presentation of breast cancer for South Asian and black women should promote knowledge of symptoms and skills to detect changes, and tackle emotional barriers to symptomatic presentation and for white women tackle the idea that going to the doctor to discuss a breast symptom will waste the doctor's time. PMID:21989188

Making the middle classes on shifting ground? Residential status, performativity and middle-class subjectivities in contemporary London.

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Benson, Michaela; Jackson, Emma

2017-06-01

This paper argues that shifts in access to housing - both in relation to rental and ownership - disrupt middle-class reproduction in ways that fundamentally influence class formation. While property ownership has had a long association with middle-class identities, status and distinction, an increasingly competitive rental market alongside inflated property prices has impacted on expectations and anxieties over housing futures. In this paper, we consider two key questions: (1) What happens to middle-class identities under the conditions of this wider structural change? (2) How do the middle classes variously manoeuvre within this? Drawing on empirical research conducted in London, we demonstrate that becoming an owner-occupier may be fractured along lines of class but also along the axes of age, wealth and timing, particularly as this relates to the housing market. It builds on understandings of residential status and place as central to the formation of class, orienting this around the recognition of both people and place as mutable, emphasizing that changing economic and social processes generate new class positionalities and strategies for class reproduction. We argue that these processes are writ large in practices of belonging and claims to place, with wider repercussions within the urban landscape. © London School of Economics and Political Science 2017.

The Epidemiology of Injuries in Football at the London 2012 Paralympic Games.

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Webborn, Nick; Cushman, Daniel; Blauwet, Cheri A; Emery, Carolyn; Derman, Wayne; Schwellnus, Martin; Stomphorst, Jaap; Van de Vliet, Peter; Willick, Stuart E

2016-06-01

The epidemiology of injury in Paralympic football has received little attention. A study of all sports at the London 2012 Paralympic Games identified football 5-a-side as the sport with the highest injury rate, meriting further detailed analysis, which may facilitate the development of strategies to prevent injuries. To examine the injury rates and risk factors associated with injury in Paralympic football. Secondary analysis of a prospective cohort study of injuries to football 5-a-side and football 7-a-side athletes. London 2012 Paralympic Games. Participants included 70 football 5-a-side athletes and 96 football 7-a-side athletes. Athletes from all but one country chose to participate in this study. The Paralympic Injury and Illness Surveillance System was used to track injuries during the Games, with data entered by medical staff. Injury incidence rate (IR) and injury incidence proportion (IP). The overall IR for football 5-a-side was 22.4 injuries/1000 athlete-days (95% confidence interval [CI], 14.1-33.8) with an IP of 31.4 injuries per 100 athletes (95% CI, 20.9-43.6). In 5-a-side competition, 62.5% of injuries were associated with foul play. The overall IR for football 7-a-side was 10.4 injuries/1000 athlete-days (95% CI, 5.4-15.5), with an IP of 14.6 injuries per 100 athletes (95% CI, 7.5-21.6). The most commonly injured body region in both sports was the lower extremity. To our knowledge, this study is the first to examine IR and risk factors associated with injury in Paralympic football. Future studies are needed to determine mechanisms of injury and independent risk factors for injury, thus informing prevention strategies. Copyright © 2016 American Academy of Physical Medicine and Rehabilitation. Published by Elsevier Inc. All rights reserved.

Rickets in lion cubs at the London Zoo in 1889: some new insights.

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Chesney, Russell W; Hedberg, Gail

2009-05-01

In 1889, when Dr John Bland-Sutton, a prominent surgeon in London, England, was consulted concerning fatal rickets in more than 20 successive litters of lion cubs at the London Zoo, he evaluated the role of diet relative to the development of rickets. He prescribed goat meat and bones and cod-liver oil to be added to the lean horse-meat diet of the cubs and their mothers. Rickets reversed, the cubs survived, and litters were reared successfully. In classic controlled studies conducted in puppies and young rats 3 decades later, the crucial role of calcium, phosphate, and vitamin D in both prevention and therapy of rickets was elucidated. Later studies led to the identification of the structural features of vitamin D. Although the Bland-Sutton interventional diet obviously provides calcium and phosphate from bones and vitamin D from cod-liver oil, other benefits of this diet were not initially recognized. Chewing bones promotes tooth and gum health and removes bacteria-laden tartar. Cod-liver oil also contains vitamin A, which is essential for the prevention of infection and for epithelial cell health. Taurine-conjugated bile salts are also necessary for the intestinal absorption of fat-soluble vitamins, including A and D. Moreover, unlike dogs and rats, all feline species are unable to synthesize taurine yet can only conjugate bile acids with taurine. This sulfur-containing beta-amino acid must be provided in the carnivorous diet of a large cat. Taurine-conjugated bile salts were provided in the oil cold-pressed from cod liver. The now famous Bland-Sutton "experiment of nature," namely, fatal rickets in lion cubs, was cured by the addition of minerals and vitamin D. However, gum health and the presence of taurine-conjugated bile salts undoubtedly permitted absorption of vitamin A and D, the latter promoting the cure of rickets.

Entry and Accommodation in Airline Markets: Easyjet Caught in the Middle on the London-Grenoble Route

OpenAIRE

Cristina Barbot

2006-01-01

Low cost carriers (LCCs) have recently proved that they can develop aggressive behaviour towards the threat of new entrants. This paper analyses the theoretical conditions under which a low cost carrier can deter or accommodate entry by means of product proliferation, using the example of Easyjet on the London-Grenoble route. Theoretical conclusions show that they can only deter entry if they launch a service with a quality that is superior to the entrant’s and to their own previous one. Othe...

Radiation poisoning with Po-210 in London: The medical implications

International Nuclear Information System (INIS)

Perkins, A.C.

2007-01-01

Full text: The death of Alexander Litvinenko on 23 November 2006 has elevated the prospect of a deliberate radiation poisoning from a theoretical possibility to a reality. This was an unprecedented event in the UK. Poison that was certainly not the work of an amateur assassin was found, and it is possible that there have been previous killings of this nature outside the UK. Po-210 is a highly toxic radioactive heavy metal with a half-life of 138 days that decays, giving off 5.3MeV alpha particles having a range of 40-50mm in tissue. The poison was probably administered in a small volume of liquid or as a solid powder added to food or drink. Dispersal of the material resulted in widespread contamination that was detected across London and on British Airways' flights to the east. Following the event, the main task of the UK Health Protection Agency was of contamination monitoring and reassurance of the general public. With many researchers now investigating the use of targeted alpha therapy, this incident has highlighted the possible effects from the uptake of alpha emitters into the sensitive normal tissues. On reaching the bloodstream, Po- 210 is rapidly deposited in major organs and tissues including the liver, kidneys and bone marrow. The intense alpha radiation within these tissues would result in massive destruction of cells, leading to a rapid decline in health. It has been concluded that ingestion of 1-3 GBq or greater of Po-210 is likely to result in death within a few weeks, assuming there is 10% absorption to blood. Anyone receiving such doses would show symptoms of acute radiation sickness syndrome, with death resulting from multiple organ failure. Remedial medical treatment strategies would be unsuccessful within a few hours of ingestion, once significant amounts of Po-210 had entered the blood stream and deposited in tissues. The surreptitious nature of this act almost escaped detection. The fact that the nature of the poison was not known until the

Giovanni Niccolò Servandoni: his early education among Florence, Rome and London

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Francesco Guidoboni

2014-12-01

Full Text Available This research work – part of a phd thesis in co-supervision between the " Sapienza " University of Rome and the University of Paris 1 “Panthéon- Sorbonne” - has the objective of investigating the lesser-known aspects of the life of architect Giovanni Niccolò Servandoni, especially the period of his training in Florence and Rome, and the years when he lived in England before his arrival in Paris in 1724. At the same time he was painter, architect and decorator and his name was famous thanks to a large number of sets made for the Opéra and to the design of the façade of the church of Saint- Sulpice in Paris. During his life, Servandoni had the opportunity to travel throughout Europe, where he worked for the major courts of that time, from Paris to London, from Lisbon to Brussels, Vienna, Dresden and Stuttgart. The archival research allowed to make the major breakthroughs, such as the discovery of  the Servandoni stay in Rome between 1719 and 1720, in the Prince Vaini's palace, a man “entiérement attaché à la France” and related to the environment of the Capranica and d'Alibert theaters. This find let us to make some assumptions about his life and his contacts in the papal city. And yet, the study highlighted the strong relationship that he had with the english cultural environment during  his early stay in Rome, that convinced him to take the trip to London. Thanks to this research, Servandoni's complete work - so vaguely interpreted as an anticipation of the “goût à la grecque” and the revival of classicism of the late eighteenth century - is reinterpreted as the result of his training in Italy and England. It is indebted, in fact, that as well the classicism that characterized the Florentine architecture of that period as his close contact with the English Palladian circle and with the Wren, Vanbrugh and Hawksmoor works, exercised a great influence on him.

Forging a unique nursing partnership with China.

Science.gov (United States)

Munn, Flavia

2017-07-12

When members of a London nursing faculty forged a learning partnership with a Chinese counterpart they likely did not expect to be discussing the benefits of using Florence Nightingale lamps to decorate hospital walls. But there is nothing ordinary about the collaboration between King's College London and Nanjing Health School.

Estimating attendance for breast cancer screening in ethnic groups in London

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Møller Henrik

2010-03-01

Full Text Available Abstract Background Breast screening uptake in London is below the Government's target of 70% and we investigate whether ethnicity affects this. Information on the ethnicity for the individual women invited is unavailable, so we use an area-based method similar to that routinely used to derive a geographical measure for socioeconomic deprivation. Methods We extracted 742,786 observations on attendance for routine appointments between 2004 and 2007 collected by the London Quality Assurance Reference Centre. Each woman was assigned to a lower super output (LSOA based on her postcode of residence. The proportions of the ethnic groups within each LSOA are known, so that the likelihood of a woman belonging to White, Black and Asian groups can be assigned. We investigated screening attendance by age group, socioeconomic deprivation using the Index of Deprivation 2004 income quintile, invitation type and breast screening service. Using logistic regression analysis we calculated odds ratios for attendance based on ethnic composition of the population, adjusting for age, socioeconomic status, the invitation type and screening service. Results The unadjusted attendance odds ratios were high for the White population (OR: 3.34 95% CI [3.26-3.42] and low for the Black population (0.13 [0.12-0.13] and the Asian population (0.55 [0.53-0.56]. Multivariate adjustment reduced the differences, but the Black population remained below unity (0.47 [0.44-0.50]; while the White (1.30 [1.26-1.35] and Asian populations (1.10 [1.05-1.15] were higher. There was little difference in the attendance between age groups. Attendance was highest for the most affluent group and fell sharply with increasing deprivation. For invitation type, the routine recall was higher than the first call. There were wide variations in the attendance for different ethnic groups between the individual screening services. Conclusions Overall breast screening attendance is low in communities with

Geir Hønneland, Russia and the Arctic: Environment, Identity and Foreign Policy & Leif Christian Jensen, International Relations in the Arctic: Norway and the Struggle for Power in the New North (London/New York: IB Tauris, 2016

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Romain Chuffart

2017-03-01

Full Text Available A review of the books: Geir Hønneland, Russia and the Arctic: Environment, Identity and Foreign Policy (London/New York: IB Tauris, 2016; and Leif Christian Jensen, International Relations in the Arctic: Norway and the Struggle for Power in the New North (London/New York: IB Tauris, 2016

Tuberculosis and pregnancy--Results of a study in a high prevalence area in London.

Science.gov (United States)

Kothari, Anjali; Mahadevan, Neila; Girling, Joanna

2006-05-01

The aim of the study was to characterise the incidence, type and presentation of tuberculosis in pregnancy over a 5-year period in women booked for antenatal care in a District General Hospital located in a high prevalence area in London. We also aimed to identify any problems and difficulties in the diagnosis and management of tuberculosis associated with pregnancy. Retrospective review of computer records and hospital notes over a period of 5 years from January 1997 to December 2001. Demographic and clinical data were collected for all the cases identified. All women with tuberculosis who conceived on antituberculous treatment, or had onset of symptoms or diagnosis made in pregnancy or the immediate postpartum period (6 weeks), and booked for antenatal care at a District General Hospital located in an area of high prevalence for tuberculosis (52.2 per 100,000 population in Ealing, Hammersmith and Hounslow Health authority according to the National Tuberculosis Survey of England and Wales in 1998). Thirty-two women were identified over the 5-year period, giving an incidence of 252/100,000 deliveries. The number of cases increased from 3 in 1997 to 10 in each of 2000 and 2001. All of these women were from ethnic minorities and 88% of them were immigrants with the median interval from arrival in UK being 2 years. Fifty-three percent were diagnosed with extrapulmonary tuberculosis, 38% with pulmonary tuberculosis and 9% had both. The median duration of symptoms prior to presentation was 31 days (being longer in women with extrapulmonary tuberculosis); the longest was 10 years. The median interval from presentation of symptoms to diagnosis was 32 days and the majority of women started treatment immediately. The commonest reason for a delay in diagnosis was late presentation (52%), followed by non-specific symptoms (in 38%). There was a trend towards late presentation among recent immigrants (odds ratio 2.14, 95% confidence interval 0.44-10.53) and those having

Ethnic Disparities in Oral Health Related Quality of Life among Adults in London, England.

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Abdelrahim, R; Delgado-Angulo, E K; Gallagher, J E; Bernabé, E

2017-06-01

To explore ethnic disparities in oral health related quality of life (OHQoL) among adults, and the role that socioeconomic factors play in that association. Data from 705 adults from a socially deprived, ethnically diverse metropolitan area of London (England) were analysed for this study. Ethnicity was self-assigned based on the 2001 UK Census categories. OHQoL was measured using the Oral Health Impact Profile (OHIP-14), which provides information on the prevalence, extent and intensity of oral impacts on quality of life in the previous 12 months. Ethnic disparities were assessed in logistic regression models for prevalence of oral impacts and negative binomial regression models for extent and intensity of oral impacts. The prevalence of oral impacts was 12.7% (95% CI: 10.2-15.1) and the mean OHIP-14 extent and severity scores were 0.27 (95% CI: 0.20-0.34) and 4.19 (95% CI: 3.74-4.64), respectively. Black adults showed greater and Asian adults lower prevalence, extent and severity of oral impacts than White adults. However, significant differences were only found for the extent of oral impacts; Black adults reporting more and Asian adults fewer OHIP-14 items affected than their White counterparts. After adjustments for socioeconomic factors, Asian adults had significantly fewer OHIP-14 items affected than White adults (rate ratio: 0.28; 95%CI: 0.08-0.94). This study found disparities in OHQoL between the three main ethnic groups in South East London. Asian adults had better and Black adults had similar OHQoL than White adults after accounting for demographic and social factors. Copyright© 2017 Dennis Barber Ltd.

Social deprivation, inequality, and the neighborhood-level incidence of psychotic syndromes in East London.

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Kirkbride, James B; Jones, Peter B; Ullrich, Simone; Coid, Jeremy W

2014-01-01

Although urban birth, upbringing, and living are associated with increased risk of nonaffective psychotic disorders, few studies have used appropriate multilevel techniques accounting for spatial dependency in risk to investigate social, economic, or physical determinants of psychosis incidence. We adopted Bayesian hierarchical modeling to investigate the sociospatial distribution of psychosis risk in East London for DSM-IV nonaffective and affective psychotic disorders, ascertained over a 2-year period in the East London first-episode psychosis study. We included individual and environmental data on 427 subjects experiencing first-episode psychosis to estimate the incidence of disorder across 56 neighborhoods, having standardized for age, sex, ethnicity, and socioeconomic status. A Bayesian model that included spatially structured neighborhood-level random effects identified substantial unexplained variation in nonaffective psychosis risk after controlling for individual-level factors. This variation was independently associated with greater levels of neighborhood income inequality (SD increase in inequality: Bayesian relative risks [RR]: 1.25; 95% CI: 1.04-1.49), absolute deprivation (RR: 1.28; 95% CI: 1.08-1.51) and population density (RR: 1.18; 95% CI: 1.00-1.41). Neighborhood ethnic composition effects were associated with incidence of nonaffective psychosis for people of black Caribbean and black African origin. No variation in the spatial distribution of the affective psychoses was identified, consistent with the possibility of differing etiological origins of affective and nonaffective psychoses. Our data suggest that both absolute and relative measures of neighborhood social composition are associated with the incidence of nonaffective psychosis. We suggest these associations are consistent with a role for social stressors in psychosis risk, particularly when people live in more unequal communities.

Follow-up analysis of federal process of care data reported from three acute care hospitals in rural Appalachia

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Sills ES

2013-03-01

Full Text Available E Scott Sills,1,2 Liubomir Chiriac,3 Denis Vaughan,4 Christopher A Jones,5 Shala A Salem11Division of Reproductive Endocrinology, Pacific Reproductive Center, Irvine, CA, USA; 2Graduate School of Life Sciences, University of Westminster, London, UK; 3Department of Mathematics, California Institute of Technology, Pasadena, CA, USA; 4Department of Obstetrics and Gynaecology, School of Medicine, Royal College of Surgeons in Ireland, Dublin, Ireland; 5Global Health Economics Unit and Department of Surgery, Center for Clinical and Translational Science, University of Vermont College of Medicine, Burlington, VT, USABackground: This investigation evaluated standardized process of care data collected on selected hospitals serving a remote rural section of westernmost North Carolina.Methods: Centers for Medicare and Medicaid Services data were analyzed retrospectively for multiple clinical parameters at Fannin Regional Hospital, Murphy Medical Center, and Union General Hospital. Data were analyzed by paired t-test for individual comparisons among the three study hospitals to compare the three facilities with each other, as well as with state and national average for each parameter.Results: Centers for Medicare and Medicaid Services “Hospital Compare” data from 2011 showed Fannin Regional Hospital to have significantly higher composite scores on standardized clinical process of care measures relative to the national average, compared with Murphy Medical Center (P = 0.01 and Union General Hospital (P = 0.01. This difference was noted to persist when Fannin Regional Hospital was compared with Union General Hospital using common state reference data (P = 0.02. When compared with national averages, mean process of care scores reported from Murphy Medical Center and Union General Hospital were both lower but not significantly different (−3.44 versus −6.07, respectively, P = 0.54.Conclusion: The range of process of care scores submitted by acute care

Ali, Cunich: Halley's Churches: Halley and the London Queen Anne Churches

Science.gov (United States)

Ali, Jason R.; Cunich, Peter

2005-04-01

Edmond Halley's enormous contribution to science has received much attention. New research adds an intriguing chapter to his story and concerns his hitherto unexplored association with the baroque architectural visionary Nicholas Hawksmoor, and some important Temple-inspired churches that were built in London in the early 1700s. We argue that Christchurch Spitalfields and St Anne's Limehouse, which were both started in the summer of 1714, were aligned exactly eastwards using ``corrected'' magnetic-compass bearings and that Halley influenced or aided Hawksmoor. By this time the men had probably known each other for 30 years and had recently worked together on the Clarendon Building in Oxford. Despite there being more than 1500 years of Chinese and about 500 years of Western compass technology at the time, these probably represent the first constructions planned using a modern-day ``scientific'' technique. The research also throws light on Halley's contended religious position.

Infectious disease surveillance for the London 2012 Olympic and Paralympic Games.

Science.gov (United States)

Severi, E; Heinsbroek, E; Watson, C; Catchpole, M

2012-08-02

The London 2012 Olympic and Paralympic Games will be one of the largest mass gathering events in British history. In order to minimise potential infectious disease threats related to the event, the Health Protection Agency (HPA) has set up a suite of robust and multisource surveillance systems. These include enhancements of already established systems (notification of infectious diseases, local and regional reporting,laboratory surveillance, mortality surveillance, international surveillance, and syndromic surveillance in primary care), as well as new systems created for the Games (syndromic surveillance in emergency departments and out-of-hours/unscheduled care,undiagnosed serious infectious illness surveillance).Enhanced existing and newly established surveillance systems will continue after the Games or will be ready for future reactivation should the need arise. In addition to the direct improvements to surveillance, the strengthening of relationships with national and international stakeholders will constitute a major post-Games legacy for the HPA.

Standards for gene therapy clinical trials based on pro-active risk assessment in a London NHS Teaching Hospital Trust.

Science.gov (United States)

Bamford, K B; Wood, S; Shaw, R J

2005-02-01

Conducting gene therapy clinical trials with genetically modified organisms as the vectors presents unique safety and infection control issues. The area is governed by a range of legislation and guidelines, some unique to this field, as well as those pertinent to any area of clinical work. The relevant regulations covering gene therapy using genetically modified vectors are reviewed and illustrated with the approach taken by a large teaching hospital NHS Trust. Key elements were Trust-wide communication and involvement of staff in a pro-active approach to risk management, with specific emphasis on staff training and engagement, waste management, audit and record keeping. This process has led to the development of proposed standards for clinical trials involving genetically modified micro-organisms.

Predictors of hospitalized patients' intentions to prevent healthcare harm: a cross sectional survey.

Science.gov (United States)

Davis, R; Anderson, O; Vincent, C; Miles, K; Sevdalis, N

2012-04-01

Patients can play an important role in reducing healthcare harm but little is known about the factors that may affect patients' willingness to participate. In order to encourage the 'active' patient it is critical that we gain a deeper understanding of the antecedents of safety-relevant behaviours. Doing this will enable the implementation of effective interventions aimed at supporting patients to work with healthcare professionals in ensuring safe care. To examine predictors of patients' intentions to engage in two safety behaviours: (1) reminding healthcare staff to wash their hands and; (2) notifying healthcare staff if they are not wearing a hospital identification bracelet. Cross-sectional survey study. A purposive sampling method was employed to recruit 80 medical and surgical hospital inpatients aged 18-80 (mean 48) from one inner city London teaching hospital. A 42 item survey that measured the extent that patients' control beliefs, behavioural beliefs, normative beliefs and perceived susceptibility and severity towards a hospital-acquired infection or a misidentification error could predict their intentions to ask doctors/nurses about their hand washing compliance or notify doctors/nurses if they are not wearing a hospital identification bracelet. Data was analysed using multiple regression analysis. Control beliefs, normative beliefs and perceived severity were the strongest predictors of patients' intentions to participate in both behaviours. The regression models accounted for a smaller percentage of the variance in patients' intentions to ask doctors/nurses if they have washed their hands (42%/37%) than notifying staff if they were not wearing an identification bracelet (54%/56%). If patients understand why a behaviour is beneficial, they perceive it as acceptable to participate in and that they have control over the decision to engage in the behaviour, we hypothesise that more patients will intend to participate in that behaviour. When designing

Teaching Exchange Rate Risk Using London's Gherkin Building: How Investors Were in (and out of) a Pickle

Science.gov (United States)

Jones, Adam T.; Sackley, William H.; Watson, Ethan D.

2017-01-01

In this teaching note, the authors use an iconic London building, the Gherkin, as a motivation to understand exchange rates, cross exchange rates, and unhedged exchange rate risk. The famous tower was constructed in the early 2000s by Swiss Re, an insurance company, and then sold to investors as part of a sale-leaseback deal in early 2007.…

Sustainable cities: A research by McKinsey and Siemens on sustainable development in London

Energy Technology Data Exchange (ETDEWEB)

Denig, Stefan

2010-09-15

The research Sustainable Urban Infrastructure conducted by McKinsey and Company and Siemens assesses technological levers of varying effectiveness, and with different cost implications, which can all contribute to greater environmental sustainability in cities, drawing in particular on the example of London. It's the first comprehensive research focusing on technological and economic implications of a city's infrastructure management in the fields of energy, buildings and transportation. The encouraging message is that many of the levers to reduce energy consumption and CO2 emissions in urban agglomerations not only help protect the environment, but also pay back from an economic point of view.

Generation X Leaders from London, New York and Toronto: Conceptions of Social Identity and the Influence of City-Based Context

Science.gov (United States)

Edge, Karen; Descours, Katherine; Oxley, Laura

2017-01-01

Inspired by scholarly calls to focus more intently on the influence of context on leaders' construction and negotiation of identity, this paper draws on evidence from our Economic and Social Research Council (ESRC) project in London, New York City and Toronto. Throughout the paper, we strive to illuminate how the city-based context influences how…

Impact of London's road traffic air and noise pollution on birth weight: retrospective population based cohort study.

Science.gov (United States)

Smith, Rachel B; Fecht, Daniela; Gulliver, John; Beevers, Sean D; Dajnak, David; Blangiardo, Marta; Ghosh, Rebecca E; Hansell, Anna L; Kelly, Frank J; Anderson, H Ross; Toledano, Mireille B

2017-12-05

Objective  To investigate the relation between exposure to both air and noise pollution from road traffic and birth weight outcomes. Design  Retrospective population based cohort study. Setting  Greater London and surrounding counties up to the M25 motorway (2317 km 2 ), UK, from 2006 to 2010. Participants  540 365 singleton term live births. Main outcome measures  Term low birth weight (LBW), small for gestational age (SGA) at term, and term birth weight. Results  Average air pollutant exposures across pregnancy were 41 μg/m 3 nitrogen dioxide (NO 2 ), 73 μg/m 3 nitrogen oxides (NO x ), 14 μg/m 3 particulate matter with aerodynamic diameter noise levels were 58 dB and 53 dB respectively. Interquartile range increases in NO 2 , NO x , PM 2.5 , PM 10 , and source specific PM 2.5 from traffic exhaust (PM 2.5 traffic exhaust ) and traffic non-exhaust (brake or tyre wear and resuspension) (PM 2.5 traffic non-exhaust ) were associated with 2% to 6% increased odds of term LBW, and 1% to 3% increased odds of term SGA. Air pollutant associations were robust to adjustment for road traffic noise. Trends of decreasing birth weight across increasing road traffic noise categories were observed, but were strongly attenuated when adjusted for primary traffic related air pollutants. Only PM 2.5 traffic exhaust and PM 2.5 were consistently associated with increased risk of term LBW after adjustment for each of the other air pollutants. It was estimated that 3% of term LBW cases in London are directly attributable to residential exposure to PM 2.5 >13.8 μg/m 3 during pregnancy. Conclusions  The findings suggest that air pollution from road traffic in London is adversely affecting fetal growth. The results suggest little evidence for an independent exposure-response effect of traffic related noise on birth weight outcomes. 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.

nab-Paclitaxel/carboplatin in elderly patients with advanced squamous non-small cell lung cancer: a retrospective analysis of a Phase III trial

Directory of Open Access Journals (Sweden)

Gridelli C

2018-05-01

Full Text Available Cesare Gridelli,1 Tianlei Chen,2 Amy Ko,2 Mary E O’Brien,3 Teng Jin Ong,4 Mark A Socinski,5 Pieter E Postmus6 1Division of Medical Oncology, S. G. Moscati Hospital, Avellino, Italy; 2Biostatistics, Celgene Corporation, Summit, NJ, USA; 3Medical Oncology, Royal Marsden Hospital, London, UK; 4Medical Affairs, Celgene Corporation, Summit, NJ, USA; 5Lung Cancer & Esophageal Cancer, Florida Hospital Cancer Institute, Orlando, FL, USA; 6Pulmonary Diseases, Clatterbridge Cancer Center, Liverpool, UK Background: Limited data on elderly patients with squamous advanced non-small cell lung cancer (NSCLC preclude optimal treatment. Here, we report the outcomes of a retrospective analysis of a subset of patients ≥70 years with squamous histology from the Phase III trial that evaluated nab-paclitaxel/carboplatin vs paclitaxel/carboplatin. Patients and methods: Patients with stage IIIB/IV NSCLC received (1:1 nab-paclitaxel 100 mg/m2 on days 1, 8, and 15 or paclitaxel 200 mg/m2 on day 1, both with carboplatin area under the curve 6 mg×min/mL on day 1 every 3 weeks. The primary endpoint was independently assessed overall response rate as per the Response Evaluation Criteria in Solid Tumors v1.0. Secondary endpoints included progression-free survival, overall survival, and safety. Results: Sixty-five patients ≥70 years with squamous histology were included (nab-paclitaxel/carboplatin, n=35; paclitaxel/carboplatin, n=30. nab-Paclitaxel/carboplatin vs paclitaxel/carboplatin, respectively, resulted in an overall response rate of 46% vs 20% (response rate ratio, 2.29, P=0.029 and a median overall survival of 16.9 vs 8.6 months (hazard ratio, 0.50, P=0.018. No difference was observed in median progression-free survival (5.7 months for both. Incidences of grade 3/4 neutropenia (50% vs 63%, leukopenia (29% vs 37%, fatigue (3% vs 13%, and peripheral neuropathy (3% vs 13% were lower, but those of thrombocytopenia (21% vs 10% and anemia (21% vs 7% were higher with

'Holding the line': a qualitative study of the role of evidence in early phase decision-making in the reconfiguration of stroke services in London.

Science.gov (United States)

Fraser, Alec; Baeza, Juan I; Boaz, Annette

2017-06-09

Health service reconfigurations are of international interest but remain poorly understood. This article focuses on the use of evidence by senior managerial decision-makers involved in the reconfiguration of stroke services in London 2008-2012. Recent work comparing stroke service reconfiguration in London and Manchester emphasises the ability of senior managerial decision-makers in London to 'hold the line' in the crucial early phases of the stroke reconfiguration programme. In this article, we explore in detail how these decision-makers 'held the line' and ask what the broader power implications of doing so are for the interaction between evidence, health policy and system redesign. The research combined semi-structured interviews (n = 20) and documentary analysis of historically relevant policy papers and contemporary stroke reconfiguration documentation published by NHS London and other interested parties (n = 125). We applied a critical interpretive and reflexive approach to the analysis of the data. We identified two forms of power which senior managerial decision-makers drew upon in order to 'hold the line'. Firstly, discursive power, which through an emphasis on evidence, better patient outcomes, professional support and clinical credibility alongside a tightly managed consultation process, helped to set an agenda that was broadly receptive to the overall decision to change stroke services in the capital in a radical way. Secondly, once the essential parameters of the decision to change services had been agreed, senior managerial decision-makers 'held the line' through hierarchical New Public Management style power to minimise the traditional pressures to de-radicalise the reconfiguration through 'top down' decision-making. We problematise the concept of 'holding the line' and explore the power implications of such managerial approaches in the early phases of health service reconfiguration. We highlight the importance of evidence for senior managerial

Valstybės teatro baleto trupės gastrolės Monte Karle ir Londone 1935 metais

OpenAIRE

Šabasevičius, Helmutas

2011-01-01

The guest performance of the Ballet Company of Lithuanian State Theatre, which took place in Monte Carlo and London in 1935, is the exceptional cultural event of the history of Lithuanian theatre in the interwar period. It was organised with the help of Russian ballerina Vera Nemtchinova. The Lithuanian Ballet company performed in Monte Carlo in January 16-31, 1935, presenting three performances of "Raymonda" by Alexander Glazunov, two performances of "Coppelia" by Leo Delibes, two performanc...

Renal colic and childbirth pain: female experience versus male perception

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Miah S

2017-07-01

Full Text Available Saiful Miah,1,2 Charlotte Gunner,3 Lucy Clayton,4 Suresh Venugopal,5 Nigel R Boucher,5 Bo Parys61Division of Surgery and Interventional Science, University College London, London, UK; 2Urology Department, Charing Cross Hospital, Imperial College Healthcare NHS Trust, London, UK; 3Urology Department, Raigmore Hospital, Inverness, UK; 4Psychiatry Department, Highbury Hospital, Nottingham, UK; 5Urology Department, Chesterfield Royal Infirmary, Chesterfield, UK; 6Urology Department, Rotherham General Hospital, Rotherham, UKIntroductionRenal colic is often described by patients as the worst pain ever experienced.1 Pain during childbirth is also similarly described.2 To date, no study has comparatively evaluated the pain of renal colic to that of childbirth in female patients who have experienced both. Furthermore, no such study has evaluated the perception that men with renal colic have with respect to the pain experienced during childbirth. Here we present our cross-sectional observational study to address these questions. The primary objectives of our study were to answer these questions and highlight the severity of renal colic which is not always faced and treated aggressively.  

Impact of supply problems of preservative-free glaucoma medications on patients and hospital staff.

Science.gov (United States)

Shah, Shima; Theodossiades, Julia; Chapman, Kristin; Murdoch, Ian

2015-03-01

Glaucoma is a chronic ocular disease, which is usually managed with long-term daily medical therapy, in the form of eye drops. Patients who are intolerant to preservatives in topical medicines require preservative-free versions. From early 2011 patients attending Moorfields Eye Hospital, London, UK, started to report recurring problems with the supply of the following preservative-free glaucoma medications: Timolol 0.25% (Timoptol 0.25%, MSD UK); Dorzolamide (Trusopt, MSD UK); Dorzolamide and Timolol 0.5% (Cosopt, MSD UK). This study investigates the impact of the supply problems of these medications at Moorfields Eye Hospital from a patient, administrative and clinical perspective. Information was sought by interviewing both patients and hospital staff, and by a retrospective case note review between April 2010 and May 2013. Many hospital roles, both administrative and clinical, were involved in attempting to resolve the impact of the supply problems. All staff reported a considerable increase in their workload. At the peak of the problem, the glaucoma secretaries received about 150 enquiries per week. A review of 83 sets of patient notes, retrieved from a random sample of 125 patients, showed that 22% encountered a supply problem. Of these, more than one-third attended Moorfields Eye Hospital Accident & Emergency (A&E) for repeat supplies and 89% eventually had their medication changed. In telephone interviews with 39 of a random sample of 50 patients (a subset of the 83 notes retrieved), 59% of the interviewees reported a supply problem. Of these, one-third attended Moorfields Eye Hospital A&E for repeat supplies and half eventually required an alternative medication. Some patients reported going to considerable lengths to obtain ongoing supplies in the community. This study shows that medication supply problems can have a major impact on patients and hospital services. Supply problems occur across many fields of medicine and with increasing frequency. The

CyberLondon: A Virtual City for the Posthuman? Literary Reflections on the Changing Patterns of our Relationship with the Metropolis in the Information Era.

Directory of Open Access Journals (Sweden)

Maria Goicoechea de Joerge

2010-08-01

Full Text Available http://dx.doi.org/10.5007/1807-9288.2009v5n2p188 This paper explores the changing patterns of our relationship with the metropolis from the perspective of London-based writers that have shown an interest for cyberculture (Matt Whyman, Stella Duffy, Pat Cadigan, China Miéville. Taking as point of departure the collection of Internet stories edited by Maxim Jakubowski with authors from a variety of fields, including crime, mystery, science-fiction, fantasy, and even erotica, this paper will analyze how popular literature has understood the role of the city of London and its social networks in the new informational society. The theoretical approach used to read these short stories is indebted to the ideas of urban theorist and sociologist Manuel Castells and cyberculture theorist Donna Haraway.

Smokers’ use of electronic cigarettes in the month before and after hospitalization. Findings from helping hand 2 study.

Directory of Open Access Journals (Sweden)

Aleksandra Herbec

2017-05-01

Substantial minorities of smokers who planned to quit used e-cigarettes before and after a hospitalization, primarily to aid quitting, and despite receiving conventional cessation support post-discharge. However, e-cigarette use was intermittent and dual use with cigarettes was common. E-cigarette use was more common among smokers who relapsed soon after discharge and received less intensive cessation help. Funding The Helping HAND 2 trial was funded by NIH/NHLBI grant #R01-HL11821. AH is funded by British Heart Foundation 4-year PhD studentship at University College London. The funding organizations had no role in the design and conduct of the study; collection, management, analysis, and interpretation of the data; preparation, review, or approval of the manuscript; or decision to submit the manuscript for publication.

Your name is not good enough: introducing the ORCID researcher identifier at Imperial College London

Directory of Open Access Journals (Sweden)

Torsten Reimer

2015-11-01

Full Text Available The ORCID researcher identifier ensures that research outputs can always reliably be traced back to their authors. ORCID also makes it possible to automate the sharing of research information, thereby increasing data quality, reducing duplication of effort for academics and saving institutions money. In 2014, Imperial College London created ORCID identifiers (iDs for academic and research staff. This article discusses the implementation project in the context of the role of ORCID in the global scholarly communications system. It shows how ORCID can be used to automate reporting, help with research data publication and support open access (OA.

Volatility in the Housing Market: Evidence on Risk and Return in theLondon Sub-market

Directory of Open Access Journals (Sweden)

Steve Cook

2017-10-01

Full Text Available The impact of volatility in housing market analysis is reconsidered via examinaton ofthe risk-return relationship in the London housing market is examined. In addition to providing thefirst empirical results for the relationship between risk (as measured by volatility and returns forthis submarket, the analysis offers a more general message to empiricists via a detailed and explicitevaluation of the impact of empirical design decisions upon inferences. In particular, the negativerisk-return relationship discussed frequently in the housing market literature is examined and shown todepend upon typically overlooked decisions concerning components of the empirical framework fromwhich statistical inferences are drawn.

Imaging of plantar fascia and Achilles injuries undertaken at the London 2012 Olympics.

Science.gov (United States)

Elias, David A; Carne, Andrew; Bethapudi, Sarath; Engebretsen, Lars; Budgett, Richard; O'Connor, Philip

2013-12-01

Plantar fascia and distal Achilles injuries are common in elite athletes. Acute athletic injuries of the plantar fascia include acute plantar fasciopathy and partial or complete tears. Underlying most acute injuries is a background of underlying chronic plantar fasciopathy. Injuries may affect the central or less commonly lateral portions of the fascia and acute tears are generally proximal. Athletic Achilles injuries may occur at the mid tendon or the distal insertion, and there may be an underlying chronic tendinopathy. Acute or chronic paratendinopathy may occur as a separate entity or combined with Achilles injury. In this article, the spectrum of athletic injuries of the plantar fascia and Achilles is described, illustrated by imaging findings from the London 2012 Olympic games.

The impact of the congestion charging scheme on air quality in London. Part 1. Emissions modeling and analysis of air pollution measurements.

Science.gov (United States)

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

2011-04-01

On February 17, 2003, a congestion charging scheme (CCS*) was introduced in central London along with a program of traffic management measures. The scheme operated Monday through Friday, 7 AM to 6 PM. This program resulted in an 18% reduction in traffic volume and a 30% reduction in traffic congestion in the first year (2003). We developed methods to evaluate the possible effects of the scheme on air quality: We used a temporal-spatial design in which modeled and measured air quality data from roadside and background monitoring stations were used to compare time periods before (2001-2002) and after (2003-2004) the CCS was introduced and to compare the spatial area of the congestion charging zone (CCZ) with the rest of London. In the first part of this project, we modeled changes in concentrations of oxides of nitrogen (NOx), nitrogen dioxide (NO2), and PM10 (particles with a mass median aerodynamic diameter public transport associated with the CCS). In the second part of the project, we established a CCS Study Database from measurements obtained from the London Air Quality Network (LAQN) for air pollution monitors sited to measure roadside and urban background concentrations. Fully ratified (validated) 15-minute mean carbon monoxide (CO), nitric oxide (NO), NO2, NOx, PM10, and PM2.5 data from each chosen monitoring site for the period from February 17, 2001, to February 16, 2005, were transferred from the LAQN database. In the third part of our project, these data were used to compare geometric means for the 2 years before and the 2 years after the CCS was introduced. Temporal changes within the CCZ were compared with changes, over the same period, at similarly sited (roadside or background) monitors in a control area 8 km distant from the center of the CCZ. The analysis was confined to measurements obtained during the hours and days on which the scheme was in operation and focused on pollutants derived from vehicles (NO, NO2, NOx, PM10, and CO). This set of

SAJS SAJS

African Journals Online (AJOL)

appendix. There was a significantly increased risk of perforation at the extremes of age and in patients from outside East. London (63% v. 35% in East London). Those with perforated appendices stayed an average of 7.3 days in hospital, compared with 5 days for those with earlier appendicitis. Of the perforated group, 21% ...

Report of the twenty-first session, London, 18-22 February 1991

International Nuclear Information System (INIS)

1991-01-01

The Joint Group of Experts on the Scientific Aspects of Marine Pollution (GESAMP) held its twenty-first session at the Headquarters of the International Maritime Organization (IMO), London, from 18 to 22 February 1991. Marine pollution is primarily linked to coastal development. The most serious problems are those associated with inadequately controlled coastal development and intensive human settlement of the coastal zone. GESAMP emphasizes the importance of the following problems and issues: State of the marine environment; comprehensive framework for the assessment and regulation of waste disposal in the marine environment; information on preparations for the United Nations Conference on Environment and Development; review of potentially harmful substances: 1. Carcinogenic substances. 2. Mutagenic substances. 3. Teratogenic substances. 4. Organochlorine compounds. 5. Oil, and other hydrocarbons including used lubricating oils, oil spill dispersants and chemicals used in offshore oil exploration and exploitation; environmental impacts of coastal aquaculture; global change and the air/sea exchange of chemicals; future work programme

Tower of London test performance in children with poor arithmetic skills.

Science.gov (United States)

Sikora, M Darryn; Haley, Pat; Edwards, Jay; Butler, Robert W

2002-01-01

The Tower of London (TOL) has been used to assess executive functions in both children and adults with documented brain dysfunction. Like many other measures of executive function, it has not been widely used in the assessment of learning disabilities in children. However, if performance on the TOL discriminated among groups of children with different academic strengths and weaknesses, then it may be useful in identifying learning disability subtypes. The purpose of this study was to determine whether performance on the TOL would differ among 3 groups of children: those with arithmetic difficulties, those with reading difficulties, and those with no academic difficulties. The group with arithmetic difficulties exhibited significantly greater impairment on the TOL than either the group with reading difficulties or the group with no difficulties. The latter 2 groups performed similarly. The clinical utility of the TOL, as well as the relation between arithmetic deficits and executive functions, are discussed.

London and beyond: Taking a closer look at urban energy policy

International Nuclear Information System (INIS)

Keirstead, James; Schulz, Niels B.

2010-01-01

This paper considers the field of urban energy policy, a neglected yet important topic. Cities account for approximately two-thirds of global primary energy consumption creating significant benefits and costs. As a result there has been growing interest in the contribution of cities to global energy policy issues such as climate change but a number of significant questions remain: e.g. how do energy policy processes differ between national and urban scales, and how can cities contribute most effectively to global policy goals? We present the results of interviews with key stakeholders in London to illustrate some unique features of the urban energy policy cycle. We then take a wider view, proposing a research agenda with three key goals: describing the global variety of urban energy consumption and policy; understanding the resulting diversity in responsibility, vulnerability and capacity; and developing shared procedures and solutions. Tackling these questions is vital if cities are to contribute fully to current energy policy efforts.

The surgions mate the first compendium on naval medicine, surgery and drug therapy (London 1617) : edited and annotated by Irmgard Müller

CERN Document Server

2016-01-01

This book reproduces and comments John Woodall’s handbook which was used as standard text for medical treatment at sea in the seventeenth century and was the first instruction for medical service aboard on the whole. In 1612 the East India Company, founded in London 1600 and invested with special royal privileges and authority, appointed John Woodall as its first surgeon-general, who had gained great medical experience at theatres of war abroad. Woodall was appointed the task to radically reform the medical aid on sailing ships and to supervise the education of talented ship doctors. He was the first one to establish standardized regulations concerning the provision of instruments and medicaments on board. To this end he wrote an instructive manual for ship surgeons with the title “The Surgions Mate”, published in 1617 in London and edited repeatedly until 1655, listing essential instruments and remedies for the use at sea and providing detailed annotations. The manual’s particularities include notes ...

The Dutch and British public debate on Islam: responses to the killing of Theo van Gogh and the London bombings compared

NARCIS (Netherlands)

Vellenga, S.

2008-01-01

Since the beginning of this century, Islam has become the subject of an intensive debate within Europe. Major triggers of this debate were, in the Netherlands, the assassination of the filmmaker Theo van Gogh on 2 November 2004 and, in the UK, the London bombings on 7 July 2005. Both violent actions

Impact on and use of an inner-city London Infectious Diseases Department by international migrants: a questionnaire survey

OpenAIRE

Cooke, Graham; Hargreaves, Sally; Natkunarajah, Jana; Sandhu, Gurjinder; Dhasmana, Devesh; Eliahoo, Joseph; Holmes, Alison; Friedland, Jon S

2007-01-01

Abstract Background The UK has witnessed a considerable increase in immigration in the past decade. Migrant may face barriers to accessing appropriate health care on arrival and the current focus on screening certain migrants for tuberculosis on arrival is considered inadequate. We assessed the implications for an inner-city London Infectious Diseases Department in a high migrant area. Methods We administered an anonymous 20-point questionnaire survey to all admitted patients during a 6 week ...

Heather Shore, Artful Dodgers : Youth and Crime in early 19th century London

OpenAIRE

Ward, John

2007-01-01

Artful Dodgers : Youth and Crime in early 19th century LondonPar Heather ShoreThe Boydell press, Woodridge, 2002, 193 p. Cet ouvrage d’une historienne universitaire, dont la première édition date de 1999, se propose d’étudier l’émergence de la catégorie des « délinquants juvéniles » au cours de la première moitié du XIXème siècle. L’auteur compare les représentations de ces mineurs véhiculées par les autorités publiques, les réformateurs et dans l’opinion publique avec les réalités de leur vi...

Proceedings of the Seventh International Conference on Educational Data Mining (EDM) (7th, London, United Kingdom, July 4-7, 2014)

Science.gov (United States)

Stamper, John, Ed.; Pardos, Zachary, Ed.; Mavrikis, Manolis, Ed.; McLaren, Bruce M., Ed.

2014-01-01

The 7th International Conference on Education Data Mining held on July 4th-7th, 2014, at the Institute of Education, London, UK is the leading international forum for high-quality research that mines large data sets in order to answer educational research questions that shed light on the learning process. These data sets may come from the traces…

Pävi Naskali, Marjaana Seppänen & Shahnaj Begum (eds., Ageing, Wellbeing and Climate Change in the Arctic. An interdisciplinary analysis (London: Routledge, 2015

Directory of Open Access Journals (Sweden)

Hermann Óskarsson

2016-03-01

Full Text Available Book review of: Pävi Naskali, Marjaana Seppänen and Shahnaj Begum (eds., Ageing, Wellbeing and Climate Change in the Arctic. An interdisciplinary analysis (London: Routledge’s series on advances in climate change research, 2015

Familism and Social Inclusion: Hispanics in New London, Connecticut

Directory of Open Access Journals (Sweden)

Maria Amparo Cruz-Saco

2013-11-01

Full Text Available This paper analyzes the financial support and inclusiveness within Hispanic families in New London, Connecticut, and the causes of their social exclusion in the larger society. We designed and administered a survey of 114 items that was answered by 148 participants representing 1.3% of the non-Puerto Rican Hispanic population. Using factor analysis, we reduced a large number of items in two familism scores to four latent factors: "Financial Support for Family", "Obligation to Family", "Plan to Return", and "Filial Responsibility". We found that financial support for family and obligation to family are strongly endorsed by participants. Approximately one-half would return back to their home countries where they believe to be happier. One-fifth rejects this option. Three-quarters of participants remit money to family, parents in particular, who reside in countries of origin. In contrast to other studies, remitting money is not affected by any given personal characteristic such as gender, income or level of education. Similarly, participants remit irrespective of their degree of self-reported familism measured by scores on the latent factors. A large incidence of poverty among this population, lack of English proficiency, low skills, immigration status, and a lack of voice and political representation inhibit their social inclusion.

The use of an exclusion-based risk-assessment model for venous thrombosis improves uptake of appropriate thromboprophylaxis in hospitalized medical patients.

Science.gov (United States)

Bagot, C; Gohil, S; Perrott, R; Barsam, S; Patel, R K; Arya, R

2010-08-01

Venous thromboembolism is a common condition in hospitalized medical patients. Numerous studies have demonstrated that low molecular weight heparin significantly reduces this risk but, despite this, the use of thromboprophylaxis remains poor. To evaluate the use of an exclusion based risk-assessment model (RAM) for venous thrombosis in improving the uptake of appropriate thromboprophylaxis in hospitalized medical patients. A survey with a subsequent audit cycle of three separate audits over 36 months. 497 hospitalized patients with acute medical conditions on general medical wards were audited at a secondary care centre in London, UK. The survey and subsequent audits were performed by reviewing the notes and medication charts of medical patients, prior to the launch of the RAM and at 12, 28 and 36 months following its introduction. Prior to launching the RAM, 49% of hospitalized medical patients received appropriate thromboprophylaxis. This did not change 12 months after the RAM was introduced but increased significantly to 71% following formal education of the health care professionals involved in thromboprophylaxis prescription. This improvement was maintained as demonstrated by a subsequent audit 8 months later (75.9%). The introduction of a simple exclusion-based RAM for venous thrombosis in medical patients significantly improved delivery of thromboprophylaxis. The successful uptake of the RAM appears to have been dependent on direct education of those health carers involved in its use. A similar exclusion-based model used nationally could have a significant impact on the burden of VTE currently experienced in the UK.

Barriers to Exercise in Younger and Older Non-Exercising Adult Women: A Cross Sectional Study in London, United Kingdom

OpenAIRE

Ansari, Walid El; Lovell, Geoff

2009-01-01

A survey of 100 women in the south of London, United Kingdom (UK) compared exercise barrier intensities between non-exercising younger (20-27 years) and older (28-35 years) adult women; and examined childcare duties as perceived barriers to exercise. Perceived barriers to exercise were examined using an Exercise Benefits/Barriers Scale (EBBS) comprising four subscales (exercise milieu; time expenditure; physical exertion; family discouragement). Participants’ number of children was also noted...

Using information to deliver safer care: a mixed-methods study exploring general practitioners’ information needs in North West London primary care

Directory of Open Access Journals (Sweden)

Nikolaos Mastellos

2014-12-01

Full Text Available Background The National Health Service in England has given increasing priority to improving inter-professional communication, enabling better management of patients with chronic conditions and reducing medical errors through effective use of information. Despite considerable efforts to reduce patient harm through better information usage, medical errors continue to occur, posing a serious threat to patient safety.Objectives This study explores the range, quality and sophistication of existing information systems in primary care with the aim to capture what information practitioners need to provide a safe service and identify barriers to its effective use in care pathways.Method Data were collected through semi-structured interviews with general practitioners from surgeries in North West London and a survey evaluating their experience with information systems in care pathways.Results Important information is still missing, specifically discharge summaries detailing medication changes and changes in the diagnosis and management of patients, blood results ordered by hospital specialists and findings from clinical investigations. Participants identified numerous barriers, including the communication gap between primary and secondary care, the variable quality and consistency of clinical correspondence and the inadequate technological integration.Conclusion Despite attempts to improve integration and information flow in care pathways, existing systems provide practitioners with only partial access to information, hindering their ability to take informed decisions. This study offers a framework for understanding what tools should be in place to enable effective use of information in primary care. 

The London Charter and the Seville Principles as sources of requirements for e-archaeology systems development purposes

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Juan M. Carrillo Gea

2013-11-01

Full Text Available Requirements engineering (RE is a discipline of critical importance in software development. This paper provides a process and a set of software artefacts to help in the production of e-archaeology systems with emphasis on requirements reuse and standards. In particular, two important guidelines in the field of earchaeology, the London Charter and the Principles of Seville, have been shown as two sources of requirements to be considered as a starting point for developing this type of systems.

Expanding management and leadership education in medical schools

Directory of Open Access Journals (Sweden)

Chaudry A

2018-04-01

Full Text Available Aqib Chaudry, Amar Sodha, Ahmed Nur Faculty of Medicine, Imperial College London, London, UK We read with great interest the article by Rouhani et al1 exploring the perceptions, attitudes, and interest of UK medical students toward medical leadership. As medical students who recently completed an intercalated degree in health care management at Imperial College London, we can offer a unique perspective on this important issue.Authors' responseMaral J Rouhani,1 Eleanor J Burleigh,2 Chloe Hobbis,2 Charlotte Dunford,1 Nadir I Osman,3 Christine Gan,1 Norma B Gibbons,1 Hashim U Ahmed,1,4 Saiful Miah1,51Department of Urology, Imperial College Healthcare NHS Trust, Charing Cross Hospital, London, UK; 2Medical School, University of Sheffield, Sheffield, UK; 3Department of Urology, Royal Hallamshire Hospital, Sheffield, UK; 4Division of Surgery, Department of Surgery and Cancer, Imperial College London, London, UK; 5Division of Surgery and Interventional Science, University College London, London, UK We read with great interest the response to our article1 by Chaudry et al. Their group have contemporary insight and valuable experience in this subject which can be attributed to the intercalated degrees they have undertaken in health care management. We are acutely aware that very few UK medical schools actually offer such an intercalated degree. However, we believe the proposal of Singh et al2 of a compulsory health care management BSc is a counterproductive one. Basic science and clinically orientated intercalated degrees expose the medical student to research techniques and methodology. At their very core, they inspire the medical mind and are not designed to instruct all doctors to be academic research scientists, but rather ensure that every clinician’s mind is tuned to continually evaluate standard practice, and ask can we do better? View the original paper by Rouhani and colleagues.

The attitudes of general hospital doctors toward patients with comorbid mental illness.

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Noblett, Joanne E; Lawrence, Robert; Smith, Jared G

2015-01-01

What are the attitudes of general hospital doctors toward patients with comorbid mental illness? Do certain characteristics of the health professional related to attitude valence to patients with comorbid mental illness? An anonymous questionnaire was sent out to a cohort of doctors working in three General Hospitals in South West London. The questionnaire included vignettes to assess the respondents' attitudes toward eight patients presenting with a physical compliant with different clinical histories, including depression, schizophrenia, personality disorder, diabetes, and criminal behavior. A total of 52 participants completed the questionnaire; 40 females and 12 males. Across all domains, the most positive attitudes were held toward patients without a diagnosis of mental illness. The least positive attitudes were toward patients with schizophrenia, personality disorder, and those classified as "criminals," and negative attitudes relating to the unpredictability of patients was identified in these categories. There was no statistically significant difference in attitudes depending on age or level of training. However, female participants tended to endorse more positive attitudinal responses, most clearly toward patients with depression and heroin addiction. Negative attitudes of doctors were identified toward certain mental illness diagnoses and are likely to contribute the physical health disparity between patients with and without a comorbid mental illness. This raises the question as to how these attitudes can be changed in order to improve the parity of physical health care between patient with and without mental illness. © The Author(s) 2015.

Impact of a COPD discharge care bundle on readmissions following admission with acute exacerbation: interrupted time series analysis.

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Anthony A Laverty

Full Text Available We evaluated the impact of a COPD discharge care bundle on readmission rates following hospitalisation with an acute exacerbation.Interrupted time series analysis, comparing readmission rates for COPD exacerbations at nine trusts that introduced the bundle, to two comparison groups; (1 other NHS trusts in London and (2 all other NHS trusts in England. Care bundles were implemented at different times for different NHS trusts, ranging from October 2009 to April 2011.Nine NHS acute trusts in the London, England.Patients aged 45 years and older admitted to an NHS acute hospital in England for acute exacerbation of COPD. Data come from Hospital Episode Statistics, April 2002 to March 2012.Annual trend readmission rates (and in total bed days within 7, 28 and 90 days, before and after implementation.In hospitals introducing the bundle readmission rates were rising before implementation and falling afterwards (e.g. readmissions within 28 days +2.13% per annum (pa pre and -5.32% pa post (p for difference in trends = 0.012. Following implementation, readmission rates within 7 and 28 day were falling faster than among other trusts in London, although this was not statistically significant (e.g. readmissions within 28 days -4.6% pa vs. -3.2% pa, p = 0.44. Comparisons with a national control group were similar.The COPD discharge care bundle appeared to be associated with a reduction in readmission rate among hospitals using it. The significance of this is unclear because of changes to background trends in London and nationally.

Sport psychology consultants’ perceptions of their challenges at the London 2012 Olympic Games

DEFF Research Database (Denmark)

Elsborg, Peter; Diment, Greg; Elbe, Anne-Marie

2015-01-01

The objective of this study was to explore how sport psychology consultants perceive the challenges they face at the Olympic Games. Post-Olympics semistructured interviews with 11 experienced sport psychology consultants who worked at the London Games were conducted. The interviews were transcribed...... and inductively content analyzed. Trustworthiness was reached through credibility activities (i.e., member checking and peer debriefing). The participants perceived a number of challenges important to being successful at the Olympic Games. These challenges were divided into two general themes: Challenges Before...... the Olympics (e.g., negotiating one’s role) and Challenges During the Olympics (e.g., dealing with the media). The challenges the sport psychology consultants perceived as important validate and cohere with the challenge descriptions that exist in the literature. The findings extend the knowledge on sport...

Using complexity theory to analyse the organisational response to resurgent tuberculosis across London.

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Trenholm, Susan; Ferlie, Ewan

2013-09-01

We employ complexity theory to analyse the English National Health Service (NHS)'s organisational response to resurgent tuberculosis across London. Tennison (2002) suggests that complexity theory could fruitfully explore a healthcare system's response to this complex and emergent phenomenon: we explore this claim here. We also bring in established New Public Management principles to enhance our empirical analysis, which is based on data collected between late 2009 and mid-2011. We find that the operation of complexity theory based features, especially self-organisation, are significantly impacted by the macro context of a New Public Management-based regime which values control, measurement and risk management more than innovation, flexibility and lateral system building. We finally explore limitations and suggest perspectives for further research. Copyright © 2012 Elsevier Ltd. All rights reserved.

MINDING THEIR OWN BUSINESS: MARRIED WOMEN AND CREDIT IN EARLY EIGHTEENTH-CENTURY LONDON.

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Shepard, Alexandra

2015-12-01

Taking a micro-historical approach, this paper explores the business activities of Elizabeth Carter and Elizabeth Hatchett, two married women who operated together as pawnbrokers in London in the early decades of the eighteenth century. Based on a protracted inheritance dispute through which their extensive dealings come to light, the discussion assesses married women's lending and investment strategies in a burgeoning metropolitan economy; the networks through which women lenders operated; and the extent to which wives could sidestep the legal conventions of 'coverture' which restricted their ownership of moveable property. It is argued that the moneylending and asset management activities of women like Carter and Hatchett were an important part of married women's work that did not simply consolidate neighbourhood ties but that placed them at the heart of the early modern economy.

London atmospheric Hydrogen and Carbon Monoxide: 12 year record, fluxes, and diurnal studies.

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

2009-04-01

Atmospheric hydrogen (H2) and carbon monoxide (CO) have been measured at the Royal Holloway site, 30km WSW of London, for 12 years. This site receives air that has passed over London when there are easterly winds and cleaner, background air when the wind comes from the SW. H2 and CO mixing ratios are measured continuously at 30 minute intervals on a Trace Analytical Reduction Gas Detector coupled to a HP5890 GC since September 1996, and on a Peak Performer I (or PP1) since July 2007 at 5 minute intervals. Both instruments use 2 1/8" packed columns in series: a Unibeads 1S and a Molecular Sieve 5A. The PP1 detector (Reduced Compound Photometer) is an updated version of the old RGD2, and both use zero air as the carrier gas. CO is calibrated twice a month against NOAA-CMDL standards (mixing ratios range: 186 to 300 ppb). H2 was uncalibrated until 2006, but is now calibrated monthly against internal standards (range 530 to 750 ppb) measured at MPI-Jena as part of the Eurohydros project. A linearity correction is applied to each instrument, based on the standard measurements. A secondary standard is measured before each sample on the GC-RGD and another one is measured 4 to 6 times in a row twice a day on the PP1. A target gas is measured daily on both instruments since September 2008. The secondary standards and the target gas are dry ambient air in 70L stainless steel tanks filled to a pressure of 8 bars. Comparison of results from the two instruments suggests that for the most part the data are in good agreement, but an interlaboratory round robin comparison exercise for the Eurohydros project showed that the RGD is not linear at low values of CO. This is particularly noticeable for CO levels below 150 ppb. The long-term record of CO at Royal Holloway shows a significant decline since the start of the record: the annual mean CO mixing ratio in 2008 was three times lower than in 1997. Flux calculations, by ratio against 222Rn, CH4 and CO2, suggest CO emissions

Good governance and budget reform in Lesotho Public Hospitals: performance, root causes and reality.

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Vian, Taryn; Bicknell, William J

2014-09-01

Lesotho has been implementing financial management reforms, including performance-based budgeting (PBB) since 2005 in an effort to increase accountability, transparency and effectiveness in governance, yet little is known about how these efforts are affecting the health sector. Supported by several development partners and $24 million in external resources, the PBB reform is intended to strengthen government capacity to manage aid funds directly and to target assistance to pressing social priorities. This study designed and tested a methodology for measuring implementation progress for PBB reform in the hospital sector in Lesotho. We found that despite some efforts on the national level to promote and support reform implementation, staff at the hospital level were largely unaware of the purpose of the reform and had made almost no progress in transforming institutions and systems to fully realize reform goals. Problems can be traced to a complex reform design, inadequate personnel and capacity to implement, professional boundaries between financial and clinical personnel and weak leadership. The Lesotho reform experience suggests that less complex designs for budget reform, better adapted to the context and realities of health sectors in developing countries, may be needed to improve governance. It also highlights the importance of measuring reform implementation at the sectoral level. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine © The Author 2013; all rights reserved.

Modelling multiple hospital outcomes: the impact of small area and primary care practice variation

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Congdon Peter

2006-11-01

Full Text Available Abstract Background: Appropriate management of care – for example, avoiding unnecessary attendances at, or admissions to, hospital emergency units when they could be handled in primary care – is an important part of health strategy. However, some variations in these outcomes could be due to genuine variations in health need. This paper proposes a new method of explaining variations in hospital utilisation across small areas and the general practices (GPs responsible for patient primary care. By controlling for the influence of true need on such variations, one may identify remaining sources of excess emergency attendances and admissions, both at area and practice level, that may be related to the quality, resourcing or organisation of care. The present paper accordingly develops a methodology that recognises the interplay between population mix factors (health need and primary care factors (e.g. referral thresholds, that allows for unobserved influences on hospitalisation usage, and that also reflects interdependence between hospital outcomes. A case study considers relativities in attendance and admission rates at a North London hospital involving 149 small areas and 53 GP practices. Results: A fixed effects model shows variations in attendances and admissions are significantly related (positively to area and practice need, and nursing home patients, and related (negatively to primary care access and distance of patient homes from the hospital. Modelling the impact of known factors alone is not sufficient to produce a satisfactory fit to the observations, and random effects at area and practice level are needed to improve fit and account for overdispersion. Conclusion: The case study finds variation in attendance and admission rates across areas and practices after controlling for need, and remaining differences between practices may be attributable to referral behaviour unrelated to need, or to staffing, resourcing, and access issues. In

Establishing an emergency department syndromic surveillance system to support the London 2012 Olympic and Paralympic Games.

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Elliot, Alex J; Hughes, Helen E; Hughes, Thomas C; Locker, Thomas E; Shannon, Tony; Heyworth, John; Wapling, Andy; Catchpole, Mike; Ibbotson, Sue; McCloskey, Brian; Smith, Gillian E

2012-12-01

The London 2012 Olympic and Paralympic Games is a mass gathering event that will present a major public health challenge. The Health Protection Agency, in collaboration with the College of Emergency Medicine, has established the Emergency Department Sentinel Syndromic Surveillance System (EDSSS) to support the public health surveillance requirements of the Games. This feasibility study assesses the usefulness of EDSSS in monitoring indicators of disease in the community. Daily counts of anonymised attendance data from six emergency departments across England were analysed by patient demographics (age, gender, partial postcode), triage coding and diagnosis codes. Generic and specific syndromic indicators were developed using aggregations of diagnosis codes recorded during each attendance. Over 339,000 attendances were recorded (26 July 2010 to 25 July 2011). The highest attendances recorded on weekdays between 10:00 and 11:00 and on weekends between 12:00 and 13:00. The mean daily attendance per emergency department was 257 (range 38-435). Syndromic indicators were developed including: respiratory, gastrointestinal, cardiac, acute respiratory infection, gastroenteritis and myocardial ischaemia. Respiratory and acute respiratory infection indicators peaked during December 2010, concomitant with national influenza activity, as monitored through other influenza surveillance systems. The EDSSS has been established to provide an enhanced surveillance system for the London 2012 Olympics. Further validation of the data will be required; however, the results from this initial descriptive study demonstrate the potential for identifying unusual and/or severe outbreaks of infectious disease, or other incidents with public health impact, within the community.

Excessive nickel release from earrings purchased from independent shops and street markets--a field study from Warsaw and London.

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Thyssen, J P; Menné, T; Lidén, C; White, I R; White, J; Spiewak, R; Johansen, J D

2011-09-01

Nickel allergy is frequent and cause morbidity and increased health care costs. The aim of this study was to determine the proportion of inexpensive earrings randomly purchased from stores and street markets in two capitals that gave positive dimethylglyoxime (DMG) test reactions and to determine whether the degree of nickel release was related to shop category. Random inexpensive metallic earrings were purchased from stores and vendors in London and Warsaw. A qualitative investigation of nickel release by using the DMG test was performed. DMG testing revealed that respectively 15.1% (n=205) and 18.4% (n=206) of earrings purchased in London and Warsaw released nickel as indicated by positive test outcomes. Stratification by store category showed that DMG test-positive jewellery were mainly purchased from street markets and from stores that were not part of national or international chains. Despite the EU Nickel Directive having resulted in decreasing prevalence of nickel allergy, a large proportion of inexpensive earrings still release nickel in concentrations that may result in nickel allergy and dermatitis. Authorities should prioritize information campaigns and random inspections as a legislation that is not followed is of limited value. © 2010 The Authors. Journal of the European Academy of Dermatology and Venereology © 2010 European Academy of Dermatology and Venereology.

Transitions of Care from Child and Adolescent Mental Health Services to Adult Mental Health Services (TRACK Study: A study of protocols in Greater London

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Ford Tamsin

2008-06-01

Full Text Available Abstract Background Although young people's transition from Child and Adolescent Mental Health Services (CAMHS to Adult Mental Health Services (AMHS in England is a significant health issue for service users, commissioners and providers, there is little evidence available to guide service development. The TRACK study aims to identify factors which facilitate or impede effective transition from CAHMS to AMHS. This paper presents findings from a survey of transition protocols in Greater London. Methods A questionnaire survey (Jan-April 2005 of Greater London CAMHS to identify transition protocols and collect data on team size, structure, transition protocols, population served and referral rates to AMHS. Identified transition protocols were subjected to content analysis. Results Forty two of the 65 teams contacted (65% responded to the survey. Teams varied in type (generic/targeted/in-patient, catchment area (locality-based, wider or national and transition boundaries with AMHS. Estimated annual average number of cases considered suitable for transfer to AMHS, per CAMHS team (mean 12.3, range 0–70, SD 14.5, n = 37 was greater than the annual average number of cases actually accepted by AMHS (mean 8.3, range 0–50, SD 9.5, n = 33. In April 2005, there were 13 active and 2 draft protocols in Greater London. Protocols were largely similar in stated aims and policies, but differed in key procedural details, such as joint working between CAHMS and AMHS and whether protocols were shared at Trust or locality level. While the centrality of service users' involvement in the transition process was identified, no protocol specified how users should be prepared for transition. A major omission from protocols was procedures to ensure continuity of care for patients not accepted by AMHS. Conclusion At least 13 transition protocols were in operation in Greater London in April 2005. Not all protocols meet all requirements set by government policy. Variation in

Australian Modernists in London: William Dobell’s The Dead Landlord and Patrick White’s The Ham Funeral

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Denise Varney

2016-09-01

Full Text Available When Patrick White was awarded the Nobel Prize for Literature in 1973, it was primarily for his novels. Less well recognised is the significance of White’s dramatic literature and his involvement in the theatre. This article offers a new analysis of White’s first notable breakthrough into theatre and drama, The Ham Funeral, which he wrote in postwar London and which was produced in Adelaide in 1961. This article argues that a modernist idiom of 20th-century Australian drama can be found in this play that laid the groundwork for a poetics of language, image and theatricality. The play’s aesthetic modernism is found primarily in the blend of expressionist and surrealist elements, the poetic language, the alienated creative subject and the representation of sexuality and the unconscious. White’s thematics also become political, concerned with power, masculinity and gendered assumptions about rationality and emotion, poetry and the body. Having lived in London during the interwar years, White was also part of the networks that included Australian-born artists, and he was exposed to influences from visual arts as well as theatre. Of these, the artist William Dobell was central to the genesis of The Ham Funeral, as was the Polish-born modernist artist S. Ostoja-Kotkowski, who was critical to the design of the brooding expressionist set that set the standard for subsequent stage realisations of the play.

Partnerships in Pharma--An Economist Intelligence Unit Seminar--Building Innovation into Alliances and Business Models. 1 October 2010, London, UK.

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Kibble, Alexandra

2010-12-01

The Partnerships in Pharma seminar, held in London, included topics related to building innovation into alliances and business models within the pharmaceutical industry. This conference report highlights selected presentations on strategies for successful partnering, partnering alongside an evolving CRO industry, considering the pharma value chain, and partnerships between industry and academia. Approaches used by Ipsen, Merck Serono, Pfizer and ViiV Healthcare are also described.

Greeks, British Greek Cypriots and Londoners: a comparison of morbidity.

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Mavreas, V G; Bebbington, P E

1988-05-01

This paper reports the results of a comparison of the rates of psychiatric disorder from three general population surveys in which the PSE-ID-CATEGO system was used for case-definition. These surveys were of an English sample in Camberwell, London, and of two Greek samples, the first in Athens, the second of Greek Cypriot immigrants living in Camberwell. The results show that the rates of psychiatric disorders in both Greek samples were somewhat higher than those of the Camberwell population, the differences being accounted for by higher rates of anxiety disorders, especially in women. Comparisons in terms of syndrome profiles showed that Greeks reported more symptoms of generalized anxiety than their English counterparts who, in their turn, reported higher rates of obsessive symptoms, and symptoms of social anxiety. The higher rates in the Greek samples were possibly due to an increased frequency of non-specific neurotic symptoms like worrying and tension. The results of other European community surveys with the PSE suggest that there might be a genuine and general North-South difference in the expression of psychological distress. Cultural differences in terms of personality traits and culturally sanctioned child rearing practices might account for the findings.

Child malnutrition – from Hospital to clinical practice – the experience of Tanzania and Uganda

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Alexandra Vasconcelos

2016-12-01

Full Text Available In recent years, there has been a global effort to tackle the problem of child malnutrition that is still the underlying cause of death of at least 3.1 million children annually. Uganda and Tanzania are among the 22 countries with higher prevalence of child malnutrition. However, these two countries are true examples of how it is possible to reduce this scourge through simple, low-cost strategies. In 2010 I had the opportunity to learn and understand childhood malnutrition through a postgraduate course in Tanzania and Uganda – the East African Short Course in Tropical Medicine from London School of Hygiene and Tropical Medicine (LSHTM. Beginning with a review of concepts and definitions of childhood malnutrition and the links between development and nutrition, this article moves on to summarise a learning experience from Uganda and Tanzania related to the progress and effectiveness of ‘hospital-based” and ‘community-specific’ interventions.

Life in the shadow of the 2012 olympics: an ethnography of the host borough of the London games

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Lindsay, Iain

2013-01-01

This thesis was submitted for the degree of Doctor of Philosophy and awarded by Brunel University. On 6th July 2005 the London Olympic bidding committee won the right to host the 2012 Olympic Games. Some seven years later London’s Olympic venues were built on time, Team GB accumulated an unprecedented medal haul and no significant security incidents occurred. These outcomes facilitated an understandable positive evaluation of the 2012 Games. It would be churlish not to be positive; Olympic...

Life expectancy at birth for people with serious mental illness and other major disorders from a secondary mental health care case register in London.

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Chin-Kuo Chang

Full Text Available Despite improving healthcare, the gap in mortality between people with serious mental illness (SMI and general population persists, especially for younger age groups. The electronic database from a large and comprehensive secondary mental healthcare provider in London was utilized to assess the impact of SMI diagnoses on life expectancy at birth.People who were diagnosed with SMI (schizophrenia, schizoaffective disorder, bipolar disorder, substance use disorder, and depressive episode/disorder before the end of 2009 and under active review by the South London and Maudsley NHS Foundation Trust (SLAM in southeast London during 2007-09 comprised the sample, retrieved by the SLAM Case Register Interactive Search (CRIS system. We estimated life expectancy at birth for people with SMI and each diagnosis, from national mortality returns between 2007-09, using a life table method.A total of 31,719 eligible people, aged 15 years or older, with SMI were analyzed. Among them, 1,370 died during 2007-09. Compared to national figures, all disorders were associated with substantially lower life expectancy: 8.0 to 14.6 life years lost for men and 9.8 to 17.5 life years lost for women. Highest reductions were found for men with schizophrenia (14.6 years lost and women with schizoaffective disorders (17.5 years lost.The impact of serious mental illness on life expectancy is marked and generally higher than similarly calculated impacts of well-recognised adverse exposures such as smoking, diabetes and obesity. Strategies to identify and prevent causes of premature death are urgently required.