WorldWideScience

Sample records for scotland

  1. Filmmaking in Scotland

    OpenAIRE

    Archibald, David

    2014-01-01

    In this short paper, I attempt to lay out the current state of film-making in Scotland before addressing four separate but connected issues: film funding, a film studio, the \\ud filmmaking community’s attitude towards Creative Scotland, and film education.

  2. Teacher Education in Scotland

    Science.gov (United States)

    Munn, Pamela

    2006-01-01

    Using the notion of travelling global policy, this paper discusses the ways in which teacher education in Scotland has responded to world-wide demands on school systems. It highlights the embedded practices which have resisted an unequivocal move to a market-based approach in initial teacher education and contrasts this with approaches to…

  3. Knowledge Exchange with Sistema Scotland

    Science.gov (United States)

    Allan, Julie; Moran, Nikki; Duffy, Celia; Loening, Gica

    2010-01-01

    This paper reports on a knowledge exchange project, funded by the Scottish Funding Council and undertaken by a group of researchers from three higher education institutions in Scotland and the project partner, Sistema Scotland. This newly established charity is attempting to implement a major programme of social change, developed in Venezuela,…

  4. Windfarms and telecommunications towers (Scotland)

    International Nuclear Information System (INIS)

    Munro, Hector; Kellett-Bowman, Elaine; Harris, David

    1996-01-01

    A debate in the United Kingdom House of Commons on the environmental impact of windfarms and telecommunications towers in Scotland is reported. Concern was expressed over the adverse visual impact of such structures in rural areas which are often of considerable natural beauty. Counter arguments were based on the positive effects of new technology. The need to reconcile environmental protection with technological innovation was expressed. A Government spokesman described the comprehensive planning policy framework which has been put in place to secure sound planning decisions on renewable energy developments and the conditions on amenity protection in the regulations governing the erection of telecommunications towers. (UK)

  5. Windfarms and telecommunications towers (Scotland)

    Energy Technology Data Exchange (ETDEWEB)

    Munro, Hector; Kellett-Bowman, Elaine; Harris, David [and others

    1996-10-30

    A debate in the United Kingdom House of Commons on the environmental impact of windfarms and telecommunications towers in Scotland is reported. Concern was expressed over the adverse visual impact of such structures in rural areas which are often of considerable natural beauty. Counter arguments were based on the positive effects of new technology. The need to reconcile environmental protection with technological innovation was expressed. A Government spokesman described the comprehensive planning policy framework which has been put in place to secure sound planning decisions on renewable energy developments and the conditions on amenity protection in the regulations governing the erection of telecommunications towers. (UK)

  6. The wave and tidal resource of Scotland

    Science.gov (United States)

    Neill, Simon; Vogler, Arne; Lewis, Matt; Goward-Brown, Alice

    2017-04-01

    As the marine renewable energy industry evolves, in parallel with an increase in the quantity of available data and improvements in validated numerical simulations, it is occasionally appropriate to re-assess the wave and tidal resource of a region. This is particularly true for Scotland - a leading nation that the international community monitors for developments in the marine renewable energy industry, and which has witnessed much progress in the sector over the last decade. With 7 leased wave and 17 leased tidal sites, Scotland is well poised to generate significant levels of electricity from its abundant natural marine resources. In this review of Scotland's wave and tidal resource, I present the theoretical and technical resource, and provide an overview of commercial progress. I also discuss issues that affect future development of the marine energy seascape in Scotland, applicable to other regions of the world, including the potential for developing lower energy sites, and grid connectivity.

  7. Managing radioactive waste safely. Engaging Scotland

    International Nuclear Information System (INIS)

    Elrick, D.; Boyes, L.; McCormick, J.

    2002-01-01

    Between January and May 2002 the Scottish Council Foundation undertook a research project to assess 1 the level of public awareness about and interest in engaging the public in decision-making on managing radioactive waste safely in Scotland. This paper presents the main findings from the research that involved 70 people from across Scotland, aged between 14 and over 65 years old, and a literature review of Scottish, UK and international experience in engaging the public

  8. Women in Eighteenth-century Scotland

    DEFF Research Database (Denmark)

    he eighteenth century looms large in the Scottish imagination. It is a century that saw the doubling of the population, rapid urbanisation, industrial growth, the political Union of 1707, the Jacobite Rebellions and the Enlightenment - events that were intrinsic to the creation of the modern nation...... and to putting Scotland on the international map. The impact of the era on modern Scotland can be seen in the numerous buildings named after the luminaries of the period - Adam Smith, David Hume, William Robertson - the endorsement of Robert Burns as the national poet/hero, the preservation of the Culloden...... battlefield as a tourist attraction, and the physical geographies of its major towns. Yet, while it is a century that remains central to modern constructions of national identity, it is a period associated with men. Until recently, the history of women in eighteenth-century Scotland, with perhaps...

  9. Surgery in remote and rural Scotland.

    Science.gov (United States)

    Sim, Andrew J W; Grant, Fiona; Ingram, Annie K

    2009-12-01

    Over the past 15 years, rural surgery in Scotland has emerged from the backwaters of the Scottish Health service to a recognized and important part of overall health care provision in Scotland. No longer is the rural surgeon regarded by his city colleague as the eccentric poor relation of the urban specialist. The rural surgeon is now more likely to have the skills and experience necessary for the work that must be done. Training pathways are defined to ensure succession planning. The support of the Scottish Government, Health Boards, and the Royal Colleges has been essential; their continued involvement will ensure safe surgery for those who dwell in the more isolated areas of Scotland.

  10. Modularisation and Vocational Education in Scotland.

    Science.gov (United States)

    Thomson, Sandy

    In Scotland, vocational education at the professional level takes place in colleges and universities and at the craft and technician level, in further education colleges. Most of the further education/higher education curriculum has been modularized. The following benefits of modularization are claimed: rationalization of resource provision;…

  11. Alternative Energy Lessons in Scotland

    Science.gov (United States)

    Boyle, Julie

    2010-05-01

    In Scotland the new science curriculum for pupils aged 12 to 15 shall include the following outcomes: "Using my knowledge and understanding, I can express an informed view on a national or global environmental issue;" "I have participated in constructing a model to harness a renewable source of energy and can investigate how to optimise the output;" and "I can discuss why it is important to me and to the future of the world that alternatives to fossil fuels are developed." There will be an emphasis on creating lessons that will nurture responsible citizens, improve pupil engagement and allow students to develop their team working skills. To help teachers plan lessons to address this, the Scottish Schools Equipment Research Centre and Edinburgh University made teaching materials on four renewable energy resources. This poster describes how their suggested activities on solar cells, wind turbines, hydroelectric power stations and wave power were used in science lessons with twelve year old students. After an initial class discussion based on issues related to climate change and diminishing fossil fuel supplies, a workshop activity was carried out in three stages. The students were issued with a fact sheet about one of four imaginary islands (Skisdale, Cloudy Island, Surfsville and Sun City) and they were asked to work in teams to choose the most suitable method of generating electricity for their island. Issues such as costs, where it will be sited and environmental implications were considered. They were then asked to conduct practical activities by constructing and testing models for these forms of renewable energy. To conclude, they presented their proposal to the rest of the class with reasoned explanations. The kits used in the lessons can be purchased from Anderson Scientific (sales@andersonscientific.co.uk). The solar cells were simply connected to a voltmeter. The wind and hydroelectric groups used the same basic equipment. This was made using a small water

  12. Studies of leukaemia incidence in Scotland

    International Nuclear Information System (INIS)

    Urquhart, J.

    1989-01-01

    Scottish Cancer Registration Data and the Small Area Population Data provided by the General Register Office for Scotland offer unique opportunities for carrying out analyses of the incidence of cancer in precisely defined areas. The paper will explore some of the problems of drawing conclusions about the distribution of a rare disease such as childhood cancer and of interpreting results relating to specific sites. Scottish Cancer Registration Data will be used to provide specific examples to illuminate these problems. (author)

  13. Law and forensic medicine in Scotland.

    Science.gov (United States)

    Pounder, D J

    1993-12-01

    Scotland was an independent nation state until 1707 when it became the most northerly part of the United Kingdom. Today Scotland, constitutionally, is less than a state or a province in a federal union, but retains vestiges of its ancient sovereignty by having its own legal system and separate administration. English law and Scots law are two quite separate systems--a unique constitutional phenomenon within a unitary state. Scots law is a "mixed" legal system embodying aspects of both the Romano-Germanic and Anglo-American families of legal systems. A central feature is the public prosecution of crimes under the control of the Lord Advocate and the Crown Office in Edinburgh. The hierarchy of criminal courts comprises the High Court of Justiciary, the Sheriff court, and the District court. For serious offences, criminal trial is by "solemn procedure" before a judge sitting with a jury of 15 persons whose verdict of "guility", "not guilty", or "not proven" may be reached by majority. The prosecution must prove its case beyond reasonable doubt on corroborated evidence. The essential requirement for corroboration means that two pathologists must perform and sign the report on any autopsy related to criminal proceedings. The writ of habeus corpus is not operative in Scotland, but there are strict rules to prevent an accused person from languishing in prison without trial. Under solemn procedure the trial must begin within 110 days or the accused is freed with immunity from further prosecution for the crime charged. Procurators fiscal are the public prosecutors whose responsibilities include the investigation of crime and all sudden, suspicious, or unexplained deaths. There are no coroners in Scotland. Investigations are performed in private and it is uncommon for a public inquiry ("a Fatal Accident Inquiry") to be held. A Fatal Accident Inquiry is an inquisitorial proceeding heard before a sheriff sitting without a jury. In Scotland, unlike in England, the more serious

  14. For Sale--Scotland's Most Famous Mountain Range: Land "Ownership" in Scotland

    Science.gov (United States)

    Slattery, Deirdre

    2005-01-01

    The nature of land ownership is infrequently discussed by practitioners of outdoor education, though it is often central to the way they work. The recent controversy over the proposed sale of the Cuillin mountain range on the Isle of Skye in Scotland provoked heated discussion over rights to and benefits of this important place. The main point at…

  15. Lunar tides in Loch Ness, Scotland

    OpenAIRE

    Pugh, David T.; Woodworth, Philip L.; Bos, Machiel S.

    2011-01-01

    Measurements have been made of the astronomical tide in Loch Ness, Scotland, which is not directly connected to marine tides. Our measurements of the loch tide are, so far as we know, the first in a European lake where the tide originates primarily from ocean tide loading. Loch Ness is a readily accessible lake and is in a region for which the neighboring ocean tides are large and described well by modern global ocean tide models. The principal tidal constituent, M2, was observed to have an a...

  16. New Models for Initial Teacher Education in Scotland

    Science.gov (United States)

    Kibble, Bob

    2012-01-01

    In this article, the author responds to the recent article by Lynne Bianchi commenting on the Donaldson report, "Teaching Scotland's future" (Donaldson, 2011). He agrees that the Donaldson report has indeed been a catalyst to drive change across the entire landscape of initial teacher education (ITE) in Scotland. In fact, not only ITE:…

  17. Policy and Practice of Holocaust Education in Scotland

    Science.gov (United States)

    Cowan, Paula; Maitles, Henry

    2010-01-01

    In contrast to the situation in England and Wales, Holocaust education in Scotland is not mandatory and is not delivered to every school student. Still, it is offered frequently. In this article we show how Scotland's changing curriculum, the introduction of Holocaust Memorial Day, and the Lessons from Auschwitz Project have contributed to the…

  18. Peat drainage conditions assessment in Scotland

    Science.gov (United States)

    Poggio, Laura; Artz, Rebekka; Donaldson-Selby, Gillian; Aitkenhead, Matt; Donnelly, David; Gimona, Alessandro

    2017-04-01

    Large areas of Scotland are covered in peat, providing an important sink of carbon but also a notable source of emission where peatlands are not in good condition. However, despite data from designated sites that peat degradation is common, a detailed spatial assessment of the condition of most peatlands across the whole of Scotland is missing. An assessment of peatland drainage was carried out at >600 random sampling locations with an expert-based estimation of presence or absence of drainage ditches within a 500 metre block using 25 cm resolution aerial imagery. The resulting dataset was modelled using a scorpan-kriging approach, in particular using Generalised Additive Models for the description of the trend. Remote sensing images from different sensors (i.e. MODIS, Landsat and Sentinel 1 and 2) were used. In particular we used indices describing vegetation greenness (Enhanced Vegetation Index), water availability (Normalised Water Difference index), Land Surface Temperature and vegetation productivity. When considering MODIS indices we used time series and phenological summaries. The model provides also uncertainty of the estimations. The derived dataset can then be used in the decision making process for the selection of sites for restoration, emissions estimation and accounting.

  19. Religion, social mobility and education in Scotland.

    Science.gov (United States)

    Paterson, Lindsay; Iannelli, Cristina

    2006-09-01

    The relationship among religion, education and social mobility in Scotland is analysed statistically using the Scottish Household Survey of 2001. The large sample size allows much greater statistical power for this purpose than any previous source, and thus allows a more reliable assessment of claims that the stratifying effect of religion in Scotland may have declined. The questions investigated are as follows. What are the religious differences in the distributions of class origins and class destinations, in the movement between these (absolute mobility), and in the association of these (relative mobility, or social fluidity)? Do changes in social fluidity across cohorts vary among people with different religious affiliation? Are there religious differences in the association of origins and education, in the association of education and destinations, or in the role of education in social fluidity, and do any of these vary over cohorts? The conclusions are that, in younger cohorts, there is no religious difference in social status, and that in older cohorts Catholics are generally of lower status than Protestants and the non-religious. Social fluidity does not, however, vary among religious groups, even for older cohorts, and does not change over time. The reason for convergence in social status of religious groups over time is probably the equalizing of educational attainment among the groups: there is no evidence for any of the cohorts that the labour-market rewards to education differ by religion.

  20. A comparison of health inequalities in urban and rural Scotland.

    Science.gov (United States)

    Levin, Kate A; Leyland, Alastair H

    2006-03-01

    Previous research suggests that there are significant differences in health between urban and rural areas. Health inequalities between the deprived and affluent in Scotland have been rising over time. The aim of this study was to examine health inequalities between deprived and affluent areas of Scotland for differing ruralities and look at how these have changed over time. Postcode sectors in Scotland were ranked by deprivation and the 20% most affluent and 20% most deprived areas were found using the Carstairs indicator and male unemployment. Scotland was then split into 4 rurality types. Ratios of health status between the most deprived and most affluent areas were investigated using all cause mortality for the Scottish population, 1979-2001. These were calculated over time for 1979-1983, 1989-1993, 1998-2001. Multilevel Poisson modelling was carried out for all of Scotland excluding Grampian to assess inequalities in the population. There was an increase in inequalities between 1981 and 2001, which was greatest in remote rural Scotland for both males and females; however, male health inequalities remained higher in urban areas throughout this period. In 2001 female health inequalities were higher in remote rural areas than urban areas. Health inequalities amongst the elderly (age 65+) in 2001 were greater in remote rural Scotland than urban areas for both males and females.

  1. Scotland's GP paediatric scholarship: an evaluation.

    Science.gov (United States)

    MacVicar, Ronald; Borland, Lyndsey; McHale, Sharon; Goh, Dayeel; Potter, Alex

    2018-05-01

    In a previous publication we described the implementation and early evaluation of general practice paediatric scholarships in Scotland. We suggested that it was too early to be able to determine whether this significant investment will produce a return for Scotland in terms of enhanced roles in providing, leading or developing children's services in primary care or at the primary care/secondary care interface. This paper presents the results of a survey of the impact of the scholarship for the first six cohorts of the scholarship (119 General Practitioners). The response rate was 76%. Of the 90 respondents, almost half (44) have developed roles or areas of special paediatric interest either within or out with the practice, or in three cases both within and out with the practice. A total of 37 (43%) of those that continue to work within general practice reported that they have developed areas of special interest of benefit to the practice. Qualitative analysis of free text questions suggested that scholars had benefited from their experience in terms of increased confidence in dealing with child health problems, developing links with secondary care colleagues, and personal gain with respect to role development. What is already known in this area: Changes in GP Training have been suggested in order to provide a workforce that can meet the needs of infants, children and young people. Studies have shown a positive impact of paediatric trainees and GP trainees learning together. Little attention has however been given to the potential to support trained GPs to develop their expertise in child health. What this work adds: Early evaluation of the Scottish Paediatric Scholarship suggested a high degree of satisfaction. This more robust evaluation suggests that almost half (44/90 respondents) have developed roles or areas of special paediatric interest either within or out with the practice, or in three cases both within and out with the practice. Suggestions for future

  2. Masonic Song in Scotland: Folk Tunes and Community

    Directory of Open Access Journals (Sweden)

    Katherine Campbell

    2012-03-01

    Full Text Available This article explores the place of Masonic songs historically in Scotland, assessing the oral culture surrounding the genre. The article further shows that folk tunes were commonly used and investigates aspects of the group performance that was central to the Lodges. Finally, the study concludes with an examination of a Masonic procession in Northeast Scotland that survives to the present day, focusing especially on the role of music and song within it.

  3. Renewables (Energy): A Subject-Based Aspect Report by Education Scotland on Provision in Scotland's Colleges on Behalf of the Scottish Funding Council. Transforming Lives through Learning

    Science.gov (United States)

    Education Scotland, 2014

    2014-01-01

    The Education Scotland publication, "External Quality Arrangements for Scotland's Colleges, Updated August 2013," specifies that Education Scotland will produce a number of subject-based aspect reports each year. These reports complement, in a subject-specific context, the generic evaluations of learning and teaching in Education…

  4. Extreme river flow dependence in Northern Scotland

    Science.gov (United States)

    Villoria, M. Franco; Scott, M.; Hoey, T.; Fischbacher-Smith, D.

    2012-04-01

    Various methods for the spatial analysis of hydrologic data have been developed recently. Here we present results using the conditional probability approach proposed by Keef et al. [Appl. Stat. (2009): 58,601-18] to investigate spatial interdependence in extreme river flows in Scotland. This approach does not require the specification of a correlation function, being mostly suitable for relatively small geographical areas. The work is motivated by the Flood Risk Management Act (Scotland (2009)) which requires maps of flood risk that take account of spatial dependence in extreme river flow. The method is based on two conditional measures of spatial flood risk: firstly the conditional probability PC(p) that a set of sites Y = (Y 1,...,Y d) within a region C of interest exceed a flow threshold Qp at time t (or any lag of t), given that in the specified conditioning site X > Qp; and, secondly the expected number of sites within C that will exceed a flow Qp on average (given that X > Qp). The conditional probabilities are estimated using the conditional distribution of Y |X = x (for large x), which can be modeled using a semi-parametric approach (Heffernan and Tawn [Roy. Statist. Soc. Ser. B (2004): 66,497-546]). Once the model is fitted, pseudo-samples can be generated to estimate functionals of the joint tails of the distribution of (Y,X). Conditional return level plots were directly compared to traditional return level plots thus improving our understanding of the dependence structure of extreme river flow events. Confidence intervals were calculated using block bootstrapping methods (100 replicates). We report results from applying this approach to a set of four rivers (Dulnain, Lossie, Ewe and Ness) in Northern Scotland. These sites were chosen based on data quality, spatial location and catchment characteristics. The river Ness, being the largest (catchment size 1839.1km2) was chosen as the conditioning river. Both the Ewe (441.1km2) and Ness catchments have

  5. DSM for soil erosion risk in Scotland

    Science.gov (United States)

    Poggio, Laura; Gimona, Alessandro; McLeaod, Jim; Castellazzi, Marie; Baggio Compagnucci, Andrea; Irvine, Justin

    2017-04-01

    Soils play a crucial role in ecosystem functioning, and modelling its risk of degradation is fundamental, especially in the context of climate change. In this work we used continuous 3D soil information derived from digital soil mapping (DSM) approaches to map sediment erosion and deposition patterns due to rainfall. The test area covers the whole of mainland Scotland, excluding the Northern Islands. Soil profiles data were interpolated using a geo-statistical hybrid Generalised Additive Models method for a range of soil properties such as organic matter, texture, soil depth and peat presence. The same method was used to interpolate climatic data and management information. Remote sensing data were integrated in the process and land use data included. Information on grazing (sheep and deer) pressure was taken into account in the modelling. The uncertainty was accounted and propagated across the whole process. The Scottish test case highlights the differences in roles between mineral and organic soils with an assessment adapted to each of them. The results and intermediate steps were compared with available continental scale results. The results show the importance of the use of DSM approaches for modeling soils and ecosystem functions and assessing uncertainty propagation.

  6. Lunar tides in Loch Ness, Scotland

    Science.gov (United States)

    Pugh, David T.; Woodworth, Philip L.; Bos, Machiel S.

    2011-11-01

    Measurements have been made of the astronomical tide in Loch Ness, Scotland, which is not directly connected to marine tides. Our measurements of the loch tide are, so far as we know, the first in a European lake where the tide originates primarily from ocean tide loading. Loch Ness is a readily accessible lake and is in a region for which the neighboring ocean tides are large and described well by modern global ocean tide models. The principal tidal constituent, M2, was observed to have an amplitude of approximately 1.5 mm, and to be in antiphase, at each end of the loch. These values are in close agreement with the theoretical combined effects of the direct gravitational tide (body tide) and the tilt effects due to ocean tide loading, computed using Green's functions based on conventional elastic-Earth models. By analyzing over long periods for coherent tidal signals, we are able to significantly improve the signal-to-noise ratio in the tilt values compared with values obtained by direct level differencing. Our tilt accuracy of better than 10-8, measured over 35 km, demonstrates Loch Ness as one the world's longest and most accurate tiltmeters. Despite this unprecedented accuracy, Earth tidal models are still at least as accurate as our ability to measure them.

  7. Tellurium Enrichment in Jurassic Coal, Brora, Scotland

    Directory of Open Access Journals (Sweden)

    Liam Bullock

    2017-11-01

    Full Text Available Mid-Jurassic pyritic coals exposed at the village of Brora, northern Scotland, UK, contain a marked enrichment of tellurium (Te relative to crustal mean, average world coal compositions and British Isles Carboniferous coals. The Te content of Brora coal pyrite is more than one order of magnitude higher than in sampled pyrite of Carboniferous coals. The Te enrichment coincides with selenium (Se and mercury (Hg enrichment in the rims of pyrite, and Se/Te is much lower than in pyrites of Carboniferous coals. Initial pyrite formation is attributed to early burial (syn-diagenesis, with incorporation of Te, Se, Hg and lead (Pb during later pyrite formation. The source of Te may have been a local hydrothermal system which was responsible for alluvial gold (Au in the region, with some Au in Brora headwaters occurring as tellurides. Anomalous Te is not ubiquitous in coal, but may occur locally, and is detectable by laser ablation inductively coupled plasma-mass spectrometry (LA-ICP-MS.

  8. What are the costs of Scotland's climate and renewable policies?

    International Nuclear Information System (INIS)

    Anandarajah, Gabrial; McDowall, Will

    2012-01-01

    The UK government has established ambitious policies to address climate change and promote renewable energy, and has set targets both for reducing carbon emissions and for deploying renewables. Scotland, a constituent nation of the UK, has also set its own targets for climate change mitigation and renewable electricity. This paper analyses the energy, economic and environmental implications of carbon and renewable electricity targets in Scotland and the UK using a newly developed two-region UK MARKAL energy system model, where Scotland (SCT) and rest of the UK (RUK) are the two regions. The paper shows that meeting Scotland's carbon targets does not require additional decarbonisation effort if the UK meets its own targets at least cost; and that Scotland's renewable energy ambitions do imply additional costs above the least cost path to the meeting the UK's obligations under the EU renewable energy directive. Meeting Scottish renewable electricity targets diverts investment and deployment in renewables from rest of the UK to Scotland. In addition to increased energy system cost, Scottish renewable electricity targets may also require early investment in new electricity transmission capacity between Scotland and rest of the UK. - Highlights: ► Scottish climate policy is less stringent than UK policy. ► Scottish targets would complement UK targets if UK policies fail to meet UK targets. ► The possible conclusion here is that Scottish carbon targets are unnecessary. ► Scottish renewable policy is more stringent than UK policy. ► As expected, this increased stringency leads to additional costs.

  9. The impact of smokefree legislation in Scotland: results from the Scottish ITC Scotland/UK longitudinal surveys

    Science.gov (United States)

    Hassan, Louise M.; Higbee, Cheryl; Boudreau, Christian; Fong, Geoffrey T.; Borland, Ron; Cummings, K. Michael; Yan, Mi; Thompson, Mary E.; Hastings, Gerard

    2009-01-01

    Background: To evaluate how Scotland's smokefree law impacted self-reported secondhand smoke (SHS) exposure in hospitality venues, workplaces and in people's homes. In addition, we examine changes in support for the law, pub and restaurant patronage, smoking cessation indicators and whether any observed changes varied by socioeconomic status. Methods: A quasi-experimental longitudinal telephone survey of nationally representative samples of smokers and non-smokers interviewed before the Scottish law (February to March 2006) and 1 year later after the law (March 2007) in Scotland (n = 705 smokers and n = 417 non-smokers) and the rest of the UK (n = 1027 smokers and n = 447 non-smokers) where smoking in public places was not regulated at the time. Results: Dramatic declines in the observance of smoking in pubs, restaurants and workplaces were found in Scotland relative to the rest of the UK. The change in the percent of smokers reporting a smokefree home and number of cigarettes smoked inside the home in the evening was comparable in Scotland and the rest of the UK. Support for smokefree policies increased to a greater extent in Scotland than in the rest of the UK. Self-reported frequency of going to pubs and restaurants was generally comparable between Scotland and the rest of the UK; however, non-smokers in Scotland were more likely to frequent pubs more often. No differences in smoking cessation indicators were observed between countries. Conclusion: The Scottish smokefree law has been successful in decreasing secondhand smoke exposure while causing none of the hypothesized negative outcomes. PMID:19151105

  10. IMatter: validation of the NHS Scotland Employee Engagement Index.

    Science.gov (United States)

    Snowden, Austyn; MacArthur, Ewan

    2014-11-08

    Employee engagement is a fundamental component of quality healthcare. In order to provide empirical data of engagement in NHS Scotland an Employee Engagement Index was co-constructed with staff. 'iMatter' consists of 25 Likert questions developed iteratively from the literature and a series of validation events with NHS Scotland staff. The aim of this study was to test the face, content and construct validity of iMatter. Cross sectional survey of NHS Scotland staff. In January 2013 iMatter was sent to 2300 staff across all disciplines in NHS Scotland. 1280 staff completed it. Demographic data were collected. Internal consistency of the scale was calculated. Construct validity consisted of concurrent application of factor analysis and Rasch analysis. Face and content validity were checked using 3 focus groups. The sample was representative of the NHSScotland population. iMatter showed very strong reliability (α = 0.958). Factor analysis revealed a four-factor structure consistent with the following interpretation: iMatter showed evidence of high reliability and validity. It is a popular measure of staff engagement in NHS Scotland. Implications for practice focus on the importance of coproduction in psychometric development.

  11. Implementing recovery: an analysis of the key technologies in Scotland

    Science.gov (United States)

    2011-01-01

    Background Over the past ten years the promotion of recovery has become a stated aim of mental health policies within a number of English speaking countries, including Scotland. Implementation of a recovery approach involves a significant reorientation of mental health services and practices, which often poses significant challenges for reformers. This article examines how four key technologies of recovery have assisted in the move towards the creation of a recovery-oriented mental health system in Scotland. Methods Drawing on documentary analysis and a series of interviews we examine the construction and implementation of four key recovery 'technologies' as they have been put to use in Scotland: recovery narratives, the Scottish Recovery Indicator (SRI), Wellness Recovery Action Planning (WRAP) and peer support. Results Our findings illuminate how each of these technologies works to instantiate, exemplify and disseminate a 'recovery orientation' at different sites within the mental health system in order to bring about a 'recovery oriented' mental health system. They also enable us to identify some of the factors that facilitate or hinder the effectiveness of those technologies in bringing about a change in how mental health services are delivered in Scotland. These finding provide a basis for some general reflections on the utility of 'recovery technologies' to implement a shift towards recovery in mental health services in Scotland and elsewhere. Conclusions Our analysis of this process within the Scottish context will be valuable for policy makers and service coordinators wishing to implement recovery values within their own national mental health systems. PMID:21569633

  12. Implementing recovery: an analysis of the key technologies in Scotland

    Directory of Open Access Journals (Sweden)

    Sturdy Steve

    2011-05-01

    Full Text Available Abstract Background Over the past ten years the promotion of recovery has become a stated aim of mental health policies within a number of English speaking countries, including Scotland. Implementation of a recovery approach involves a significant reorientation of mental health services and practices, which often poses significant challenges for reformers. This article examines how four key technologies of recovery have assisted in the move towards the creation of a recovery-oriented mental health system in Scotland. Methods Drawing on documentary analysis and a series of interviews we examine the construction and implementation of four key recovery 'technologies' as they have been put to use in Scotland: recovery narratives, the Scottish Recovery Indicator (SRI, Wellness Recovery Action Planning (WRAP and peer support. Results Our findings illuminate how each of these technologies works to instantiate, exemplify and disseminate a 'recovery orientation' at different sites within the mental health system in order to bring about a 'recovery oriented' mental health system. They also enable us to identify some of the factors that facilitate or hinder the effectiveness of those technologies in bringing about a change in how mental health services are delivered in Scotland. These finding provide a basis for some general reflections on the utility of 'recovery technologies' to implement a shift towards recovery in mental health services in Scotland and elsewhere. Conclusions Our analysis of this process within the Scottish context will be valuable for policy makers and service coordinators wishing to implement recovery values within their own national mental health systems.

  13. Scotland's knowledge network: a progress report on Knowledge into Action.

    Science.gov (United States)

    Wales, Ann; Boyle, Derek

    2015-11-01

    Launched in 2012, Knowledge into Action is the national knowledge management strategy for the health and social care workforce in Scotland. It is transforming the role of the national digital knowledge service--NHS Education for Scotlands' Knowledge Network--and the NHSS librarian role to offer more active, tailored support for translating knowledge into frontline clinical practice. This includes the development of a national evidence search and summary service, help with converting knowledge into practical and usable formats for easy use at point of care and with using digital tools to share clinicians' learning, experience and expertise. Through this practical support, Knowledge into Action is contributing to quality and safety outcomes across NHS Scotland, building clinicians' capacity and capability in applying knowledge in frontline practice and service improvement. © The Author(s) 2015.

  14. 2H and 18O Freshwater Isoscapes of Scotland

    Science.gov (United States)

    Meier-Augenstein, Wolfram; Hoogewerff, Jurian; Kemp, Helen; Frew, Danny

    2013-04-01

    Scotland's freshwater lochs and reservoirs provide a vital resource for sustaining biodiversity, agriculture, food production as well as for human consumption. Regular monitoring of freshwaters by the Scottish Environment Protection Agency (SEPA) fulfils legislative requirements with regards to water quality but new scientific methods involving stable isotope analysis present an opportunity combining these mandatory monitoring schemes with fundamental research to inform and deliver on current and nascent government policies [1] through gaining a greater understanding of Scottish waters and their importance in the context of climate change, environmental sustainability and food security. For example, 2H and 18O isoscapes of Scottish freshwater could be used to underpin research and its applications in: • Climate change - Using longitudinal changes in the characteristic isotope composition of freshwater lochs and reservoirs as proxy, isoscapes will provide a means to assess if and how changes in temperature and weather patterns might impact on precipitation patterns and amount. • Scottish branding - Location specific stable isotope signatures of Scottish freshwater have the potential to be used as a tool for provenancing and thus protecting premium Scottish produce such as Scottish beef, Scottish soft fruit and Scottish Whisky. During 2011 and 2012, with the support of SEPA more than 110 samples from freshwater lochs and reservoirs were collected from 127 different locations across Scotland including the Highlands and Islands. Here we present the results of this sampling and analysis exercise isotope analyses in form of 2H and 18O isoscapes with an unprecedented grid resolution of 26.5 × 26.5 km (or 16.4 × 16.4 miles). [1] Adaptation Framework - Adapting Our Ways: Managing Scotland's Climate Risk (2009): Scotland's Biodiversity: It's in Your Hands - A strategy for the conservation and enhancement of biodiversity in Scotland (2005); Recipe For Success - Scotland

  15. Wind power in Scotland - a critique of recent resource assessments

    International Nuclear Information System (INIS)

    Twidell, J.W.

    1995-01-01

    A critical analysis of 4 recent UK official reports relating to the renewable energy resources of Scotland, particularly the large wind resource, and including institutional and economic factors. Key points are listed with comments for use in supporting wind power developments. (Author)

  16. Could Scotland really be seen as a northern nation

    DEFF Research Database (Denmark)

    Burke, Danita Catherine

    2017-01-01

    Faced with the uncertainty of Brexit and many other challenges, Scotland seems to be looking towards the Arctic region for new opportunities. Faced with the prospect of no longer being an EU member state and perpetually questioning its place in the United Kingdom, it now seems to be seeking to de...

  17. No Lack of Principles: Leadership Development in England and Scotland

    Science.gov (United States)

    MacBeath, John

    2011-01-01

    While there are significant differences between England and Scotland in the politics, the policy environment and the management of schools, leadership development both north and south of the border is charged with addressing what has been termed a recruitment and retention "crisis". An emerging phenomenon in both jurisdictions is that of…

  18. ScotlandsPlaces XML: Bespoke XML or XML Mapping?

    Science.gov (United States)

    Beamer, Ashley; Gillick, Mark

    2010-01-01

    Purpose: The purpose of this paper is to investigate web services (in the form of parameterised URLs), specifically in the context of the ScotlandsPlaces project. This involves cross-domain querying, data retrieval and display via the development of a bespoke XML standard rather than existing XML formats and mapping between them.…

  19. Inequalities in Toothbrushing among Adolescents in Scotland 1998-2006

    Science.gov (United States)

    Levin, K. A.; Currie, C.

    2009-01-01

    The aim of this study was to examine trends in toothbrushing and inequalities in toothbrushing among girls and boys in Scotland between 1998 and 2006. A secondary aim was to investigate the association between the health promoting school (HPS) initiative and toothbrushing. Data from the Health Behaviour in School-aged Children 1998, 2002 and 2006…

  20. The Diverse Geographies of Rural Gentrification in Scotland

    Science.gov (United States)

    Stockdale, Aileen

    2010-01-01

    Gentrification has for too long been investigated as an urban phenomenon. Only relatively recently has it been viewed as an avenue for fruitful rural research. This paper focuses on the repopulation of rural Scotland. Using survey and interview data it examines evidence of gentrification among in-migration flows and seeks to explore both the…

  1. Modern Languages in Scotland: Social Capital out on a Limb

    Science.gov (United States)

    Doughty, Hannah

    2011-01-01

    This article critically examines the state (extent of provision) and status (public esteem) of modern language education in Scotland, which as a constituent part of the United Kingdom has its own independent education system. The notion of social capital, as conceptualized by Putnam and others, is used to show how attempts by language…

  2. The changing epidemiology of infantile hypertrophic pyloric stenosis in Scotland.

    Science.gov (United States)

    Sommerfield, T; Chalmers, J; Youngson, G; Heeley, C; Fleming, M; Thomson, G

    2008-12-01

    The aetiology of infantile hypertrophic pyloric stenosis (IHPS) has not been fully elucidated. Since the 1990s, a sharp decline in IHPS has been reported in various countries. Recent research from Sweden reported a correlation between falling rates of IHPS and of sudden infant death syndrome (SIDS). This was attributed to a reduction in the number of infants sleeping in the prone position following the "Back to Sleep" campaign. To describe the changing epidemiology of IHPS in Scotland, to examine the relationship between IHPS and SIDS rates and to examine trends in other factors that may explain the observed reduction in IHPS incidence. Incidence rates of IHPS and SIDS were derived from routine data and their relationship analysed. Trends in mean maternal age, maternal smoking, mean birth weight and breastfeeding rates were also examined. The whole of Scotland between 1981 and 2004. IHPS incidence fell from 4.4 to 1.4 per 1000 live births in Scotland between 1981 and 2004. Rates were consistently higher in males, although the overall incidence patterns in males and females were similar. Rates showed a positive relationship with deprivation. The fall in the incidence of IHPS preceded the fall in SIDS by 2 years and the incidence of SIDS displayed less variability than that of IHPS. Significant temporal trends were also observed in other maternal and infant characteristics. There has been a marked reduction in Scotland's IHPS incidence, but this is unlikely to be a consequence of a change in infant sleeping position.

  3. English for Speakers of Other Languages in Scotland's Colleges: A Subject-Based Aspect Report on Provision in Scotland's Colleges by Education Scotland on Behalf of the Scottish Funding Council. Transforming Lives through Learning

    Science.gov (United States)

    Education Scotland, 2014

    2014-01-01

    Education Scotland's publication, "External Quality Arrangements for Scotland's Colleges, Updated August 2013", specifies that HM Inspectors (HMI) will produce a number of subject aspect reports over the four-year period 2012-16. Colleges should act on the recommendations contained in these reports. College inspectors will monitor action…

  4. Acanthamoeba keratitis in Scotland: risk factors for contact lens wearers.

    Science.gov (United States)

    Seal, D V; Kirkness, C M; Bennett, H G; Peterson, M

    1999-01-01

    To investigate risk factors for Acanthamoeba keratitis amongst contact lens wearers in Scotland. Patients with Acanthamoeba keratitis in the Scottish study, all of whom wore contact lenses, were compared with 46 healthy asymptomatic contact lens-wearing controls. They were all visited at home for contact lens and environmental microbiological sampling. In addition, all 288 optical practices in the West of Scotland were polled for contact lens types and disinfecting solutions sold in 1995, and a sample, each of whom fitted more than 500 contact lenses per year, were polled for a second time. Independently, a poll was commissioned by the Eyecare Information Service in July/August 1995 to estimate the numbers of contact lens wearers in Scotland and the UK. Industry was polled for numbers of each contact lens disinfecting regimen sold in Scotland in 1995. West of Scotland, UK. All contact lens wearers among the 3 million population of the West of Scotland Health Board Areas. Risk factors for Acanthamoeba infection and recommendations for its prevention. When Acanthamoeba infection occurred, patients' home water systems were frequently (54%) found to be colonised by this amoeba. Patients more frequently washed their storage cases in tap water than controls (Pmethods (chlorine tablets or no disinfection). However further investigation showed that these methods were associated with an increased probability of rinsing the storage case in tap water, so that these two behaviours are confounded in the group studied. Failure to disinfect contact lenses, non-compliant use of chlorine tablets and/or introduction of tap water rinsing of storage cases were associated with increased risk of Acanthamoeba infection. New multipurpose solutions and hydrogen peroxide gave the lowest risk of Acanthamoeba infection, with no statistically significant difference between them. Ionic high-water content (FDA group 4) contact lenses were at increased risk of being associated with Acanthamoeba

  5. Environmental justice in Scotland: policy, pedagogy and praxis

    International Nuclear Information System (INIS)

    Scandrett, Eurig

    2007-01-01

    In the first decade of Scottish devolution, environmental justice became a significant component of environmental policy for the Scottish Executive, especially under First Minister Jack McConnell. This paper analyses how a discourse developed within policy narratives which separated environmental justice from economic growth and the interests of capital. In particular, it explores the role which research has played in justifying this discourse. By contrast, an alternative discourse has developed through reflexive and dialogical research associated with the praxis of the environmental organization Friends of the Earth Scotland. This alternative discourse is embedded in the embryonic environmental justice movement in Scotland, and identifies environmental justice as a social conflict which exposes negative externalities at the heart of economic development

  6. Environmental justice in Scotland: policy, pedagogy and praxis

    Energy Technology Data Exchange (ETDEWEB)

    Scandrett, Eurig [Queen Margaret University, Edinburgh (United Kingdom)

    2007-10-15

    In the first decade of Scottish devolution, environmental justice became a significant component of environmental policy for the Scottish Executive, especially under First Minister Jack McConnell. This paper analyses how a discourse developed within policy narratives which separated environmental justice from economic growth and the interests of capital. In particular, it explores the role which research has played in justifying this discourse. By contrast, an alternative discourse has developed through reflexive and dialogical research associated with the praxis of the environmental organization Friends of the Earth Scotland. This alternative discourse is embedded in the embryonic environmental justice movement in Scotland, and identifies environmental justice as a social conflict which exposes negative externalities at the heart of economic development.

  7. Environmental monitoring for radioactivity in Scotland: 1981 to 1985

    Energy Technology Data Exchange (ETDEWEB)

    Anon.

    1987-01-01

    A bulletin, prepared by Her Majesty's Industrial Pollution Inspectorate (HMIPI) of the Scottish Development Department (SDD), contains a summary of the environmental monitoring for radioactivity carried out in Scotland as part of the statutory procedure for ensuring the safety of radioactive waste disposals from nuclear facilities. The monitoring results for discharges to both the atmosphere and the sea over the period 1981 to 1985 are presented for BNFL's Chapelcross and Sellafield Works, UKAEA Dounreay Nuclear Power Development Establishment, SSEB Hunterston Power Station and MOD Naval Installations. It is concluded that public radiation exposure in Scotland from environmental radioactivity arising from radioactive waste disposal has been well within the internationally recommended limits.

  8. Givetian (Middle Devonian) cladoxylopsid 'ferns' from Orkney, Northern Scotland

    OpenAIRE

    Berry, Christopher Mark; Hilton, Jason

    2006-01-01

    Two large fossil plants are described from the Givetian (Middle Devonian) Eday\\ud Flags, South Ronaldsay, Orkney Isles, northern Scotland. Fossils with branches joined to stems of\\ud this age are rare. Each specimen comprises a robust and tapering main trunk from which numerous\\ud closely spaced branches arise distally. Although poorly preserved such that generic identifications are\\ud not possible, both specimens display the characteristic architecture of the plant order Pseudosporochnales\\u...

  9. A small mesolithic site at Fife Ness, Fife, Scotland

    Directory of Open Access Journals (Sweden)

    Caroline R. Wickham-Jones

    1998-08-01

    Full Text Available In the summer of 1996 work to build a new golf course on the coast at Crail in Fife, Scotland, uncovered a small patch of dark soil associated with microliths. Excavation revealed an arc of seven pits or post-holes, a hearth site and several other pit-like features. There was a small lithic assemblage, and also a quantity of carbonised hazelnut shell, samples of which were sent off for radiocarbon assay. The site was remarkable for several reasons: ◦Size ◦Its size (75m2 was unusual in that most mesolithic sites in Scotland (and elsewhere are often much larger. Small sites have played an important role in theoretical interpretations of the mesolithic way of life, but few have been excavated. ◦Lithic assemblage ◦The lithic assemblage was small, even for such a small site, and comprised solely of flint, which is very rare in Scotland. There was relatively little knapping debris, but several retouched tools, over half of which were narrow blade microliths. The microliths were very interesting because they were dominated by crescentic microliths, while more common types such as scalene triangles were absent. ◦Dates ◦A series of fourteen radiocarbon dates were obtained for the site and all centred round the same period: between 7400 and 7600 BC, calibrated. This was earlier than had been expected, and is an interesting addition to knowledge of the early settlement of eastern Scotland since most other early dates have been from west coast sites. The similarity of the dates adds weight to the argument that the site represents a single occupation which, in view of its size, is likely to have been of short duration. This, and the nature of the lithic assemblage, have lead us to the interpretation that the site was a specialised camp site, probably making use of coastal resources.

  10. Wheat Prices, Bread Consumption and Health in Scotland

    OpenAIRE

    Revoredo-Giha, Cesar; Leat, Philip M.K.; Toma, Luiza; Lamprinopoulou-Kranis, Chrysa; Kupiec-Teahan, Beata; Cacciolatti, Luca

    2009-01-01

    The relative recent rise in food prices has increased concern about the choice of a healthy food basket, especially in the context of the formulation of a National Food Policy for Scotland. This concern has revived interest in food price and expenditure demand systems as they provide information about consumers’ food decisions. The paper focuses on the consumption of brown and white bread, as they are the most typical forms of cereals use in the UK. Moreover, nutritionists recommend the consu...

  11. Between Christianity and secularity: counselling and psychotherapy provision in Scotland

    OpenAIRE

    Bondi, Liz

    2013-01-01

    Counselling and psychotherapy services have become increasingly prominent within modern urban welfare. Although often perceived to be intrinsically secular, since psychoanalytic thinking and practice arrived in Scotland it has been shaped by the Christian culture it encountered. Early Scottish-born contributors to psychoanalytic theory, including Ian Suttie and W.R.D. Fairbairn, reframed Freud’s ideas in ways that incorporated Scottish Presbyterian understandings of what it is to be human. A ...

  12. Referendum in Scotland in 2014: history and implications

    Directory of Open Access Journals (Sweden)

    Kulikov N. A.

    2017-11-01

    Full Text Available the article is devoted to the analysis of the referendum in Scotland in 2014 as a peaceful way of people's self-determination of this historical part of the United Kingdom. The author believes that the referendum is able to resolve the issue of sovereignty, and to prevent secession only if it is conducted legally and with the approval of the central authorities of states that are under the burden of separatism.

  13. Mine water pollution in Scotland. Nature, extent and preventative strategies

    Energy Technology Data Exchange (ETDEWEB)

    Younger, P.L. [Water Resource Systems Research Laboratory, Department of Civil Engineering, University of Newcastle, NE1 7RU Newcastle Upon Tyne (United Kingdom)

    2001-01-29

    Scotland was one of the world's first industrialised countries, and has therefore also been one of the first countries to experience wholesale post-industrial dereliction. Water pollution arising from abandoned mines, particularly abandoned coal mines, is second only to sewage as a source of freshwater pollution nation-wide, and in many coalfield catchments it is the pre-eminent source. Most of the pollution is due to net-alkaline ferruginous waters emerging from deep mines. Scrutiny of records from 80 deep mine discharges reveals that iron concentrations in these waters are only likely to exceed 20 mg/l, and the pH to be below 6.5, where the discharge emerges within 0.5 km of the outcrop of the shallowest mined seam. The bulk of mature near-outcrop mine water discharges in Scotland have<50 mg/l total Fe, and concentrations>100 mg/l are only likely where a marine bed lies within 25 m of the worked seam. Where the nearest marine bed is more than 80 m above or below the seam, then the total iron will be less than 4 mg/l, and in most cases less than 1 mg/l. Net-acidic mine waters are far more rare than net-alkaline waters in Scotland, and are most commonly associated with unreclaimed spoil heaps (bings). Both net-alkaline and net-acidic discharges have detrimental effects on the hydrochemistry and biological integrity of receiving waters. Scotland has recently pioneered the use of pre-emptive pump-and-treat solutions to prevent mine water pollution, and has also experienced the successful introduction of passive treatment technology for both abandoned and active workings.

  14. The Caledonian tectonomagmatic evolution of the Orkney Islands, Scotland

    OpenAIRE

    Bjerga, Audun Dalene

    2017-01-01

    The geology of the Orkney Islands is dominated by well-studied Devonian sedimentary rocks deposited in the Orcadian basin. However, on the islands of Mainland Orkney and Graemsay there are small, relatively poorly studied outcrops of the underlying basement. Based on comparison with rocks in mainland Scotland this basement has been suggested to comprise pre-Caledonian para-gneisses and Caledonian granites. This has, however, never been documented. Here the contact relationships in the basemen...

  15. How should we go about jury research in Scotland?

    OpenAIRE

    Chalmers, James; Leverick, Fiona

    2016-01-01

    Considers why jury research is needed in Scotland, and the methods that could be used. Discusses the justifications for research into jury reasoning and decision-making advanced by the Post-Corroboration Safeguards Review, and its proposals on issues such as simple majority verdicts. Examines options for research with real or mock juries, the possible research questions, and whether reform of the Contempt of Court Act 1981 would be necessary.

  16. Comparison of family nursing in Slovenia and Scotland: integrative review.

    Science.gov (United States)

    Ljubič, A; Clark, D J; Štemberger Kolnik, T

    2017-06-01

    The aim of this study was to examine and compare the advantages and disadvantages of two systems of community nursing through the history of their development, and to compare these systems with the World Health Organization model of the Family Health Nurse. In Slovenia, the family/community nursing service is designed according to the World Health Organization policies and is performed by the generalist family/community nurse. In contrast, across Scotland there is no universal model and the current system comprises several different specialist-nursing pathways. The study aimed to describe each model and to understand why the family health nurse model was preferred in Slovenia but rejected in Scotland. This study was based on integrative review method conducted from August 2013 to September 2015 using national and international specialized databases. While the published literature on this topic is very limited, this review also includes unpublished material. For data analysis, the Walker and Avant's concept analysis model was used. Three main themes were identified through the process of the literature search; the Family Health Nurse concept, family/community nursing development in Slovenia, and community nursing development in Scotland. Findings related specifically to the different roles of nurses in the community in Slovenia and Scotland are reported. It is clear that the WHO guidelines and recommendations are not suitable for implementation in all member countries. Both models have advantages and disadvantages. In developing community nursing services, it would be wise to look for systems that represent the best solutions for treatment of the individual, the family and the community. The findings should be used when designing new models applied in different healthcare systems within each country, with a focus on strategy aimed at the welfare of the patient and his family. Findings give a possible solution for financially restricted healthcare systems, regarding

  17. Demographic and Geographical Characteristics of Pediatric Trauma in Scotland

    Science.gov (United States)

    2013-01-01

    the 8-fold Scottish Urban/ Rural Classifi- cation [20], which is based on settlement size and drive time to major conurbations. Social deprivation was...distribution, but with some exceptions. Scotland has an eccentrically distributed population, with 69.5% living in urban areas ( Scottish urban/ rural ...high rate of mortality and prehospital death. Acta Anaesthesiol Scand 2003;47:153-6. [20] Scottish Government: Scottish government urban/ rural

  18. Improving Scotland's health: time for a fresh approach?

    Science.gov (United States)

    Stone, D H

    2012-05-01

    Scotland's health remains the worst in the UK. There are several probable reasons for this. Of those that are amenable to change, health improvement policy has been excessively preoccupied with targeting individuals perceived to be 'at risk' rather than adopting a whole population perspective. Environmental as opposed to behavioural approaches to health improvement have been relatively neglected. To meet the challenge of Scotland's poor health more effectively in the future, new strategic thinking is necessary. Three initial steps are required: recognize that current approaches are inadequate and that fresh ideas are needed; identify the principles that should underlie future strategy development; translate these principles into achievable operational objectives. Five principles of a revitalized strategy to improve the health of Scotland in the future are proposed. These are start early and sustain effort; create a healthy and safe environment; reduce geographical as well as social inequalities in health; adopt an evidence-based approach to public health interventions; use epidemiology to assess need, plan interventions and monitor progress. These principles may then be translated into achievable operational policy and practice objectives.

  19. Rural and urban distribution of trauma incidents in Scotland.

    Science.gov (United States)

    Morrison, J J; McConnell, N J; Orman, J A; Egan, G; Jansen, J O

    2013-02-01

    Trauma systems reduce mortality and improve functional outcomes from injury. Regional trauma networks have been established in several European regions to address longstanding deficiencies in trauma care. A perception of the geography and population distribution as challenging has delayed the introduction of a trauma system in Scotland. The characteristics of trauma incidents attended by the Scottish Ambulance Service were analysed, to gain a better understanding of the geospatial characteristics of trauma in Scotland. Data on trauma incidents collected by the Scottish Ambulance Service between November 2008 and October 2010 were obtained. Incident location was analysed by health board region, rurality and social deprivation. The results are presented as number of patients, average annual incidence rates and relative risks. Of the 141,668 incidents identified, 72·1 per cent occurred in urban regions. The risk of being involved in an incident was similar across the most populous regions, and decreased slightly with increasing rurality. Social deprivation was associated with greater numbers and risk. A total of 53·1 per cent of patients were taken to a large general hospital, and 38·6 per cent to a teaching hospital; the distribution was similar for the subset of incidents involving patients with physiological derangements. The majority of trauma incidents in Scotland occur in urban and deprived areas. A regionalized system of trauma care appears plausible, although the precise configuration of such a system requires further study. Copyright © 2012 British Journal of Surgery Society Ltd. Published by John Wiley & Sons, Ltd.

  20. The evolution of green jobs in Scotland: A hybrid approach

    International Nuclear Information System (INIS)

    Connolly, Kevin; Allan, Grant J; McIntyre, Stuart G

    2016-01-01

    In support of its ambitious target to reduce CO_2 emissions the Scottish Government is aiming to have the equivalent of 100% of Scottish electricity consumption generated from renewable sources by 2020. This is, at least in part, motivated by an expectation of subsequent employment growth in low carbon and renewable energy technologies; however there is no official data source to track employment in these areas. This has led to a variety of definitions, methodologies and alternative estimates being produced. Building on a recent study (Bishop and Brand, 2013) we develop a “hybrid” approach which combines the detail of “bottom-up” surveys with “top-down” trend data to produce estimates on employment in Low Carbon Environmental Goods and Services (LCEGS). We demonstrate this methodology to produce estimates for such employment in Scotland between 2004 and 2012. Our approach shows how survey and official sources can combine to produce a more timely measure of employment in LCEGS activities, assisting policymakers in tracking, consistently, developments. Applying our approach, we find that over this period employment in LCEGS in Scotland grew, but that this was more volatile than aggregate employment, and in particular that employment in this sector was particularly badly hit during the great recession. - Highlights: • A “hybrid” approach estimates green jobs from bottom-up detail and top-down data. • Illustrative results show the evolution of such jobs in Scotland from 2004 to 2012. • Method provides policymakers a timely measure of the jobs success of energy policy.

  1. Control of blood pressure in Scotland: the rule of halves.

    Science.gov (United States)

    Smith, W C; Lee, A J; Crombie, I K; Tunstall-Pedoe, H

    1990-04-14

    Audit of detection, treatment, and control of hypertension in adults in Scotland. Cross sectional survey with random population sampling. General practice centres in 22 Scottish districts. 5123 Men and 5236 women aged 40-59 in the Scottish heart health study, randomly selected from 22 districts throughout Scotland, of whom 1262 men and 1061 women had hypertension (defined as receiving antihypertensive treatment or with blood pressure above defined cut off points). Hypertension (assessed by standardised recording, questionnaire on diagnosis, and antihypertensive drug treatment) according to criteria of the World Health Organisation (receiving antihypertensive treatment or blood pressure greater than or equal to 160/95 mm Hg, or both) and to modified criteria of the British Hypertension Society. In half the men with blood pressure greater than or equal to 160/95 mm Hg hypertension was undetected (670/1262, 53%), in half of those in whom it had been detected it was untreated (250/592, 42%), and in half of those receiving treatment it was not controlled (172/342, 50%). In women the numbers were: 486/1061, 46%; 188/575, 33%; and 155/387, 40% respectively. Assessment of blood pressure according to the British Hypertension Society's recommendations showed an improvement, but in only a quarter of men and 42% of women was hypertension detected and treated satisfactorily (142/561, 215/514 respectively). The detection and control of hypertension in Scotland is unsatisfactory, affecting management of this and other conditions, such as high blood cholesterol concentration, whose measurement is opportunistic and selective and depends on recognition of other risk factors.

  2. Rectal cancer survival in the Nordic countries and Scotland

    DEFF Research Database (Denmark)

    Folkesson, J.; Engholm, G.; Ehrnrooth, E.

    2009-01-01

    The aim of this study was to present detailed population-based survival estimates four patients with a rectal adenocarcinoma, using cancer register data supplemented with clinical data. Based oil cancer register data. differences in rectal cancer survival have been reported between countries ill...... Europe. Variation ill the distribution of stage at diagnosis. initial therapy including surgical technique, and comorbidity are possible explanatory factors. Adenocarcinomas in the rectum. diagnosed in 1997 and identified in the national cancer registries in the Nordic countries and Scotland were...

  3. Rectal cancer survival in the Nordic countries and Scotland

    DEFF Research Database (Denmark)

    Folkesson, Joakim; Engholm, Gerda; Ehrnrooth, Eva

    2009-01-01

    The aim of this study was to present detailed population-based survival estimates for patients with a rectal adenocarcinoma, using cancer register data supplemented with clinical data. Based on cancer register data, differences in rectal cancer survival have been reported between countries...... in Europe. Variation in the distribution of stage at diagnosis, initial therapy including surgical technique, and comorbidity are possible explanatory factors. Adenocarcinomas in the rectum, diagnosed in 1997 and identified in the national cancer registries in the Nordic countries and Scotland were included...

  4. Adoption and perception of electronic clinical communications in Scotland

    Directory of Open Access Journals (Sweden)

    Claudia Pagliari

    2005-06-01

    Conclusions Significant progress was observed in the implementation of ECCI facilities across Scotland. Users reported that these improved communication and were beneficial, but system reliability, incompatibility and duplication of data hindered more widespread uptake. Data were collected at a transitional phase of the programme. Whilst, among users of ECCI facilities, perceptions of the programme and its potential benefits were generally positive, its full impact will not become evident until the new electronic tools are implemented nationally and have been more fully integrated into normal work routines.

  5. Reconciling the Perspective of Practitioner and Service User: Findings from The Aphasia in Scotland Study

    Science.gov (United States)

    Law, James; Huby, Guro; Irving, Anne-Marie; Pringle, Ann-Marie; Conochie, Douglas; Haworth, Catherine; Burston, Amanda

    2010-01-01

    Background: It is widely accepted that service users should be actively involved in new service developments, but there remain issues about how best to consult with them and how to reconcile their views with those of service providers. Aims: This paper uses data from The Aphasia in Scotland study, set up by NHS Quality Improvement Scotland to…

  6. A Barking Dog That Never Bites? The British Sign Language (Scotland) Bill

    Science.gov (United States)

    De Meulder, Maartje

    2015-01-01

    This article describes and analyses the pathway to the British Sign Language (Scotland) Bill and the strategies used to reach it. Data collection has been done by means of interviews with key players, analysis of official documents, and participant observation. The article discusses the bill in relation to the Gaelic Language (Scotland) Act 2005…

  7. Relational Study of Technical Education in Scotland and Nigeria for Sustainable Skill Development

    Science.gov (United States)

    Umunadi, E. Kennedy

    2014-01-01

    This paper was designed to look at technical education curriculum and mode of implementation in Scotland in order to adopt the advantageous attributes of the Scottish technical education in Nigeria. The paper x-rayed the staff perceptions of technical education and its roles in Scotland; history of technical education before the advent of British…

  8. SCOTLAND AND EUROPE, OR: ROOM AT THE TOP FOR 'CONSTITUTIONAL REGIONS'?

    Directory of Open Access Journals (Sweden)

    Eberhard Bort

    2004-07-01

    Full Text Available Scotland, it is sometimes said, is more Euro-friendly than the rest of Britain. And, yes, some opinion polls would support that. Scotland is slightly more favourably disposed towards the Euro. And outright Euro-scepticism is not as thick on the ground as in the southern parts of England. But the differences are pretty marginal. Scotland's love for Europe might be more fiction than fact. And yet, as is often the case with myths, it is an important factor in Scottish politics. But the real issue for Scotland and Europe in the immediate future is its representation and participation in the governance of the European Union. With devolution in the UK, Scotland – with its own Parliament and Executive – has been firmly put on the political map of Europe. Together with similarly powered 'regions', Scotland's Parliament and Executive are making their case for an input of the 'third level' into a multi-level system of European governance. Is there room at the top for Scotland and the 'constitutional regions' of Europe? The answer to this question may play a significant role in determining Scotland's future: either as an integrated part of both the UK and Europe, or as an 'independent' state in the European Union.

  9. Young male Offenders, Spiritual Journeys and Criminal Desistance In Denmark and Scotland

    DEFF Research Database (Denmark)

    Mørck, Line Lerche; Deuchar, Ross; Matemba, Yonah,

    2015-01-01

    This paper focuses on a recent (2014) research in two remand prisons in Copenhagen, Denmark and one young offenders’ institution in Scotland. Based on in-depth life history interviews with 5 offenders in Denmark (age 23-37) and 9 in Scotland (age 16-21), the findings suggest that working with int......-religious and spiritual journeys....

  10. The Influence of Deaf People's Dual Category Status on Sign Language Planning: The British Sign Language (Scotland) Act (2015)

    Science.gov (United States)

    De Meulder, Maartje

    2017-01-01

    Through the British Sign Language (Scotland) Act, British Sign Language (BSL) was given legal status in Scotland. The main motives for the Act were a desire to put BSL on a similar footing with Gaelic and the fact that in Scotland, BSL signers are the only group whose first language is not English who must rely on disability discrimination…

  11. Environmental monitoring for radioactivity in Scotland, 1983 to 1987

    International Nuclear Information System (INIS)

    1989-01-01

    This bulletin, which has been prepared by Her Majesty's Industrial Pollution Inspectorate (HMIPI) of the Scottish Development Department (SDD), contains a summary of the environmental monitoring for radioactivity carried out in Scotland as part of the statutory procedure for ensuring the safety of radioactive waste disposals from nuclear facilities. The results presented cover the period 1983 to 1987. The first section of the bulletin draws together the results of the monitoring and presents the principal conclusions; the second section summarises the procedures underlying the monitoring; and the remaining sections present detailed monitoring results. The principal conclusions of this bulletin are that: public radiation exposure in Scotland from environmental radioactivity arising from radioactive waste disposal has been well within the internationally recommended limits including the ICRP's recommended principal limit of 1 millisievert per year; the levels of radiation exposure have been consistent with the recommendation of the NRPB that procedures leading to exposure of the public should be controlled so that the life-time effective dose equivalent does not exceed 70 millisieverts; any doses received have been small and correspond to negligible levels of risk to individuals; and the effects of waste disposals have been limited in accordance with the national standards of radiological safety, which are designed to protect the population from the harmful effects of radiation. (author)

  12. Interactions between land use, climate and hydropower in Scotland

    Science.gov (United States)

    Sample, James

    2015-04-01

    To promote the transition towards a low carbon economy, the Scottish Government has adopted ambitious energy targets, including generating all electricity from renewable sources by 2020. To achieve this, continued investment will be required across a range of sustainable technologies. Hydropower has a long history in Scotland and the present-day operational capacity of ~1.5 GW makes a substantial contribution to the national energy budget. In addition, there remains potential for ~500 MW of further development, mostly in the form of small to medium size run-of-river schemes. Climate change is expected to lead to an intensification of the global hydrological cycle, leading to changes in both the magnitude and seasonality of river flows. There may also be indirect effects, such as changing land use, enhanced evapotranspiration rates and an increased demand for irrigation, all of which could affect the water available for energy generation. Preliminary assessments of hydropower commonly use flow duration curves (FDCs) to estimate the power generation potential at proposed new sites. In this study, we use spatially distributed modelling to generate daily and monthly FDCs on a 1 km by 1 km grid across Scotland, using a variety of future land use and climate change scenarios. Parameter-related uncertainty in the model has been constrained using Bayesian Markov Chain Monte Carlo (MCMC) techniques to derive posterior probability distributions for key model parameters. Our results give an indication of the sensitivity and vulnerability of Scotland's run-of-river hydropower resources to possible changes in climate and land use. The effects are spatially variable and the range of uncertainty is sometimes large, but consistent patterns do emerge. For example, many locations are predicted to experience enhanced seasonality, with significantly lower power generation potential in the summer months and greater potential during the autumn and winter. Some sites may require

  13. The social metabolism of Scotland: An environmental perspective

    International Nuclear Information System (INIS)

    Viglia, S.; Matthews, K.B.; Miller, D.G.; Wardell-Johnson, D.; Rivington, M.; Ulgiati, S.

    2017-01-01

    The paper presents the results of a study that developed and applied social metabolism methods to assess the sustainability of a regional economy, particularly the dynamics related to changes in the production and use of energy. The first objective of the study was to assess the feasibility of using existing secondary data sources as a basis for sub-nation state and regional analysis (with the regions in this case differentiating the area based on rurality). The second was to structure the outputs of the analysis in ways that provided comprehensive yet succinct and interpretable assessments of the balance of flows of material, energy and money that underpin the economy, with the intention that ultimately these assessments would be used to inform policymaking. The paper provides an introduction to the key concepts used within social metabolism analysis particularly the use of emergy (a measure of the cumulative environmental support provided to a social-ecological system). This is a unifying metric into which the myriad flows within an economy can be translated and combined in meaningful ways. It does so by, preserving information on both the quantity and quality of flows and so avoiding the need for arbitrary weightings. The paper presents a range of options for the use of emergy-based metrics that could be used to inform policy making. Comparisons for the years 2001 and 2010 are made at country level for Scotland and for three degrees of rurality. The analysis highlights how decisions on the share of the offshore energy sector attributed to Scotland and on the share of services (particularly those imported from beyond U.K.) have profound effects on the sustainability trajectory of the economy and the conclusions that might be drawn for policy. The paper concludes that the methods have the potential to add value to existing administrative datasets, and provide new perspectives that may be of value to policy making, but acknowledges that challenges remain in

  14. Leith Davis, Ian Duncan, & Janet Sorensen, eds. Scotland and the Borders of Romanticism

    Directory of Open Access Journals (Sweden)

    Yann THOLONIAT

    2005-10-01

    Full Text Available Scotland and the Borders of Romanticism is a collection of essays written by scholars from Scotland, England, Canada and the United States which seeks to rehabilitate eighteenth-century Scottish literature within the wider canon of British literature. With this aim in view, the introduction, co-signed by the three editors, is legitimately polemical. The editors emphasise the role of Scotland in bodying forth not only Romanticism, but also major Victorian poetics (4. After having studied “Sco...

  15. Monitoring the Achievement of Deaf Pupils in Sweden and Scotland

    DEFF Research Database (Denmark)

    Hendar, Nils Ola Ebbe; O'Neill, Rachel

    2016-01-01

    Over the past two decades there have been major developments in deaf education in many countries. Medical and technical advances have made it possible for more deaf children to hear and speak successfully. Most deaf pupils learn in ordinary classes in mainstream schools. In this article we explore...... patterns of achievements of deaf pupils to see if these reforms had improved attainment outcomes. International surveys such as PISA do not include deaf pupils. This article describes two independent large-scale surveys about deaf pupils in Sweden and Scotland. The similar results from both countries show...... that deaf children, after two decades of social reform and technical advances, still lag behind their hearing peers. The results also show how large-scale surveys can contribute to a greater understanding of educational outcomes in a small, vulnerable group and make it possible to continue to reform...

  16. Sexual and Nonsexual Homicide in Scotland: Is There a Difference?

    Science.gov (United States)

    Skott, Sara; Beauregard, Eric; Darjee, Rajan

    2018-05-01

    While a number of previous studies have compared sexual homicides to nonlethal sexual offenses, there have been few studies comparing sexual and nonsexual homicides. This study examines whether sexual homicide offenders differ from nonsexual homicide offenders in Scotland regarding characteristics of the offender, the victim, and the homicide incident. Unlike previous studies, only homicides committed by males against females were examined. Data from a national police database were used to compare 89 male sexual homicide offenders who killed adult females with 306 male nonsexual homicide offenders who had also killed adult females using bivariate and multivariate (logistic regression) analyses. The findings revealed not only some similarities between the two groups, particularly regarding some victim variables, but also significant bivariate and multivariate differences. Sexual homicides appeared to be associated with indicators of instrumentality and sexual deviance. We conclude that sexual homicide offenders might be considered a distinct group of homicide offenders, more similar to sexual offenders than to other homicide offenders.

  17. Impact of Scotland's comprehensive, smoke-free legislation on stroke.

    Directory of Open Access Journals (Sweden)

    Daniel F Mackay

    Full Text Available Previous studies have reported a reduction in acute coronary events following smoke-free legislation. Evidence is lacking on whether stroke is also reduced. The aim was to determine whether the incidence of stroke, overall and by sub-type, fell following introduction of smoke-free legislation across Scotland on 26 March 2006.A negative binomial regression model was used to determine whether the introduction of smoke-free legislation resulted in a step and/or slope change in stroke incidence. The model was adjusted for age-group, sex, socioeconomic deprivation quintile, urban/rural residence and month. Interaction tests were also performed. Routine hospital administrative data and death certificates were used to identify all hospital admissions and pre-hospital deaths due to stroke (ICD10 codes I61, I63 and I64 in Scotland between 2000 and 2010 inclusive. Prior to the legislation, rates of all stroke, intracerebral haemorrhage and unspecified stroke were decreasing, whilst cerebral infarction was increasing at 0.97% per annum. Following the legislation, there was a dramatic fall in cerebral infarctions that persisted for around 20 months. No visible effect was observed for other types of stroke. The model confirmed an 8.90% (95% CI 4.85, 12.77, p<0.001 stepwise reduction in cerebral infarction at the time the legislation was implemented, after adjustment for potential confounders.Following introduction of national, comprehensive smoke-free legislation there was a selective reduction in cerebral infarction that was not apparent in other types of stroke.

  18. Working Health Services Scotland: a 4-year evaluation

    Science.gov (United States)

    Hanson, M; Bakhshi, A; Kennedy, M; Macdonald, E B

    2018-01-01

    Abstract Background Working Health Service Scotland (WHSS) supports the self-employed and employees of small and medium-sized enterprises (SMEs) in Scotland with a health condition affecting their ability to work, who are either absent or at risk of becoming absent due to it. Aims To evaluate the impact on health and work outcomes of WHSS clients over a 4-year period. Methods Data were collected at enrolment, entry, discharge and follow-up at 3 and 6 months after discharge. Clients completed up to three validated health questionnaires at entry and discharge—EuroQol five dimensions (EQ-5D) and visual analogue scale (VAS); Hospital Anxiety and Depression Scale (HADS); and Canadian Occupational Performance Measure (COPM). Results A total of 13463 referrals occurred in the 4-year period; 11748 (87%) were eligible and completed entry assessment and 60% of the latter completed discharge paperwork. The majority of referrals were due to musculoskeletal conditions (84%) while 12% were referred with mental health conditions. Almost a fifth (18%) of cases were absent at entry and back at work at discharge. Work days lost while in WHSS was associated with age, length of absence prior to entering WHSS, primary health condition and time in programme. All health measures showed significant improvements from entry to discharge. Improvement in general health was sustained at 3- and 6-month follow-up. Conclusions The WHSS evaluation findings indicate that participation was associated with positive changes to health and return-to-work. The extent of the positive change in health measures and work ability can be highly important economically for employees and employers. PMID:29390161

  19. The mutuality metaphor: understanding healthcare provision in NHS Scotland.

    Science.gov (United States)

    Howieson, Brian

    2016-06-20

    Purpose - Better Health, Better Care Action Plan (Scottish Government, 2007) sets out how the Scottish Government intends to strengthen public ownership of the National Health Service in Scotland. The purpose of this paper is to advance extant knowledge by understanding how a state-led mutual health policy may be interpreted, and importantly, communicated. Design/methodology/approach - The definitional problem of mutuality will be discussed and analysed in terms of how it is (or perhaps should be) communicated? will be offered. Findings - It actually may be more instructive to think of, and communicate, mutuality as a metaphor to aid understanding of the openness and fluidity found in NHS Scotland. Research limitations/implications - The existence of paradox and ambiguity does not, however, negate the usefulness of the term "mutuality". Quite the opposite in fact: it is precisely by examining healthcare and its delivery through the lens of mutuality (rather than rejecting its complexity as a failure) that this amorphousness can be better appreciated. Practical implications - There is a need for more public, professional, and academic debate to explore and clarify its implementation, and how it is to be led. This must be provided whilst recognising the daily imperatives that NHS leaders must face. This would suggest, therefore, that a dual development path may help. Originality/value - Although Better Health, Better Care Action Plan was published in 2007, some eight years on there is still confusion and misunderstanding as to what mutuality in healthcare is, not only in policy and theory, but also in practice. It is hoped that this analysis will help address, in part, some of this confusion and misunderstanding.

  20. Making inferences about patterns in wildlife tourism activities in Scotland using social media

    OpenAIRE

    Mancini, Francesca

    2016-01-01

    The Power Point file contains the slides of my talk for the BES 2016 annual meeting. The title of the talk is: "Making inferences about patterns in wildlife tourism activities in Scotland using social media".

  1. Provision of out-of-hours interventional radiology services in Scotland

    International Nuclear Information System (INIS)

    Zealley, I.A.; Gordon, T.J.; Robertson, I.; Moss, J.G.; Gillespie, I.N.

    2012-01-01

    Aim: To evaluate the availability of out-of-hours (OOH) interventional radiology (IR) services in Scotland and discuss implications for service redesign. Materials and methods: Data were gathered via a survey conducted by telephone/e-mail interview. The setting was hospitals in Scotland with acute medical and/or surgical beds. The interviewees were consultant interventional radiologists representing each of the 14 geographical Health Boards in Scotland. Results: Three of the 14 geographical Health Boards provided a formal, prospectively planned OOH IR service in at least one hospital. Fourteen of the 34 acute hospitals provided an in-hours IR service, which includes endovascular haemorrhage control. Eight of the 34 acute hospitals had formal, prospectively planned on-call IR arrangements, 12 had an ad-hoc service, and 20 transferred patients to other facilities. Thirty-eight of the 223 consultant radiologists in Scotland were able to perform endovascular haemorrhage control procedures: only 18 of these 38 (47%) were included in on-call rotas. A further 42 radiologists were able to perform nephrostomy and a further 61 were able to perform abscess drainage. Eighty-two radiologists did not perform any interventional procedures. Conclusions: The provision of OOH IR services in Scotland is limited and available resources, both skills and equipment, are being underutilized. These data will be used to inform a process of OOH IR service redesign in Scotland.

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

    Science.gov (United States)

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

    2017-10-01

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

  3. Walkability around primary schools and area deprivation across Scotland.

    Science.gov (United States)

    Macdonald, Laura; McCrorie, Paul; Nicholls, Natalie; Ellaway, Anne

    2016-04-14

    A number of studies based in the US, Canada, and Australia, have found evidence of associations between the built environment (BE) and mode of transport to school, and links between active travel and deprivation. Limited research in the UK compares potential BE supports for walking to school by area deprivation. Within this study, we gathered data on BE attributes previously linked to active travel, i.e., street/path connectivity, and dwelling density, created a composite 'walkability score' (WS) for areas around primary schools across urban Scotland, and explored whether poorer areas exhibit lower scores than more affluent areas, or vice versa. We consider this to be a novel approach as few studies have compared BE features by deprivation across a whole country. Address and road/path maps were obtained and primary schools (N = 937) across mainland Scotland were mapped. Schools were attributed income deprivation scores (scores divided into quintiles (Q1: least deprived, Q5: most deprived)). Catchment area (CA) boundaries, i.e., the geographic area representing eligibility for local school attendance, were drawn around schools, and WS calculated for each CA. We compared mean WS by income quintile (ANOVA), for all local authorities (LAs) combined (N = 29), and separately for the four LAs with the greatest number of schools included in the analysis. For all LAs combined, the least deprived quintile (Q1) showed a significantly lower WS (-0.61), than quintiles 3, 4 and 5 (Q2: -0.04 (non-sig), Q3: 0.38, Q4: 0.09, Q5: 0.18); while for Glasgow the second least deprived quintile (Q2) showed significantly higher WS (Q1: 1.35, Q2: 1.73), than middling (Q3: 0.18) and most deprived quintiles (Q4: 0.06, Q5: -0.10). WS differ by deprivation with patterns varying depending on the spatial scale of the analysis. It is essential that less walkable areas are provided with the resources to improve opportunities to engage in active travel.

  4. Legal Crisis and Artistic Innovation in Thirteenth-Century Scotland

    Directory of Open Access Journals (Sweden)

    Jessica Barker

    2017-06-01

    Full Text Available Weathered, damaged, and largely forgotten, the thirteenth-century effigies of Walter and Mary Stewart lie amid the evocative ruins of Inchmahome Priory on an island in the Lake of Menteith, Stirlingshire (Scotland. This tomb has been overlooked by art historians, yet it is the earliest surviving example in the British Isles of effigies of husband and wife lying side-by-side on the same tomb, the forerunner of a trend for commemorating marriage which would not become widespread for almost another hundred years. The intimacy of Walter and Mary’s relationship is expressed through a complex exchange of gestures, unparalleled in medieval funerary sculpture: both figures stretch out an arm to embrace one another around the shoulder, while Walter reaches across with his other hand to pull the folds of Mary’s cloak over her body. The following article considers the possible connection between this remarkable instance of artistic innovation and Walter and Mary’s involvement in a long-running dispute over their possession of the earldom of Menteith. Examining the gestures of the figures, the decision to place the monument at Inchmahome, and the probable identity of Walter as patron, I argue that the effigies were intended as an enduring witness to the legitimacy of Walter and Mary’s possession of their title and lands.

  5. Determinants of passive smoking in children in Edinburgh, Scotland.

    Science.gov (United States)

    Jarvis, M J; Strachan, D P; Feyerabend, C

    1992-01-01

    OBJECTIVES. Using saliva cotinine as a quantitative marker, we examined the contribution of factors other than parental smoking to children's passive exposure to tobacco smoke. METHODS. Saliva specimens from a random sample of 734 7-year-old schoolchildren in Edinburgh, Scotland, were analyzed for cotinine. Their parents completed a questionnaire covering smoking habits and conditions in the home. RESULTS. A number of independent predictors of cotinine were identified in addition to the main one of smoking by household members. These predictors included home ownership, social class, day of the week, season of the year, number of parents present, crowding in the home, the number of children in the household, and sex. Cotinine was higher in children from less advantaged backgrounds, during winter, on Mondays, in girls, and when fewer other children were present. The effects were similar between children from nonsmoking and smoking homes. CONCLUSIONS. Questionnaire measures of parental smoking are insufficient to fully characterize young children's exposure to passive smoking. Because socioeconomic variables contribute to measured exposure, passive-smoking studies that treat class as a confounder and control for it may be overcontrolling. PMID:1503162

  6. Water Institutional Reforms in Scotland: Contested Objectives and Hidden Disputes

    Directory of Open Access Journals (Sweden)

    Antonio A.R. Ioris

    2008-10-01

    Full Text Available One fundamental limitation of the contemporary debate over water institutional reforms has been the excessive concentration on scientific assessments and management techniques, with insufficient consideration of the underlying politics of decision-making and socio-economic asymmetries. This article examines the 'sociology of water regulation' to demonstrate how the implementation of the European Water Framework Directive (WFD in Scotland is profoundly influenced by broader political and economic circumstances. The ongoing reforms of regulatory institutions became entangled in the reorganisation of a devolved Scottish Administration in the late 1990s, which has directly influenced the channels of representation and the overall decision-making processes. It is claimed here that, despite a discursive construction around sustainability and public participation, the new institutional landscape has so far failed to improve long-term patterns of water use and conservation. The article also analyses how the exacerbation of the economic dimension of water management has permeated the entire experience, serving as a political filter for the assessment of impacts and formulation of solutions. The ultimate conclusion is that formal changes in the legislation created a positive space for institutional reforms, but the effective improvement of water policy and catchment management has been curtailed by political inertia and the hidden balance of power.

  7. Radiologist perceptions of radiographer role development in Scotland

    Energy Technology Data Exchange (ETDEWEB)

    Forsyth, Lesley J. [School of Health Sciences, Robert Gordon University, Faculty of Health and Social Care, Garthdee Road, Garthdee, Aberdeen AB10 7QG (United Kingdom)]. E-mail: l.forsyth@rgu.ac.uk; Robertson, Elizabeth M. [Department of Radiology, Aberdeen Royal Infirmary, Foresterhill, Aberdeen AB25 2ZN (United Kingdom)]. E-mail: e.m.robertson@arh.grampian.scot.nhs.uk

    2007-02-15

    Aim: To survey the perceptions of the Scottish radiology community in relation to radiographer role development. Methods: A postal questionnaire was sent to all consultant radiologists recorded on the NHS Scotland database of consultants. Results: Response rate was 63%. (i) Respondents considered increased professional standing of radiographers, best use of manpower resources, reduced pressure on the service and improved recruitment and retention, as positive advantages of radiographer development. (ii) The potential impact on radiology specialist registrar training, lack of clear medico-legal responsibilities and radiographers recognising the limitations of their abilities were identified as the main areas of radiologist anxiety. (iii) Fifty-seven percent did not consider current post-registration radiography education and training resources adequate to underpin the requirement of developed roles. (iv) Barriers to radiographer development were identified as lack of radiography and radiology staff, suitable education, financial constraints, traditional views and resistance to change. (v) Eighty-two percent reported support for radiographer role development and willingness to participate actively in developments. Conclusion: Despite reservations Scottish radiologists are supportive of the development of radiography colleagues, however, guidance is required on the medico-legal and accountability aspects of radiographers assuming new roles. Radiologist involvement in education and training for new roles may increase their confidence and trust in radiographers to work within the limitations of their competency and training.

  8. Accounting for the Assimilative Capacity of Water Systems in Scotland

    Directory of Open Access Journals (Sweden)

    Paula Novo

    2017-07-01

    Full Text Available A key methodological challenge in understanding the relationship between the economy and the underlying ecosystem base resides in how to account for the ecosystem’s degradation and the decline of associated ecosystem services. In this study, we use information on nutrients and metals concentrations from the Environmental Change Network (ECN database and the Scottish Environment Protection Agency (SEPA for the period 2000–2010 in order to assess the assimilation capacity of water systems. The research covers five upstream sites and 17 downstream sites in northeast Scotland. Our results highlight the relevance of considering a number of pollutants, and suggest that elements such as arsenic, lead and mercury can pose a threat to ecosystems’ sustainability and health. However, little research has been done in terms of their assimilation capacity and their impact on grey water footprint assessments. In addition, the results indicate that background conditions might be relevant when performing sustainability analysis at different spatial scales. The study also poses relevant questions in relation to land management approaches versus traditional ‘end-of-pipe’ water treatment approaches, and the definition of maximum and background concentrations. In this regard, further studies will be required to understand the trade-offs between different ecosystem services depending on how these concentrations are defined.

  9. Artificial radioactivity in tide washed pastures in south west Scotland

    International Nuclear Information System (INIS)

    McKay, W.A.; Bonnett, P.J.P.; Barr, H.M.; Howorth, J.M.

    1991-01-01

    A study has been carried out to determine the impact of Sellafield discharges on the levels of radioactivity in tide washed pastures in south west Scotland. The likely areas of tidal inundations along the Nith, Urr, Dee, Fleet and Cree (including nearby Bladnoch) rivers were assessed using maps and aerials photographs. These were then visited and gamma radiation measurements taken at regular intervals to enable the external dose from anthropogenic nuclides to be estimated. A further survey followed where soil cores were taken from the areas on each river where the external dose appeared highest and analysed for a range of artificial radionuclides. The levels of 137 Cs, 134 Cs, 238 Pu, 239+240 Pu and 241 Am found, although small, were clearly in excess of the background from other sources. A habit survey was carried out to provide site specific information of tide washed pasture usage, which, with the spatial radionuclide data was used to estimate doses to appropriate critical groups. The maximum annual dose calculated to arise was 60 μSv which is less than 6% of the ICRP principal dose limit of 1 mSv. (author)

  10. Stroke outcomes in Northern Scotland: does rurality really matter?

    Science.gov (United States)

    O'Neill, N P; Godden, D J

    2003-01-01

    Stroke is the third leading cause of death in Scotland after coronary heart disease and cancer and is a major cause of long-term disability. There is evidence in other clinical conditions such as asthma, diabetic retinopathy, and cancer that rural residents may have poorer outcomes, due to relative inaccessibility of health-service provision or because the disease is at a more advanced stage at diagnosis. However, the evidence-base for stroke care and outcomes in remote and rural areas is small and the subject matter is under-researched. This study was designed to examine, over a one-year period, the incidence and outcome of stroke occurring in the Highlands and Islands of Scotland, a large geographical area with many rural and remote settlements. The study explored whether stroke care and outcome was affected by remoteness and rurality. The study was a prospective, community-based, observational survey. Patients in Highland and the Islands (Orkney, Shetland and the Western Isles) suffering first-ever stroke during a 12-month period (from 1 May 2001 to 30 April 2002) were included. All practitioners from health and social care sectors, residential homes, voluntary and charitable organisations were encouraged to notify the researchers of any individual they suspected or knew had a first-ever stroke within the designated time period. Data on 'limitation in activities' (formerly 'level of disability') and service provision were collected using questionnaires and proformas at 1, 3 and 6 months post-stroke from several sources. These included individual patients and carers, health and social care professionals, residential homes, voluntary organisations, and charitable organisations. The analysis focused on location at time of follow up, limitation in activities and service provision. Outcomes were compared across different settlement categories. Settlements were classified as urban/accessible, remote rural and very remote, based on the Scottish Household Survey. In all

  11. The economics of petroleum exploration and development west of Scotland

    International Nuclear Information System (INIS)

    Kemp, A.G.; Stephen, L.

    2001-01-01

    This paper examines the economics of oil and gas exploration and development in the West of Scotland region. A considerable exploration effort has resulted in some discoveries but the overall success rate has been quite low. The region is comprised of several distinct geological basins. To date the Judd Basin has experienced the best discovery rate. Expected returns as measured by expected monetary values are generally low, confirming the high-risk nature of the region. The most economical field development concept depends to a large extent on a combination of field size and water depth which vary markedly from basin to basin. In typical cost conditions at an $18 price returns to investors in medium and large-sized fields at the development phase are positive, but at $14 only when costs are relatively low are positive returns in prospect. Stand-alone gas developments are very unlikely to be viable in current market conditions. The fuller exploitation of the whole region requires higher oil and gas prices and /or significant innovation and technological progress. (Author)

  12. First solar radio spectrometer deployed in Scotland, UK

    Science.gov (United States)

    Monstein, Christian

    2012-10-01

    A new Callisto solar radio spectrometer system has recently been installed and set into operation at Acre Road Observatory, a facility of University of Glasgow, Scotland UK. There has been an Observatory associated with Glasgow University since 1757, and they presently occupy two different sites. The main observatory ('Acre Road') is close to the Garscube Estate on the outskirts of the city of Glasgow. The outstation ('Cochno', housing the big 20 inch Grubb Parsons telescope) is located farther out at a darker site in the Kilpatrick Hills. The Acre Road Observatory comprises teaching and research labs, a workshop, the main dome housing the 16 inch Meade, the solar dome, presently housing the 12 inch Meade, a transit house containing the transit telescope, a 3m HI radio telescope and a 408 MHz pulsar telescope. They also have 10 and 8 inch Meade telescopes and several 5 inch Celestron instruments. There is a small planetarium beneath the solar dome. The new Callisto instrument is mainly foreseen for scientific solar burst observations as well as for student projects and for 'bad-weather' outreach activities.

  13. Distribution of optometric practices relative to deprivation index in Scotland.

    Science.gov (United States)

    Legge, Robin; Strang, Niall C; Loffler, Gunter

    2017-07-19

    The UK National Health Service aims to provide universal availability of healthcare, and eye-care availability was a primary driver in the development of the Scottish General Ophthalmic Services (GOS) model. Accordingly, a relatively equal distribution of optometry practices across socio-economic areas is required. We examined practice distribution relative to deprivation. 672 practices were sampled from nine Health Boards within Scotland. Practices were assigned a deprivation ranking by referencing their postcode with the Scottish Index of Multiple Deprivation (SIMD) tool (Scottish Executive National Statistics: General Report. 2016). Averaged across Health Boards, the share of practices for the five deprivation quintiles was 25, 33, 18, 14 and 11% from most to least deprived area, respectively. Although there was some variation of relative practice distribution in individual Health Boards, 17 of the 45 regions (nine Health Boards, five quintiles) had a close balance between population and share of practices. There was no clear pattern of practice distribution as a function of deprivation rank. Analysis revealed good correlation between practice and population share for each Health Board, and for the combined data (R2 = 0.898, P Distribution of optometry practices is relatively balanced across socio-economic areas, suggesting that differences in eye-examination uptake across social strata are unrelated to service availability. © The Author 2017. Published by Oxford University Press on behalf of Faculty of Public Health.

  14. Radiologist perceptions of radiographer role development in Scotland

    International Nuclear Information System (INIS)

    Forsyth, Lesley J.; Robertson, Elizabeth M.

    2007-01-01

    Aim: To survey the perceptions of the Scottish radiology community in relation to radiographer role development. Methods: A postal questionnaire was sent to all consultant radiologists recorded on the NHS Scotland database of consultants. Results: Response rate was 63%. (i) Respondents considered increased professional standing of radiographers, best use of manpower resources, reduced pressure on the service and improved recruitment and retention, as positive advantages of radiographer development. (ii) The potential impact on radiology specialist registrar training, lack of clear medico-legal responsibilities and radiographers recognising the limitations of their abilities were identified as the main areas of radiologist anxiety. (iii) Fifty-seven percent did not consider current post-registration radiography education and training resources adequate to underpin the requirement of developed roles. (iv) Barriers to radiographer development were identified as lack of radiography and radiology staff, suitable education, financial constraints, traditional views and resistance to change. (v) Eighty-two percent reported support for radiographer role development and willingness to participate actively in developments. Conclusion: Despite reservations Scottish radiologists are supportive of the development of radiography colleagues, however, guidance is required on the medico-legal and accountability aspects of radiographers assuming new roles. Radiologist involvement in education and training for new roles may increase their confidence and trust in radiographers to work within the limitations of their competency and training

  15. The Stones and the Stars Building Scotland's Newest Megalith

    CERN Document Server

    Lunan, Duncan

    2013-01-01

    There are at least 48 identified prehistoric stone circles in Scotland.  In truth, very little is known about the people who erected them, and ultimately about what the stone circles were for.  Most stone circles are astronomically aligned, which has led to the modern debate over the significance of the alignments.  The megaliths certainly represented an enormous cooperative effort, would at the very least have demonstrated power and wealth, and being set away from any dwellings probably served a ceremonial, or perhaps religious, purpose. Observations at the site of the stone circles, of solar, lunar, and stellar events, have already cast light on some of the questions about the construction and use of ancient megalithic observatories. In his capacity as manager of the Glasgow Parks Department Astronomy Project, author Duncan Lunan designed and built in the late 1970s Sighthill, the first astronomically aligned stone circle in Britain in over 3,000 years.  The Stones and the Stars examines the case for as...

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

    Science.gov (United States)

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

    2005-11-01

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

  17. Community Business in Scotland: An Alternative Vision of 'Enterprise Culture', 1979-97.

    Science.gov (United States)

    Murray, Gillian

    2018-06-09

    The force and coherency with which Margaret Thatcher and her inner circle outlined their vision for 'enterprise culture', like so many aspects of Thatcherism, have masked the complexity of its origins and the histories of alternative responses. This article provides a history of an alternative vision for enterprise culture by examining the community business movement in Scotland, the largest experiment of its kind in the UK in the 1980s and a forerunner of social enterprise. Working across Scotland, but with a hub of activity in the Strathclyde region, practitioners worked with local people to find ways to develop their neighbourhood economy while improving their environment, creating jobs, and developing services needed in their area. This article outlines the origins of the movement, the shared values of its founding members, and how their training in community development informed the community business model. It analyses how practitioners put their ideas into practice and the reasons behind the fragmentation of the movement in the 1990s. It argues that although at face value the concept of community business may appear to chime with the dominant political rhetoric of Thatcher's 'enterprise culture', the history of the movement provides a signpost to an alternative, if unrealised, vision for Scotland's recovery from social and economic depression. Where previous historical research has focused on the political consequences of Thatcher's policies in Scotland, this research connects this discussion to the transformation of Scotland's civic society in the wake of deindustrialization.

  18. Education in nuclear decommissioning in the north of Scotland

    International Nuclear Information System (INIS)

    Catlow, F.; Reeves, G.M.

    2007-01-01

    This paper describes the work covered and experience gained in the first two years of operation of DERC, a Centre for Decommissioning and Environmental Remediation in the Highlands of Scotland. The Centre is a unique development which was set up to teach nuclear decommissioning as a separate discipline, address the problem of a declining skills base in the field of nuclear technologies and to take advantage of the unique and exceptional innovative, technical and research opportunities offered through the decommissioning of Britain's fast reactor site at Dounreay. The Centre is an offshoot from North Highland College which is a member of UHI, the University in embryo of the Highlands and Islands. The Centre currently supports ten PhD students completing various diverse projects mainly in the field of nuclear environmental remediation. In addition there area number of full and part time MSc students who participate in NTEC (Nuclear Technology Education Consortium) a consortium of British Universities set up specifically to engender interest and skills in nuclear technology at postgraduate level. At undergraduate level, courses are offered in Nuclear Decommissioning and related subjects as part of Electrical and Mechanical degree courses. In addition to our relationship with the United Kingdom Atomic Energy Authority (UKAEA) the Dounreay site licensee, we have links with Rolls-Royce and the Ministry of Defence who also share the Dounreay site and with other stakeholders such as, the UK regulator (HSE/NII), the Scottish Environmental Protection Agency (SEPA), local and international contractors and we liaise with the newly formed Nuclear Decommissioning Authority (NDA), who provide some sponsorship and support. We possess our own equipment and laboratories for taking and analysing soil samples and for conducting environmental surveys. Recently we commissioned an aerial survey of contamination in the locality from natural sources, other background levels such as

  19. Urban versus rural populations' views of health care in Scotland.

    Science.gov (United States)

    Farmer, Jane; Hinds, Kerstin; Richards, Helen; Godden, David

    2005-10-01

    To compare satisfaction with, and expectations of, health care of people in rural and urban areas of Scotland. Questions were included in the 2002 Scottish Social Attitudes Survey (SSAS). The Scottish House-hold Survey urban-rural classification was used to categorize locations. A random sample of 2707 people was contacted to participate in a face-to-face interview and a self-completion questionnaire survey. SPSS (v.10) was used to analyse the data. Relationships between location category and responses were explored using logistic regression analysis. In all, 1665 (61.5%) interviews were conducted and 1507 (56.0%) respondents returned self-completion questionnaires. Satisfaction with local doctors and hospital services was higher in rural locations. While around 40% of those living in remote areas thought A&E services too distant, this did not rank as a top priority for health service improvement. This could be due to expectations that general practitioners would assist in out-of-hours emergencies. Most Scots thought services should be good in rural areas even if this was costly, and that older people should not be discouraged from moving to rural areas because of their likely health care needs. In all, 79% of respondents thought that care should be as good in rural as urban areas. Responses to many questions were independently significantly affected by rural/urban location. Most Scots want rural health care to continue to be good, but the new UK National Health Service (NHS) general practitioner contract and service redesign will impact on provision. Current high satisfaction, likely to be due to access and expectations about local help, could be affected. This study provides baseline data on attitudes and expectations before potential service redesign, which should be monitored at intervals in future.

  20. Slow pace of dietary change in Scotland: 2001-9.

    Science.gov (United States)

    Wrieden, Wendy L; Armstrong, Julie; Sherriff, Andrea; Anderson, Annie S; Barton, Karen L

    2013-05-28

    Monitoring changes in the food and nutrient intake of a nation is important for informing the design and evaluation of policy. Surveys of household food consumption have been carried out annually in the UK since 1940 and, despite some changes over the years 1940-2000, the method used for the Expenditure and Food Survey (Living Costs and Food Survey from 2008) has been fundamentally the same since 2001. Using these surveys an analytical procedure was devised to compare food consumption and nutrient intake in Scotland with the Scottish dietary targets, and monitor change. This method takes into account contributions to composite foods and losses due to food preparation, as well as inedible and edible waste. There were few consistent improvements in consumption of foods or nutrients targeted for change over the period 2001-9. A significant but small increase was seen in mean fruit and vegetable consumption (259 g/d in 2001, 279 g/d in 2009, equating to an increase of less than 3 g/person per year). There was also a significant decrease in the percentage of food energy from SFA (15·5 % in 2001, 15·1 % in 2009) and from non-milk extrinsic sugars (15·5 % in 2001, 14·8 % in 2009), concurrent with a reduction in whole milk consumption and soft drink consumption, respectively. These small changes are encouraging, but highlight the time taken for even modest changes in diet to occur. To achieve a significant impact on the health of the present Scottish population, the improvements in diet will need to be greater and more rapid.

  1. The First Detailed 2H and 18O Isoscapes of Freshwater in Scotland

    Science.gov (United States)

    Meier-Augenstein, W.; Hoogewerff, J.; Kemp, H. F.; Frew, D.

    2012-04-01

    Scotland's freshwater lochs and reservoirs provide a vital resource for sustaining biodiversity, agriculture, food production as well as for human consumption. Regular monitoring of freshwater quality by the Scottish Environmental Protection Agency (SEPA) fulfils the legislative requirements but new scientific methods involving stable isotope analysis present an opportunity for delivering on current and nascent government policies [1] and gaining a greater understanding of Scottish waters and their importance in the context of climate change, environmental sustainability and the aforementioned functions. In brief, 2H and 18O isoscapes of Scottish freshwater could be used to support fundamental and applied research in: • Climate change - These first ever isoscapes will provide a baseline against which future environmental impact can be assessed due to changes in the characteristic isotope composition of freshwater lochs and reservoirs. • Scottish branding - Location specific stable isotope signatures of Scottish freshwater have the potential to be used as a tool for provenancing and thus protecting premium Scottish produce such as Scottish beef, Scottish berries and Scottish Whisky. During 2011, freshwater samples were collected with the support of SEPA from more than 80 freshwater lochs and reservoirs across Scotland. Here we present the result of the 2H and 18O stable isotope analyses of these water samples together with the first isoscapes generated based on these data. [1] Adaptation Framework - Adapting Our Ways: Managing Scotland's Climate Risk (2009): Scotland's Biodiversity: It's in Your Hands - A strategy for the conservation and enhancement of biodiversity in Scotland (2005); Recipe For Success - Scotland's National Food and Drink Policy (2009); Scottish Planning Policy Environmental Report (2009); Scottish Planning Policy (SPP) 15 Planning for Rural Development (2005); National Planning Policy Guideline (NPPG) 14: Natural Heritage (1999).

  2. Prevention of poultry-borne salmonellosis by irradiation: Costs and benefits in Scotland

    International Nuclear Information System (INIS)

    Yule, B.F; Forbes, G.I.; MacLeod, A.F.

    1988-01-01

    Poultry-borne salmonellosis is the most common foodborne infection in Scotland for which the vehicle can be identified. The cost of the disease to society in terms of health service use, absence from work, morbidity, and mortality is substantial. The study estimates the total cost of poultry-borne salmonellosis in Scotland and compares it with the cost of a single preventive measure: the irradiation of poultry meat. The results suggest that the public health benefits exceed irradiation costs. This conclusion is, however, sensitive to assumptions made in the analysis, particularly those related to the cost of unreported cases of salmonellosis. 19 refs, 3 tabs

  3. Genetic diversity of Phytophthora ramorum in nursery trade and managed environment in Scotland

    Science.gov (United States)

    Alexandra Schlenzig; David Cook

    2013-01-01

    in Scotland were genotyped using seven microsatellite markers as described by Vercauteren et al. (2010). Thirty multilocus genotypes were identified within the Scottish population, with 51 percent of the isolates belonging to the main European genotype EU1MG1 and 13 unique detected genotypes. Ten of those genotypes were site specific, often represented by...

  4. Regional geochemical maps of uranium in Northern Scotland. Environmental and economic considerations

    International Nuclear Information System (INIS)

    Plant, J.

    1978-01-01

    The Institute of Geological Studies geochemical mapping programme is outlined. The natural levels of uranium in rocks, soils and waters are discussed. Some practical details of geochemical mapping are given. Applications of geochemical maps of uranium in Scotland are considered: economic applications and medical geography and agriculture. A list of 38 references is appended. (U.K.)

  5. Five key recommendations for the implementation of Hospital Electronic Prescribing and Medicines Administration systems in Scotland

    Directory of Open Access Journals (Sweden)

    Kathrin Cresswell

    2017-01-01

    Our five recommendations will, we hope, provide a starting point for the strategic deliberations of policy makers. Throughout this journey, it is important to view the deployment of HEPMA as part of a wider strategic goal of creating integrated digital infrastructures across Scotland.

  6. Identification, Assessment and Intervention--Implications of an Audit on Dyslexia Policy and Practice in Scotland

    Science.gov (United States)

    Reid, Gavin; Deponio, Pamela; Petch, Louise Davidson

    2005-01-01

    This article reports on research commissioned by the Scottish Executive Education Department (SEED). It aimed to establish the range and extent of policy and provision in the area of specific learning difficulties (SpLD) and dyslexia throughout Scotland. The research was conducted between January and June 2004 by a team from the University of…

  7. Facilitating the Evaluation of Complexity in the Public Sector: Learning from the NHS in Scotland

    Science.gov (United States)

    Connolly, John; Reid, Garth; Mooney, Allan

    2015-01-01

    It is necessary for public managers to be able to evaluate programmes in the context of complexity. This article offers key learning and reflections based on the experience of facilitating the evaluation of complexity with a range of public sector partners in Scotland. There have been several articles that consider evaluating complexity and…

  8. Salmonella montevideo infection in sheep and cattle in Scotland, 1970-81.

    Science.gov (United States)

    Sharp, J C; Reilly, W J; Linklater, K A; Inglis, D M; Johnston, W S; Miller, J K

    1983-04-01

    Outbreaks of abortion associated with infection by Salmonella montevideo have affected sheep in the east, especially the south-east, of Scotland each year since 1972. Disease in the north and north-east was usually less severe. Between 1 January 1970 and 31 December 1981, a total of 67 incidents affecting sheep were reported by veterinary laboratories to the Communicable Diseases (Scotland) Unit, 87% of which presented during the main lambing months of February, March and April. Twenty-one episodes of bovine infection were also recorded over the same period, 17 of which involved single animals only, usually an aborted cow or a scouring calf. Despite intensive investigations, neither the origin nor the mode of spread of S. montevideo infection among sheep and cattle in Scotland have been established with any certainty, although there has been considerable evidence indicating the role of scavenging wild birds, particularly seagulls, as vectors transmitting infection to other farms in the same district. Also largely unexplained are the differences in the epidemiology and clinical pattern of disease in the south-east compared to the north and north-east, while sheep in the west of Scotland have remained virtually unaffected throughout.

  9. The Urgent Need for New Approaches in School Evaluation to Enable Scotland's Curriculum for Excellence

    Science.gov (United States)

    MacKinnon, Niall

    2011-01-01

    This paper presents observations on the nature of school audit methods in light of the implementation of Scotland's incoming Curriculum for Excellence and the major normative, technological, and cultural changes affecting schools. It points to a mismatch between the concepts and structures of the incoming curriculum and that of the universalistic…

  10. Draft genome sequences of Phytophthora kernoviae and Phytophthora ramorum lineage EU2 from Scotland

    Directory of Open Access Journals (Sweden)

    Christine Sambles

    2015-12-01

    Full Text Available Newly discovered Phytophthora species include invasive pathogens that threaten trees and shrubs. We present draft genome assemblies for three isolates of Phytophthora kernoviae and one isolate of the EU2 lineage of Phytophthora ramorum, collected from outbreak sites in Scotland.

  11. Discourses, Decisions, Designs: "Special" Education Policy-Making in New South Wales, Scotland, Finland and Malaysia

    Science.gov (United States)

    Chong, Pei Wen; Graham, Linda J.

    2017-01-01

    This comparative analysis investigates the influence of neo-liberal and inclusive discourses in "special" education policy-making in New South Wales, Scotland, Finland and Malaysia. The centrality of competition, selectivity and accountability in the discourses used in New South Wales and Malaysia suggests a system preference for…

  12. Gaelic language erosion and revitalization on the Isle of Skye, Scotland.

    NARCIS (Netherlands)

    Smakman, D.; Smith-Christmas, C.; Graaf, de T.; Ostler, N.; Salverda, R.

    2008-01-01

    This paper analyzes the language loss of three generations of a Gaelic-speaking family located on the Isle of Skye, Scotland. Participants' linguistic skills were assessed via language ability tests. We focused on plurals, passives, and tense, and we examined synthetic forms. The results confirmed

  13. Pathogenic Potential to Humans of Bovine Escherichia coli O26, Scotland

    Science.gov (United States)

    Rosser, Tracy; Allison, Lesley J.; Courcier, Emily; Evans, Judith; McKendrick, Iain J.; Pearce, Michael C.; Handel, Ian; Caprioli, Alfredo; Karch, Helge; Hanson, Mary F.; Pollock, Kevin G.J.; Locking, Mary E.; Woolhouse, Mark E.J.; Matthews, Louise; Low, J. Chris; Gally, David L.

    2012-01-01

    Escherichia coli O26 and O157 have similar overall prevalences in cattle in Scotland, but in humans, Shiga toxin–producing E. coli O26 infections are fewer and clinically less severe than E. coli O157 infections. To investigate this discrepancy, we genotyped E. coli O26 isolates from cattle and humans in Scotland and continental Europe. The genetic background of some strains from Scotland was closely related to that of strains causing severe infections in Europe. Nonmetric multidimensional scaling found an association between hemolytic uremic syndrome (HUS) and multilocus sequence type 21 strains and confirmed the role of stx2 in severe human disease. Although the prevalences of E. coli O26 and O157 on cattle farms in Scotland are equivalent, prevalence of more virulent strains is low, reducing human infection risk. However, new data on E. coli O26–associated HUS in humans highlight the need for surveillance of non-O157 enterohemorrhagic E. coli and for understanding stx2 phage acquisition. PMID:22377426

  14. James Hutton's Geological Tours of Scotland: Romanticism, Literary Strategies, and the Scientific Quest

    Science.gov (United States)

    Furniss, Tom

    2014-01-01

    Rather than focussing on the relationship between science and literature, this article attempts to read scientific writing as literature. It explores a somewhat neglected element of the story of the emergence of geology in the late eighteenth century--James Hutton's unpublished accounts of the tours of Scotland that he undertook in the years…

  15. Attitudes of Scottish abortion care providers towards provision of abortion after 16 weeks' gestation within Scotland.

    Science.gov (United States)

    Cochrane, Rosemary A; Cameron, Sharon T

    2013-06-01

    In Scotland, in contrast to the rest of Great Britain, abortion at gestations over 20 weeks is not provided, and provision of procedures above 16 weeks varies considerably between regions. Women at varying gestations above 16 weeks must travel outside Scotland, usually to England, for the procedure. To determine the views of professionals working within Scottish abortion care about a Scottish late abortion service. Delegates at a meeting for abortion providers in Scotland completed a questionnaire about their views on abortion provision over 16 weeks and their perceived barriers to service provision. Of 95 distributed questionnaires, 70 (76%) were analysed. Fifty-six respondents (80%) supported a Scottish late abortion service, ten (14%) would maintain current service arrangements, and five (7%) were undecided. Forty (57%) of the supporters of a Scottish service would prefer a single national service, and 16 (22%) several regional services. Perceived barriers included lack of trained staff (n = 39; 56%), accommodation for the service (n = 34; 48%), and perception of lack of support among senior management (n = 28; 40%). The majority of health professionals surveyed who work in Scottish abortion services support provision of abortion beyond 16 weeks within Scotland, and most favour a single national service. Further work on the feasibility of providing this service is required.

  16. Spring production of Calanus finmarchicus at the Iceland-Scotland Ridge

    DEFF Research Database (Denmark)

    Jonasdottir, Sigrun; Richardson, K.; Heath, M.R.

    2008-01-01

    Distribution and reproduction activity of the calanoid copepod Calanus finmarchicus were studied in the waters between Scotland and Iceland in April 1997 during the expected time of the animals' ascent to surface waters following diapause. Ascent was taking place on both sides of the Iceland-Scot...

  17. The epidemiology of Phytophthora ramorum and P. kernoviae at two historic gardens in Scotland

    Science.gov (United States)

    M. Elliot; T.R. Meagher; C. Harris; K. Searle; B.V. Purse; A. Schlenzig

    2013-01-01

    This study looked at the factors that facilitated the spread of Phytophthora ramorum andP. kernoviae at two locations in the west of Scotland. Spore traps, river baiting, bait plants, and soil sampling were used to both confirm the presence of, and measure the amount of, inoculum in the environment in order...

  18. Alasdair Macintyre's Idea of an Educated Public and "Informal" Adult Education in Scotland

    Science.gov (United States)

    Hammond, Keith

    2006-01-01

    Scotland has a particular history, that moves around the unique public experiences of the Enlightenment and the Act of Union as defining moments that could have developed differently. For complex reasons, public thinking moved more and more towards the fractured moral and political conditions that we know now. But, following the work of Alasdair…

  19. Plus C'est La Même Chose: Joinery Apprenticeship Arrangements in Scotland

    Science.gov (United States)

    Anderson, Pauline

    2014-01-01

    This paper examines recent changes in the Scottish apprenticeship system of skill formation for joiners through an occupational skill ecosystem lens. Building trade apprenticeships in Scotland are based around a social partnership model more akin to "dual systems" than typical arrangements elsewhere in the UK. Drawing on in-depth…

  20. The Development of Scotland's Curriculum for Excellence: Amnesia and Deja Vu

    Science.gov (United States)

    Priestley, Mark; Humes, Walter

    2010-01-01

    Scotland's new "Curriculum for Excellence" (CfE) has been widely acknowledged as the most significant educational development in a generation, with the potential to transform learning and teaching in Scottish schools. In common with recent developments elsewhere, CfE seeks to re-engage teachers with processes of curriculum development,…

  1. Development of a Cross-Cultural HPV Community Engagement Model within Scotland

    Science.gov (United States)

    Carnegie, Elaine; Whittaker, Anne; Gray Brunton, Carol; Hogg, Rhona; Kennedy, Catriona; Hilton, Shona; Harding, Seeromanie; Pollock, Kevin G.; Pow, Janette

    2017-01-01

    Objective: To examine cultural barriers and participant solutions regarding acceptance and uptake of the human papillomavirus (HPV) vaccine from the perspective of Black African, White-Caribbean, Arab, Indian, Bangladeshi and Pakistani young people. Methods: In total, 40 young people from minority ethnic communities in Scotland took part in a…

  2. Aspirations and Actions: Early Childhood from Policy to Practice in Scotland

    Science.gov (United States)

    Dunlop, Aline-Wendy

    2015-01-01

    This paper explores early childhood experience in Scotland in terms of how readily the aspirations of policy convert to day-to-day practices. Ambitions to improve the lives of children and families have been high on the political agenda. Policy may be understood as a tool that aims to influence childhood experience in positive ways. If this is to…

  3. Developing ECEC Services in Regionalised Administrations: Scotland's Post-Devolution Experience

    Science.gov (United States)

    Cohen, Bronwen

    2013-01-01

    Devolution within the United Kingdom (UK) forms part of increased regionalisation in the European Union (EU). The post-devolution history of early childhood education and care (ECEC) in Scotland illustrates problems arising from split responsibilities and nation-state policies that fail to take adequate account of devolved administrations. UK-led…

  4. Evaluating the impact of the alcohol act on off-trade alcohol sales: a natural experiment in Scotland.

    Science.gov (United States)

    Robinson, Mark; Geue, Claudia; Lewsey, James; Mackay, Daniel; McCartney, Gerry; Curnock, Esther; Beeston, Clare

    2014-12-01

    A ban on multi-buy discounts of off-trade alcohol was introduced as part of the Alcohol Act in Scotland in October 2011. The aim of this study was to assess the impact of this legislation on alcohol sales, which provide the best indicator of population consumption. Interrupted time-series regression was used to assess the impact of the Alcohol Act on alcohol sales among off-trade retailers in Scotland. Models accounted for underlying seasonal and secular trends and were adjusted for disposable income, alcohol prices and substitution effects. Data for off-trade retailers in England and Wales combined (EW) provided a control group. Weekly data on the volume of pure alcohol sold by off-trade retailers in Scotland and EW between January 2009 and September 2012. The introduction of the legislation was associated with a 2.6% (95% CI = -5.3 to 0.2%, P = 0.07) decrease in off-trade alcohol sales in Scotland, but not in EW (-0.5%, 95% CI = -4.6 to 3.9%, P = 0.83). A statistically significant reduction was observed in Scotland when EW sales were adjusted for in the analysis (-1.7%, 95% CI = -3.1 to -0.3%, P = 0.02). The decline in Scotland was driven by reduced off-trade sales of wine (-4.0%, 95% CI = -5.4 to -2.6%, P types in Scotland, or in sales of any drink type in EW. The introduction of the Alcohol Act in Scotland in 2011 was associated with a decrease in total off-trade alcohol sales in Scotland, largely driven by reduced off-trade wine sales. © 2014 The Authors. Addiction published by John Wiley & Sons Ltd on behalf of Society for the Study of Addiction.

  5. Recent studies of time variations of natural electromagnetic fields in Scotland

    Science.gov (United States)

    Hutton, V. R. S.; Dawes, G.; Ingham, M.; Kirkwood, S.; Mbipom, E. W.; Sik, J.

    1981-01-01

    A series of geomagnetic induction studies has been undertaken in Scotland since 1973. It includes the operation of two geomagnetic arrays, one over northern Scotland and the other over southern Scotland, subsequent individual station and small-scale geomagnetic array studies, and three sets of magnetotelluric soundings which traverse Scotland from the Lewisian Foreland to the English border. The problems associated with the interpretation of induction data from an island located in the subauroral region are discussed qualitatively and the manner in which both coast and source field effects can be accounted for, is described. The geomagnetic deep sounding data (GDS) from all the observation sites have been collated, and examples of hypothetical event contour maps and traverses across the Great Glen and of individual events from the northern array are presented. They indicate that significant lateral variations in electrical conductivity structure within the crust and upper mantle are associated with the major geological faults in the region. Examples of the results of the magnetotelluric soundings are also presented, together with an outline of the procedure used for one- and two-dimensional modelling. Models of the geo-electric structure in both northern and southern Scotland have been obtained. These show distinctive features which are compatible with the qualitative interpretation of the magnetovariational data. For example, the major granitic blocks are highly resistive while regions of relatively low resistivity exist at upper crustal depths near the Great Glen, Highland boundary and Southern Uplands faults. A zone of low resistivity exists at lower crust-uppermost mantle depths throughout much of the region, the lowest value occurring under the Southern Uplands.

  6. Seven key investments for health equity across the lifecourse: Scotland versus the rest of the UK

    Science.gov (United States)

    Frank, John; Bromley, Catherine; Doi, Larry; Estrade, Michelle; Jepson, Ruth; McAteer, John; Robertson, Tony; Treanor, Morag; Williams, Andrew

    2015-01-01

    While widespread lip service is given in the UK to the social determinants of health (SDoH), there are few published comparisons of how the UK's devolved jurisdictions ‘stack up’, in terms of implementing SDoH-based policies and programmes, to improve health equity over the life-course. Based on recent SDoH publications, seven key societal-level investments are suggested, across the life-course, for increasing health equity by socioeconomic position (SEP). We present hard-to-find comparable analyses of routinely collected data to gauge the relative extent to which these investments have been pursued and achieved expected goals in Scotland, as compared with England and Wales, in recent decades. Despite Scotland's longstanding explicit goal of reducing health inequalities, it has recently been doing slightly better than England and Wales on only one broad indicator of health-equity-related investments: childhood poverty. However, on the following indicators of other ‘best investments for health equity’, Scotland has not achieved demonstrably more equitable outcomes by SEP than the rest of the UK: infant mortality and teenage pregnancy rates; early childhood education implementation; standardised educational attainment after primary/secondary school; health care system access and performance; protection of the population from potentially hazardous patterns of food, drink and gambling use; unemployment. Although Scotland did not choose independence on September 18th, 2014, it could still (under the planned increased devolution of powers from Westminster) choose to increase investments in the underperforming categories of interventions for health equity listed above. However, such discussion is largely absent from the current post-referendum debate. Without further significant investments in such policies and programmes, Scotland is unlikely to achieve the ‘healthier, fairer society’ referred to in the current Scottish Government's official aspirations for

  7. Mechanical grooming and beach award status are associated with low strandline biodiversity in Scotland

    Science.gov (United States)

    Gilburn, Andre S.

    2012-07-01

    Beach grooming and beach award status are both shown to be associated with low macroinvertebrate taxon richness in Scotland. Previous studies in California have revealed that mechanical raking to remove wrack from sandy beaches has negative ecological consequences for coastal ecosystems. In the current study the presence and absence of eight common taxa that inhabit beached wrack on sandy beaches in Scotland was assessed at 60 sites, 24 of which were groomed and 29 of which were in receipt of a beach award. On average 4.86 of the eight taxa were found to be present on ungroomed beaches, whereas only 1.13 taxa were present on groomed beaches. Thus, beach grooming seems to be having a major effect on the biodiversity of beach macroinvertebrates in Scotland. Fewer macroinvertebrate taxa were also found on award (1.5) compared to non-award (4.38) beaches. It was also revealed that award beaches were much more likely to be groomed than non-award beaches, with 69% of award beaches surveyed being groomed compared to only 6% of non-award beaches. This pattern is surprising as the awarding bodies discourage the removal of seaweed and regulations state that beached wrack should only be removed if it constitutes a nuisance. It is concluded that award status, not nuisance level, has the main factor driving most beach grooming and that this has resulted in the substantial loss of macroinvertebrate biodiversity from award beaches in Scotland. In conclusion it is shown that beach grooming has a substantial negative impact upon strandline macroinvertebrate biodiversity in Scotland and that grooming is much more likely to occur on award beaches.

  8. Seven key investments for health equity across the lifecourse: Scotland versus the rest of the UK.

    Science.gov (United States)

    Frank, John; Bromley, Catherine; Doi, Larry; Estrade, Michelle; Jepson, Ruth; McAteer, John; Robertson, Tony; Treanor, Morag; Williams, Andrew

    2015-09-01

    While widespread lip service is given in the UK to the social determinants of health (SDoH), there are few published comparisons of how the UK's devolved jurisdictions 'stack up', in terms of implementing SDoH-based policies and programmes, to improve health equity over the life-course. Based on recent SDoH publications, seven key societal-level investments are suggested, across the life-course, for increasing health equity by socioeconomic position (SEP). We present hard-to-find comparable analyses of routinely collected data to gauge the relative extent to which these investments have been pursued and achieved expected goals in Scotland, as compared with England and Wales, in recent decades. Despite Scotland's longstanding explicit goal of reducing health inequalities, it has recently been doing slightly better than England and Wales on only one broad indicator of health-equity-related investments: childhood poverty. However, on the following indicators of other 'best investments for health equity', Scotland has not achieved demonstrably more equitable outcomes by SEP than the rest of the UK: infant mortality and teenage pregnancy rates; early childhood education implementation; standardised educational attainment after primary/secondary school; health care system access and performance; protection of the population from potentially hazardous patterns of food, drink and gambling use; unemployment. Although Scotland did not choose independence on September 18th, 2014, it could still (under the planned increased devolution of powers from Westminster) choose to increase investments in the underperforming categories of interventions for health equity listed above. However, such discussion is largely absent from the current post-referendum debate. Without further significant investments in such policies and programmes, Scotland is unlikely to achieve the 'healthier, fairer society' referred to in the current Scottish Government's official aspirations for the nation

  9. Generation Scotland: the Scottish Family Health Study; a new resource for researching genes and heritability

    Directory of Open Access Journals (Sweden)

    Ralston Stuart H

    2006-10-01

    Full Text Available Abstract Background Generation Scotland: the Scottish Family Health Study aims to identify genetic variants accounting for variation in levels of quantitative traits underlying the major common complex diseases (such as cardiovascular disease, cognitive decline, mental illness in Scotland. Methods/Design Generation Scotland will recruit a family-based cohort of up to 50,000 individuals (comprising siblings and parent-offspring groups across Scotland. It will be a six-year programme, beginning in Glasgow and Tayside in the first two years (Phase 1 before extending to other parts of Scotland in the remaining four years (Phase 2. In Phase 1, individuals aged between 35 and 55 years, living in the East and West of Scotland will be invited to participate, along with at least one (and preferably more siblings and any other first degree relatives aged 18 or over. The total initial sample size will be 15,000 and it is planned that this will increase to 50,000 in Phase 2. All participants will be asked to contribute blood samples from which DNA will be extracted and stored for future investigation. The information from the DNA, along with answers to a life-style and medical history questionnaire, clinical and biochemical measurements taken at the time of donation, and subsequent health developments over the life course (traced through electronic health records will be stored and used for research purposes. In addition, a detailed public consultation process will begin that will allow respondents' views to shape and develop the study. This is an important aspect to the research, and forms the continuation of a long-term parallel engagement process. Discussion As well as gene identification, the family-based study design will allow measurement of the heritability and familial aggregation of relevant quantitative traits, and the study of how genetic effects may vary by parent-of-origin. Long-term potential outcomes of this research include the targeting of

  10. Ammonia Emission and Deposition in Scotland and Its Potential Environmental Impacts

    Directory of Open Access Journals (Sweden)

    M.A. Sutton

    2004-01-01

    Full Text Available The main source of atmospheric ammonia (NH3 in Scotland is livestock agriculture, which accounts for 85% of emissions. The local magnitude of emissions therefore depends on livestock density, type, and management, with major differences occurring in various parts of Scotland. Local differences in agricultural activities therefore result in a wide range of NH3 emissions, ranging from less than 0.2 kg N ha−1 year−1 in remote areas of the Scottish Highlands to over 100 kg N ha−1 year−1 in areas with intensive poultry farming. Scotland can be divided loosely into upland and lowland areas, with NH3 emission being less than and more than 5 kg N ha−1 year−1, respectively.Many semi-natural ecosystems in Scotland are vulnerable to nitrogen deposition, including bogs, moorlands, and the woodland ground flora. Because NH3 emissions occur in the rural environment, the local deposition to sensitive ecosystems may be large, making it essential to assess the spatial distribution of NH3 emissions and deposition. A spatial model is applied here to map NH3 emissions and these estimates are applied in atmospheric dispersion and deposition models to estimate atmospheric concentrations of NH3 and NH4+, dry deposition of NH3, and wet deposition of NHx. Although there is a high level of local variability, modelled NH3 concentrations show good agreement with the National Ammonia Monitoring Network, while wet deposition is largest at high altitude sites in the south and west of Scotland. Comparison of the modelled NHx deposition fields with estimated thresholds for environmental effects (“critical loads” shows that thresholds are exceeded across most of lowland Scotland and the Southern Uplands. Only in the cleanest parts of the north and west is nitrogen deposition not a cause for concern. Given that the most intense effects occur within a few kilometres of sources, it is suggested that local spatial abatement policies would be a useful complement to

  11. Invasive fish species in the largest lakes of Scotland, Northern Ireland, Wales and England: the collective U.K. experience

    OpenAIRE

    Winfield, I.J.; Fletcher, J.M.; James, J.B.

    2011-01-01

    An invasive species is defined as an alien (or introduced or non-native) species whose establishment and spread threaten ecosystems, habitats or species with harm. Such threats to UK lake fish communities have long been appreciated and this review assembles case histories, including new data, from the largest lakes of Scotland, Northern Ireland, Wales and England to examine the hypothesis that at least some of these introductions have become invasive. Loch Lomond in Scotland has experienced s...

  12. Toxoplasma gondii coinfection with diseases and parasites in wild rabbits in Scotland.

    Science.gov (United States)

    Mason, Sam; Dubey, J P; Smith, Judith E; Boag, Brian

    2015-09-01

    In wild rabbits (Oryctolagus cuniculus) on an estate in Perthshire, central Scotland, the seroprevalence of Toxoplasma gondii was 18/548 (3·3%). The wild rabbit could be a T. gondii reservoir and it has potential value as a sentinel of T. gondii in environmental substrates. Toxoplasma gondii was associated with female sex (P myxomatosis caused by the virus Myxomatosis cuniculi, the intensity of roundworm eggs, the year or season, rabbit age or distance from farm buildings. Coinfections could have been affected by gestational down regulation of type 1 T helper cells. A sudden influx or release of T. gondii oocysts might have occurred. This is the first report of T. gondii in any wild herbivore in Scotland and also the first report of lapine T. gondii as a coinfection with E. stiedae, M. cuniculi and helminths.

  13. Teacher education policies, practices, and reform in Scotland: Implications in the Indian context

    Directory of Open Access Journals (Sweden)

    Pradeep Kumar Misra

    2015-12-01

    Full Text Available India, a country of 1.27 billion, nowadays needs reforms, improvements, and new approaches in teacher education to cater to the demands of changing economy and society. This call to improve teacher education becomes more significant considering the fact that 50% of India’s current population is below the age of 25 and over 65% below 35. There are two ways to proceed in this direction. First, making an internal review and assessment of present scenario of teacher education and suggesting need-based measures. The second one is to learn from those countries that have recently reviewed their teacher education systems and are continuously working for the betterment of teacher education. Following second approach, present paper analyzes teacher education policies, practices, and reform in Scotland, argues that concerns and commitments to reform teacher education in India and Scotland are similar, and suggests implications of Scottish experiences in the Indian context.

  14. Can health feasibly be considered as part of the planning process in Scotland?

    International Nuclear Information System (INIS)

    Higgins, Martin; Douglas, Margaret; Muirie, Jill

    2005-01-01

    The planning system is significant because of its capacity to determine the quality of the built environment as well as the health, well-being and quality of life of the individuals and communities therein. Development planning is especially important because of the long-term impact of the decisions. This paper was developed in response to increasing recognition amongst HIA practitioners in Scotland of the importance of planning for health. It focuses on the relationship between the planning system in Scotland, specifically the Development Planning element of it, and population health and considers how the health impact assessment (HIA) approach can facilitate and support joint working with planners. In particular, consideration is given to the potential impact of the introduction of Strategic Environmental Assessment (SEA) on the linkages between health, HIA and planning

  15. An assessment of the potential for business use of wind turbines on farms in Scotland

    International Nuclear Information System (INIS)

    Hunter, A.G.M.; Graham, R.; Morgan, O.W.

    1998-01-01

    High wind speeds on farms in Scotland, coupled with on-site demands for electricity, suggest there is potential for installing single wind turbines on these farms to generate electricity. The benefit of avoided costs for on-site supplies will help to lower the effective generating costs of surplus electricity for sale. Using a sensitivity analysis to examine a range of parameter settings for financial costs, wind speeds, and farm grants, it is shown that a turbine can be viable on a farm. The key to viability is to have correct and accurate matching between turbine and farm business, there being a place for both large turbines and small turbines under separate circumstances. There are scenarios where a wind turbine is viable on half the farms in Scotland. (Author)

  16. Financing of the National Churches in the Nordic Countries, England and Scotland

    DEFF Research Database (Denmark)

    Kjems, Sidsel; Bille, Trine

    This article analyses the financing of seven national churches in a large comparative study. The national churches in the Nordic countries and in England and Scotland are compared. They have many similarities in terms of history, intertwinement with the state, type and level of religiosity...... of the population, public role and public responsibilities, but the level of financing differs greatly. The purpose of the article is to discuss possible explanations for the differences in the level of financing. Adjusting for cost of public service tasks and for GDP leaves a large difference in financing among...... the seven national churches. We suggest that the source of finance is a determinant factor for the level of finance of national churches. Comparing the sources and level of financing of seven national churches in the Nordic countries, England and Scotland shows that financing by a taxation right yields...

  17. Regional geochemical maps of uranium in Northern Scotland: Environmental and economic considerations

    International Nuclear Information System (INIS)

    Plant, J.

    1978-01-01

    The Institute of Geological Sciences began to prepare a series of regional geochemical maps at a scale of 1:250000, showing the surface distribution of those trace elements which are of economic and environmental significance. Particular interest was shown in uranium, important both for a nuclear fuel, and also for fundamental studies of geological processes. The first series of maps was prepared for the northern Highlands of Scotland. Natural levels of uranium in rocks, soils and water are reviewed. The reasons for selecting Northern Scotland and the effect of the environment on the methods of sampling are discussed. A brief summary is given of some of the main applications of these maps, the most important being to economic geology, agriculture, and medical geography. The maps should make it possible to ensure that development of mineral resources and environmental planning are soundly based. (U.K.)

  18. Ethnic differences in glycaemic control in people with type 2 diabetes mellitus living in Scotland

    OpenAIRE

    Negandhi, Preeti H; Ghouri, Nazim; Colhoun, Helen M; Fischbacher, Colin M; Lindsay, Robert S; McKnight, John A; Petrie, John; Philip, Sam; Sattar, Naveed; Wild, Sarah H; Scottish Diabetes Research Network Epidemiology Group

    2013-01-01

    Background and Aims:\\ud \\ud Previous studies have investigated the association between ethnicity and processes of care and intermediate outcomes of diabetes, but there are limited population-based studies available. The aim of this study was to use population-based data to investigate the relationships between ethnicity and glycaemic control in men and women with diabetes mellitus living in Scotland.\\ud \\ud Methods:\\ud \\ud We used a 2008 extract from the population-based national electronic d...

  19. Designing a culture of resilience: Embedding innovation in health and social care integration in Scotland

    OpenAIRE

    Raman, Sneha; French, Tara

    2017-01-01

    As part of the work within the Digital Health and Care Institute Innovation Centre, which the Glasgow School of Art is a founding partner, our research has involved a number of collaborative sessions engaging with decision-makers, strategy teams and stakeholders in government, NHS, social care and third sector. The focus of this work has explored a participatory design approach to strategy and policy design, in line with the strategic health and social care agenda in Scotland, developing pers...

  20. Museum, exhibition, object : artefactual narratives and their dilemmas in the National Museum of Scotland

    OpenAIRE

    Bucciantini, Alima Maria

    2009-01-01

    National museums are spaces where stories of the past are told through the display and interpretation of material culture. The narratives that are created in this way reflect the ways in which the nation wants to be seen at that particular moment, and are often embedded in the larger political and social contexts of that time. This thesis looks at the National Museum of Scotland as having three levels of narrative: that of the museum as a physical space and national institution...

  1. Kilts, tanks, and aeroplanes: Scotland, cinema, and the First World War

    OpenAIRE

    David Archibald; Maria Velez-Serna

    2015-01-01

    This article charts commercial cinema’s role in promoting the war effort in Scotland during the First World War, outlining three aspects of the relationship between cinema and the war as observed in Scottish non-fiction short films produced between 1914 and 1918. The existing practice of local topical filmmaking, made or commissioned by cinema managers, created a particular form of engagement between cinema and war that was substantially different from the national newsreels or official fi...

  2. International trends in health science librarianship Part 9: the UK - Scotland and Wales.

    Science.gov (United States)

    Wales, Ann; Bruch, Sarah; Foster, Wendy; Gorman, Meg; Peters, Janet

    2014-03-01

    This is the 9th in a series of articles exploring international trends in health science librarianship. The previous article in this series looked at Northern Ireland and the Republic of Ireland. In this issue the focus is Scotland and Wales. There will be three or four more articles this year tracking trends in the Far East, Africa, South Asia and the Middle East. JM. © 2014 The authors. Health Information and Libraries Journal © 2014 Health Libraries Group.

  3. Poverty and social justice in the devolved Scotland: Neoliberalism meets social democracy

    OpenAIRE

    Scott, Gill; Mooney, Gerry

    2009-01-01

    Drawing on current debates in social policy, this paper considers the extent to which social justice has and is informing social policy making in devolved Scotland. Relating to the work of social justice theorists Young, Fraser and Lister in particular, it critically examines some key Scottish social policy measures since 1999, considering some of the ways in which these have been constructed in terms of social justice and which make claims to the Scottish national. Through a focus on the iss...

  4. Imported malaria in Scotland--an overview of surveillance, reporting and trends.

    Science.gov (United States)

    Unger, Holger W; McCallum, Andrew D; Ukachukwu, Vincent; McGoldrick, Claire; Perrow, Kali; Latin, Gareth; Norrie, Gillian; Morris, Sheila; Smith, Catherine C; Jones, Michael E

    2011-11-01

    Imported malaria cases continue to occur and are often underreported. This study assessed reporting of malaria cases and their characteristics in Scotland. Cases were identified at the study sites of Aberdeen, Edinburgh, Glasgow and Inverness. The number of cases identified in the period 2003-2008 was compared to surveillance databases from Health Protection Scotland (HPS) and the Malaria Reference Laboratory (MRL). Case characteristics were recorded and analysed. Of 252 cases of malaria diagnosed and treated, an estimated 235 (93.3%) were reported to the MRL. Between 2006 and 2008, 114 of 126 cases (90.5%) were reported to HPS. Plasmodium falciparum caused 173 cases (68.7%). Business and professional travel accounted for 35.3% of cases (higher in Aberdeen), followed by visiting friends and relatives (33.1%) and holiday makers (25.5%). The majority of infections were imported from West Africa and 65.7% of patients for whom data on prophylaxis was available had taken no or inappropriate prophylaxis. Reporting of malaria in Scotland can be improved. There is a continued need to optimise preventive measures and adherence to chemoprophylaxis amongst business travellers, those visiting friends and relatives, and holiday makers in endemic countries in order to reduce imported malaria cases. Copyright © 2011 Elsevier Ltd. All rights reserved.

  5. The epidemiology of multiple sclerosis in Scotland: inferences from hospital admissions.

    Directory of Open Access Journals (Sweden)

    Adam E Handel

    2011-01-01

    Full Text Available Multiple sclerosis (MS is a neurological disorder with a highly characteristic disease distribution. Prevalence and incidence in general increase with increasing distance from the equator. Similarly the female to male sex ratio increases with increasing latitude. Multiple possible risk factors have been hypothesised for this epidemiological trend, including human leukocyte antigen allele frequencies, ultraviolet exposure and subsequent vitamin D levels, smoking and Epstein-Barr virus. In this study we undertook a study of medical records across Scotland on an NHS health board level of resolution to examine the epidemiology of MS in this region.We calculated the number and rate of patient-linked hospital admissions throughout Scotland between 1997 and 2009 from the Scottish Morbidity Records. We used weighted-regression to examine correlations between these measures of MS, and latitude and smoking prevalence. We found a highly significant relationship between MS patient-linked admissions and latitude (r weighted by standard error (r(sw = 0.75, p = 0.002. There was no significant relationship between smoking prevalence and MS patient-linked admissions.There is a definite latitudinal effect on MS risk across Scotland, arising primarily from an excess of female MS patients at more Northerly latitudes. Whether this is a true gradient or whether a threshold effect may apply at particular latitude will be revealed only by further research. A number of genetic and environmental factors may underlie this effect.

  6. Distribution and presentation of Lyme borreliosis in Scotland - analysis of data from a national testing laboratory.

    Science.gov (United States)

    Mavin, S; Watson, E J; Evans, R

    2015-01-01

    This study examines the distribution of laboratory-confirmed cases of Lyme borreliosis in Scotland and the clinical spectrum of presentations within NHS Highland. Methods General demographic data (age/sex/referring Health Board) from all cases of Lyme borreliosis serologically confirmed by the National Lyme Borreliosis Testing Laboratory from 1 January 2008 to 31 December 2013 were analysed. Clinical features of confirmed cases were ascertained from questionnaires sent to referring clinicians within NHS Highland during the study period. Results The number of laboratory-confirmed cases of Lyme borreliosis in Scotland peaked at 440 in 2010. From 2008 to 2013 the estimated average annual incidence was 6.8 per 100,000 (44.1 per 100,000 in NHS Highland). Of 594 questionnaires from NHS Highland patients: 76% had clinically confirmed Lyme borreliosis; 48% erythema migrans; 17% rash, 25% joint, 15% neurological and 1% cardiac symptoms. Only 61% could recall a tick bite. Conclusion The incidence of Lyme borreliosis may be stabilising in Scotland but NHS Highland remains an area of high incidence. Lyme borreliosis should be considered in symptomatic patients that have had exposure to ticks and not just those with a definite tick bite.

  7. The impact of different prioritisation policies on waiting times: case studies of Norway and Scotland.

    Science.gov (United States)

    Januleviciute, Jurgita; Askildsen, Jan Erik; Kaarboe, Oddvar; Holmås, Tor Helge; Sutton, Matt

    2013-11-01

    We investigate the distributional consequences of two different waiting times initiatives, one in Norway, and one in Scotland. The primary focus of Scotland's recent waiting time reforms, introduced in 2003, and modified in 2005 and 2007, has been on reducing maximum waiting times through the imposition of high profile national targets accompanied by increases in resources. In Norway, the focus of the reform introduced in September 2004, has been on assigning patients referred to hospital a maximum waiting time based on disease severity, the expected benefit and the cost-effectiveness of the treatment. We use large, national administrative datasets from before and after each of these reforms and assign priority groups based on the maximum waiting times stipulated in medical guidelines. The analysis shows that the lowest priority patients benefited most from both reforms. This was at the cost of longer waiting times for patients that should have been given higher priority in Norway, while Scotland's high priority patients remained unaffected. Copyright © 2013 Elsevier Ltd. All rights reserved.

  8. Legislation on smoking in enclosed public places in Scotland: how will we evaluate the impact?

    Science.gov (United States)

    Haw, Sally J; Gruer, Laurence; Amos, Amanda; Currie, Candace; Fischbacher, Colin; Fong, Geoffrey T; Hastings, Gerard; Malam, Sally; Pell, Jill; Scott, Calum; Semple, Sean

    2006-03-01

    From 26 March 2006, smoking will be prohibited in wholly and substantially enclosed public places in Scotland, and it will be an offence to permit smoking or to smoke in no-smoking premises. We anticipate that implementation of the smoke-free legislation will result in significant health gains associated with reductions in exposure to both environmental tobacco smoke (ETS) and personal tobacco consumption as well as other social and economic impacts. Health Scotland in conjunction with the Information Services Division (ISD) Scotland and the Scottish Executive have developed a comprehensive evaluation strategy to assess the expected short-term, intermediate and long-term outcomes. Using routine health, behavioural and economic data and commissioned research, we will assess the impact of the smoke-free legislation in eight key outcome areas--knowledge and attitudes, ETS exposure, compliance, culture, smoking prevalence and tobacco consumption, tobacco-related morbidity and mortality, economic impacts on the hospitality sector and health inequalities. The findings from this evaluation will make a significant contribution to the international understanding of the health effects of exposure to ETS and the broader social, cultural and economic impacts of smoke-free legislation.

  9. Greenhouse gas inventories for England, Scotland, Wales and Northern Ireland: 1990 and 1995. A scoping study

    Energy Technology Data Exchange (ETDEWEB)

    Salway, A.G.; Dore, C.; Watterson, J.; Murrells, T.

    1999-11-01

    This report presents the results of a scoping study to develop a methodology to produce desegregated greenhouse gas emission inventories for the devoved administrations of the UK. Separate greenhouse gas emission inventories were estimated for England, Scotland, Wales and Northern Ireland for the years 1990 and 1995. The gases reported are carbon dioxide, methane, nitrous oxide, hydrofluorocarbons, perfluorocarbons, and SF{sub 6}. The estimates are consistent with the 1997 UK Greenhouse Gas Inventory and hence the UNFCCC reporting guidelines. Some emissions mainly mobile and offshore sources could not be allocated to any region, so an extra unallocated category was used to report these. Where possible the same methodology was used to calculate the regional emissions as for the UK Inventory. The study showed that the distribution of regional greenhouse gas emissions expressed as global warming potentials in 1995 were: England 75.5%, Scotland, 11.4%; Wales 6.4%; Northern Ireland 3.1%: unallocated, 4%. Following this scoping study, it is intended to publish annually disaggregated inventories for each year from 1990 for England, Scotland, Wales and Northern Ireland, in addition to the UK Greenhouse Gas Inventory. 50 refs., 6 figs., 16 tabs., 2 apps.

  10. Caseload of NHS plastic surgeons in Scotland, 2005-2006: analysis of Scottish hospital activity data.

    Science.gov (United States)

    Brewster, Colin T; Shoaib, Taimur

    2009-04-01

    To assess the contemporary caseload of NHS plastic surgeons. Descriptive study. Scotland. Analysis of routinely collected NHS hospital activity data relating to the financial year 2005-2006. Number of inpatient/day-case episodes and bed-days by principal diagnosis and main operative procedure. During the study period, 12,844 inpatient and 9439 day-case episodes were recorded in 19,166 patients, accounting for 36,300 bed-days. There were more female patients, especially among middle-age groups. Socioeconomic deprivation was more common than expected (P accounted for a higher proportion of bed-days (37.3%) than neoplasms (23.8%). Only approximately half of all surgical procedures were assigned to the skin chapter of the OPCS-4 classification. Despite some limitations, this study provides an insight into the current caseload of NHS plastic surgeons working in Scotland. The data suggest that cosmetic surgery for purely aesthetic reasons represents a relatively small part of NHS plastic surgery activity in Scotland, and that the majority of caseload is in reconstructive plastic surgery.

  11. Glaucoma-service provision in Scotland: introduction and need for Scottish Intercollegiate Guidelines Network guidelines.

    Science.gov (United States)

    Syrogiannis, Andreas; Rotchford, Alan P; Agarwal, Pankaj Kumar; Kumarasamy, Manjula; Montgomery, Donald; Burr, Jennifer; Sanders, Roshini

    2015-01-01

    To describe the pattern of glaucoma-service delivery in Scotland and identify areas for improvement, taking into account Scottish General Ophthalmic Services (GOS) arrangements and the Eye Care Integration project, and to design Scottish Intercollegiate Guidelines Network (SIGN) guidelines to refine the primary and secondary interface of glaucoma care. A glaucoma-survey questionnaire was sent to all consultant glaucomatologists in Scotland. The design of SIGN guidelines was based on the results of the questionnaire using SIGN methodology. Over 90% of Scottish glaucoma care is triaged and delivered within hospital services. Despite GOS referral, information is variable. There are no consistent discharge practices to the community. These results led to defined research questions that were answered, thus formulating the content of the SIGN guidelines. The guideline covers the assessment of patients in primary care, referral criteria to hospital, discharge criteria from hospital to community, and monitoring of patients at risk of glaucoma. With increasing age and limitations to hospital resources, refining glaucoma pathways between primary and secondary care has become a necessity. Scotland has unique eye care arrangements with both the GOS and Eye Care Integration project. It is hoped that implementation of SIGN guidelines will identify glaucoma at the earliest opportunity and reduce the rate of false-positive referrals to hospital.

  12. XML-based clinical data standardisation in the National Health Service Scotland

    Directory of Open Access Journals (Sweden)

    Raluca Bunduchi

    2006-12-01

    Full Text Available The objective of this paper is to clarify the role that socio-economic factors played in shaping the development of XML-based clinical data standards in the National Health Service in Scotland from 2000 to 2004. The paper discusses the NHS Scotland approach to clinical data standardisation, emphasising the actors involved, their choices during the standard development process and the factors that have shaped these choices. The case suggests that the NHS Scotland approach to clinical data standardisation is shaped by strong political pressures for fast development of an integrated electronic patient care system, economic pressures for high efficiency and cost reductions, and organisational requirements for strong clinical support. Such economic, political and organisational pressures explain the informal approach to standard development, the emphasis on fast system development and strong clinical involvement. At the same time, market factors explain the low commitment of the IT vendors, which might have otherwise put significant pressure onNHSScotland to pursue a more formalised standardisation approach within an internationally recognised standard-setting body.

  13. National planning guidelines for environment ally sustainable development in Scotland and lessons learnt for Pakistan

    International Nuclear Information System (INIS)

    Qamar-ul-Islam; Anjum, G.A.; Shahzad, M.

    2005-01-01

    This piece of research work reflects the researcher's academic as well as the practical experiences of Scottish planning about the concept, issues and policy formulations. It is in the context of National Planning Policy Guidelines, originated in Scotland with particular reference to it's Fife Region. The first part reflects the general overview of Scotland followed by brief description of the region. Another part deals with the existing strategic issues in the region which are related to land and the environment notably rural planning priorities, agricultural scarce land, conservation of recreational and tourist areas, forest land potentials, landscape resources, national scenic areas, petro-chemical, industrial zones, river pollution and future land use for housing. This study has suggested National Planning Policy Guidelines to these issues. Last section deals with the lessons learnt from Scotland and appropriate application of these guidelines in case of Pakistan. The establishment of the relevant National Planning Guidelines according to our local environmental and socio-economic conditions can also play a significant role to safe guard our rural and urban landscapes and their respective environments. These broad guidelines must therefore be recommended in the broader spectrum in spatial linkage. Moreover these guidelines must therefore synthesize and articulated specifically at structure plans, master plans at district, sub district or local plans and planning processes which can lead Pakistan towards environmentally sustainable development. (author)

  14. Rainfall thresholds and susceptibility mapping for shallow landslides and debris flows in Scotland

    Science.gov (United States)

    Postance, Benjamin; Hillier, John; Dijkstra, Tom; Dixon, Neil

    2017-04-01

    Shallow translational slides and debris flows (hereafter 'landslides') pose a significant threat to life and cause significant annual economic impacts (e.g. by damage and disruption of infrastructure). The focus of this research is on the definition of objective rainfall thresholds using a weather radar system and landslide susceptibility mapping. In the study area Scotland, an inventory of 75 known landslides was used for the period 2003 to 2016. First, the effect of using different rain records (i.e. time series length) on two threshold selection techniques in receiver operating characteristic (ROC) analysis was evaluated. The results show that thresholds selected by 'Threat Score' (minimising false alarms) are sensitive to rain record length and which is not routinely considered, whereas thresholds selected using 'Optimal Point' (minimising failed alarms) are not; therefore these may be suited to establishing lower limit thresholds and be of interest to those developing early warning systems. Robust thresholds are found for combinations of normalised rain duration and accumulation at 1 and 12 day's antecedence respectively; these are normalised using the rainy-day normal and an equivalent measure for rain intensity. This research indicates that, in Scotland, rain accumulation provides a better indicator than rain intensity and that landslides may be generated by threshold conditions lower than previously thought. Second, a landslide susceptibility map is constructed using a cross-validated logistic regression model. A novel element of the approach is that landslide susceptibility is calculated for individual hillslope sections. The developed thresholds and susceptibility map are combined to assess potential hazards and impacts posed to the national highway network in Scotland.

  15. Joint inspection of services for people with learning disabilities in Scotland: compliance or commitment?

    Directory of Open Access Journals (Sweden)

    Martin Campbell

    2006-10-01

    Full Text Available Purpose: The article describes the development of a practical model of joint, integrated inspection of managed care services for people with learning disabilities in Scotland. The model will give a reliable measure of the impact services are making to people's lives and the quality of service that individuals are actually receiving. Context of case: At present health, social services and education services for people with learning disabilities in Scotland are inspected separately, by up to nine different agencies. The first joint, integrated inspections of all services for people with learning disabilities in Scotland will take place in 2006. This is the first inspection of its kind in the UK, and the first to involve carers and people with learning disabilities on the inspection team. Data sources: Quality Outcome Indicators were developed in 21 different areas, or domains. Evidence based best practice, and evaluative data from previous inspections were the primary sources of data. Case description: This paper reviews the background and rationale for the integrated, joint inspection process. Strengths and constraints of this approach to inspection are discussed, including the crucial importance of commitment from services and from inspectors, rather than mere compliance with demands. Some guidance on how to fully involve staff, carers and services users in the inspection process is given. Conclusions and discussion: The model will produce data to inform decision-making for managers in integrated services and give services users clear information about how well local needs are being met, what areas need development, and what capacity the organisations have to improve. The model of inspection may be of interest to practitioners in a national and international context. The model will be evaluated, following the first joint inspection.

  16. An analysis of suicide trends in Scotland 1950-2014: comparison with England & Wales.

    Science.gov (United States)

    Dougall, Nadine; Stark, Cameron; Agnew, Tim; Henderson, Rob; Maxwell, Margaret; Lambert, Paul

    2017-12-20

    Scotland has disproportionately high rates of suicide compared with England. An analysis of trends may help reveal whether rates appear driven more by birth cohort, period or age. A 'birth cohort effect' for England & Wales has been previously reported by Gunnell et al. (B J Psych 182:164-70, 2003). This study replicates this analysis for Scotland, makes comparisons between the countries, and provides information on 'vulnerable' cohorts. Suicide and corresponding general population data were obtained from the National Records of Scotland, 1950 to 2014. Age and gender specific mortality rates were estimated. Age, period and cohort patterns were explored graphically by trend analysis. A pattern was found whereby successive male birth cohorts born after 1940 experienced higher suicide rates, in increasingly younger age groups, echoing findings reported for England & Wales. Young men (aged 20-39) were found to have a marked and statistically significant increase in suicide between those in the 1960 and 1965 birth cohorts. The 1965 cohort peaked in suicide rate aged 35-39, and the subsequent 1970 cohort peaked even younger, aged 25-29; it is possible that these 1965 and 1970 cohorts are at greater mass vulnerability to suicide than earlier cohorts. This was reflected in data for England & Wales, but to a lesser extent. Suicide rates associated with male birth cohorts subsequent to 1975 were less severe, and not statistically significantly different from earlier cohorts, suggestive of an amelioration of any possible influential 'cohort' effect. Scottish female suicide rates for all age groups converged and stabilised over time. Women have not been as affected as men, with less variation in patterns by different birth cohorts and with a much less convincing corresponding pattern suggestive of a 'cohort' effect. Trend analysis is useful in identifying 'vulnerable' cohorts, providing opportunities to develop suicide prevention strategies addressing these cohorts as they age.

  17. Sugar intake and dental decay: results from a national survey of children in Scotland.

    Science.gov (United States)

    Masson, Lindsey F; Blackburn, Alison; Sheehy, Christine; Craig, Leone C A; Macdiarmid, Jennie I; Holmes, Bridget A; McNeill, Geraldine

    2010-11-01

    The aim of this analysis was to investigate the strength of the association between sugar intake and treatment for dental decay in children in Scotland, and the impact of tooth brushing frequency on this association. The Survey of Sugar Intake among Children in Scotland was carried out in 2006 in those aged 3-17 years. Diet was assessed using the Scottish Collaborative Group FFQ, and interviews were carried out by trained fieldworkers who asked about dental health. A total of 1700 interviews were carried out, and 1512 FFQ were returned. Of the children, 56% had received treatment for decay (fillings or teeth removed due to decay). Intake of non-milk extrinsic sugars (NMES), but not total sugar, increased the risk of having had treatment for decay: adjusted OR 1.84 (95% CI 1.28, 2.64) for the highest ( ≥ 20.0% food energy) v. lowest ( ≤ 14.8% food energy) tertile of NMES intake. This raised risk remained in children who reported brushing their teeth at least twice a day. Compared with children who reported brushing their teeth at least twice a day and were in the lowest tertile of NMES intake, children who reported brushing their teeth once a day or less and were in the highest tertile of NMES intake were over three times more likely to have received treatment for decay (adjusted OR 3.39, 95% CI 1.97, 5.82). In order to improve dental health in children in Scotland, dental health strategies must continue to stress the importance of both reduced NMES intake and good oral hygiene.

  18. A short history of the Royal Odonto Chirurgical Society of Scotland.

    Science.gov (United States)

    Geissler, Paul R

    2014-01-01

    In the mid-19th Century, the practice of dentistry in Britain was unregulated and chaotic. Organised training was non-existent, and the public was unable to be assured of satisfactory, ethical treatment. A group of Scottish practitioners, led by John Smith, an Edinburgh surgeon, established the Odonto Chirurgical Society of Scotland in 1867 as an ethical dental society promoting education and regulation of the emerging profession. The Society has prospered over the years. It was granted the title "Royal" on the occasion of its centenary in 1967, and approaches its 150th year with confidence.

  19. Oral hygiene habits, denture plaque, presence of yeasts and stomatitis in institutionalised elderly in Lothian, Scotland

    DEFF Research Database (Denmark)

    Schou, L; Wight, C; Cumming, C

    1987-01-01

    The purpose of the present study was to examine the relation between oral hygiene habits, denture plaque, presence of yeasts and stomatitis in institutionalised elderly. A sample of 201 residents, 48-99 yr of age (mean age 82 yr), was selected from four different institutions in Lothian, Scotland....... Clinical recordings were carried out under standardised circumstances using well recognised indices. Information about oral hygiene habits was obtained through structured interviews conducted immediately before the clinical examination. A multivariate analysis, principal component, was carried out...

  20. Human and animal salmonellosis in Scotland associated with environmental contamination, 1973-79.

    Science.gov (United States)

    Reilly, W J; Forbes, G I; Paterson, G M; Sharp, J C

    1981-06-27

    Twenty-six incidents of salmonellosis occurring in Scotland between 1973 and 1979 and attributed to environmental pollution are reviewed. The apparent sources of pollution were sewage effluent (10 incidents), septic tank effluent (eight), sewage sludge (three), seagulls (three) and abattoir effluents (two). Cattle were the species predominantly affected. Human infection was primary in three incidents and was secondary to bovine infection in another four. Thirteen salmonella serotypes were recovered from infected humans or animals and 17 during related environmental investigations. The factors causing pollutions and possible control measures are discussed.

  1. Microbiology of acid soils. IV. Selected sites in Northern England and Southern Scotland

    Energy Technology Data Exchange (ETDEWEB)

    Boswell, J G

    1955-01-01

    A number of localities were selected in Northern England and Southern Scotland at altitudes above 225 m. A series of soil samples were taken over the period 1946-9, and the soils examined for fungal and bacterial activity. The frequency of the appearance of species of the genera penicillium, saccharomyces, pullularia, cladosporium, botrytis, cephalosporium, trichoderma, verticilium and stemphylium and of the mucorles were recorded by a plating-out technique. The distributions of cellulose- and protein-decomposing bacteria, of Clostridium butyricum and of nitrifying bacteria were examined. Finally, the metabolic activities of selected bacteria were recorded.

  2. Use of Supermarket Scanner Data to Measure Bread Consumption and Nutrition Choice in Scotland

    OpenAIRE

    Revoredo-Giha, Cesar; Lamprinopoulou-Kranis, Chrysa; Toma, Luiza; Kupiec-Teahan, Beata; Leat, Philip M.K.; Cacciolatti, Luca

    2009-01-01

    The recent rise in food prices has increased the concern about the choice of a healthy food basket, especially in the context of the discussion around the formulation of a National Food Policy for Scotland. This concern has brought back the interest in the price and expenditure demand systems as they provide information about consumers’ food decisions. The paper focuses on the consumption of brown and white bread, as they are the most typical ways of cereals use in the UK and nutritionists re...

  3. Bread Prices, Consumption and Nutrition Implications for Scotland: A Regional Analysis Using Supermarket Scanner Data

    OpenAIRE

    Revoredo-Giha, Cesar; Lamprinopoulou-Kranis, Chrysa; Toma, Luiza; Leat, Philip M.K.; Kupiec-Teahan, Beata; Cacciolatti, Luca

    2009-01-01

    The recent rise in food prices has increased the concern about the choice of a healthy food basket, especially in the context of the discussion around the formulation of a National Food Policy for Scotland. This concern has brought back the interest in the price and expenditure demand systems as they provide information about consumers’ food decisions. The paper focuses on the consumption of brown and white bread, as they are the most typical ways of cereals use in the UK and nutritionists re...

  4. What supports hospital pharmacist prescribing in Scotland? - A mixed methods, exploratory sequential study.

    Science.gov (United States)

    Fisher, J; Kinnear, M; Reid, F; Souter, C; Stewart, D

    2018-05-01

    While approximately half of all qualified hospital pharmacist independent prescribers (PIPs) in Scotland are active prescribers, there are major differences in prescribing activity across geographical areas. This study aimed to explore, through focus groups, interviews and a questionnaire, hospital PIPs' perceptions of factors associated with prescribing activity and to investigate the infrastructure required to better support active prescribing by PIPs. Findings reinforced the perceived positive impact of supportive pharmacy leadership within the organisation, recognition that prescribing is integral to the clinical pharmacist role and a work environment conducive to prescribing. Copyright © 2017 The Authors. Published by Elsevier Inc. All rights reserved.

  5. Human and animal salmonellosis in Scotland associated with environmental contamination, 1973-79

    Energy Technology Data Exchange (ETDEWEB)

    Reilly, W J; Forbes, G I; Paterson, G M; Sharp, J C

    1981-06-27

    Twenty-six incidents of salmonellosis occurring in Scotland between 1973 and 1979 and attributed to environmental pollution are reviewed. The apparent sources of pollution were sewage effluent (10 incidents), septic tank effluent (eight), sewage sludge (three), seagulls (three) and abattoir effluents (two). Cattle were the species predominantly affected. Human infection was primary in three incidents and was secondary to bovine infection in another four. Thirteen salmonella serotypes were recovered from infected humans or animals and 17 during related environmental investigations. The factors causing pollutions and possible control measures are discussed.

  6. Target language use in Modern Language classrooms: perception and change among newly qualified teachers in Scotland

    OpenAIRE

    Lynch, Michael Patrick

    2015-01-01

    In this thesis I investigate the practices and perceptions of some Newly Qualified Teachers (NQTs) of modern foreign languages (MFL) in Scotland in relation to how they use the target language (L2). I seek to answer the questions “In what different ways do student teachers of modern languages use the target language in Scottish secondary school classrooms?’, ‘What reasons do they give for how they use it?” and “In what way(s), if any, do newly qualified teachers of modern language...

  7. Promoting weight management services in community pharmacy: perspectives of the pharmacy team in Scotland.

    Science.gov (United States)

    Weidmann, Anita Elaine; MacLure, Katie; Marshall, Sarah; Gray, Gwen; Stewart, Derek

    2015-08-01

    Obesity has reached pandemic levels with more than 1.4 billion adults affected worldwide. While there is a need to systematically develop and evaluate community pharmacy based models of weight management, it is imperative to describe and understand the perspectives of pharmacy staff. In the UK, trained and accredited community pharmacy medicines counter assistants (MCAs) are commonly the front line staff involved in patient consultations and sale of over-the-counter medicines. To explore the beliefs and experiences of pharmacists and MCAs in the North-East of Scotland on community pharmacy weight management. All 135 community pharmacies in the North-East of Scotland. A qualitative approach of semi-structured telephone interviews with 31 pharmacists and 20 MCAs in the North-East of Scotland. The semi-structured interview schedule was developed with reference to key domains describing professional practice (i.e. awareness and knowledge, skills, practicalities, motivation, acceptance and beliefs) and contextualised with policy documents and published research on community pharmacy based weight management. Interviews were audio-recorded, transcribed and analysed thematically. Pharmacists' and MCAs' beliefs and experiences with delivering weight management services in community pharmacy. There were mixed responses from pharmacists and MCAs around pharmacy based weight management services from positive views of providing the service in community pharmacy to those more reticent who would always favour patients visiting their physician. While all described similar services e.g. measurement of weight, healthy eating advice, supply of products, they acknowledged that support was often opportunistic at the request of customers, with little integration of other providers. Roles described varied from pharmacist only functions to any staff member. While pharmacists generally felt comfortable and confident, MCAs gave more diverse responses. Both Pharmacist and MCAs highlighted

  8. Smoking prevalence and smoking cessation services for pregnant women in Scotland

    Directory of Open Access Journals (Sweden)

    Shipton Debbie

    2010-01-01

    Full Text Available Abstract Background Over 20% of women smoke throughout pregnancy despite the known risks to mother and child. Engagement in face-to-face support is a good measure of service reach. The Scottish Government has set a target that by 2010 8% of smokers will have quit via NHS cessation services. At present less than 4% stop during pregnancy. We aimed to establish a denominator for pregnant smokers in Scotland and describe the proportion who are referred to specialist services, engage in one-to-one counselling, set a quit date and quit 4 weeks later. Methods This was a descriptive epidemiological study using routinely collected data supplemented by questionnaire information from specialist pregnancy cessation services. Results 13266 of 52370 (25% pregnant women reported being current smokers at maternity booking and 3133/13266 (24% were referred to specialist cessation services in 2005/6. Two main types of specialist smoking cessation support for pregnant women were in place in Scotland. The first involved identification using self-report and carbon monoxide breath test for all pregnant women with routine referral (1936/3352, 58% referred to clinic based support (386, 11.5% engaged. 370 (11% women set a quit date and 116 (3.5% had quit 4 weeks later. The second involved identification by self report and referral of women who wanted help (1195/2776, 43% referred for home based support (377/1954, 19% engaged. 409(15% smokers set a quit date and 119 (4.3% had quit 4 weeks later. Cost of home-based support was greater. In Scotland only 265/8062 (3.2% pregnant smokers identified at maternity booking, living in areas with recognised specialist or good generic services, quit smoking during 2006. Conclusions In Scotland, a small proportion of pregnant smokers are supported to stop. Poor outcomes are a product of current limitations to each step of service provision - identification, referral, engagement and treatment. Many smokers are not asked about smoking

  9. Downsizing of acute inpatient beds associated with private finance initiative: Scotland's case study

    Science.gov (United States)

    Dunnigan, Matthew G; Pollock, Allyson M

    2003-01-01

    Objectives To evaluate whether the projected 24% reduction in acute bed numbers in Lothian hospitals, which formed part of the private finance initiative (PFI) plans for the replacement Royal Infirmary of Edinburgh, is being compensated for by improvements in efficiency and greater use of community facilities, and to ascertain whether there is an independent PFI effect by comparing clinical activity and performance in acute specialties in Lothian hospitals with other NHS hospitals in Scotland. Design Comparison of projected and actual trends in acute bed capacity and inpatient and day case admissions in the first five years (1995-6 to 2000-1) of Lothian Health Board's integrated healthcare plan. Population study of trends in bed rate, hospital activity, length of stay, and throughput in Lothian hospitals compared with the rest of Scotland from 1990-1 to 2000-1. Main outcome measures Staffed bed rates, admission rates, mean lengths of stay, occupancy, and throughput in four adult acute specialty groups in 1990-1, 1995-6, and 2000-1. Results By 2000-1, rates for inpatient admission in all acute, medical, surgical, and intensive therapy specialties in Lothian hospitals were respectively 20%, 6%, 28%, and 38% below those in the rest of Scotland. Day case rates in all acute and acute surgical specialties were 13% and 33% lower. The proportion of delayed discharges in staffed acute and post-acute NHS beds in Lothian hospitals exceeded the Scottish average (15% and 12% respectively; Pfinance initiative (PFI) hospitals in England and Scotland projected reductions in acute beds of about 30% in the five years before the opening of the new replacement hospitalsThe new PFI Royal Infirmary of Edinburgh, which will fully open in 2003, is the cornerstone of Lothian Health Board's healthcare plan for its acute hospitalsWhat this study addsCompared with other Scottish NHS hospitals, service delivery has been reduced across Lothian associated with PFI developmentThe planning targets

  10. Feminine anthroponyms in 13th-century Scotland: the Ragman Roll (1296

    Directory of Open Access Journals (Sweden)

    Valeria Di Clemente

    2012-10-01

    Full Text Available The documents known as Ragman Roll collect the fealty oaths sworn and the homages rendered by Scottish nobility, clergy, landowners and burgesses to Edward I Plantagenet after the English invasion of Scotland in the spring and summer of 1296. These documents record personal names and surnames of ca. 1800 people, being a precious source for the study of Scottish anthroponymy in the second half of the 13th century. This paper focuses on the feminine anthroponyms occurring in the Ragman Roll, on their form and on their historical-etymological and cultural background.

  11. The Radical Thread - Liberalism and the rise of Labour in Scotland 1886 - 1924

    Directory of Open Access Journals (Sweden)

    Catriona MacDonald

    2011-09-01

    Full Text Available PreambleThis paper is a revised version of a lecture delivered to the Liberal Democrat History Meeting at the Scottish Liberal Democrat Conference in 2009. It was the subject of a report in the Journal of Liberal History (Winter 2009-2010, pp. 32-38. See also Catriona M.M. Macdonald, The Radical Thread: Political Change in Scotland, Paisley 1885-1924 (John Donald, 2000.Contemporary resonances are seductive when reflecting on the historic and recent past of the Liberal Party in Britain and i...

  12. Review of the Dinosaur Remains from the Middle Jurassic of Scotland, UK

    Directory of Open Access Journals (Sweden)

    Neil D. L. Clark

    2018-02-01

    Full Text Available Dinosaurs are rare from the Middle Jurassic worldwide. The Isle of Skye, is the only place in Scotland thus far to have produced dinosaur remains. These remains consist mainly of footprints, but also several bones and teeth. These Bajocian and Bathonian remains represent an important collection of a basal eusauropod, early examples of non-neosauropod and possible basal titanosauriform eusauropods, and theropod remains that may belong to an early coelurosaur and a possible megalosaurid, basal tyrannosauroid, or dromaeosaurid. The footprints from here also suggest a rich and diverse dinosaur fauna for which further better diagnosable remains are likely to be found.

  13. Self-Reported Digital Literacy of the Pharmacy Workforce in North East Scotland

    Directory of Open Access Journals (Sweden)

    Katie MacLure

    2015-10-01

    Full Text Available In their day-to-day practice, pharmacists, graduate (pre-registration pharmacists, pharmacy technicians, dispensing assistants and medicines counter assistants use widely available office, retail and management information systems alongside dedicated pharmacy management and electronic health (ehealth applications. The ability of pharmacy staff to use these applications at home and at work, also known as digital literacy or digital competence or e-skills, depends on personal experience and related education and training. The aim of this research was to gain insight into the self-reported digital literacy of the pharmacy workforce in the North East of Scotland. A purposive case sample survey was conducted across NHS Grampian in the NE of Scotland. Data collection was based on five items: sex, age band, role, pharmacy experience plus a final question about self-reported digital literacy. The study was conducted between August 2012 and March 2013 in 17 community and two hospital pharmacies. With few exceptions, pharmacy staff perceived their own digital literacy to be at a basic level. Secondary outcome measures of role, age, gender and work experience were not found to be clear determinants of digital literacy. Pharmacy staff need to be more digitally literate to harness technologies in pharmacy practice more effectively and efficiently.

  14. An outbreak of an unusual strain of Listeria monocytogenes infection in North-East Scotland

    Directory of Open Access Journals (Sweden)

    Emmanuel Okpo

    2015-11-01

    Full Text Available Summary: Listeria monocytogenes infection is an important cause of illness and hospitalization in vulnerable individuals. In the present study, we describe a community outbreak of Listeria monocytogenes in the North-East region of Scotland, which was epidemiologically, environmentally and microbiologically linked to a local meat product and ready-to-eat product manufacturer. Infected individuals were interviewed, and an environmental investigation was conducted. Clinical and environmental samples were tested by culture, and isolates were typed by fluorescent amplified fragment length polymorphism (fAFLP. Three cases of Listeria monocytogenes were linked geographically, had the same serotype (1/2a and were indistinguishable by fAFLP type XII.6. The human, food and environmental isolates were of the same serotype and were indistinguishable by molecular typing.This is the first community outbreak of L. monocytogenes reported in Scotland since the current outbreak surveillance was established in 1996. Epidemiological and laboratory evidence indicated poor hand hygiene, unhygienic practices and cross-contamination throughout the manufacturing process of ready-to-eat foods as a possible cause of the outbreak. More stringent control of commercial food establishments that provide ready-to-eat food and the need to advise specifically vulnerable groups, e.g., pregnant women, of the risk of L. monocytogenes in ready-to-eat food is urgently needed. Keywords: Listeria monocytogenes, Outbreak, Foodborne, Community acquired infection, Listeriosis

  15. Determinants of utilisation differences for cancer medicines in Belgium, Scotland and Sweden.

    Science.gov (United States)

    Ferrario, Alessandra

    2017-12-01

    Little comparative evidence is available on utilisation of cancer medicines in different countries and its determinants. The aim of this study was to develop a statistical model to test the correlation between utilisation and possible determinants in selected European countries. A sample of 31 medicines for cancer treatment that obtained EU-wide marketing authorisation between 2000 and 2012 was selected. Annual data on medicines' utilisation covering the in- and out-patient public sectors were obtained from national authorities between 2008 and 2013. Possible determinants of utilisation were extracted from HTA reports and complemented by contacts with key informants. A longitudinal mixed effect model was fitted to test possible determinants of medicines utilisation in Belgium, Scotland and Sweden. In the all-country model, the number of indications reimbursed positively correlated with increased consumption of medicines [one indication 2.6, 95% CI (1.8-3.6); two indications 2.4, 95% CI (1.4-4.3); three indications 4.9, 95% CI (2.2-10.9); all P marketing authorisation [1.2, 95% CI (1.02-1.4); p marketing authorisation. Prices had a negative effect on consumption in Belgium and Sweden. The positive impact of financial MEAs in Scotland suggests that the latter may remove the regressive effect of list prices on consumption.

  16. An outbreak of mumps with genetic strain variation in a highly vaccinated student population in Scotland.

    Science.gov (United States)

    Willocks, L J; Guerendiain, D; Austin, H I; Morrison, K E; Cameron, R L; Templeton, K E; DE Lima, V R F; Ewing, R; Donovan, W; Pollock, K G J

    2017-11-01

    An outbreak of mumps within a student population in Scotland was investigated to assess the effect of previous vaccination on infection and clinical presentation, and any genotypic variation. Of the 341 cases, 79% were aged 18-24. Vaccination status was available for 278 cases of whom 84% had received at least one dose of mumps containing vaccine and 62% had received two. The complication rate was 5·3% (mainly orchitis), and 1·2% were admitted to hospital. Genetic sequencing of mumps virus isolated from cases across Scotland classified 97% of the samples as genotype G. Two distinct clusters of genotype G were identified, one circulating before the outbreak and the other thereafter, suggesting the virus that caused this outbreak was genetically different from the previously circulating virus. Whilst the poor vaccine effectiveness we found may be due to waning immunity over time, a contributing factor may be that the current mumps vaccine is less effective against some genotypes. Although the general benefits of the measles-mumps-rubella (MMR) vaccine should continue to be promoted, there may be value in reassessing the UK vaccination schedule and the current mumps component of the MMR vaccine.

  17. Observed and Modeled Pathways of the Iceland Scotland Overflow Water in the eastern North Atlantic

    Science.gov (United States)

    Zou, Sijia; Lozier, Susan; Zenk, Walter; Bower, Amy; Johns, William

    2017-04-01

    The Iceland Scotland Overflow Water (ISOW), one of the major components of the lower limb of the Atlantic Meridional Overturning Circulation (AMOC), is formed in the Nordic Seas and enters the eastern North Atlantic subpolar gyre via the Iceland-Scotland sill. After entraining the ambient waters, the relatively homogeneous ISOW spreads southward into the North Atlantic. An understanding of the distribution and variability of the spreading pathways of the ISOW is fundamental to our understanding of AMOC structure and variability. Three major ISOW pathways have been identified in the eastern North Atlantic by previous studies: 1) across the Reykjanes Ridge via deep gaps, 2) through the Charlie Gibbs Fracture Zone, and 3) southward along the eastern flank of the Mid Atlantic Ridge (MAR). However, most of these studies were conducted using an Eulerian frame with limited observations, especially for the third pathway along the eastern flank of the MAR. In this work, we give a comprehensive description of ISOW pathways in the Eulerian and Lagrangian frames, quantify the relative importance of each pathway and examine the temporal variability of these pathways. Our study distinguishes itself from past studies by using both Eulerian (current meter data) and Lagrangian (eddy-resolving RAFOS float data) observations in combination with modeling output (1/12° FLAME) to describe ISOW spreading pathways and their variability.

  18. Third Way Parenting and the Creation of the “Named Person” in Scotland

    Directory of Open Access Journals (Sweden)

    Stuart Waiton

    2016-02-01

    Full Text Available This article has been developed through the experience of working with the various organizations and individuals who have been part of the No to Named Person campaign. The aim of the article is to understand the emergence of the Named Person in Scotland and to explain the significant distance between legislators and policy makers and those who have opposed the Named Person initiative. We propose that the key to understanding these divergent views is predicated upon profoundly different views of the family, the collapse of the ideal of family autonomy, and its replacement with what can be described as “third way parenting.” Here, the meaning of the “Named Person” as laid out in the Children and Young People (Scotland Act 2014, and the opposing views that have been made against this act are explained. The “Named Person” provision in the legislation, it is argued, has developed with the rise of micro-managerial politics, the construction of the “at risk” child and the anxiety expressed about the early years of children, seen most clearly in the significance of early intervention policies. Within this context, parenting has become problematized and increasingly understood as a skills activity requiring training, support, and surveillance.

  19. A survey of non-accidental injury imaging in England, Scotland and Wales

    Energy Technology Data Exchange (ETDEWEB)

    James, S L.J.; Halliday, K; Somers, J; Broderick, N

    2003-09-01

    AIM: To identify the potential national variation in non-accidental injury (NAI) imaging in England, Scotland and Wales. MATERIALS AND METHODS: A postal survey was sent to 323 hospitals with both paediatric and radiology departments. These were identified by a search through the Medical Directory. RESULTS: One hundred and thirteen of 323 postal questionnaires were returned within the study period (35%). Sixteen were excluded from the study because either no NAI imaging was performed at that institution or an incorrect address had been used. The total number of completed questionnaires was 97 (30%). Extensive variation was seen in all aspects of NAI imaging including imaging techniques used, total case numbers, follow-up imaging and those who report the NAI imaging. CONCLUSIONS: There is currently no national protocol that incorporates all aspects of NAI imaging in England, Scotland and Wales. Extensive variation in practice has been shown by this survey. Further standardization of NAI imaging practice is required. The draft BSPR skeletal survey guidelines and routine neurological imaging is recommended.

  20. Fingerprinting of bed sediment in the Tay Estuary, Scotland: an environmental magnetism approach

    Directory of Open Access Journals (Sweden)

    P. A. Jenkins

    2002-01-01

    Full Text Available Sediment fingerprinting is commonly used for sediment provenance studies in lakes, rivers and reservoirs and on hillslopes and floodplains. This investigation explores the mixing of terrestrial and marine-derived sediment in the Tay Estuary, Scotland, using mineral magnetic attributes for fingerprinting. Samples representative of the estuary sediments and of four sources (end-members were subjected to a suite of magnetic susceptibility and remanence measurements. Sediment samples from the beds of the Rivers Tay and Earn represented fluvial inputs while samples from the Angus and Fife coasts represented marine input. Multivariate discriminant and factor analysis showed that the sources could be separated on the basis of six magnetic parameters in a simple multivariate unmixing model to identify source contributions to estuarine bed sediments. Multi-domain magnetite signatures, characteristic of unweathered bedrock, dominate the magnetic measurements. Overall contributions of 3% from the River Earn, 17% from the River Tay, 29% from the Angus coast and 51% from the Fife coast source end-members, demonstrated the present-day regime of marine sediment derivation in the Tay Estuary. However, this conceals considerable spatial variability both along-estuary and in terms of sub-environments, with small-scale variations in sediment provenance reflecting local morphology, particularly areas of channel convergence. Keywords: bed sediment, environmental magnetism, fingerprinting, Tay Estuary, Scotland

  1. Distribution of physical activity facilities in Scotland by small area measures of deprivation and urbanicity

    Directory of Open Access Journals (Sweden)

    Ogilvie David

    2010-10-01

    Full Text Available Abstract Background The aim of this study was to examine the distribution of physical activity facilities by area-level deprivation in Scotland, adjusting for differences in urbanicity, and exploring differences between and within the four largest Scottish cities. Methods We obtained a list of all recreational physical activity facilities in Scotland. These were mapped and assigned to datazones. Poisson and negative binomial regression models were used to investigate associations between the number of physical activity facilities relative to population size and quintile of area-level deprivation. Results The results showed that prior to adjustment for urbanicity, the density of all facilities lessened with increasing deprivation from quintiles 2 to 5. After adjustment for urbanicity and local authority, the effect of deprivation remained significant but the pattern altered, with datazones in quintile 3 having the highest estimated mean density of facilities. Within-city associations were identified between the number of physical activity facilities and area-level deprivation in Aberdeen and Dundee, but not in Edinburgh or Glasgow. Conclusions In conclusion, area-level deprivation appears to have a significant association with the density of physical activity facilities and although overall no clear pattern was observed, affluent areas had fewer publicly owned facilities than more deprived areas but a greater number of privately owned facilities.

  2. Concurrent and legacy economic and environmental impacts from establishing a marine energy sector in Scotland

    International Nuclear Information System (INIS)

    Allan, Grant J.; Bryden, Ian; McGregor, Peter G.; Stallard, Tim; Kim Swales, J.; Turner, Karen; Wallace, Robin

    2008-01-01

    We examine the economic and environmental impact that the installation of 3 GW of marine energy capacity would have on Scotland. This is not a forecast, but a projection of the likely effects of meeting the Scottish Government's targets for renewable energy through the development of a marine energy sector. Energy, with a particular focus on renewables, is seen by the Scottish Government as a 'key sector', with high growth potential and the capacity to boost productivity (Scottish Government, 2007a. The Government Economic Strategy. The Scottish Government, Edinburgh). The key nature of this sector has been identified through targets being set for renewable energy to achieve environmental and economic benefits. Using a regional computable general equilibrium (CGE) model of Scotland we show that the development of a marine energy sector can have substantial and beneficial impacts on GDP, employment and the environment over the lifetime of the devices, given the encouragement of strong indigenous inter-industry linkages. Furthermore, there are also substantial 'legacy' effects that persist well beyond the design life of the devices

  3. 'Breaking Good News': Neurologists' experiences of discussing SUDEP with patients in Scotland.

    Science.gov (United States)

    Nisbet, Tom; Turbull, Sue; Mulhern, Sharon; Razvi, Saif

    2017-05-01

    Since the findings of a Fatal Accident Inquiry (FAI) in 2010, clinicians working in Scotland have been advised to discuss the risk of Sudden Unexpected Death in Epilepsy (SUDEP) with patients immediately or soon after a diagnosis of epilepsy is made. A thematic analysis was used to describe the experiences discussing SUDEP of 10 clinicians (six Consultant Neurologists and four Neurology Registrars) working in Scotland. Contrary to previous research, clinicians appear to be routinely discussing SUDEP in a standardized fashion with newly diagnosed patients and the FAI appears to have instigated this change in practice. Clinicians are ambivalent about the practice and whether this is a Breaking Bad News (BBN) experience. Clinicians appear to anticipate that patients will be anxious or distressed discussing SUDEP, despite their experiences that patients do not react this way. There are further concerns that the pressure to discuss SUDEP, as a result of the FAI, hinders effective communication of the SUDEP message. Implications for guideline development are discussed. Copyright © 2017 Elsevier Inc. All rights reserved.

  4. Progress in the development of integrated mental health care in Scotland

    Directory of Open Access Journals (Sweden)

    Kevin Woods

    2002-06-01

    Full Text Available The development of integrated care through the promotion of ‘partnership working’ is a key policy objective of the Scottish Executive, the administration responsible for health services in Scotland. This paper considers the extent to which this goal is being achieved in mental health services, particularly those for people with severe and enduring mental illness. Distinguishing between the horizontal and vertical integration of services, exploratory research was conducted to assess progress towards this objective by examining how far a range of functional activities in Primary Care Trusts (PCTs and their constituent Local Health Care Co-operatives (LHCCs were themselves becoming increasingly integrated. All PCTs in Scotland were surveyed by postal questionnaire, and followed up by detailed telephone interviews. Six LHCC areas were selected for detailed case study analysis. A Reference Group was used to discuss and review emerging themes from the fieldwork. The report suggests that faster progress is being made in the horizontal integration of services between health and social care organisations than is the case for vertical integration between primary health care and specialist mental health care services; and that there are significant gaps in the extent to which functional activities within Trusts are changing to support the development of integrated care. A number of models are briefly considered, including the idea of ‘intermediate care’ that might speed the process of integration.

  5. An outbreak of an unusual strain of Listeria monocytogenes infection in North-East Scotland.

    Science.gov (United States)

    Okpo, Emmanuel; Leith, Jayne; Smith-Palmer, Alison; Bell, John; Parks, Duncan; Browning, Fiona; Byers, Lynn; Corrigan, Helen; Webster, Diana; Karcher, Anne M; Murray, Andrew; Storey, Tom

    2015-01-01

    Listeria monocytogenes infection is an important cause of illness and hospitalization in vulnerable individuals. In the present study, we describe a community outbreak of Listeria monocytogenes in the North-East region of Scotland, which was epidemiologically, environmentally and microbiologically linked to a local meat product and ready-to-eat product manufacturer. Infected individuals were interviewed, and an environmental investigation was conducted. Clinical and environmental samples were tested by culture, and isolates were typed by fluorescent amplified fragment length polymorphism (fAFLP). Three cases of Listeria monocytogenes were linked geographically, had the same serotype (1/2a) and were indistinguishable by fAFLP type XII.6. The human, food and environmental isolates were of the same serotype and were indistinguishable by molecular typing. This is the first community outbreak of L. monocytogenes reported in Scotland since the current outbreak surveillance was established in 1996. Epidemiological and laboratory evidence indicated poor hand hygiene, unhygienic practices and cross-contamination throughout the manufacturing process of ready-to-eat foods as a possible cause of the outbreak. More stringent control of commercial food establishments that provide ready-to-eat food and the need to advise specifically vulnerable groups, e.g., pregnant women, of the risk of L. monocytogenes in ready-to-eat food is urgently needed. Copyright © 2015 King Saud Bin Abdulaziz University for Health Sciences. Published by Elsevier Ltd. All rights reserved.

  6. Flood Risk Management Policy in Scotland: Research Questions Past, Present and Future

    Science.gov (United States)

    Wilkinson, Mark; Hastings, Emily; MacDonald, Jannette

    2016-04-01

    Scotland's Centre of Expertise for Waters (CREW) delivers accessible research and expert opinion to support the Scottish Government and its delivery partners in the development and implementation of water policy. It was established in 2011 by the Scottish Government (Rural and Environmental Science and Analytical Services) in recognition of a gap in the provision of short term advice and research to policy (development and implementation). Key policy areas include the Water Framework Directive, Floods Directive, Drinking Water Directive, Habitats Directive and Scotland's Hydro Nation Strategy. CREW is unique in its demand-driven and free service for policy makers and practitioners, managing the engagement between scientists, policy makers and practitioners to work effectively across this interface. The users of CREW are the Scottish Government, Scottish Environment Protection Agency, Scottish Natural Heritage and Scottish Water. CREW has funded around 100 projects relating to water policy since its inception in 2011. Of these, a significant number relate to flood risk management policy. Based on a review of work to date, this poster will give an overview of these projects and a forward look at the challenges that remain. From learning from community led flood risk management to surface water flood forecasting for urban communities, links will be made between sustainable and traditional flood risk management while considering the perceptions of stakeholders to flood risk management. How can we deliver fully integrated flood risk management options? How policy makers, scientists and land managers can better work together will also be explored.

  7. Urban-rural differences in self-reported limiting long-term illness in Scotland.

    Science.gov (United States)

    Levin, Kate A

    2003-12-01

    Previous research suggests that there are significant differences in health between urban and rural areas. The aim of this study is to describe the pattern and magnitude of urban-rural variation in health in Scotland and to examine the factors associated with health inequalities in urban and rural areas. The data used in this study were limiting long-term illness (LLTI) and socio-economic data collected by the 1991 Census. A rurality indicator was created using Scottish Household Survey rurality classifications. Multilevel Poisson regression modelling was carried out with LLTI as a health indicator for each type of rurality within Scotland. A variety of socio-economic factors were investigated for each rurality. Areas with the highest Standardized Illness Ratios (SIRs) (>125) are predominantly urban whereas the lowest SIRs (rural areas. Rural communities are more heterogeneous than urban areas in terms of their social make-up with relation to health; however, when these areas are split according to minor road length and different socio-economic factors are added, the model fit for each new model is improved and the reduction in total variation is comparable with that of the urban models. These findings suggest that rural areas should not be treated as a homogeneous group but should be subdivided into rural types.

  8. The introduction, deployment and impact of assistant practitioners in diagnostic radiography in Scotland

    International Nuclear Information System (INIS)

    Price, R.; Miller, L.; Hicks, B.; Higgs, A.

    2015-01-01

    This article describes the outcomes of an evaluation of the impact of introducing Assistant Practitioners (AP) roles into imaging departments in 13 of the 14 NHS Boards in Scotland. Between 2006 and 2009 some 34 individuals were trained as APs in diagnostic radiography with 33 subsequently taking up AP posts. In 2010 NHS Education for Scotland commissioned an evaluation of the impact brought about through introduction of the diagnostic imaging AP role in imaging departments. The research found that a minority of the managers had considered the workforce implications of introducing the new roles or the supervisory arrangements that would be required. In some sites implementation of the roles had resulted in the release of radiographers for additional training and higher level activities, but in others financial constraints had limited such initiatives. Managers believed that APs had helped maintain or improve service capacity and quality. - Highlights: • Minority of managers consider implications of new roles or supervisory arrangements. • Assistant practitioners (APs) help maintain or improve service capacity and quality. • Financial constraints limit training and initiatives. • APs can allow staff release for training and work in specialist modalities. • Data collection key in measuring financial effectiveness, capacity and impact

  9. Audit, guidelines and standards: clinical governance for hip fracture care in Scotland.

    Science.gov (United States)

    Currie, Colin T; Hutchison, James D

    To report on experience of national-level audit, guidelines and standards for hip fracture care in Scotland. Scottish Hip Fracture Audit (from 1993) documents case-mix, process and outcomes of hip fracture care in Scotland. Evidence-based national guidelines on hip fracture care are available (1997, updated 2002). Hip fracture serves as a tracer condition by the health quality assurance authority for its work on older people, which reported in 2004. Audit data are used locally to document care and support and monitor service developments. Synergy between the guidelines and the audit provides a means of improving care locally and monitoring care nationally. External review by the quality assurance body shows to what extent guideline-based standards relating to A&E care, pre-operative delay, multidisciplinary care and audit participation are met. Three national-level initiatives on hip fracture care have delivered: Reliable and large-scale comparative information on case-mix, care and outcomes; evidence-based recommendations on care; and nationally accountable standards inspected and reported by the national health quality assurance authority. These developments are linked and synergistic, and enjoy both clinical and managerial support. They provide an evolving framework for clinical governance, with casemix-adjusted outcome assessment for hip fracture care as a next step.

  10. Business, Management and Administration: A Subject-Based Aspect Report by Education Scotland on Behalf of the Scottish Funding Council on Provision in Scotland's Colleges. Transforming Lives through Learning

    Science.gov (United States)

    Education Scotland, 2014

    2014-01-01

    In preparing this report, reviewers visited a sample of four colleges, detailed in Appendix 1. They also drew on the findings of published Education Scotland external reviews of colleges, and examined other relevant publications and reports. They consulted and held focus groups with key stakeholders, including the Scottish Qualifications Authority…

  11. The Water of Life: Creative Non-Fiction and Lived Experience on an Interdisciplinary Canoe Journey on Scotland's River Spey

    Science.gov (United States)

    Higgins, Peter; Wattchow, Brian

    2013-01-01

    This paper focuses on an educational encounter between staff, students and the River Spey, Scotland in September 2009. The themes of water and embodied and culturally constructed ways of knowing the river were used to inform a creative non-fiction narrative that was drafted during and shortly after the journey, and was later refined. Textual…

  12. Richard J. Hill, Picturing Scotland through the Waverley Novels: Walter Scott and the Origins of the Victorian Illustrated Novel.

    Directory of Open Access Journals (Sweden)

    Jacqueline Irene Cannata

    2012-10-01

    Full Text Available Richard J. Hill, Picturing Scotland through the Waverley Novels: Walter Scott and the Origins of the Victorian Illustrated Novel . Farnham, Surrey, and Burlington, VT: Ashgate, 2010. Pp. 236. ISBN 978-0-7546-6806-0. US$99.99.

  13. Monitoring and economics of a 60 kW wind turbine generator on a pig farm in Scotland

    International Nuclear Information System (INIS)

    Saluja, G.S.

    1990-01-01

    Low cost monitoring of a 60 kW wind turbine generator connected to an intensive pig farm in the Grampian area of Scotland is described. A method of calculating the economic implications of installing a small grid-connected wind turbine generator at a farm is based on monitored data, electricity bills and energy production is proposed. (author)

  14. Education as an Agent of Social Evolution: The Educational Projects of Patrick Geddes in Late-Victorian Scotland

    Science.gov (United States)

    Sutherland, Douglas

    2009-01-01

    This paper examines the educational projects of Patrick Geddes in late-Victorian Scotland. Initially a natural scientist, Geddes drew on an eclectic mix of social theory to develop his own ideas on social evolution. For him education was a vital agent of social change which, he believed, had the potential to develop active citizens whose…

  15. CoSN Senior Delegation to Scotland and Netherlands: Real Investment/Real Innovation (November 6-14, 2009)

    Science.gov (United States)

    Spero, Irene, Comp.

    2010-01-01

    In November, 2009 The Consortium of School Networking (CoSN) led a United States (US) "Senior Delegation" to the Netherlands and Scotland as part of its ongoing efforts to facilitate a global conversation on the use of Information and Communications Technologies (ICT) in education. Building upon the experiences of three previous…

  16. Assessment of agricultural crops and natural vegetation in Scotland for energy production by anaerobic digestion and hydrothermal liquefaction

    DEFF Research Database (Denmark)

    Biller, Patrick; Lawson, David; Madsen, René Bjerregaard

    2017-01-01

    The current paper investigates the use of natural vegetation and agricultural crops commonly found in Scotland as a source of bioenergy. Such biomass is shown to have a high moisture content upon harvest (∼80%) which renders them suitable for wet conversion technologies such as anaerobic digestion...

  17. A rapid review of key strategies to improve the cognitive and social development of children in Scotland.

    Science.gov (United States)

    Geddes, Rosemary; Frank, John; Haw, Sally

    2011-06-01

    Inequalities in health and educational outcomes in Scotland show a strong and persistent socioeconomic status gradient. Our aims were to provide policy-makers with a synthesis of international research evidence that assesses the effectiveness of early childhood interventions aimed at equitably promoting cognitive and social development and suggest potential areas for action in Scotland. A rapid review was conducted of review level studies of early childhood interventions with outcome measures relating to child cognitive-language or social-emotional development, subsequent academic and life achievement. Websites were searched and interviews were conducted to identify relevant interventions, policies and programmes delivered in Scotland. : Early childhood intervention programmes can reduce disadvantage due to social and environmental factors. Scottish health policy demonstrates a clear commitment to early childhood development but much work remains in terms of detail of policy implementation, identification of high risk children and families, and early childhood monitoring systems. Programmes should provide a universal seamless continuum of care and support from pregnancy through to school entry with the intensity of support graded according to need. The current information systems in Scotland would be inadequate for monitoring the effects of early childhood interventions especially in relation to cognitive-language and social-emotional development. Copyright © 2010 Elsevier Ireland Ltd. All rights reserved.

  18. 23rd Recent Advances in Retailing & Services Science Conference, July 11-14, 2016, Edinburgh, Scotland : book of abstracts

    NARCIS (Netherlands)

    Rasouli, S.; Timmermans, H.J.P.

    2016-01-01

    This book includes the (edited) abstracts of the papers that will be presented at the 23rd Recent Advances in Retailing and Services Science Conference, at the Carlton/Hilton hotel, Edinburgh, Scotland, July 11- 16, 2016. The aim of the conference is to bring together an international and

  19. Educational Outcomes of Young People in Scotland Who Are Deaf or Hard of Hearing: Intersections of Deafness and Social Class

    Science.gov (United States)

    Fordyce, Mariela; Riddell, Sheila; O'Neill, Rachel; Weedon, Elisabet

    2015-01-01

    This article focuses on the intersection between deafness and social class in the context of the unstable economic circumstances in Scotland following the 2007 recession. More specifically, this research investigated the following in the case of young people who are deaf or hard of hearing (DHH): (1) the interaction between educational attainment…

  20. [EDRP public local inquiry] Radioactive waste management policy in the UK (with particular reference to Scotland) (Revised statement)

    International Nuclear Information System (INIS)

    Robinson, R.E.S.

    1986-03-01

    The U.K. Government's current strategy for the long term in the management of radioactive wastes with reference to Scotland, taking account of the latest developments, is set out. Areas covered include responsible bodies, environmental monitoring, discharges from UK reprocessing sites, waste from reprocessing of spent fuel from overseas. (U.K.)

  1. The Standard for Chartered Teacher in Scotland: A New Context for the Assessment and Professional Development of Teachers

    Science.gov (United States)

    Christie, Donald

    2006-01-01

    As part of a major review of teachers' professional conditions of service in Scotland the "Chartered Teacher Programme" has been introduced offering experienced teachers the option of a substantial salary enhancement, not by promotion to a school management role, but by staying in the classroom and engaging in a programme of professional…

  2. REE distributions in a high-grade Archaean gneiss complex in Scotland: Implications for the genesis of ancient sialic crust

    International Nuclear Information System (INIS)

    Drury, S.A.

    1978-01-01

    Seventeen rocks from the Lewisian Gneiss of the Inner Hebrides of Scotland, which represent three distinct lithological types at granulite to greenschist facies of metamorphism show rare-earth element patterns which seem not to have been disturbed by their complex metamorphic history. Some indication of their origin can be obtained by simple geochemical models. (Auth.)

  3. Quality Assurance in Education: Current Debates. A Report on a SOED-Sponsored Seminar (Stirling, Scotland, United Kingdom, June 1992).

    Science.gov (United States)

    Stronach, Ian, Ed.

    Proceedings of a workshop held at the University of Stirling, Scotland, to critically examine issues in quality assurance (QA) in education are provided in this document. QA is the generic title for a series of business-management models that have been applied to educational contexts to describe and promote school effectiveness. Five papers and…

  4. The changing case-mix of hip fractures in Scotland - evidence from the Scottish Hip Fracture Audit.

    Science.gov (United States)

    Hannah, Stephen D; Ferguson, K B; Smith, R; Hutchison, J; Holt, G

    2017-11-01

    Until discontinued in 2008, the Scottish Hip Fracture Audit collected and reported on data relating to the quality of care of hip fracture patients in Scotland. In 2013, the audit was recommenced under the umbrella of the MSK Audit group, which audits high volume orthopaedic pathways across Scotland. Our aim is to report on the changes in the demographics of hip fracture patients in Scotland between 2003 and 2013. There was an increase in the proportion of male patients from 2003 to 2013 (22.4% to 29.5%; p < 0.0001). An increased percentage of hip fracture patients were admitted from their own home (63.9% to 73.1%; p < 0.0001). Both these factors have deleterious effects on the outcome, and use of necessary resources, following hip fracture. There was also an increase in the percentage of patients who were American Society of Anesthesiologists Grade 3 (52.9% to 56.4%). Over the last decade, there has been a shift in the demographics of Scotland's hip fracture patients. If hip fracture incidence increases as predicted, this potentially more-challenging case-mix will likely impact on multiple health resources.

  5. Temporal trends in hospitalisation for stroke recurrence following incident hospitalisation for stroke in Scotland

    Directory of Open Access Journals (Sweden)

    Langhorne Peter

    2010-04-01

    Full Text Available Abstract Background There are few studies that have investigated temporal trends in risk of recurrent stroke. The aim of this study was to examine temporal trends in hospitalisation for stroke recurrence following incident hospitalisation for stroke in Scotland during 1986 to 2001. Methods Unadjusted survival analysis of time to first event, hospitalisation for recurrent stroke or death, was undertaken using the cumulative incidence method which takes into account competing risks. Regression on cumulative incidence functions was used to model the temporal trends of first recurrent stroke with adjustment for age, sex, socioeconomic status and comorbidity. Complete five year follow-up was obtained for all patients. Restricted cubic splines were used to determine the best fitting relationship between the survival events and study year. Results There were 128,511 incident hospitalisations for stroke in Scotland between 1986 and 2001, 57,351 (45% in men. A total of 13,835 (10.8% patients had a recurrent hospitalisation for stroke within five years of their incident hospitalisation. Another 74,220 (57.8% patients died within five years of their incident hospitalisation without first having a recurrent hospitalisation for stroke. Comparing incident stroke hospitalisations in 2001 with 1986, the adjusted risk of recurrent stroke hospitalisation decreased by 27%, HR = 0.73 95% CI (0.67 to 0.78, and the adjusted risk of death being the first event decreased by 28%, HR = 0.72 (0.70 to 0.75. Conclusions Over the 15-year period approximately 1 in 10 patients with an incident hospitalisation for stroke in Scotland went on to have a hospitalisation for recurrent stroke within five years. Approximately 6 in 10 patients died within five years without first having a recurrent stroke hospitalisation. Using hospitalisation and death data from an entire country over a 20-year period we have been able to demonstrate not only an improvement in survival following an

  6. Iceland Scotland Overflow Water flow through the Bight Fracture Zone in June-July 2015

    Science.gov (United States)

    Mercier, Herle; Petit, Tillys; Thierry, Virginie

    2017-04-01

    ISOW (Iceland Scotland Overflow Water) is the densest water in the northern Iceland Basin and a main constituent of the lower limb of the meridional overturning circulation (MOC). ISOW is the product of mixing of dense water originating from the Nordic Seas with Atlantic Water and Labrador Sea Water during its crossing of the Iceland-Faroe-Scotland Ridge and downstream acceleration. In the northern Iceland Basin, ISOW is characterized by potential density σ0 > 27.8 and salinity > 34.94. Downstream of the Iceland-Scotland Ridge, ISOW flows southwestward in a Deep Western Boundary Current along the eastern flank of the Reykjanes Ridge. Models and float trajectories previously suggested that part of the ISOW flow could cross the Reykjanes Ridge through the Bight Fracture Zone. However, no direct observations of the ISOW flow through the Bight Fracture Zone are available that would allow us to quantify its transport and water mass transformation. This lack of direct observations also prevents understanding the dynamics of the throughflow. In this study, we analyzed a set of CTDO2 and LADCP stations acquired in June-July 2015 during the Reykjanes Ridge Experiment cruise and provide new insights on the ISOW flow through the Bight Fracture Zone. The evolution of the properties as well as the velocity measurements confirm an ISOW flow from the Iceland Basin to the Irminger Sea. A main constrain to the throughflow is the presence of two sills of about 2150 m depth and two narrows. With potential densities between 27.8-27.87 kg m-3 and near bottom potential temperature of 3.02°C and salinity of 34.98, only the lightest variety of ISOW is found at the entrance of the BFZ east of the sills. In the central part of the Bight Fracture Zone, the evolution of ISOW is characterized by a decrease of 0.015 kg m-3 in the near bottom density, ascribed to the blocking of the densest ISOW variety by the sills and/or diapycnal mixing. To the West, at the exit of the BFZ, ISOW overlays

  7. Shaping the future: a primary care research and development strategy for Scotland.

    Science.gov (United States)

    Hannaford, P; Hunt, J; Sullivan, F; Wyke, S

    1999-09-01

    Primary care is at the centre of the National Health Service (NHS) in Scotland; however, its R & D capacity is insufficiently developed. R&D is a potentially powerful way of improving the health and well-being of the population, and of securing high quality care for those who need it. In order to achieve this, any Scottish strategy for primary care R&D should aim to develop both a knowledge-based service and a research culture in primary care. In this way, decisions will be made based upon best available evidence, whatever the context. Building on existing practice and resources within primary care research, this strategy for achieving a thriving research culture in Scottish primary care has three key components: A Scottish School of Primary Care which will stimulate and co-ordinate a cohesive programme of research and training. A comprehensive system of funding for training and career development which will ensure access to a range of research training which will ensure that Scotland secures effective leadership for its primary care R&D. Designated research and development practices (DRDPs) which will build on the work of existing research practices, in the context of Local Health Care Co-operatives (LHCCs) and Primary Care Trusts (PCTs), to create a co-operative environment in which a range of primary care professionals can work together to improve their personal and teams' research skills, and to support research development in their areas. A modest investment will create substantial increases in both the quality and quantity of research being undertaken in primary care. This investment should be targeted at both existing primary care professionals working in service settings in primary care, LHCCs and PCTs, and at centres of excellence (including University departments). A dual approach will foster collaboration and will allow existing centres of excellence both to undertake more primary care research and to support the development of service based primary care

  8. A review of ethylphenidate in deaths in east and west Scotland.

    Science.gov (United States)

    Parks, Claire; McKeown, Denise; Torrance, Hazel J

    2015-12-01

    Ethylphenidate is a psychostimulant and analogue of methylphenidate. Interestingly it is also produced as a metabolite from the co-ingestion of methylphenidate and alcohol (ethanol). In the UK, between April and June 2015, ethylphenidate and 6 other methylphenidate based novel psychoactive substances (NPS) were subjected to a temporary class drug order under the Misuse of Drugs Act 1971. Ethylphenidate is being abused by both novel and habitual drug users, more prominently in the East of Scotland. What is unknown in the literature is the contribution of ethylphenidate in deaths. A search was conducted for an 18 month period (July 2013 to December 2014) to identify cases where ethylphenidate was detected during post-mortem toxicological analysis. Nineteen cases were identified and these cases were examined with regards to case circumstances, pathology findings, toxicology results and adverse effects. The individuals ranged in age from 20 to 54 (median 37) and the majority were male (n=14) and from the East of Scotland (n=16), more specifically Edinburgh and surrounding area. Current or previous heroin abuse was a common theme in these cases (n=16) and injection was a common route of administration of "legal highs" or "burst". The concentration of ethylphenidate in the cases ranged from 0.008 mg/L to over 2 mg/L in post-mortem femoral blood (median 0.25 mg/L, average 0.39 mg/L). Other drugs commonly detected were benzodiazepines (n=15), followed by opiates (n=11, 4 of which were positive for 6-monoacetylmorphine) and then methadone (n=8). All 19 cases received a full post-mortem examination and there were 10 cases where drug toxicity was the sole or potentially contributory factor to the cause of death. Ethylphenidate was specifically mentioned in the cause of death for 5 cases, chronic intravenous (IV) drug use was named as part of the cause of death for 2 cases and in 6 cases there was evidence of complications and infections through IV drug use. As far as it is

  9. Scotland's Water Map: Understanding water sector links to support decision making for the Hydro Nation Agenda

    Science.gov (United States)

    Falconer, Ruth E.; Gilmour, Daniel; Duffy, Alison; Isaacs, John; Stojanovic, Vladeta; O'Keeffe, Juliette; Blackwood, David

    2015-04-01

    The value of Scotland's water and sewerage market is projected to grow to £1.24bn by 2016/17. Developing future opportunities must take place alongside maintaining current service provision; however the demand on water and waste water services is constantly evolving. An integrated approach to water management requires an understanding of complex interactions that exist between key actors in the sector to allow water management strategies to exploit inter-sectorial links. Successful integrated analysis of the water sector in Scotland will support management activities key to responding to the Hydro Nation themes of 1) Governance and international development 2) Environmental protection 3) Economic opportunities 4) Research development. In order to deliver on these objectives an approach is required to capture and communicate the scope and scale of the water sector and its interconnectedness. The methodology required to determine scope, scale and interconnectedness of water sector involved the identification and application of an appropriate range of techniques from the Information and Knowledge Management disciplines combined with the Information Visualisation field. Scope and scale of the water sector was identified by a desk based study and this data was visualized using a geographic map. Sector interconnectedness was determined by interviewing key actors. The interviews identified the stakeholders associated with information flows, and the purpose of the information transfer through Reporting/Managing (R/M), Influence and Information sharing (I) or Control (C) activities. Primary information flows were also scored with respect to importance against the 4 key Hydro Nation agenda themes. Many organisations were identified who interact within Scotland's water sector including the Scottish Government and Ministers, the Regulators (WICS, DWQR, SEPA), Scottish Water (core and non-core functions), plus many other stakeholders ranging from research institutions to

  10. Lateglacial geomorphology in the Tweedsmuir Hills, Scotland - Implications for retreat patterns, glacier reconstruction and chronology.

    Science.gov (United States)

    Pearce, D.; Rea, B.; McDougall, D.

    2012-04-01

    The Tweedsmuir Hills, Southern Uplands, Scotland, contain excellent assemblages of glacial landforms, including hummocky moraine, classically associated with a Lateglacial deglaciation (c. 14.7 - 11.7 cal. ka BP) in the UK. Although initially documented in 1855, a detailed systematic geomorphological investigation has never been undertaken in the region, meaning reconstructions are patchy, outdated and lacking chronological control. This has resulted in conflicting styles of glaciation being inferred, with both plateau icefield and valley glaciers reconstructed in the Tweedsmuir Hills. Importantly, comprehensive numerical modelling experiments for the period, c. 38 -10.4 ka BP, predict a significant body of ice for the Tweedsmuir Hills at the onset and throughout the Younger Dryas (c. 12.9 - 11.7 cal. ka. BP). Field data, which at present, are missing means that the numerical modelling remains untested. Given the emerging evidence that ice-masses survived, during or throughout the Lateglacial in a number of regions in Scotland, the glacial geomorphology and reconstructions for this area will provide a key input of palaeo-glacier data for subsequent investigation of wider patterns of Lateglacial ice-mass distribution and climate gradients across the UK and NW Europe. Geomorphological mapping followed a morphostratigraphic approach using a combination of aerial photos, NEXTMapTM and mapping in the field using a ruggedized tablet PC, with built in GPS and ArcGIS 9.3. The glacial landforms indicate two separate landsystems. The first is characterised by elongate subglacial bedforms overriding the topography, trending SW to NE, suggested to be attributable to the Devensian glaciation. The second landsystem is characterised by closely spaced sharp crested moraines, oblique to the valley axis and confined by the topography, meltwater channels and single terrace systems, which are likely to have formed in a subsequent period of renewed glaciation i.e. Lateglacial. The

  11. Integrated inspection of services for people with learning disabilities in Scotland: the way forward?

    Directory of Open Access Journals (Sweden)

    Martin Campbell

    2007-10-01

    Full Text Available Purpose: The article summarises the process and the results of the first, integrated inspection of managed care services for people with learning disabilities in Scotland. The multi-agency model used was developed to be congruent with the existing performance inspection models, used by single agency inspection. The inspection activities and main outcomes are described, and suggestions are made for improvements. Context of case: In 2006 an inspection model was devised to assess the quality of health, social services and education services for people with learning disabilities in one geographical area of Scotland, as a precursor to a programme of inspections nationally. The first joint, integrated inspection of all services for people with learning disabilities in Scotland took place in June 2006, and the report was published in March 2007. This was the first multi-agency inspection of its kind in the UK, and the first to involve carers and people with learning disabilities on the inspection team. Data sources: A number of data sources were used to check existing practice against agreed Quality Outcome indicators. Primary sources of data were social work records, health records, education records, staff surveys, carer surveys, interviews with staff, family carers and people with learning disabilities, and self evaluations completed by the services being inspected. Eleven different domains, each with sub-indicators were investigated. Case description: This paper summarises the process of an integrated, multi-agency inspection, how the inspection activities were conducted and the main findings of this inspection. Practical improvements to the process are suggested, and these may be of use to other services and inspectorates. Conclusions and discussion: The integrated inspection was a qualified success. Most major objectives were achieved. The sharing of data amongst inspection agencies, establishing the level of commitment to integrated inspection

  12. Estimating the contribution of rural land uses to greenhouse gas emissions: A case study of North East Scotland

    International Nuclear Information System (INIS)

    Feliciano, Diana; Slee, Bill; Hunter, Colin; Smith, Pete

    2013-01-01

    Challenging greenhouse gas (GHG) emission reduction targets were set in Scotland by the Climate Change (Scotland) Act in June 2009. The national objective is to reduce GHG emissions by 42% by 2020 and 80% by 2050 compared to 1990 levels. The GHG emission reduction targets apply both to the traded and non-traded sectors, thus including the rural land use sector. In North East Scotland, rural land uses cover the majority of the land area, with agriculture and forestry representing about 86% and sporting land about 10% of the total area. The objectives of this study were to provide guidance for the development of a regional GHG inventory to estimate methane (CH 4 ), nitrous oxide (N 2 O) and carbon dioxide (CO 2 ) emissions from rural land uses in North East of Scotland, to compare with that of the United Kingdom (UK), and discuss the advantages of regional GHG inventories for rural land uses. The study mainly followed the guidance of the IPCC (Intergovernmental Panel on Climate Change) Revised Guidelines for National Greenhouse Gas Inventories and adapts these to the region level. Data available for North East Scotland allowed an assessment of annual GHG emissions from livestock and grassland, cropland management and sporting land, as well as carbon sequestered by forests, between 1999 and 2010. Estimated GHG emissions of 1420 ktCO 2 e from livestock, grassland and cropland management obtained in this study for 2009 compare well with estimates for the same region from larger-scale inventories. The methodology described, including the steps undertaken for data collection, the shortcomings found and strategies to overcome these, could be applied to other UK or European regions.

  13. Reduction in cryptosporidiosis associated with introduction of enhanced filtration of drinking water at Loch Katrine, Scotland.

    Science.gov (United States)

    Pollock, K G J; Young, D; Robertson, C; Ahmed, S; Ramsay, C N

    2014-01-01

    Previous evidence has suggested an association between cryptosporidiosis and consumption of unfiltered drinking water from Loch Katrine in Scotland. Before September 2007, the water was only micro-strained and chlorinated; however, since that time, coagulation and rapid gravity filtration have been installed. In order to determine risk factors associated with cryptosporidiosis, including drinking water, we analysed data on microbiologically confirmed cases of cryptosporidiosis from 2004 to 2010. We identified an association between the incidence of cryptosporidiosis and unfiltered Loch Katrine drinking water supplied to the home (odds ratio 1.86, 95% confidence interval 1.11-3.11, P = 0.019). However, while filtration appears to be associated with initially reduced rates of cryptosporidiosis, evidence suggests it may paradoxically make those consumers more susceptible to other transmission routes in the long-term. These findings support implementation of similar treatment for other unfiltered drinking-water supplies, as a means of reducing cryptosporidiosis associated with drinking water.

  14. Understandings of Participation in Behavioural Research: A Qualitative Study of Gay and Bisexual Men in Scotland.

    Directory of Open Access Journals (Sweden)

    Nicola Boydell

    Full Text Available An array of empirical research has emerged related to public participation in health research. To date, few studies have explored the particular perspectives of gay and bisexual men taking part in behavioural surveillance research, which includes the donation of saliva swabs to investigate HIV prevalence and rates of undiagnosed HIV. Semi-structured interviews were conducted with twenty-nine gay and bisexual men in Scotland who had participated in a bar-based survey. Thematic analysis of men's accounts of their motives for participation and their perceptions of not receiving individual feedback on HIV status suggested a shared understanding of participation in research as a means of contributing to 'community' efforts to prevent the spread of HIV. Most men expressed sophisticated understandings of the purpose of behavioural research and distinguished between this and individual diagnostic testing. Despite calls for feedback on HIV results broadly, for these men feedback on HIV status was not deemed crucial.

  15. Understandings of Participation in Behavioural Research: A Qualitative Study of Gay and Bisexual Men in Scotland.

    Science.gov (United States)

    Boydell, Nicola; Fergie, Gillian May; McDaid, Lisa Margaret; Hilton, Shona

    2015-01-01

    An array of empirical research has emerged related to public participation in health research. To date, few studies have explored the particular perspectives of gay and bisexual men taking part in behavioural surveillance research, which includes the donation of saliva swabs to investigate HIV prevalence and rates of undiagnosed HIV. Semi-structured interviews were conducted with twenty-nine gay and bisexual men in Scotland who had participated in a bar-based survey. Thematic analysis of men's accounts of their motives for participation and their perceptions of not receiving individual feedback on HIV status suggested a shared understanding of participation in research as a means of contributing to 'community' efforts to prevent the spread of HIV. Most men expressed sophisticated understandings of the purpose of behavioural research and distinguished between this and individual diagnostic testing. Despite calls for feedback on HIV results broadly, for these men feedback on HIV status was not deemed crucial.

  16. Remediation by in-situ solidification/stabilisation of Ardeer landfill, Scotland

    International Nuclear Information System (INIS)

    Wyllie, M.; Esnault, A.; Barker, P.

    1997-01-01

    The Ardeer Landfill site at ICI Explosives factory on the west coast of Scotland had been a repository for waste from the site for 40 years. In order to safeguard the local environment ICI Explosives, with approval of Local Authorities and the Clyde River Purification Board put into action a programme of investigation and planning which culminated in the in-situ treatment of 10,000 m3 of waste within the landfill by a deep mixing method using the open-quotes Colmixclose quotes system. The paper describes in varying degrees of detail the remediation from investigation to the execution of the in-situ stabilisation and presents the post construction monitoring results

  17. Lean and Six Sigma Methodologies in NHS Scotland: An Empirical Study and Directions for Future Research

    Directory of Open Access Journals (Sweden)

    Jiju Antony

    2012-12-01

    Full Text Available In recent years, the healthcare industry is constantly concerned to provide better quality of patient care with less waste of resources through application of continuous improvement (CI initiatives such as Lean and Six Sigma. The purpose of this paper is to evaluate the status of Lean and Six Sigma methodologies in the National Health Service (NHS Scotland. Data was collected using survey instrument to determine the status of these strategies within the NHS. Although the personnel of NHS do seem to have the basic skills to successfully implement Lean Six Sigma, there appears to be a failure on the part of senior management to successfully communicate the desires and needs of these powerful CI initiatives with personnel. Moreover, a lack of encouragement and motivation, resistance to change and blame culture are quite prevalent across the sector which prevents Lean and Six Sigma strategies from being utilized in a systematic manner.

  18. A 'Scottish Poor Law of Lunacy'? Poor Law, Lunacy Law and Scotland's parochial asylums.

    Science.gov (United States)

    Farquharson, Lauren

    2017-03-01

    Scotland's parochial asylums are unfamiliar institutional spaces. Representing the concrete manifestation of the collision between two spheres of legislation, the Poor Law and the Lunacy Law, six such asylums were constructed in the latter half of the nineteenth century. These sites expressed the enduring mandate of the Scottish Poor Law 1845 over the domain of 'madness'. They were institutions whose very existence was fashioned at the directive of the local arm of the Poor Law, the parochial board, and they constituted a continuing 'Scottish Poor Law of Lunacy'. Their origins and operation significantly subverted the intentions and objectives of the Lunacy Act 1857, the aim of which had been to institute a public district asylum network with nationwide coverage.

  19. Street connectivity and obesity in Glasgow, Scotland: impact of age, sex and socioeconomic position.

    Science.gov (United States)

    Ball, Kylie; Lamb, Karen; Travaglini, Noemi; Ellaway, Anne

    2012-11-01

    This study investigated associations of street connectivity with body mass index (BMI), and whether these associations varied by sex, age and socioeconomic position, amongst adults in Glasgow, Scotland. Data on socio-demographic variables, height and weight were collected from 1062 participants in the Greater Glasgow Health and Well-being Study, and linked with neighbourhood-level census and geo-referenced data on area level deprivation and street connectivity. Results of multilevel models showed that, after adjustment for individual level covariates, street connectivity was not significantly associated with either BMI or BMI category; nor were there any significant interactions between age, sex or socioeconomic position and street connectivity. Copyright © 2012 Elsevier Ltd. All rights reserved.

  20. Benchmarking Analysis of Institutional University Autonomy in Denmark, Lithuania, Romania, Scotland, and Sweden

    DEFF Research Database (Denmark)

    This book presents a benchmark, comparative analysis of institutional university autonomy in Denmark, Lithuania, Romania, Scotland and Sweden. These countries are partners in a EU TEMPUS funded project 'Enhancing University Autonomy in Moldova' (EUniAM). This benchmark analysis was conducted...... by the EUniAM Lead Task Force team that collected and analysed secondary and primary data in each of these countries and produced four benchmark reports that are part of this book. For each dimension and interface of institutional university autonomy, the members of the Lead Task Force team identified...... respective evaluation criteria and searched for similarities and differences in approaches to higher education sectors and respective autonomy regimes in these countries. The consolidated report that precedes the benchmark reports summarises the process and key findings from the four benchmark reports...

  1. The challenges and opportunities in medical education for digital 'natives' and 'immigrants' in Scotland and abroad.

    Science.gov (United States)

    de Wet, Carl; Yelland, Michael

    2015-11-01

    Although the digital revolution only started towards the end of the twentieth century, it has already dramatically shifted our world away from traditional industries and ushered in a new age of information. Virtually every aspect of our modern lives has either been transformed or challenged, including medical education. This article describes three of the important factors that are causing seismic changes in medical education in Scotland and abroad. The first is the new generation of 'digital natives' that are arriving in medical schools. In response, faculty members have had to become 'digital immigrants' and adapt their pedagogies. Second, the rise of social media has allowed the creation of virtual learning environments and communities that augment but also compete with traditional brick-and-mortar institutions. Finally, an ever-increasing range of e-learning resources promise freely accessible and up-to-date evidence, but their sheer volume and lack of standardisation will require careful curation. © The Author(s) 2015.

  2. The progress of family health nursing in remote and rural Scotland.

    Science.gov (United States)

    Macduff, Colin

    2005-12-01

    Since 2001 the World Health Organization Europe's family health nurse (FHN) role has been developing in remote and rural areas of Scotland. In 2003, an independent evaluation identified a need for facilitation of the FHN role and family-health orientated approaches with local primary health care teams. The Scottish Executive Health Department appointed three part-time, regionally-based family health practice development facilitators (FHPDFs) in December 2003 to work over an 18-month period. This article presents findings from a small study which sought these FHPDFs' judgements on individual FHN autonomy and supportive colleague action at 24 sites where FHNs were practising. These judgements reveal a picture of mixed progress that is consistent with findings from other related research. This collective overview is presented in the form of a new typology and the resultant implications for future development of family health nursing are discussed.

  3. Scotland as an Independent Small State: Where would it seek shelter?

    Directory of Open Access Journals (Sweden)

    Alyson J.K. Bailes

    2013-06-01

    Full Text Available A planned referendum in 2014 on Scottish independence gives cause to examine that scenario in the light of small state studies and recent European experience. One of the best-supported assumptions in small state literature is that small countries need to form alliances and seek protection from larger neighboring states and/or international institutions. Small European states have generally sought shelter from the European Union (EU and NATO. This study confirms that an independent Scotland would need strategic, political, economic and societal shelter, and could look for the various elements within existing European institutions, from its closest southern and northern neightbours, and from the US. However, protection may come with a certain cost - just as union with another entity does at present.

  4. To Converse with the Devil? Speech, Sexuality, and Witchcraft in Early Modern Scotland

    Directory of Open Access Journals (Sweden)

    Sierra Rose Dye

    2012-10-01

    Full Text Available In early modern Scotland, thousands of people were accused and tried for the crime of witchcraft, many of whom were women. This paper examines the particular qualities associated with witches in Scottish belief – specifically speech and sexuality – in order to better understand how and why the witch hunts occurred. This research suggests that the growing emphasis on the words of witches during this period was a reflection of a mounting concern over the power and control of speech in early modern society. In looking at witchcraft as a speech crime, it is possible to explain not only why accused witches were more frequently women, but also how the persecution of individuals – both male and female – functioned to ensure that local and state authorities maintained a monopoly on powerful speech.

  5. Human Papillomavirus Prevalence and Herd Immunity after Introduction of Vaccination Program, Scotland, 2009–2013

    Science.gov (United States)

    Kavanagh, Kimberley; Pan, Jiafeng; Love, John; Cuschieri, Kate; Robertson, Chris; Ahmed, Syed; Palmer, Timothy; Pollock, Kevin G.J.

    2016-01-01

    In 2008, a national human papillomavirus (HPV) immunization program using a bivalent vaccine against HPV types 16 and 18 was implemented in Scotland along with a national surveillance program designed to determine the longitudinal effects of vaccination on HPV infection at the population level. Each year during 2009–2013, the surveillance program conducted HPV testing on a proportion of liquid-based cytology samples from women undergoing their first cervical screening test for precancerous cervical disease. By linking vaccination, cervical screening, and HPV testing data, over the study period we found a decline in HPV types 16 and 18, significant decreases in HPV types 31, 33, and 45 (suggesting cross-protection), and a nonsignificant increase in HPV 51. In addition, among nonvaccinated women, HPV types 16 and 18 infections were significantly lower in 2013 than in 2009. Our results preliminarily indicate herd immunity and sustained effectiveness of the bivalent vaccine on virologic outcomes at the population level. PMID:26692336

  6. Human Papillomavirus Prevalence and Herd Immunity after Introduction of Vaccination Program, Scotland, 2009-2013.

    Science.gov (United States)

    Cameron, Ross L; Kavanagh, Kimberley; Pan, Jiafeng; Love, John; Cuschieri, Kate; Robertson, Chris; Ahmed, Syed; Palmer, Timothy; Pollock, Kevin G J

    2016-01-01

    In 2008, a national human papillomavirus (HPV) immunization program using a bivalent vaccine against HPV types 16 and 18 was implemented in Scotland along with a national surveillance program designed to determine the longitudinal effects of vaccination on HPV infection at the population level. Each year during 2009-2013, the surveillance program conducted HPV testing on a proportion of liquid-based cytology samples from women undergoing their first cervical screening test for precancerous cervical disease. By linking vaccination, cervical screening, and HPV testing data, over the study period we found a decline in HPV types 16 and 18, significant decreases in HPV types 31, 33, and 45 (suggesting cross-protection), and a nonsignificant increase in HPV 51. In addition, among nonvaccinated women, HPV types 16 and 18 infections were significantly lower in 2013 than in 2009. Our results preliminarily indicate herd immunity and sustained effectiveness of the bivalent vaccine on virologic outcomes at the population level.

  7. Spatial analysis of agri-environmental policy uptake and expenditure in Scotland.

    Science.gov (United States)

    Yang, Anastasia L; Rounsevell, Mark D A; Wilson, Ronald M; Haggett, Claire

    2014-01-15

    Agri-environment is one of the most widely supported rural development policy measures in Scotland in terms of number of participants and expenditure. It comprises 69 management options and sub-options that are delivered primarily through the competitive 'Rural Priorities scheme'. Understanding the spatial determinants of uptake and expenditure would assist policy-makers in guiding future policy targeting efforts for the rural environment. This study is unique in examining the spatial dependency and determinants of Scotland's agri-environmental measures and categorised options uptake and payments at the parish level. Spatial econometrics is applied to test the influence of 40 explanatory variables on farming characteristics, land capability, designated sites, accessibility and population. Results identified spatial dependency for each of the dependent variables, which supported the use of spatially-explicit models. The goodness of fit of the spatial models was better than for the aspatial regression models. There was also notable improvement in the models for participation compared with the models for expenditure. Furthermore a range of expected explanatory variables were found to be significant and varied according to the dependent variable used. The majority of models for both payment and uptake showed a significant positive relationship with SSSI (Sites of Special Scientific Interest), which are designated sites prioritised in Scottish policy. These results indicate that environmental targeting efforts by the government for AEP uptake in designated sites can be effective. However habitats outside of SSSI, termed here the 'wider countryside' may not be sufficiently competitive to receive funding in the current policy system. Copyright © 2013 Elsevier Ltd. All rights reserved.

  8. Identification, assessment and intervention--Implications of an audit on dyslexia policy and practice in Scotland.

    Science.gov (United States)

    Reid, Gavin; Deponio, Pamela; Davidson Petch, Louise

    2005-08-01

    This article reports on research commissioned by the Scottish Executive Education Department (SEED). It aimed to establish the range and extent of policy and provision in the area of specific learning difficulties (SpLD) and dyslexia throughout Scotland. The research was conducted between January and June 2004 by a team from the University of Edinburgh. The information was gathered from a questionnaire sent to all education authorities (100% response rate was achieved). Additional information was also obtained from supplementary interviews and additional materials provided by education authorities. The results indicated that nine education authorities in Scotland (out of 32) have explicit policies on dyslexia and eight authorities have policies on SpLD. It was noted however that most authorities catered for dyslexia and SpLD within a more generic policy framework covering aspects of Special Educational Needs or within documentation on 'effective learning'. In relation to identification thirty-six specific tests, or procedures, were mentioned. Classroom observation, as a procedure was rated high by most authorities. Eleven authorities operated a formal staged process combining identification and intervention. Generally, authorities supported a broader understanding of the role of identification and assessment and the use of standardized tests was only part of a wider assessment process. It was however noted that good practice in identification and intervention was not necessarily dependent on the existence of a dedicated policy on SpLD/dyslexia. Over fifty different intervention strategies/programmes were noted in the responses. Twenty-four authorities indicated that they had developed examples of good practice. The results have implications for teachers and parents as well as those involved in staff development. Pointers are provided for effective practice and the results reflect some of the issues on the current debate on dyslexia particularly relating to early

  9. The buck stops here: midwives and maternity care in rural Scotland.

    Science.gov (United States)

    Harris, Fiona M; van Teijlingen, Edwin; Hundley, Vanora; Farmer, Jane; Bryers, Helen; Caldow, Jan; Ireland, Jillian; Kiger, Alice; Tucker, Janet

    2011-06-01

    To explore and understand what it means to provide midwifery care in remote and rural Scotland. Qualitative interviews with 72 staff from 10 maternity units, analysed via a case study approach. Remote and rural areas of Scotland. Predominantly midwives, with some additional interviews with paramedics, general surgeons, anaesthetists and GPs. Remote and rural maternity care includes a range of settings and models of care. However, the impact of rural geographies on decision-making and risk assessment is common to all settings. Making decisions and dealing with the implications of these decisions is, in many cases, done without onsite specialist support. This has implications for the skills and competencies that are needed to practice midwifery in remote and rural settings. Whereas most rural midwives reported that their skills in risk assessment and decisions to transfer were well developed and appropriate to practising in their particular settings, they perceived these decisions to be under scrutiny by urban-based colleagues and felt the need to stress their competence in the face of what they imagined to be stereotypes of rural incompetence. This study shows that skills in risk assessment and decision-making are central to high quality remote and rural midwifery care. However, linked to different perspectives on care, there is a risk that these skills can be undermined by contact with colleagues in large urban units, particularly when staff do not know each other well. There is a need to develop a professional understanding between midwives in different locations. It is important for the good working relationships between urban and rural maternity units that all midwives understand the importance of contextual knowledge in both decisions to transfer from rural locations and the position of midwives in receiving units. Multiprofessional CPD courses have been effective in bringing together teams around obstetric emergencies; we suggest that a similar format may be

  10. Kilts, tanks, and aeroplanes: Scotland, cinema, and the First World War

    Directory of Open Access Journals (Sweden)

    David Archibald

    2015-12-01

    Full Text Available This article charts commercial cinema’s role in promoting the war effort in Scotland during the First World War, outlining three aspects of the relationship between cinema and the war as observed in Scottish non-fiction short films produced between 1914 and 1918. The existing practice of local topical filmmaking, made or commissioned by cinema managers, created a particular form of engagement between cinema and war that was substantially different from the national newsreels or official films. The article offers an analysis of surviving short ‘topicals’ produced and exhibited in Scotland, which combine images of local military marches with kilted soldiers and enthusiastic onlookers and were designed to lure the assembled crowds back into the cinema to see themselves onscreen. Synthesising textual analysis with a historical account of the films’ production context, the article examines the films’ reliance on the romanticised militarism of the Highland soldier and the novelty appeal of mobilisation and armament, sidelining the growing industrial unrest and anti-war activities that led to the birth of the term ‘Red Clydeside’. The article then explores how, following the British state’s embracing of film propaganda post-1916, local cinema companies such as Green’s Film Service produced films in direct support of the war effort, for example Patriotic Porkers (1918, for the Ministry of Food. Through their production and exhibition practice exhibitors mediated the international conflict to present it to local audiences as an appealing spectacle, but also mobilised cinema’s position in Scottish communities to advance ideological and practical aspects of the war effort, including recruitment, refugee support, and fundraising.

  11. Temporal artery biopsies in south-east Scotland: a five year review.

    Science.gov (United States)

    Gajree, S; Borooah, S; Dhillon, N; Goudie, C; Smith, C; Aspinall, P; Dhillon, B

    2017-06-01

    Temporal artery biopsy is the gold standard investigation for the diagnosis of giant cell arteritis. The aim of this retrospective study was to investigate the use of temporal artery biopsy in diagnosing giant cell arteritis in south-east Scotland over a five-year period. We aimed to quantify success rates, and predictive factors for a positive biopsy, as well as compare the different specialities performing the biopsies. The data should enable the development of better criteria for referral for investigation of giant cell arteritis. Methods Patients were identified using a database of temporal artery biopsies generated by the pathology department in NHS Lothian (south east Scotland), for all biopsies examined between January 2010 and December 2015. An electronic patient record was used to retrospectively examine the records of patients in the database. Results A total of 715 biopsies were included in the study, of which 250 (35.0%) showed features of giant cell arteritis. The main predictors for a positive biopsy were age at biopsy, specialty performing biopsy, erythrocyte sedimentation rate, jaw claudication/pain, and ophthalmic symptoms. The most important predictor of a positive biopsy was erythrocyte sedimentation rate. The length of biopsy was not found to be a predictor of positive biopsy; however, diameter of biopsy was predictive. Conclusions We have shown that many temporal artery biopsies are negative, and finding ways to reduce the number of patients unnecessarily undergoing biopsy will be essential in reducing workload and streamlining services. This study demonstrates some key predictive factors for patients with positive biopsies. The study also shows that a large proportion of biopsies taking place do not result in the recommended length of specimen, but this does not necessarily reduce the likelihood of a positive biopsy.

  12. Scotland's forgotten carbon: a national assessment of mid-latitude fjord sedimentary carbon stocks

    Directory of Open Access Journals (Sweden)

    C. Smeaton

    2017-12-01

    Full Text Available Fjords are recognised as hotspots for the burial and long-term storage of carbon (C and potentially provide a significant climate regulation service over multiple timescales. Understanding the magnitude of marine sedimentary C stores and the processes which govern their development is fundamental to understanding the role of the coastal ocean in the global C cycle. In this study, we use the mid-latitude fjords of Scotland as a natural laboratory to further develop methods to quantify these marine sedimentary C stores on both the individual fjord and national scale. Targeted geophysical and geochemical analysis has allowed the quantification of sedimentary C stocks for a number of mid-latitude fjords and, coupled with upscaling techniques based on fjord classification, has generated the first full national sedimentary C inventory for a fjordic system. The sediments within these mid-latitude fjords hold 640.7 ± 46 Mt of C split between 295.6 ± 52 and 345.1 ± 39 Mt of organic and inorganic C, respectively. When compared, these marine mid-latitude sedimentary C stores are of similar magnitude to their terrestrial equivalents, with the exception of the Scottish peatlands, which hold significantly more C. However, when area-normalised comparisons are made, these mid-latitude fjords are significantly more effective as C stores than their terrestrial counterparts, including Scottish peatlands. The C held within Scotland's coastal marine sediments has been largely overlooked as a significant component of the nation's natural capital; such coastal C stores are likely to be key to understanding and constraining improved global C budgets.

  13. Scotland's forgotten carbon: a national assessment of mid-latitude fjord sedimentary carbon stocks

    Science.gov (United States)

    Smeaton, Craig; Austin, William E. N.; Davies, Althea L.; Baltzer, Agnes; Howe, John A.; Baxter, John M.

    2017-12-01

    Fjords are recognised as hotspots for the burial and long-term storage of carbon (C) and potentially provide a significant climate regulation service over multiple timescales. Understanding the magnitude of marine sedimentary C stores and the processes which govern their development is fundamental to understanding the role of the coastal ocean in the global C cycle. In this study, we use the mid-latitude fjords of Scotland as a natural laboratory to further develop methods to quantify these marine sedimentary C stores on both the individual fjord and national scale. Targeted geophysical and geochemical analysis has allowed the quantification of sedimentary C stocks for a number of mid-latitude fjords and, coupled with upscaling techniques based on fjord classification, has generated the first full national sedimentary C inventory for a fjordic system. The sediments within these mid-latitude fjords hold 640.7 ± 46 Mt of C split between 295.6 ± 52 and 345.1 ± 39 Mt of organic and inorganic C, respectively. When compared, these marine mid-latitude sedimentary C stores are of similar magnitude to their terrestrial equivalents, with the exception of the Scottish peatlands, which hold significantly more C. However, when area-normalised comparisons are made, these mid-latitude fjords are significantly more effective as C stores than their terrestrial counterparts, including Scottish peatlands. The C held within Scotland's coastal marine sediments has been largely overlooked as a significant component of the nation's natural capital; such coastal C stores are likely to be key to understanding and constraining improved global C budgets.

  14. Crop connectivity under climate change: future environmental and geographic risks of potato late blight in Scotland.

    Science.gov (United States)

    Skelsey, Peter; Cooke, David E L; Lynott, James S; Lees, Alison K

    2016-11-01

    The impact of climate change on dispersal processes is largely ignored in risk assessments for crop diseases, as inoculum is generally assumed to be ubiquitous and nonlimiting. We suggest that consideration of the impact of climate change on the connectivity of crops for inoculum transmission may provide additional explanatory and predictive power in disease risk assessments, leading to improved recommendations for agricultural adaptation to climate change. In this study, a crop-growth model was combined with aerobiological models and a newly developed infection risk model to provide a framework for quantifying the impact of future climates on the risk of disease occurrence and spread. The integrated model uses standard meteorological variables and can be easily adapted to various crop pathosystems characterized by airborne inoculum. In a case study, the framework was used with data defining the spatial distribution of potato crops in Scotland and spatially coherent, probabilistic climate change data to project the future connectivity of crop distributions for Phytophthora infestans (causal agent of potato late blight) inoculum and the subsequent risk of infection. Projections and control recommendations are provided for multiple combinations of potato cultivar and CO 2 emissions scenario, and temporal and spatial averaging schemes. Overall, we found that relative to current climatic conditions, the risk of late blight will increase in Scotland during the first half of the potato growing season and decrease during the second half. To guide adaptation strategies, we also investigated the potential impact of climate change-driven shifts in the cropping season. Advancing the start of the potato growing season by 1 month proved to be an effective strategy from both an agronomic and late blight management perspective. © 2016 John Wiley & Sons Ltd.

  15. Low back pain and physiotherapy use of red flags: the evidence from Scotland.

    Science.gov (United States)

    Ferguson, Fraser; Holdsworth, Lesley; Rafferty, Danny

    2010-12-01

    Red flags are recognised as indicators of possible serious spinal pathology, and their use is indicated by numerous guidelines. Similar to other countries worldwide, Scotland lacked a national view about the overall quality of the physiotherapy management of low back pain and the use of red flags. Anecdotal evidence suggested that practice varied considerably. To improve the use and documentation of red flags by physiotherapists during the assessment and management of low back pain. Prospective, multicentred, national data collection and improvement initiative. National Health Service (NHS) health boards in Scotland (n=14) plus two private provider sites. One hundred and eighty-six individual NHS provider sites and two private provider sites, with in excess of 360 physiotherapists providing services to low back pain patients. Measurement of documented practice in line with evidence- and consensus-based recommendations from guidelines collected via a web-based tool over two 5-week audit cycles interspersed with an improvement phase over 1 year (2008-2009). Data from 2147 patients showed improvement in the documentation of all red flags assessed from 33% (n=709) to 65% (n=1396), and improvement in the documentation of cauda equina syndrome from 60% (n=1288) to 84% (n=1804) over the two cycles. Only two regions provided evidence of 100% documentation of all components of cauda equina syndrome, with wide variation across the country. This national initiative resulted in considerable improvement in the documentation of red flags. Despite this, however, one in five patients did not receive optimal management as recommended by guidance. This has significant implications for patient safety and highlights the need for ongoing education of physiotherapists in this area. Copyright © 2010 Chartered Society of Physiotherapy. Published by Elsevier Ltd. All rights reserved.

  16. Paternal occupational contact level and childhood leukaemia in rural Scotland: a case-control study.

    Science.gov (United States)

    Kinlen, L J; Bramald, S

    2001-04-06

    In a national Scottish study of 809 cases of leukaemia and non-Hodgkins lymphoma diagnosed in 1950-89 among children aged 0-4 years who were born in Scotland, together with 2363 matched population controls, we investigated one aspect of the infective hypothesis. This concerns whether in rural areas (where the prevalence of susceptible individuals is likely to be higher) the risk is greater among the young children of men whose work involves contacts with many different people, particularly children, as noted in certain childhood infections. A positive trend was found in rural areas across 3 levels of increasing paternal occupational contact (as recorded at birth) by each of 2 previously defined classifications; no such effect was found in urban areas. The rural trend was more marked in that part of the study period with greater population mixing, but the difference from the period with less mixing was not itself significant, leaving open whether these rural findings reflect the extreme isolation of much of rural Scotland, or the effects in such areas of a degree of population mixing. In marked contrast, among the 850 cases and 2492 controls aged 5-14, those in rural areas in the higher population mixing period showed a significantly decreasing trend with increasing paternal occupational contact level. This would be consistent with immunity produced either by earlier infection at ages 0-4 years, or directly by low doses of the infective agent that were largely immunizing at these older ages. The findings overall provide further support for infection underlying childhood leukaemia and for the role of adults. Copyright 2001 Cancer Research Campaign http://www.bjcancer.com.

  17. Apostolate of the laity: a re-discovery of holistic post-war missiology in Scotland, with reference to the ministry of Tom Allan

    OpenAIRE

    Forsyth, Alexander Craig

    2014-01-01

    This thesis offers principles for Christian mission in the present Western milieu derived from a retrieval of the missiology in post-war Scotland of Tom Allan. Allan was a minister, evangelist and theologian of particular public prominence in Scotland and beyond in the period from 1946 to 1964. His missiology focused upon the ‘apostolate of the laity’ through the ‘contextualisation’ of Christianity and Church. It was drawn from diverse, rich sources in Scottish and European theolo...

  18. Initial Teacher Education for Minority Medium-of-Instruction Teaching: The Case Study of Scottish Gaelic in Scotland

    Science.gov (United States)

    Milligan Dombrowski, Lindsay; Danson, Eilidh; Danson, Mike; Chalmers, Douglas; Neil, Peter

    2014-01-01

    Gaelic medium education (GME) was established in Scotland in 1985, with 24 students enrolled in that year [Bòrd na Gàidhlig. (n.d.). "Gaelic education." Retrieved May 20, 2013, from http://www.gaidhlig.org.uk/bord/en/our-work/education/index.php (Bòrd na Gàidhlig website)]. Since this time, growth within GME has been incremental, and in…

  19. Trends in incidence and in short term survival following a subarachnoid haemorrhage in Scotland, 1986 - 2005: a retrospective cohort study

    OpenAIRE

    Walters Matthew; Briggs Andrew; Redpath Adam; Chalmers Jim WT; Gillies Michelle; Jhund Pardeep S; Lewsey James D; Macpherson Karen J; Langhorne Peter; Capewell Simon; McMurray John JV; MacIntyre Kate

    2011-01-01

    Abstract Background To examine age and sex specific incidence and 30 day case fatality for subarachnoid haemorrhage (SAH) in Scotland over a 20 year period. Methods A retrospective cohort study using routine hospital discharge data linked to death records. Results Between 1986 and 2005, 12,056 individuals experienced an incident SAH. Of these 10,113 (84%) survived to reach hospital. Overall age-standardised incidence rates were greater in women than men and remained relatively stable over the...

  20. Are toxins from harmful algae a factor involved in the decline of harbour seal populations in Scotland?

    OpenAIRE

    Jensen, Silje-Kristin

    2015-01-01

    Firstly this study builds on the investigation initiated by Hall and Frame (2010), which found that Scottish harbour seals were exposed to domoic acid (DA), a potent natural neurotoxin produced by phytoplankton. Using the same sample collection technique to gather urine and faecal material from various populations around Scotland with differing population trajectories (Lonergan et al., 2007), the objective was to investigate not only exposure to DA, but also other groups of ...

  1. Implementation of a national, nurse-led telephone health service in Scotland: assessing the consequences for remote and rural localities.

    Science.gov (United States)

    Roberts, A; Heaney, D; Haddow, G; O'Donnell, C A

    2009-01-01

    Internationally, nurse-led models of telephone triage have become commonplace in unscheduled healthcare delivery. Various existing models have had a positive impact on the delivery of healthcare services, often reducing the demand on accident and emergency departments and staff workload 'out of hours'. Our objective was to assess whether a model of centralised nurse telephone triage (NHS 24, introduced in Scotland in 2001) was appropriate for remote and rural areas. In this qualitative study the views and perspectives of health professionals across Scotland are explored. Thirty-five participants were purposively selected for interviews during 2005. Two types of interview were conducted: detailed, semi-structured, face-to-face interviews with key stakeholders of NHS 24; and briefer telephone interviews with partners from NHS Boards across Scotland. A constant comparative approach was taken to analysis. Ethical approval for the study was obtained from the Scottish Multi-site Research Ethics Committee. The findings are comparable with other research studies of new service developments in remote and rural health care. The rigidity of the centralised triage model introduced, the need to understand variation of health service delivery, and the importance of utilising local professional knowledge were all key issues affecting performance. Remote and rural complexities need to be considered when designing new healthcare services. It is suggested that new health service designs are 'proofed' for remote and rural complexities. This study highlights that a centralised nurse-led telephone triage model was inappropriate for remote and rural Scotland, and may not be appropriate for all geographies and circumstances.

  2. A Scotland-wide pilot programme of smoking cessation services for young people: process and outcome evaluation.

    Science.gov (United States)

    Gnich, Wendy; Sheehy, Christine; Amos, Amanda; Bitel, Mark; Platt, Stephen

    2008-11-01

    To conduct an independent, external evaluation of a Scotland-wide youth cessation pilot programme, focusing upon service uptake and effectiveness. National Health Service (NHS) Health Scotland and Action on Smoking and Health (ASH) Scotland funded a 3-year (2002-2005) national pilot programme comprising eight projects which aimed to engage with and support young smokers (aged 12-25 years) to quit. Process evaluation was undertaken via detailed case studies comprising qualitative interviews, observation and documentary analysis. Outcomes were assessed by following project participants (n=470 at baseline) at 3 and 12 months and measuring changes in smoking behaviour, including carbon monoxide (CO)-validated quit status. Recruitment proved difficult. Considerable time and effort were needed to attract young smokers. Advertising and recruitment had to be tailored to project settings and educational activities proved essential to raise the profile of smoking as an issue. Thirty-nine participants [8.6%, 95% confidence interval (CI) 5.0-11.2%] were CO-validated quitters at 3 months and 11 of these (2.4%, 95% CI 1.90-3.8%) were also validated quitters at 12 months. Older participants were more likely to be abstinent at 3 months. The overall quit rate was disappointing. As a result of low participant numbers, it was impossible to draw conclusions about the relative effectiveness of different project approaches. These findings give little support to the case for developing dedicated youth cessation services in Scotland. They also highlight the difficulties of undertaking 'real-world' evaluations of pilot youth cessation projects. More action is needed to develop environments which enhance young smokers' motivation to quit and their ability to sustain quit attempts.

  3. Landslide barriers at A83 Rest and be Thankful in Scotland and their first event 2015

    Science.gov (United States)

    Wendeler, Corinna; Volkwein, Axel; Luis, Roberto

    2016-04-01

    Rest and be Thankful is a part of the road A83 in northern Scotland and has a long history of landslides. In 2007, the site was closed for several weeks after a shallow landslide. A kind of mudslides deposited 400 tons of material on the road. In early September 2009, a further event resulted in 1070 tons of material slipping onto the road at the same place, forcing its closure for 48 hours. No one was hurt in either incident, but these slides pose a serious threat to the country's main rural routes (Gibson, 2010). The site has then been the subject of study and is included in the recent Scottish Roads Network Landslides Study produced by Transport Scotland. The study identified the A83 at Rest and be Thankful as one of the most risk sites for debris flow and/or landslides - a fact confirmed by the events that have occurred. The development of flexible debris flow and landslide barriers is more recent but has reached a point where they may be designed, specified and installed with confidence. Indeed, installations are now quite common in European alpine areas, California, Japan and Korea in particular. The standard system SL-150 of company Geobrugg with a height of 3.5 m was installed in 2011, the design parameters as well as the calculation of the structural system were checked by WSL to fulfil newest research results out of a 3 year research project (Bugnion et al, 2011 and 2012). In 2015, the first event happened to the barrier SL-150. Storm Desmond released on Saturday 5th December during daytime a first slide of around 150 m3 into the barrier, afterwards around night time a second slide with 100 m3 impacted the same barrier and some smaller slides followed. In total 300 m3 of material were captured successfully by that SL-150 barrier and the major transport route in this area remained open while storm Desmond. No failure at the barrier happened, only the so called energy absorbers got activated. A big success of the past research project in which originally

  4. Core competencies in teaching and training for doctors in Scotland: a review of the literature and stakeholder survey.

    Science.gov (United States)

    Ross, Michael T; Macrae, Claire; Scott, Jayne; Renwick, Lynne; Moffat, Mandy; Needham, Gillian; Scott, Hazel; Shippey, Ben; Jackson, Catherine; Edgar, Simon; Aitken, Debbie; Evans, Phillip; Irvine, Stewart

    2014-06-01

    The UK General Medical Council requires all registered doctors to be competent in all areas of their work, including teaching and training. The current research sought consensus on core competencies for all consultants and GPs involved in teaching and training in Scotland. A draft list of 80 competencies was developed from the literature and made available as a survey to all consultants and GPs with teaching roles and all final year speciality trainees working in Scotland. Respondents rated the importance of each competency and provided free text comments. There were 1026 responses. Eighteen competencies were rated as "high priority", and are recommended as a baseline for all doctors involved in teaching and training; 55 were rated as "medium priority", and are recommended in relation to specific teaching and training roles; and 7 were rated as "low priority". Free text responses suggested the topic was controversial and emotive, and emphasised the importance of further work to engage trainers. The findings appeared to have face validity, and it was felt these could be used as the basis for developing a "Scottish Trainer Framework" for doctors and others involved in teaching and training in Scotland.

  5. Public health implications of 4 decades of neoliberal policy: a qualitative case study from post-industrial west central Scotland.

    Science.gov (United States)

    Garnham, L M

    2017-12-01

    The UK has long had a strong commitment to neoliberal policy, the risks of which for population health are well researched. Within Europe, Scotland demonstrates especially poor health outcomes, much of which is driven by high levels of deprivation, wide inequalities and the persistent impacts of deindustrialisation. The processes through which neoliberalism has contributed to this poor health record are the subject of significant research interest. Qualitative case study of a post-industrial town in west central Scotland. Primary data were collected using photovoice (11) and oral history (9) interviews, supplemented by qualitative and quantitative secondary source data. For those who fared poorly after the initial introduction of neoliberal policy in the 1970s, subsequent policy decisions have served to deepen and entrench negative impacts on the determinants of health. Neoliberalism has constituted a suite of rapidly and concurrently implemented policies, cross-cutting a variety of domains, which have reached into every part of people's lives. In formerly industrial parts of west central Scotland, policy developments since the 1970s have generated multiple and sustained forms of deprivation. This case study suggests that a turn away from neoliberal policy is required to improve quality of life and health. © The Author 2017. Published by Oxford University Press on behalf of Faculty of Public Health. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com

  6. How commercial and non-commercial swine producers move pigs in Scotland: a detailed descriptive analysis.

    Science.gov (United States)

    Porphyre, Thibaud; Boden, Lisa A; Correia-Gomes, Carla; Auty, Harriet K; Gunn, George J; Woolhouse, Mark E J

    2014-06-25

    companies provide insights into the structure of the Scottish swine industry, but also highlight different features that may increase the risk of infectious diseases spread in both Scotland and the UK. Such knowledge is critical for developing more robust biosecurity and surveillance plans and better preparing Scotland against incursions of emerging swine diseases.

  7. Does the seal licensing system in Scotland have a negative impact on seal welfare?

    Directory of Open Access Journals (Sweden)

    Laetitia Nunny

    2016-08-01

    Full Text Available This study examined the licensing system that permits seal shooting in Scotland, which was established under Part 6 Conservation of Seals of the Marine (Scotland Act 2010. Four approaches were used: data were collated and analyzed from both the Scottish Government and Scottish Marine Animal Stranding Scheme; a survey was sent to current license holders and informal interviews were conducted with key stakeholder types. Between February 2011 and the end of October 2015, 1229 gray seals and 275 common seals were reported shot under license to the Scottish Government. The numbers of seals reported as shot has reduced year-on-year since the licensing system was put in place. While some license holders, notably fish farms, were using some non-lethal forms of deterrent to reduce seal-related damage, these were often used alongside seal shooting. Of the seals reported as shot to the Scottish Government, only a small percentage were also reported to the Scottish Marine Animal Stranding Scheme, despite this being a licensing requirement. Only 2.3% of the shot gray seals and 4.5% of the shot common seals were necropsied. There is evidence from these necropsies that some seals had not died instantly or had not been shot in the manner recommended by the Scottish Seal Management Code of Practice. These preliminary results show that more carcasses need to be recovered and necropsied if the welfare implications of current seal shooting practice are to be properly assessed. The current legislation does not specify closed seasons to protect breeding seals and thirty-five per cent of necropsied seals were pregnant gray seals. Seals have also been shot during their lactation periods when pups are dependent on their mothers. This raises significant welfare concerns. The re-introduction of closed seasons specific to each species of seal is recommended along with greater effort to deploy non-lethal methods. Independent assessment of the number of seals being killed

  8. Estimation of HPV prevalence in young women in Scotland; monitoring of future vaccine impact.

    Science.gov (United States)

    Kavanagh, Kimberley; Sinka, Katy; Cuschieri, Kate; Love, John; Potts, Alison; Pollock, Kevin G J; Cubie, Heather; Donaghy, Martin; Robertson, Chris

    2013-11-05

    Estimation of pre-immunisation prevalence of HPV and distribution of HPV types is fundamental to understanding the subsequent impact of HPV vaccination. We describe the type specific prevalence of HPV in females aged 20-21 in Scotland who attended or defaulted from cervical screening using three specimen types; from attenders liquid based cytology and from defaulters urine or self-taken swabs. Residual liquid based cytology samples (n = 2148), collected from women aged 20-21 attending for their first smear were genotyped for HPV. A sample (n = 709) from women who had defaulted from screening was also made available for HPV testing through the use of postal testing kits (either urine samples (n = 378) or self-taken swabs (n = 331)). Estimates of prevalence weighted by deprivation, and for the postal testing kit, also by reminder status and specimen type were calculated for each HPV type. The distribution of HPV types were compared between specimen types and the occurrence of multiple high-risk infections examined. The influence of demographic factors on high-risk HPV positivity and multiple infections was examined via logistic regression. The prevalence of any HPV in young women aged 20-21 was 32.2% for urine, 39.5% for self-taken swab, and 49.4% for LBC specimens. Infection with vaccine specific types (HPV 16, 18) or those associated with cross-protection (HPV 31, 33, 45, 51) was common. Individuals were more likely to test positive for high-risk HPV if they resided in an area of high deprivation or in a rural area. The overall distribution of HPV types did not vary between defaulters and attenders. Multiple infections occurred in 48.1% of high-risk HPV positive individuals. Excluding vaccine types the most common pairing was HPV 56 and 66. Understanding of the pre-immunisation prevalence of HPV in young women puts Scotland in a prime position to assess the early effect of vaccination as the first highly vaccinated cohorts of individuals enter the screening

  9. Becoming a health promoting school: evaluating the process of effective implementation in Scotland.

    Science.gov (United States)

    Inchley, Jo; Muldoon, Janine; Currie, Candace

    2007-03-01

    Increasingly, researchers are exploring alternative ways of assessing the impact of 'Health Promoting School' (HPS) initiatives, in recognition of the model's emphasis on achieving change that is both enduring and far-reaching. However, it is still assumed that initiatives will lead to immediate change at the individual level. This paper challenges that view and argues that potential markers of success associated with process need to be identified earlier as a means of supporting schools and teachers. Notwithstanding differences in the way the HPS is conceptualized and implemented, four themes are highlighted that have relevance beyond any one school or country. These were drawn from a process evaluation of a European Network of HPSs Project in Scotland. They highlight the ways in which schools were able to successfully adopt HPS principles and the conditions that need to be in place for the HPS concept to flourish. Such indicators need to be given greater recognition as HPS outcomes if schools are to progress beyond the early stages of project implementation.

  10. Patient safety climate and worker safety behaviours in acute hospitals in Scotland.

    Science.gov (United States)

    Agnew, Cakil; Flin, Rhona; Mearns, Kathryn

    2013-06-01

    To obtain a measure of hospital safety climate from a sample of National Health Service (NHS) acute hospitals in Scotland and to test whether these scores were associated with worker safety behaviors, and patient and worker injuries. Data were from 1,866 NHS clinical staff in six Scottish acute hospitals. A Scottish Hospital Safety Questionnaire measured hospital safety climate (Hospital Survey on Patient Safety Culture), worker safety behaviors, and worker and patient injuries. The associations between the hospital safety climate scores and the outcome measures (safety behaviors, worker and patient injury rates) were examined. Hospital safety climate scores were significantly correlated with clinical workers' safety behavior and patient and worker injury measures, although the effect sizes were smaller for the latter. Regression analyses revealed that perceptions of staffing levels and managerial commitment were significant predictors for all the safety outcome measures. Both patient-specific and more generic safety climate items were found to have significant impacts on safety outcome measures. This study demonstrated the influences of different aspects of hospital safety climate on both patient and worker safety outcomes. Moreover, it has been shown that in a hospital setting, a safety climate supporting safer patient care would also help to ensure worker safety. The Scottish Hospital Safety Questionnaire has proved to be a usable method of measuring both hospital safety climate as well as patient and worker safety outcomes. Copyright © 2013 National Safety Council and Elsevier Ltd. Published by Elsevier Ltd. All rights reserved.

  11. Vegetation composition of roadside verges in Scotland: the effects of nitrogen deposition, disturbance and management

    International Nuclear Information System (INIS)

    Truscott, A.M.; Palmer, S.C.F.; McGowan, G.M.; Cape, J.N.; Smart, S.

    2005-01-01

    Vehicular emissions of NO x and NH 3 result in elevated concentrations of nitrogen at roadside verges. To determine the extent that vehicular nitrogen emissions, disturbance and management affect the vegetation composition of road verges, a survey of 92 verges in Scotland was carried out with sites stratified by background nitrogen deposition and road type. NO x and NH 3 concentrations were monitored at 15 key sites for a year, and showed a decreasing gradient with increasing distance from the road. Ellenberg fertility indices of the vegetation communities also showed a general decrease with increasing distance from the road, but there was no straightforward correlation with NO x and NH 3 air concentrations between sites. Cover of bare ground, ruderal species and salt-tolerant species were highest at the verge edge. The proximity of the verge to traffic is important both in terms of NO x and NH 3 gradients, but also for deposited salt, grit and physical disturbance. - NO x , NH 3 and road verge vegetation Ellenberg fertility indices decline with distance from traffic

  12. Consideration of the baseline environment in examples of voluntary SEAs from Scotland

    International Nuclear Information System (INIS)

    Wright, Fiona

    2007-01-01

    Evidence from analysing and evaluating examples of three voluntary SEAs prepared in Scotland in the mid-late 1990s showed that different spatial and temporal scales were used when providing a baseline environment description. The SEAs analysed were prepared for: a wind farm siting programme that looked at national and short-term impacts; a land use plan that looked at regional and short-term impacts; and a transport plan that examined local and medium-term impacts. It was found that the two SEAs prepared by local government only considered impacts on the baseline environment within their jurisdictional boundaries whilst the SEA prepared by the private business considered impacts on the national baseline. A mixture of baseline data about planning, economic, environmental and social issues were included in the SEAs, however, evidence suggested that each SEA only focussed on those baseline features that might be significantly affected by the proposal. Each SEA also made extensive use of existing baseline information available from a variety of sources including local, and central government records and information from statutory bodies. All of the SEAs acknowledged that baseline data deficiencies existed and in certain cases steps were taken to obtain primary field data to help address these, however, it was also acknowledged that resource restrictions and decision-making deadlines limited the amount of primary baseline data that could be collected

  13. Change in Practice over Four Decades in the Management of Graves’ Disease in Scotland

    Directory of Open Access Journals (Sweden)

    D. M. Smith

    2016-01-01

    Full Text Available There is continuing debate on the optimal treatment for Grave’s thyrotoxicosis with a resultant variation in clinical practice. The present study aimed to ascertain changes in practice in the treatment of Grave’s thyrotoxicosis in Tayside, Scotland, over the past four decades. Methods. The “Scottish automated follow-up register” (SAFUR was queried to identify all patients treated for Grave’s thyrotoxicosis from 1968 to 2007 inclusive. Patients were divided into 4 groups (Groups A to D according to the decades. Demographic profile, treatment modalities, radioactive iodine (RAI dose, and recurrence rates were studied and outcomes were compared by χ2 test and ANOVA using SPSS v15.0. A p value of < 0.05 was considered significant. Results. Altogether, 3737 patients were diagnosed with Grave’s thyrotoxicosis over the 4 decades. Use of RAI has increased from 43.1% in Group A to 68% in Group D (p<0.001. The dose of RAI has increased (p<0.001 and there has been a reduction in recurrence rate with higher dose of RAI. Surgical intervention rates decreased from 55.3% to 12.3% (p<0.001 over time. Conclusions. Analysis of a large dataset of patients with Grave’s thyrotoxicosis suggests increasing use of RAI as the preferred first line of treatment. Furthermore, using a single higher dose of RAI and adoption of total thyroidectomy have decreased recurrence rates.

  14. The regional electricity generation mix in Scotland: A portfolio selection approach incorporating marine technologies

    International Nuclear Information System (INIS)

    Allan, Grant; Eromenko, Igor; McGregor, Peter; Swales, Kim

    2011-01-01

    Standalone levelised cost assessments of electricity supply options miss an important contribution that renewable and non-fossil fuel technologies can make to the electricity portfolio: that of reducing the variability of electricity costs, and their potentially damaging impact upon economic activity. Portfolio theory applications to the electricity generation mix have shown that renewable technologies, their costs being largely uncorrelated with non-renewable technologies, can offer such benefits. We look at the existing Scottish generation mix and examine drivers of changes out to 2020. We assess recent scenarios for the Scottish generation mix in 2020 against mean-variance efficient portfolios of electricity-generating technologies. Each of the scenarios studied implies a portfolio cost of electricity that is between 22% and 38% higher than the portfolio cost of electricity in 2007. These scenarios prove to be mean-variance 'inefficient' in the sense that, for example, lower variance portfolios can be obtained without increasing portfolio costs, typically by expanding the share of renewables. As part of extensive sensitivity analysis, we find that Wave and Tidal technologies can contribute to lower risk electricity portfolios, while not increasing portfolio cost. - Research Highlights: → Portfolio analysis of scenarios for Scotland's electricity generating mix in 2020. → Reveals potential inefficiencies of selecting mixes based on levelised cost alone. → Portfolio risk-reducing contribution of Wave and Tidal technologies assessed.

  15. Palaeoecological studies as a source of peat depth data: A discussion and data compilation for Scotland

    Directory of Open Access Journals (Sweden)

    J. Ratcliffe

    2016-06-01

    Full Text Available The regional/national carbon (C stock of peatlands is often poorly characterised, even for comparatively well-studied areas. A key obstacle to better estimates of landscape C stock is the scarcity of data on peat depth, leading to simplistic assumptions. New measurements of peat depth become unrealistically resource-intensive when considering large areas. Therefore, it is imperative to maximise the use of pre-existing datasets. Here we propose that one potentially valuable and currently unexploited source of peat depth data is palaeoecological studies. We discuss the value of these data and present an initial compilation for Scotland (United Kingdom which consists of records from 437 sites and yields an average depth of 282 cm per site. This figure is likely to be an over-estimate of true average peat depth and is greater than figures used in current estimates of peatland C stock. Depth data from palaeoecological studies have the advantages of wide distribution, high quality, and often the inclusion of valuable supporting information; but also the disadvantage of spatial bias due to the differing motivations of the original researchers. When combined with other data sources, each with its own advantages and limitations, we believe that palaeoecological datasets can make an important contribution to better-constrained estimates of peat depth which, in turn, will lead to better estimates of peatland landscape carbon stock.

  16. Scotland's Knowledge Network: translating knowledge into action to improve quality of care.

    Science.gov (United States)

    Wales, A; Graham, S; Rooney, K; Crawford, A

    2012-11-01

    The Knowledge Network (www.knowledge.scot.nhs.uk) is Scotland's online knowledge service for health and social care. It is designed to support practitioners to apply knowledge in frontline delivery of care, helping to translate knowledge into better health-care outcomes through safe, effective, person-centred care. The Knowledge Network helps to combine the worlds of evidence-based practice and quality improvement by providing access to knowledge about the effectiveness of clinical interventions ('know-what') and knowledge about how to implement this knowledge to support individual patients in working health-care environments ('know-how'). An 'evidence and guidance' search enables clinicians to quickly access quality-assured evidence and best practice, while point of care and mobile solutions provide knowledge in actionable formats to embed in clinical workflow. This research-based knowledge is complemented by social networking services and improvement tools which support the capture and exchange of knowledge from experience, facilitating practice change and systems improvement. In these cases, the Knowledge Network supports key components of the knowledge-to-action cycle--acquiring, creating, sharing and disseminating knowledge to improve performance and innovate. It provides a vehicle for implementing the recommendations of the national Knowledge into Action review, which outlines a new national approach to embedding knowledge in frontline practice and systems improvement.

  17. Mussels and Yachts in Loch Fyne, Scotland: a Case Study of the Science-Policy Interface

    Directory of Open Access Journals (Sweden)

    Paul Tett

    2012-09-01

    Full Text Available We report an application of the Science and Policy Integration for Coastal System Assessment (SPICOSA Systems Approach Framework (SAF to Loch Fyne, a fjord in western Scotland. The issue was the potential for conflict between shellfish aquaculture and recreational use for yachting. This was investigated by building an ecological-economic model to simulate: (1 release of modern anti-fouling compounds by recreational boats; (2 dilution of these in the upper layers of the loch by exchange with the sea; (3 their effects on photosynthesis by phytoplankton; (4 the role of phytoplankton (along with non-algal particulate matter in providing food for mussels; (5 the growth of seeded mussels to harvest, determining (6 the cash input to farms, offset by their costs and allowing (7 the farm revenue to be compared with that from marinas used to berth the yachts. It was concluded from simulations that no noticeable effect on mussel harvest would occur (from this route for any likely number of yachts berthed in the loch. The application took place in consultation with a local environmental forum and a small reference group of public officials; we reflect on it in the context of a 3-component schema for the science-policy interface and changes in the culture of UK science.

  18. Developing a Model for Pharmaceutical Palliative Care in Rural Areas—Experience from Scotland

    Directory of Open Access Journals (Sweden)

    Gazala Akram

    2017-02-01

    Full Text Available Palliative care is increasingly delivered in the community but access to medicines, particularly ‘out of hours’ remains problematic. This paper describes the experience of developing a model to deliver pharmaceutical palliative care in rural Scotland via the MacMillan Rural Palliative Care Pharmacist Practitioner (MRPP project. The focus of the service was better integration of the MRPP into different care settings and professional teams, and to develop educational resources for the wider MDT including Care Home and Social Care staff on medicine related issues in palliative care. A variety of integration activities are reported in the paper with advice on how to achieve this. Similarly, many resources were developed, including bespoke training on pharmaceutical matters for Care Home staff. The experience allowed for a three step service and sustainability model for community pharmacy palliative care services to be developed. Moving through the steps, the key roles and responsibilities of the MRPP gradually shift towards the local Community Pharmacist(s, with the MRPP starting from a locality-based hands-on role to a wider supportive facilitating role for local champions. It is acknowledged that successful delivery of the model is dependent on alignment of resources, infrastructure and local community support.

  19. Differences by age and sex in the sedentary time of adults in Scotland.

    Science.gov (United States)

    Strain, Tessa; Kelly, Paul; Mutrie, Nanette; Fitzsimons, Claire

    2018-04-01

    Previous nationally-representative research in Scotland found a j-shaped relationship between age and leisure sedentary time (ST): a decrease from young to middle-age, before rising steeply in older-age. This study investigated the effects of age and sex on weekday (including work) ST for all adults and stratified by work-status, and on weekend day ST. Differences in the relative contributions of component behaviours were also investigated. Responses from 14,367 adult (≥16 years) 2012-14 Scottish Health Survey participants were analysed using linear regressions. We found no j-shaped relationship between age and weekday ST. Instead, only 16-24 year olds reported lower levels than those over 75 years (6.6 (95% CI: 6.3-6.9) compared to 7.4 (95% CI: 7.2-7.6) hours/day; p work, and for weekend day ST for all groups. For those in work, work ST accounted for 45% of weekday ST. Television/screen ST made up over half of leisure ST on weekdays and weekend days, regardless of sex, age, or work-status. These results challenge our understanding of how ST varies by age. Interventions to reduce ST should consider differences in the relative contributions of ST behaviours by age and work-status.

  20. Age of Legal Capacity (Scotland) Act 1991. [Excerpt. 25 July 1991].

    Science.gov (United States)

    1991-01-01

    Section 1 of this Act provides as a general rule that persons under the age of 16 shall have no legal capacity to enter into transactions, but that persons over the age of 16 shall have such legal capacity. Section 1 also provides that this general rule does not apply to cases involving transactions entered into before the commencement of the Act, does not affect the criminal responsibility of any person or legislation in which specific ages are stipulated, and does not prevent a person under age 16 from receiving or holding any right, title, or interest or exercising parental rights with respect to his or her child. Section 2 makes further exceptions to this rule for persons under the age of 16 with respect to reasonable transactions commonly entered into by children, making a will, consenting to adoption, and consenting to medical treatment. Among other things, it provides that "a person under the age of 16 years shall have legal capacity to consent on his own behalf to any surgical, medical, or dental procedure or treatment where, in the opinion of a qualified medical practitioner attending him, he is capable of understanding the nature and possible consequences of the procedure or treatment." Further provisions of the Act authorize a court to set aside transactions made by a person between the ages of 16 and 18 that are prejudicial transactions (Section 3) and to ratify proposed transactions by persons of the same age (Section 4). This Act is applicable only to Scotland.

  1. Woodland restoration in Scotland: ecology, history, culture, economics, politics and change.

    Science.gov (United States)

    Hobbs, Richard

    2009-07-01

    In the latter half of the 20th century, native pine woodlands in Scotland were restricted to small remnant areas within which there was little regeneration. These woodlands are important from a conservation perspective and are habitat for numerous species of conservation concern. Recent developments have seen a large increase in interest in woodland restoration and a dramatic increase in regeneration and woodland spread. The proximate factor enabling this regeneration is a reduction in grazing pressure from sheep and, particularly, deer. However, this has only been possible as a result of a complex interplay between ecological, political and socio-economic factors. We are currently seeing the decline of land management practices instituted 150-200 years ago, changes in land ownership patterns, cultural revival, and changes in societal perceptions of the Scottish landscape. These all feed into the current move to return large areas of the Scottish Highlands to tree cover. I emphasize the need to consider restoration in a multidisciplinary framework which accounts not just for the ecology involved but also the historical and cultural context.

  2. The Rhynie Chert, Scotland, and the search for life on Mars.

    Science.gov (United States)

    Preston, Louisa J; Genge, Matthew J

    2010-06-01

    Knowledge of ancient terrestrial hydrothermal systems-how they preserve biological information and how this information can be detected-is important in unraveling the history of life on Earth and, perhaps, that of extinct life on Mars. The Rhynie Chert in Scotland was originally deposited as siliceous sinter from Early Devonian hot springs and contains exceptionally well-preserved fossils of some of the earliest plants and animals to colonize the land. The aim of this study was to identify biomolecules within the samples through Fourier transform infrared (FTIR) spectroscopy and aid current techniques in identification of ancient hot spring deposits and their biological components on Mars. Floral and faunal fossils within the Rhynie Chert are commonly known; but new, FTIR spectroscopic analyses of these fossils has allowed for identification of biomolecules such as aliphatic hydrocarbons and OH molecules that are potentially derived from the fossilized biota and their environment. Gas chromatograph-mass spectrometer (GCMS) data were used to identify n-alkanes; however, this alone cannot be related to the samples' biota. Silicified microfossils are more resistant to weathering or dissolution, which renders them more readily preservable over time. This is of particular interest in astropaleontological research, considering the similarities in the early evolution of Mars and Earth.

  3. Maximum Intervention: Renewal of a Maori Waka by George Nuku and National Museums Scotland

    Directory of Open Access Journals (Sweden)

    Charles Stable

    2012-05-01

    Full Text Available National Museums Scotland (NMS has in its collections a Mäori war canoe (A.UC.767 or 'Waka Taua 'from New Zealand'.' The 'Waka' had been held in the Museum stores for many years and due to its incompleteness and poor state of repair had not been on public display. It was proposed that the 'Waka' be restored with the intention of it being a focal point of a new permanent gallery in the Royal Museum in Edinburgh dedicated to South Pacific cultures and communities. The gallery was being developed as one part of a £44 million redevelopment of Royal Museum building. Due to its poor condition assistance was sought to help in the restoration, reconstruction and visual interpretation of the 'Waka'. NMS commissioned George Nuku, a Mäori carver, to remake  missing parts. Nuku uses a variety of mediums to carve including Polymethyl Methacrylate (PMMA. This made a clear distinction between new and original material that could be easily read by the public and reflected Nuku’s conceptual vision of creating physical “ghosts” influenced by the original carvings. Due to the composite construction and condition of the canoe the  project became more complex and  involved. This paper describes how the renewal was done and relationships that developed between the artist, curator and conservator.

  4. Establishment of a health surveillance program for reintroduction of the Eurasian beaver (Castor fiber) into Scotland.

    Science.gov (United States)

    Goodman, Gidona; Girling, Simon; Pizzi, Romain; Meredith, Anna; Rosell, Frank; Campbell-Palmer, Roisin

    2012-10-01

    In 2009 and 2010 16 Norwegian Eurasian beavers (Castor fiber) were reintroduced to Knapdale, Scotland as part of a 5-yr reintroduction trial (Scottish Beaver Trial). Despite numerous reintroduction programs throughout Europe there is no published information concerning recommended health surveillance during beaver reintroduction and only one publication describing causes of mortality. We describe the establishment of a health surveillance program based on International Union of Conservation of Nature (IUCN) and governmental guidelines, and report preliminary results based on the fecal and blood samples following the completion of the first stage of reintroduction. Animals underwent at least one general anesthetic to allow collection of fecal and blood samples and a thorough clinical examination. No bacterial enteric pathogens such as Salmonella spp., Campylobacter spp., or Yersinia pseudotuberculosis were isolated, nor were Giardia spp. or Cryptosporidium spp. However, numerous helminths including Travassosius rufus and Stichorchis subtriquetrus were detected. Five animals were positive for Leptospira antibodies. This included Leptospira saxkoebing, Leptospira canicola, Leptospira copenhageni, Leptospira icterohaemorrhagiae, Leptospira autumnalis, and Leptospira javanica. The highest loss of animals (20%) was during the statutory 6-mo rabies quarantine period. No common cause of death was determined. The rabies quarantine conditions were waived for four remaining animals, three of which were introduced to the wild successfully. The authors recommend the shortest possible quarantine period when introducing beavers, but allowing for the minimum recommended IUCN 35 days to allow for implementation of the initial stage of the health surveillance program, examination of animals, sample collection, and processing.

  5. The uptake of macroplastic & microplastic by demersal & pelagic fish in the Northeast Atlantic around Scotland.

    Science.gov (United States)

    Murphy, Fionn; Russell, Marie; Ewins, Ciaran; Quinn, Brian

    2017-09-15

    This study reports plastic ingestion in various fish found from coastal and offshore sites in Scottish marine waters. Coastal samples consisted of three demersal flatfish species (n=128) collected from the East and West coasts of Scotland. Offshore samples consisted of 5 pelagic species and 4 demersal species (n=84) collected from the Northeast Atlantic. From the coastal fish sampled, 47.7% of the gastrointestinal tracts contained macroplastic and microplastic. Of the 84 pelagic and demersal offshore fish, only 2 (2.4%) individuals from different species had ingested plastic identified as a clear polystyrene fibre and a black polyamide fibre. The average number of plastic items found per fish from all locations that had ingested plastic was 1.8 (±1.7) with polyamide (65.3%), polyethylene terephthalate (14.4%) and acrylic (14.4%) being the three most commonly found plastics. This study adds to the existing data on macroplastic and microplastic ingestion in fish species. Crown Copyright © 2017. Published by Elsevier Ltd. All rights reserved.

  6. Good, BETTA, best? The role of industry structure in electricity reform in Scotland

    International Nuclear Information System (INIS)

    Prandini, Alberto

    2007-01-01

    This paper examines the effects of industry structure on the effectiveness of the restructuring process of the electricity industry in Scotland, with particular reference to the unbundling of electricity transmission. The analysis is carried out with respect to a set of goals designed to reflect Ofgem's statutory duties, namely: to promote competition (as a proxy of consumer interests), to signal the need for investments in generation, load and transmission expansion and to ensure efficient use of the network by licensees. The assessment of the 1990-2005 regulatory framework reveals major efficiency and competitive flaws and we argue that vertical integration of Scottish incumbents had a substantial role in determining this unsatisfactory performance. The paper discusses whether, and to what extent, the separation of transmission ownership and management under BETTA can be expected to deliver benefits to consumers with respect to the three goals assumed: we find that BETTA does in fact improve the performance of the restructuring process and we comment on the pros and cons of the separation between ownership and control of the grid brought about by BETTA. The final section examines the issues unaddressed, or only partially addressed, under the BETTA reform and argues in favour of a GB-wide Transco model

  7. Low-technology monitoring of atmospheric metal pollution in central Scotland

    Energy Technology Data Exchange (ETDEWEB)

    Yule, F A; Lloyd, O L

    1984-01-01

    In epidemiological studies covering relationships of disease patterns and patterns of atmospheric pollution, conventional filtering equipment is normally used for monitoring the pollution. For various reasons, however, this type of approach often results in levels of pollution being obtained for only a few sites within an extensive fieldwork area. Hence, alternative monitoring techniques, which allow a high density of sampling sites in an area, have been of interest to an increasing number of investigators. The monitors used, known as low-technology monitors, fall into two main categories; indigenous; and transplants. In the authors surveys of atmospheric metal pollutants in industrial communities in Scotland, the indigenous sample materials have included: Hypnum cupressiforme, Lecanora conizaeoides, Agropyron repens and surface soils. In their transplant surveys a variety of different low-technology samplers have been deployed, the most frequently used being: spherical and flat moss bags, Hypogymnia physodes, Tak (synthetic fabric), and total deposition collectors. The data obtained from the various surveys have been plotted on a variety of types of computer map to minimize any systematic bias resulting from the use of a single technique. The pollution patterns found in one particular town were partly unexpected, in view of the dominant wind direction in the locality concerned. Hence it was decided to carry out a wind tunnel experiment to investigate the situation further. The wind tunnel experiment produced results which were consistent with the patterns of pollution derived from the metal surveys, and revealed that the meteorological dispersal of the pollution was unexpectedly influenced by local topography.

  8. The terrestrial distribution of artificial radioactivity in south-west Scotland

    International Nuclear Information System (INIS)

    McDonald, Paul; Cook, G.T.; Baxter, M.S.; Thompson, J.C.

    1992-01-01

    This investigation extends the data base on dispersion of Sella-field-derived radionuclides to the northern Solway coastal zone of south-west Scotland. Results of 10x10 km grid soil survey indicate that the predominant source of 239+240 Pu to the area has been weapons fallout, Chernobyl fallout having greatly modified 134 Cs and 137 Cs inventories. Inland transects reveal little evidence of airborne sea-to-land transfer of Sellafield-derived radionuclides, but riverine systems exhibit regions of significant on-land input from Sellafield via tidal inundation and deposition of particles. Sequential chemical leaching of soil and sediment samples suggests a change in chemical association of plutonium between marine and terrestrial systems. In radiological terms, airborne on-land transfer of Sellafield radionuclides is of negligible significance. Radionuclide inventories in Solway soils are generally well below the limiting values implied by the recommended generalised derived limits (GDL). In some tidally inundated riverbank areas however, 137 Cs, Puα and 241 Am levels occasionally exceed 25% of the appropriate GDL values. (author). 40 refs.; 8 figs.; 7 tabs

  9. The input of geomorphology to oil-related developments in Shetland and Northeast Scotland

    International Nuclear Information System (INIS)

    Ritchie, W.

    1991-01-01

    In essence, the input of coastal geomorphology to most oil-related developments at the coastline has been descriptive environmental classification. The uses to which this information has been put are twofold: (1) as background reconnaissance data that are prepared in advance of a development, such as the exploitation of a nearshore drilling lease or a pipeline landfall, and (2) as a basic element in oil spill contingency mapping. A more specialized use of geomorphology has been environmental management advice relating to the construction, restoration, and operation of large-diameter oil and gas pipeline landfalls - all of which make their approach in Northeast Scotland through beach and dune complexes. The techniques consist of traditional morphological mapping considering form, aspect, materials, energy, and estimations of contemporary processes. Implicit in this mapping is the recognition of vulnerability which, in turn, relates closely to habitat recognition. Time is rarely available for process-type measurements. There is also a dependence on existing maps, aerial photographs, and reports. The survey may be done on foot, from boats, fixed-wing aircraft, or helicopters. Airborne video is increasingly being used as a supplementary means of data acquisition. Vertical airborne video used with an image-processing and G.I.S. system shows great potential and has been used experimentally for pipeline route selection

  10. Screening mammography uptake within Australia and Scotland in rural and urban populations.

    Science.gov (United States)

    Leung, Janni; Macleod, Catriona; McLaughlin, Deirdre; Woods, Laura M; Henderson, Robert; Watson, Angus; Kyle, Richard G; Hubbard, Gill; Mullen, Russell; Atherton, Iain

    2015-01-01

    To test the hypothesis that rural populations had lower uptake of screening mammography than urban populations in the Scottish and Australian setting. Scottish data are based upon information from the Scottish Breast Screening Programme Information System describing uptake among women residing within the NHS Highland Health Board area who were invited to attend for screening during the 2008 to 2010 round (N = 27,416). Australian data were drawn from the 2010 survey of the 1946-51 cohort of the Australian Longitudinal Study on Women's Health (N = 9890 women). Contrary to our hypothesis, results indicated that women living in rural areas were not less likely to attend for screening mammography compared to women living in urban areas in both Scotland (OR for rural = 1.17, 95% CI = 1.06-1.29) and Australia (OR for rural = 1.15, 95% CI = 1.01-1.31). The absence of rural-urban differences in attendance at screening mammography demonstrates that rurality is not necessarily an insurmountable barrier to screening mammography.

  11. Land use influences on acidification and recovery of freshwaters in Galloway, south-west Scotland

    Directory of Open Access Journals (Sweden)

    R. C. Helliwell

    2001-01-01

    Full Text Available The long term response of surface waters to changes in sulphur deposition and afforestation is investigated for three upland river systems in the Galloway region of south-west Scotland. From 1984-1999, these rivers exhibited a statistically significant decline in non-marine sulphate concentrations in response to reduced acid deposition. This reduction in non-marine sulphate was, however, insufficient to induce a pH recovery over the period. A statistically significant increase in river pH was observed between 1956-1970 (0.05 yr-1 when subsidised agricultural lime payments were at a maximum. In 1976, this subsidy ceased and surface waters have progressively acidified. In addition, climatic change is found to influence long-term trends in pH. Mean annual pH was greatest during a dry period between 1969-1973 when total annual discharge was low. Thereafter, pH declined gradually in response to higher rainfall and increased total annual discharge. Overall, surface waters draining the afforested catchments of the Rivers Cree and Bladnoch are more acid than those draining the moorland catchment of the Luce. These results indicate that in afforested catchments, current reductions in sulphur emissions have not led to an observed improvement in the acid status of surface waters. Forestry, therefore, represents a confounding factor with regard to chemical recovery from acidification in this region. Keywords: acidification, afforestation, deposition, rivers, lochs, non-marine sulphate, pH

  12. Detection of Babesia DNA in blood and spleen samples from Eurasian badgers (Meles meles) in Scotland.

    Science.gov (United States)

    Bartley, Paul M; Wilson, Cari; Innes, Elisabeth A; Katzer, Frank

    2017-08-01

    Babesia are intraerythrocytic parasites of importance worldwide within the fields of human and veterinary medicine, as some Babesia sp., including Babesia microti are potentially zoonotic and can cause fatal disease in both humans and animals. The aims of this study were to use a nested PCR (amplifying the 18S rRNA gene) to determine the presence and species of Babesia parasite DNA found in blood (n = 47) and spleen (n = 47) samples collected from Eurasian badgers (Meles meles) in Scotland. The results showed 28/47 (59·6%) blood and 14/47 (29·8%) spleen samples tested positive for the presence of Babesia DNA. Initial sequence analysis of the Babesia DNA identified three distinct sequence types (submitted to GenBank KX528553, KX528554 and KX528555), which demonstrated ⩾99% identity to Babesia sp. parasites previously identified in badgers in Spain (KT223484 and KT223485). Phylogenetic analysis showed that the three isolates are closely related to Babesia annae, B. microti and other Piroplasmida species found in wildlife. Further sequence analysis of the samples demonstrated that the badgers were routinely infected with more than one parasite isolate and there was also evidence of genetic recombination between the Babesia parasite isolates (submitted to GenBank KY250472 - KY250477).

  13. Social Site Characterisation for CO2 storage operations to inform public engagement in Poland and Scotland

    Energy Technology Data Exchange (ETDEWEB)

    Brunsting, S.; Pol, M.; Mastop, J. [Energy research Centre of the Netherlands ECN, Policy Studies, Petten (Netherlands); Kaiser, M.; Zimmer, R. [UfU - Independent Institute for Environmental Issues, Berlin (Germany); Shackley, S.; Mabon, L.; Howell, R. [The University of Edinburgh - School of Geosciences, Edinburgh, Scotland (United Kingdom); Hepplewhite, F.; Loveridge, R. [Scottish Government, Edinburgh, Scotland (United Kingdom); Mazurowski, M. [PGNiG - Polskie Gornictwo Naftowe i Gazownictwo SA, Warszawa (Poland); Rybicki, C. [AGH - University of Science and Technology, Krakow (Poland)

    2013-05-01

    Public support has proven crucial to the implementation of CO2 capture and storage (CCS) demonstration projects. Whereas no method exists to guarantee local public acceptability of any project, a constructive stakeholder engagement process does increase the likelihood thereof. Social site characterisation can be used as an instrument to plan and evaluate an approach for actively engaging local stakeholders. Social site characterisation is the process of repeatedly investigating local public awareness and opinions of a specific CCS project, changes therein over time, and underlying factors shaping public opinion as a parallel activity to technical site characterization. This paper presents results from the EU FP7 SiteChar project in which social site characterisation (a.o. surveys) and public participation activities (focus conferences) were conducted by a multidisciplinary team at two prospective CCS sites in in Poland (onshore) and Scotland (offshore). Results demonstrate that social site characterization and focus conferences are powerful tools to raise public awareness about complex issues such as CCS and to initiate local discussion and planning processes with the appropriate type of information, through appropriate media, and involving all relevant stakeholders. Application and the duration of effects in real-life project settings will be discussed.

  14. The regional electricity generation mix in Scotland: A portfolio selection approach incorporating marine technologies

    Energy Technology Data Exchange (ETDEWEB)

    Allan, Grant, E-mail: grant.j.allan@strath.ac.u [Fraser of Allander Institute, Department of Economics, University of Strathclyde, Sir William Duncan Building, 130 Rottenrow, Glasgow G4 0GE (United Kingdom); Eromenko, Igor; McGregor, Peter [Fraser of Allander Institute, Department of Economics, University of Strathclyde, Sir William Duncan Building, 130 Rottenrow, Glasgow G4 0GE (United Kingdom); Swales, Kim [Department of Economics, University of Strathclyde, Sir William Duncan Building, 130 Rottenrow, Glasgow G4 0GE (United Kingdom)

    2011-01-15

    Standalone levelised cost assessments of electricity supply options miss an important contribution that renewable and non-fossil fuel technologies can make to the electricity portfolio: that of reducing the variability of electricity costs, and their potentially damaging impact upon economic activity. Portfolio theory applications to the electricity generation mix have shown that renewable technologies, their costs being largely uncorrelated with non-renewable technologies, can offer such benefits. We look at the existing Scottish generation mix and examine drivers of changes out to 2020. We assess recent scenarios for the Scottish generation mix in 2020 against mean-variance efficient portfolios of electricity-generating technologies. Each of the scenarios studied implies a portfolio cost of electricity that is between 22% and 38% higher than the portfolio cost of electricity in 2007. These scenarios prove to be mean-variance 'inefficient' in the sense that, for example, lower variance portfolios can be obtained without increasing portfolio costs, typically by expanding the share of renewables. As part of extensive sensitivity analysis, we find that Wave and Tidal technologies can contribute to lower risk electricity portfolios, while not increasing portfolio cost. - Research Highlights: {yields} Portfolio analysis of scenarios for Scotland's electricity generating mix in 2020. {yields} Reveals potential inefficiencies of selecting mixes based on levelised cost alone. {yields} Portfolio risk-reducing contribution of Wave and Tidal technologies assessed.

  15. A qualitative exploration of opinions on the community pharmacists' role amongst the general public in Scotland.

    Science.gov (United States)

    Gidman, Wendy; Cowley, Joseph

    2013-10-01

    To understand members of the public's opinions and experiences of pharmacy services. This exploratory study employed qualitative methods. Five focus groups were conducted with 26 members of the public resident in Scotland in March 2010. The groups comprised those perceived to be users and non-users of community pharmacy. A topic guide was developed to prompt discussion. Each focus group was recorded, transcribed, anonymised and analysed using thematic analysis. Participants made positive comments about pharmacy services although many preferred to see a general practitioner (GP). Participants discussed using pharmacies for convenience, often because they were unable to access GPs. Pharmacists were perceived principally to be suppliers of medicine, although there was some recognition of roles in dealing with minor ailments and providing advice. For those with serious and long-standing health matters GPs were usually the professional of choice for most health needs. Community pharmacy was seen to offer incomplete services which did not co-ordinate well with other primary-care services. The pharmacy environment and retail setting were not considered to be ideal for private healthcare consultations. This study suggests that despite recent initiatives to extend the role of community pharmacists many members of the general public continue to prefer a GP-led service. Importantly GPs inspire public confidence as well as offering comprehensive services and private consultation facilities. Improved communication and information sharing between community pharmacists and general practice could support community pharmacist-role expansion. © 2012 The Authors. IJPP © 2012 Royal Pharmaceutical Society.

  16. Change in Practice over Four Decades in the Management of Graves' Disease in Scotland.

    Science.gov (United States)

    Smith, D M; Dutta, S; Ahmed, F; Thaha, M A

    2016-01-01

    There is continuing debate on the optimal treatment for Grave's thyrotoxicosis with a resultant variation in clinical practice. The present study aimed to ascertain changes in practice in the treatment of Grave's thyrotoxicosis in Tayside, Scotland, over the past four decades. Methods. The "Scottish automated follow-up register" (SAFUR) was queried to identify all patients treated for Grave's thyrotoxicosis from 1968 to 2007 inclusive. Patients were divided into 4 groups (Groups A to D) according to the decades. Demographic profile, treatment modalities, radioactive iodine (RAI) dose, and recurrence rates were studied and outcomes were compared by χ (2) test and ANOVA using SPSS v15.0. A p value of Grave's thyrotoxicosis over the 4 decades. Use of RAI has increased from 43.1% in Group A to 68% in Group D (p Grave's thyrotoxicosis suggests increasing use of RAI as the preferred first line of treatment. Furthermore, using a single higher dose of RAI and adoption of total thyroidectomy have decreased recurrence rates.

  17. Analysis of suspected wildlife crimes submitted for forensic examinations in Scotland.

    Science.gov (United States)

    Millins, Caroline; Howie, Fiona; Everitt, Charles; Shand, Michael; Lamm, Catherine

    2014-09-01

    This study describes the occurrence of suspected wildlife crimes submitted for forensic examination in Scotland in 2010. The study aims were to determine which types of crimes were committed, which species were targeted, and the outcome of investigations, in order to assess the contribution of forensic examinations in the prosecution of wildlife crimes. Information on suspected wildlife crimes submitted between January 1 and December 31, 2010 to the SAC Consulting: Veterinary Services Disease Surveillance Centers, Science and Advice for Scottish Agriculture, and to the University of Glasgow, was used. The location of suspected crimes, the species targeted, cause of death, and types of the 188 submitted wildlife crimes were summarized. More information regarding cases involving birds were submitted than cases involving mammals, and included 114 raptors, 14 waterfowl, and 22 "other bird species." Mammal cases (n = 38) included 12 badgers, 8 foxes, 7 deer, 4 hares, and 7 "other mammals." The cause of death was determined in 124 suspected crimes; malicious or accidental trauma was the most likely cause of death in 72, and 33 were poisoned. Forensic evidence supporting criminal activity was found in 53 cases, and poisoning was the most frequent crime recorded. At least five individuals were successfully prosecuted, representing 2.7 % of submissions. It was challenging to track cases from submission through to prosecution and laboratories conducting forensic investigations were often not informed of the outcome of prosecutions or court decisions.

  18. Referral for secondary restorative dental care in rural and urban areas of Scotland: findings from the Highlands Et Islands Teledentistry Project.

    Science.gov (United States)

    Nuttall, N M; Steed, M S; Donachie, M A

    2002-02-23

    To compare the reported level of use of secondary care services for restorative dental care in rural and urban areas of Scotland. Postal questionnaire survey Postal questionnaire sent to all dentists in the Highland region, the island regions in Scotland and Dumfries Et Galloway (n = 150) and an equal number were sampled from the remainder of Scotland stratified by health board area. Non-respondents were sent 2 reminders after which 62% of the sample had responded. Most dentists (85%) who practised in what they considered were urban areas of Scotland said they felt that they had good access to a secondary referral service. Whereas most of those who practised in what they considered were rural areas either said they had no access to such a service (26%) or that access was difficult (53%), only 3% of those in urban areas said they had no access to a secondary restorative consultative service compared with 14% of dentists practising in rural areas of mainland Scotland and 54% of those practising on Scottish islands. The survey suggests the people of the Scottish islands and some of the remoter parts of the Scottish mainland would be among those who might benefit from improvement in access to a restorative dentistry consultant service.

  19. Occupant Interactions and Effectiveness of Natural Ventilation Strategies in Contemporary New Housing in Scotland, UK.

    Science.gov (United States)

    Sharpe, Tim; Farren, Paul; Howieson, Stirling; Tuohy, Paul; McQuillan, Jonathan

    2015-07-21

    The need to reduce carbon emissions and fuel poverty has led to increased building envelope air tightness, intended to reduce uncontrolled ventilation heat losses. Ventilation strategies in dwellings still allow the use of trickle ventilators in window frames for background ventilation. The extent to which this results in "healthy" Indoor Air Quality (IAQ) in recently constructed dwellings was a concern of regulators in Scotland. This paper describes research to explore this. First a review of literature was conducted, then data on occupant interactions with ventilation provisions (windows, doors, trickle vents) gathered through an interview-based survey of 200 recently constructed dwellings, and measurements made on a sample of 40 of these. The main measured parameter discussed here is CO2 concentration. It was concluded after the literature review that 1000 ppm absolute was a reasonable threshold to use for "adequate" ventilation. The occupant survey found that there was very little occupant interaction with the trickle ventilators e.g., in bedrooms 63% were always closed, 28% always open, and in only 9% of cases occupants intervened to make occasional adjustments. In the measured dwellings average bedroom CO2 levels of 1520 ppm during occupied (night time) hours were observed. Where windows were open the average bedroom CO2 levels were 972 ppm. With windows closed, the combination of "trickle ventilators open plus doors open" gave an average of 1021 ppm. "Trickle ventilators open" gave an average of 1571 ppm. All other combinations gave averages of 1550 to 2000 ppm. Ventilation rates and air change rates were estimated from measured CO2 levels, for all dwellings calculated ventilation rate was less than 8 L/s/p, in 42% of cases calculated air change rate was less than 0.5 ach. It was concluded that trickle ventilation as installed and used is ineffective in meeting desired ventilation rates, evidenced by high CO2 levels reported across the sampled dwellings

  20. An airborne gamma ray survey of parts of SW Scotland in February 1993. Final Report

    International Nuclear Information System (INIS)

    Sanderson, D.C.W.; Allyson, J.D.; Tyler, A.N.; Ni Riain, S.; Murphy, S.

    1994-01-01

    An airborne gamma ray survey was conducted for the Scottish Office Environment Department of coastal and inland parts of SW Scotland to define existing background levels, to locate features worthy of further attention, and to demonstrate the emergency response capabilities of radiometric methods. Coastal areas were surveyed with 500 m line spacing. Inland areas were specified to 2 km line spacing, however it was possible to achieve 1 km line spacing in the majority of the inland zone. The radiometric maps show clearly the distributions of each individual nuclide and indicate the contribution which individual localised features make to the overall gamma ray dose rate. Naturally occurring nuclides reflect the underlying geological and geomorphological contexts of the landscapes. The main granite intrusions, most notably at Cairnsmore of Fleet, the Loch Doon Granodiorite, Glencairn of Carsphairn, the Dalbeattie granite, and Criffel Pluton are readily visible in 40 K, 214 Bi and 208 Tl maps, and control their local radiation environments. A number of areas of enhanced 214 Bi, which may reflect radon potential, were noted. A transient radon associated 214 Bi signal was observed on the west of the Wigtown peninsular during the survey. Examination of spectral data in the vicinity Dundrennan has confirmed that there is no evidence of widespread terrestrial contamination arising from the use of depleted uranium projectiles on the range. The 137 Cs map indicates the environmental distribution of this nuclide in considerable detail. Levels of 137 Cs range from approximately 2 kBq m -2 , a level consistent with global weapons' testing fallout, from 2-40 kBq m -2 on terrestrial sites affected by deposition from the Chernobyl accident, and from 40 kBq m -2 to over 200 kBq m -2 on tide washed pastures which have accumulated marine sediments from the Irish sea. (author)

  1. National study of microphthalmia, anophthalmia, and coloboma (MAC) in Scotland: investigation of genetic aetiology

    Science.gov (United States)

    Morrison, D; FitzPatrick, D; Hanson, I; Williamson, K; van Heyningen, V; Fleck, B; Jones, I; Chalmers, J; Campbell, H

    2002-01-01

    We report an epidemiological and genetic study attempting complete ascertainment of subjects with microphthalmia, anophthalmia, and coloboma (MAC) born in Scotland during a 16 year period beginning on 1 January 1981. A total of 198 cases were confirmed giving a minimum live birth prevalence of 19 per 100 000. One hundred and twenty-two MAC cases (61.6%) from 115 different families were clinically examined and detailed pregnancy, medical, and family histories obtained. A simple, rational, and apparently robust classification of the eye phenotype was developed based on the presence or absence of a defect in closure of the optic (choroidal) fissure. A total of 85/122 (69.7%) of cases had optic fissure closure defects (OFCD), 12/122 (9.8%) had non-OFCD, and 25/122 (20.5%) had defects that were unclassifiable owing to the severity of the corneal or anterior chamber abnormality. Segregation analysis assuming single and multiple incomplete ascertainment, respectively, returned a sib recurrence risk of 6% and 10% in the whole group and 8.1% and 13.3% in the OFCD subgroup. Significant recurrence risks were found in both unilateral and bilateral disease. In four families, one parent had an OFCD, two of which were new diagnoses in asymptomatic subjects. All recurrences in first degree relatives occurred in the OFCD group with a single first cousin recurrence seen in the non-OFCD group. A total of 84/122 of the MAC cases were screened for mutations in the coding regions of PAX6, CHX10, and SIX3. No pathogenic mutations were identified in the OFCD cases. A single PAX6 homeodomain missense mutation was identified in a subject with partial aniridia that had been initially misclassified as coloboma. PMID:11826019

  2. Collaboration in natural resource governance: reconciling stakeholder expectations in deer management in Scotland.

    Science.gov (United States)

    Davies, Althea L; White, Rehema M

    2012-12-15

    The challenges of integrated, adaptive and ecosystem management are leading government agencies to adopt participatory modes of engagement. Collaborative governance is a form of participation in which stakeholders co-produce goals and strategies and share responsibilities and resources. We assess the potential and challenges of collaborative governance as a mechanism to provide an integrated, ecosystem approach to natural resource management, using red deer in Scotland as a case study. Collaborative Deer Management Groups offer a well-established example of a 'bridging organisation', intended to reduce costs and facilitate decision making and learning across institutions and scales. We examine who initiates collaborative processes and why, what roles different actors adopt and how these factors influence the outcomes, particularly at a time of changing values, management and legislative priorities. Our findings demonstrate the need for careful consideration of where and how shared responsibility might be best implemented and sustained as state agencies often remain key to the process, despite the partnership intention. Differing interpretations between agencies and landowners of the degree of autonomy and division of responsibilities involved in 'collaboration' can create tension, while the diversity of landowner priorities brings additional challenges for defining shared goals in red deer management and in other cases. Effective maintenance depends on appropriate role allocation and adoption of responsibilities, definition of convergent values and goals, and establishing communication and trust in institutional networks. Options that may help private stakeholders offset the costs of accepting responsibility for delivering public benefits need to be explicitly addressed to build capacity and support adaptation. This study indicates that collaborative governance has the potential to help reconcile statutory obligations with stakeholder empowerment. The potential of

  3. Which factors enhance positive drug reimbursement recommendation in Scotland? A retrospective analysis 2006-2013.

    Science.gov (United States)

    Charokopou, Mata; Majer, Istvan M; Raad, Johan de; Broekhuizen, Stefan; Postma, Maarten; Heeg, Bart

    2015-03-01

    To identify the factors that influence the Scottish Medicines Consortium (SMC) in deciding whether to accept pharmaceutical technologies for use within the Scottish health care system. A database of SMC submissions between 2006 and 2013 was created, containing a range of clinical, economic, and other factors extracted from published health technology assessment reports. A binomial outcome variable was used, defined as the decision to "accept for use" or "not recommend" a technology. Univariate and multivariate analyses were conducted to assess the impact by means of odds ratios (ORs) of the submitted evidence on the recommendation decision. Out of 463 applications, 265 were accepted for use (57%) and 198 (43%) were not recommended for use within National Health Service Scotland. Univariate analyses showed that 13 variables significantly affected the SMC decision. Of these 13 variables, 7 variables were shown to have a meaningful impact in the multivariate analysis. Four of these concerned the outcome of cost-effectiveness analyses; the fact that a submission was supported by a cost-minimization analysis was the strongest positive variable (OR = 10.30) and a submission showing a product not being cost-effective (i.e., incremental cost-effectiveness ratio above £30,000/quality-adjusted life-year gained) was the strongest negative predictor (OR = 0.47). The other variables concerned whether the submission was related to a product indicated for a nervous system disease (OR = 0.41), whether it was indicated for nonchronic use (OR = 1.66), and whether the submission was performed by a big company (OR = 2.83). This study demonstrated that the outcome of cost-effectiveness analyses is an important factor affecting the SMC's reimbursement recommendation decision. Copyright © 2015. Published by Elsevier Inc.

  4. Hydrogeochemsitry of montane springs and their influence on streams in the Cairngorm mountains, Scotland

    Directory of Open Access Journals (Sweden)

    C. Soulsby

    1999-01-01

    Full Text Available Springs are important groundwater discharge points on the high altitude (>800m plateaux of the Cairngorm mountains, Scotland and form important wetland habitats within what is often a dry, sub-arctic landscape. The hydrogeochemistry of a typical spring in the Allt a'Mharcaidh catchment was examined between 1995-98 in order to characterise its chemical composition, identify the dominant controls on its chemical evolution and estimate groundwater residence time using 18O isotopes. Spring water, sustained by groundwater flow in shallow drift deposits and fractured bedrock, was moderately acidic (mean pH 5.89, with a very low alkalinity (mean 18 μeq l-1 and the ionic composition was dominated by sea-salts derived from atmospheric sources. Geochemical modelling using NETPATH, predicted that the dissolution of plagioclase mainly controls the release of Si, non-marine Na, Ca, K and Al into spring water. Hydrological conditions influenced seasonal variations in spring chemistry, with snowmelt associated with more rapid groundwater flows and lower weathering rates than summer discharges. Downstream of the spring, the chemistry of surface water was fundamentally different as a result of drainage from larger catchment areas, with increased soil and drift cover, and higher evaporation rates. Thus, the hydrogeochemical influence of springs on surface waters appears to be localized. Mean δ18O values in spring water were lower and more damped than those in precipitation. Nevertheless, a sinusoidal seasonal pattern was observed and used to estimate mean residence times of groundwater of around 2 years. Thus, in the high altitude plateau of the Cairngorms, shallow, coarse drift deposits from significant aquifers. At lower altitudes, deeper drift deposits, combined with larger catchment areas, increase mean groundwater residence times to >5 years. At high altitudes, the shallow, permeable nature of the drifts dictates that groundwater is vulnerable to impacts

  5. Advanced and extended scope practice of diagnostic radiographers in Scotland: Exploring strategic imaging service imperatives.

    Science.gov (United States)

    Henderson, I; Mathers, S A; McConnell, J

    2017-08-01

    The development of diagnostic imaging services manifests features specific to the Scottish environment, in particular development of the radiographic workforce through implementing skills mix and role developments to enhance outcomes for patients. A component of a College of Radiographers Industry Partnership Scheme (CoRIPS) supported study, this research investigates perspectives of strategic service managers with Health Board responsibility for service delivery. A questionnaire survey was administered to strategic service managers across Scotland (N = 14), followed up with telephone interviews. There was a return rate of 57% (n = 8) for the questionnaires and n = 4 agreed to be interviewed. Data collected related to radiographer roles across their Board area; awareness and understanding of service development issues and features as well as perspective on opportunities and barriers in the context of Scottish Government policy, workforce logistics, attitudes and inter-professional relationships. The results indicate evidence of financial, logistical and political barriers to service evolution, offset by a sense of optimism that scope for beneficial change may be approaching. There are a range of significant initiatives in place and an appetite exists to pursue the development of radiographer roles and skill mix for the benefit of service users more generally. The difficulties in achieving change are well understood and there are basic issues related to finance and industrial relations. There are also however, cultural elements to contend with in the form of attitudes demonstrated by some radiographers and significantly, the radiological community whose influence on the practice of independently regulated radiographers seems incongruent. Copyright © 2017 The College of Radiographers. Published by Elsevier Ltd. All rights reserved.

  6. Public responses to flood warning messages: the Floodline service in Scotland

    Science.gov (United States)

    Cranston, Michael; Geddes, Alistair; Black, Andrew; Ambler, Alice; Menmuir, Cordelia

    2017-04-01

    Over the past decade, efforts have been made to improve the national flood warning system in Scotland, with new capabilities in the underlying flood forecasting tools, as well as development of an active flood warning dissemination service. This paper focusses on the latter service, for which there are around 26,000 customers registered at present, and which saw over 300,000 individual messages being issued during recent floods in winter 2015/16. However, notwithstanding such promising signs of change, evidence of how (if at all) the flood warning messages disseminated by the service actually impacts on recipient behaviour remains more limited. For example, this includes knowledge of the extent to which the messages influence actions on flood preparedness and mitigation. In consequence, there are also ongoing questions over the cost-effectiveness of the service in its current format, and of its scalability to even larger numbers of recipients. This paper will present initial findings from the first detailed study of customer perceptions of the messages distributed via the Scottish flood warning system, officially known as Floodline. In particular, the primary focus will be on results generated from a web-based questionnaire survey of registered Floodline customers. The survey was designed to assess associations between multiple customer characteristics, including location and risk level, type of warning message received, prior experience of flooding, risk awareness, and demographics. The study was conducted for the Scottish Environment Protection Agency, which is responsible for running the Floodline service. More broadly it resonates with current emphases on exploring effective means of hazard communication and encouraging public engagement in flood risk management.

  7. Public health significance of Campylobacter spp. colonisation of wild game pheasants (Phasianus colchicus) in Scotland.

    Science.gov (United States)

    Seguino, Alessandro; Chintoan-Uta, Cosmin; Smith, Sionagh H; Shaw, Darren J

    2018-09-01

    Campylobacter is the most common cause of bacterial food-borne diarrhoeal disease worldwide. Chicken meat is considered the main source of human infection; however, C. jejuni and C. coli have also been reported in a range of livestock and wildlife species, including pheasants. Wild pheasant meat reaches the consumer's table because of hunting but there is a lack of information concerning the risk of Campylobacter infection in humans. This study aimed to determine the prevalence of Campylobacter in wild game pheasants in Scotland, to identify the main sequence types (STs) present and to evaluate their impact on public health. A total of 287 caecal samples from five Scottish regions were collected during the hunting season 2013/2014. Campylobacter was detected and enumerated using standard culture methods. PCR and High Throughput Multi Locus Sequence Typing (HiMLST) were used for species identification and sequence typing. In total, 36.6% of 287 caecal samples (n = 105; 95% CI: 14-59.2) were Campylobacter positive. Using PCR, 62.6% of samples (n = 99) were identified as C. coli and 37.4% as C. jejuni. HiMLST (n = 80) identified 19 different STs. ST-828 (n = 19) was the most common, followed by ST-827 (n = 12) and ST19 (n = 7). Sixteen of the 19 STs isolated are present in humans and eight are C. coli STs that account for 6.96% of human infections, although the overall risk to public health from pheasant meat is still considered to be low. Copyright © 2018 Elsevier Ltd. All rights reserved.

  8. Organising a World Congress of Epidemiology (WCE): reflections and lessons from the XIX WCE, Scotland.

    Science.gov (United States)

    Bhopal, R S; Smith, W C; McEwen, J; MacFarlane, G; McCallum, A; Pattison, D; Bhala, N; Peto, R; Pell, J P

    2012-03-01

    The 3-yearly World Congress of Epidemiology is the premier, international, scientific conference organised under the auspices of the International Epidemiological Association (in open competition). This paper explores the justification for seeking to host the Congress and reflects on the structures and processes adopted in making the XIXth Congress in Scotland happen. Preparing the bid was invaluable for forming collaborations, generating scientific ideas, and garnering opinion. After the bid was accepted, we formed a local organising committee, named the Management Executive Committee to signal its decision making authority; and scientific, fundraising, marketing, international and social subcommittees. There was uncertainty about critical matters such as delegate numbers, costs and the total budget. Early decisions had to be made on, for example, the fee and fundraising target (£250,000), despite financial risks. Development of the scientific programme was a critical step that underpinned fundraising and marketing and permitted involvement of the international committee. Overall the 2011 WCE succeeded. The key ingredients to success were: a large collaboration of institutions and individuals; early pledges of financial support mostly from the UK; the valuable and relevant experience of the professional conference organisers; unstinting support and advice from IEA; and the effectiveness of the committee structure. The educational and professional development benefits of this WCE will reach a worldwide community and not just delegates, because of video, PowerPoint and textual accounts being open access on the Internet. This reach is unprecedented for IEA's World Congresses. We anticipate that the Congress will translate into better public health practice, better future Congresses, advances in epidemiology and improved population health. Copyright © 2012 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.

  9. Introducing an electronic Palliative Care Summary (ePCS) in Scotland: patient, carer and professional perspectives.

    Science.gov (United States)

    Hall, Susan; Murchie, Peter; Campbell, Christine; Murray, Scott A

    2012-10-01

    An electronic Palliative Care Summary (ePCS) is currently being implemented throughout Scotland to provide out-of-hours (OOH) staff with up-to-date summaries of medical history, patient understanding and wishes, medications and decisions regarding treatment of patients requiring palliative care: automatic twice daily updates of information from GP records to a central electronic repository are available to OOH services. To identify key issues related to the introduction of ePCS from primary care and OOH staff, to identify facilitators and barriers to their use, to explore the experiences of patients and carers and to make recommendations for improvements. Twenty-two semi-structured interviews were carried out with a purposive sample of health professionals [practice nurses (3 interviews), GPs (12 interviews), a practice manager (1 interview) from practices using different computing software systems] and patients and/or carers (6 interviews for whom an ePCS had been completed). Interviews were digitally recorded, transcribed and analysed thematically. Patients and carers were reassured that OOH staff were informed about their current circumstances. OOH staff considered the ePCS allowed them to be better informed in decision making and in carrying out home visits. GPs viewed the introduction of ePCSs to have benefits for in-hours structures of care including advance care planning. No interviewee expressed concern about confidentiality. Barriers raised related to the introduction of new technology including unfamiliarity with the process, limited time and information technology skills. The ePCS has clear potential to improve patient care although several implementation issues and technical problems require to be addressed first to enable this. GPs and community nurses should identify more patients with malignant and non-malignant illnesses for completion of the ePCS.

  10. Mouthwash Use in General Population: Results from Adult Dental Health Survey in Grampian, Scotland

    Directory of Open Access Journals (Sweden)

    Kirstin Rhodes

    2010-10-01

    Full Text Available Objectives: The purpose of this study was to determine the pattern of mouthwash use and to investigate the associated factors in general population.Material and Methods: An Adult Dental Health Survey was conducted on 3,022 residents of Grampian region of Scotland (adjusted participation rate 58.2%. Participants received a questionnaire consisting of questions on oral health and behavioural factors.Results: The majority of participants (38.1% have never used mouthwash, 17.5% used mouthwash less than once a month, 19.4% used mouthwash once every few days and 25.1% used mouthwash daily.Prevalence of use decreased with age (P < 0.001. Woman were more likely to use mouthwash than men (P = 0.004. Mouthwash use decreased with decrease in the level of deprivation (P < 0.001. Never-smokers were less likely to use mouthwash (40.3% compared to smokers (53.1% or those who stopped smoking (46.5% (P < 0.001. Mouthwash was used by smaller proportion of people drinking alcohol on daily basis (36.6%, than by abstainers (42.2% (P = 0.012.There was a positive relationship between flossing or brushing pattern and mouthwash use (P < 0.001. There was statistically significant relationship between mouthwash use and reasons for the last dental visit (P = 0.009.When compared to healthy individuals, mouthwash was used by higher proportion of people reporting that they had gum disease (P = 0.001, ulcers (P = 0.001, oral infections or swelling (P = 0.002 or other problems (P = 0.025.Conclusions: Mouthwash use in general population is associated with socio-demographic, health and behavioural factors.

  11. A survey of imaging services for children in England, Wales and Scotland

    International Nuclear Information System (INIS)

    Mathers, Sandra A.; Anderson, Helen; McDonald, Sheila

    2011-01-01

    Purpose: Children are major users of imaging services but little is known about the provision made for them. The objectives of this survey were to: determine the extent to which children are imaged in primarily adult departments and the nature of procedures performed; establish the availability of child friendly environments and investigate the extent to which children are involved in service development. Methods: An 18 item questionnaire was sent to all hospitals with imaging facilities in the UK. Two versions were produced, one for adult departments and another for children's hospitals. Quantitative data were entered into SPSS-PC. Results: Three hundred and fifty two questionnaires were returned including 17 from the 20 children's hospitals, representing a 70% response rate. Children were imaged in 84% of adult hospitals from which responses were obtained and estimates provided by respondents indicated that more children were imaged in adult than children's hospitals. In 89% of adult hospitals responses indicated that infants were imaged and in two thirds of English hospitals advanced procedures, such as MRI, were available for children. In 47%, 32% and 30% of adult hospitals in England, Wales and Scotland children's requirements were said to be considered when purchasing equipment. In 34%, 11% and 8% of English, Welsh and Scottish adult hospitals some separate provision for children (for example waiting rooms or toilets) was indicated. Overall 32% of adult hospitals (92 of the 95 were in England) reported having a lead radiographer, who specialised in a paediatric imaging. Responses indicated that in 60% of adult hospitals staff attended paediatric training courses. Children's views on hospital services were seldom sought in either the adult or children's hospitals. Conclusions: The survey indicates that the recommendations of the Children's National Service Framework and the Health Care Commission have not been implemented fully in many imaging departments.

  12. A dosimetric intercomparison of brachytherapy facilities in Ireland, Scotland and the North of England

    International Nuclear Information System (INIS)

    Heeney, Conor; McClean, Brendan; Kelly, Colin

    2005-01-01

    Background and purpose: A dosimetric intercomparison of brachytherapy remote afterloading units in Ireland, Scotland and the North of England has been carried out involving 9 radiotherapy centres, and sampling 5 HDR and 6 LDR units. Materials and methods: Absolute calibrations have been performed in air on both HDR and LDR sources. The results are expressed in terms of a ratio of local to calibrated value. Frequency distributions were obtained for the multi-source LDR units by individually measuring each source. Using these distributions the effect of non-uniform source strength on the dose rate at Manchester point A was assessed for a typical clinical brachytherapy insertion for carcinoma of the cervix. Both frequency and dose rate distribution curves were modeled using normal statistics and characterised in terms of the mean (μ) and standard deviation (σ). Results: Evaluation of the HDR units indicated a mean ratio of 1.008 (±0.01) while for LDR the mean ratio was 0.997 (±0.02). The LDR frequency distributions demonstrated a variation of σ values extending from 1.4 to 3.0% of μ. It was shown that this non-uniformity in source strength introduced an uncertainty in the treatment planning process of between 0.8 and 1.8% when compared to the assumption of uniform source strength. Conclusions: The results of this intercomparison indicate dosimetric consistency between centres for both LDR and HDR units. The distribution of LDR source strengths were within expected limits and the resultant dose rate distributions were considered clinically acceptable

  13. The ecology of an adaptive radiation of three-spined stickleback from North Uist, Scotland.

    Science.gov (United States)

    Magalhaes, Isabel S; D'Agostino, Daniele; Hohenlohe, Paul A; MacColl, Andrew D C

    2016-09-01

    There has been a large focus on the genetics of traits involved in adaptation, but knowledge of the environmental variables leading to adaptive changes is surprisingly poor. Combined use of environmental data with morphological and genomic data should allow us to understand the extent to which patterns of phenotypic and genetic diversity within a species can be explained by the structure of the environment. Here, we analyse the variation of populations of three-spined stickleback from 27 freshwater lakes on North Uist, Scotland, that vary greatly in their environment, to understand how environmental and genetic constraints contribute to phenotypic divergence. We collected 35 individuals per population and 30 abiotic and biotic environmental parameters to characterize variation across lakes and analyse phenotype-environment associations. Additionally, we used RAD sequencing to estimate the genetic relationships among a subset of these populations. We found a large amount of phenotypic variation among populations, most prominently in armour and spine traits. Despite large variation in the abiotic environment, namely in ion composition, depth and dissolved organic Carbon, more phenotypic variation was explained by the biotic variables (presence of predators and density of predator and competitors), than by associated abiotic variables. Genetic structure among populations was partly geographic, with closer populations being more similar. Altogether, our results suggest that differences in body shape among stickleback populations are the result of both canalized genetic and plastic responses to environmental factors, which shape fish morphology in a predictable direction regardless of their genetic starting point. © 2016 The Authors. Molecular Ecology Published by John Wiley & Sons Ltd.

  14. The 'everyday work' of living with multimorbidity in socioeconomically deprived areas of Scotland.

    Science.gov (United States)

    O'Brien, Rosaleen; Wyke, Sally; Watt, Graham G C M; Guthrie, Bruce; Mercer, Stewart W

    2014-01-01

    Multimorbidity is common in patients living in areas of high socioeconomic deprivation and is associated with poor quality of life, but the reasons behind this are not clear. Exploring the 'everyday life work' of patients may reveal important barriers to self-management and wellbeing. To investigate the relationship between the management of multimorbidity and 'everyday life work' in patients living in areas of high socioeconomic deprivation in Scotland, as part of a programme of work on multimorbidity and deprivation. Qualitative study: individual semi-structured interviews of 14 patients (8 women and 6 men) living in deprived areas with multimorbidity, exploring how they manage. Analysis was continuous and iterative. We report the findings in relation to everyday life work. The in-depth analysis revealed four key themes: (i) the symbolic significance of everyday life work to evidence the work of being 'normal'; (ii) the usefulness of everyday life work in managing symptoms; (iii) the impact that mental health problems had on everyday life work; and (iv) issues around accepting help for everyday life tasks. Overall, most struggled with the amount of work required to establish a sense of normalcy in their everyday lives, especially in those with mental-physical multimorbidity. Everyday life work is an important component of self-management in patients with multimorbidity in deprived areas, and is commonly impaired, especially in those with mental health problems. Interventions to improve self-management support for patients living with multimorbidity may benefit from an understanding of the role of everyday life work. Journal of Comorbidity 2014;4:1-10.

  15. Human Papilloma Virus (HPV) Oral Prevalence in Scotland (HOPSCOTCH): A Feasibility Study in Dental Settings.

    Science.gov (United States)

    Conway, David I; Robertson, Chris; Gray, Heather; Young, Linda; McDaid, Lisa M; Winter, Andrew J; Campbell, Christine; Pan, Jiafeng; Kavanagh, Kimberley; Kean, Sharon; Bhatia, Ramya; Cubie, Heather; Clarkson, Jan E; Bagg, Jeremy; Pollock, Kevin G; Cuschieri, Kate

    2016-01-01

    The purpose of this study was to test the feasibility of undertaking a full population investigation into the prevalence, incidence, and persistence of oral Human Papilloma Virus (HPV) in Scotland via dental settings. Male and female patients aged 16-69 years were recruited by Research Nurses in 3 primary care and dental outreach teaching centres and 2 General Dental Practices (GDPs), and by Dental Care Teams in 2 further GDPs. Participants completed a questionnaire (via an online tablet computer or paper) with socioeconomic, lifestyle, and sexual history items; and were followed up at 6-months for further questionnaire through appointment or post/online. Saline oral gargle/rinse samples, collected at baseline and follow-up, were subject to molecular HPV genotyping centrally. 1213 dental patients were approached and 402 individuals consented (participation rate 33.1%). 390 completed the baseline questionnaire and 380 provided a baseline oral specimen. Follow-up rate was 61.6% at 6 months. While recruitment was no different in Research Nurse vs Dental Care Team models the Nurse model ensured more rapid recruitment. There were relatively few missing responses in the questionnaire and high levels of disclosure of risk behaviours (99% answered some of the sexual history questions). Data linkage of participant data to routine health records including HPV vaccination data was successful with 99.1% matching. Oral rinse/gargle sample collection and subsequent HPV testing was feasible. Preliminary analyses found over 95% of samples to be valid for molecular HPV detection prevalence of oral HPV infection of 5.5% (95%CI 3.7, 8.3). It is feasible to recruit and follow-up dental patients largely representative / reflective of the wider population, suggesting it would be possible to undertake a study to investigate the prevalence, incidence, and determinants of oral HPV infection in dental settings.

  16. Observed and modeled pathways of the Iceland Scotland Overflow Water in the eastern North Atlantic

    Science.gov (United States)

    Zou, Sijia; Lozier, Susan; Zenk, Walter; Bower, Amy; Johns, William

    2017-12-01

    The spreading of Iceland Scotland Overflow Water (ISOW) in the eastern North Atlantic has largely been studied in an Eulerian frame using numerical models or with observations limited to a few locations. No study to date has provided a comprehensive description of the ISOW spreading pathways from both Eulerian and Lagrangian perspectives. In this paper, we use a combination of previously unreported current meter data, hydrographic data, RAFOS float data, and a high resolution (1/12°) numerical ocean model to study the spreading pathways of ISOW from both of these perspectives. We identify three ISOW transport cores in the central Iceland Basin (∼59°N), with the major core along the eastern boundary of the Reykjanes Ridge (RR) and the other two in the basin interior. Based on trajectories of observed and/or numerical floats seeded along 59°N, we also describe the ISOW spreading pathways and quantify their relative importance. Within 10 years, 7-11% of ISOW from 59°N escapes into the Irminger Sea via gaps in the RR north of the Charlie Gibbs Fracture Zone (CGFZ); the water that moves through these gaps principally originates from the shallower ISOW layer along the RR eastern boundary. 10-13% travels further southward until the CGFZ, where it crosses westward into the western subpolar gyre. 18-21% of ISOW spreads southward along the eastern flank of the Mid-Atlantic Ridge into the Western European Basin (WEB). Most of the remaining water stays in the Iceland Basin over the 10-year period. A model-based investigation provides a first look at the temporal variability of these ISOW pathways. We find that the fraction of southward water exported into the WEB is anti-correlated with the export through the CGFZ, a result assumed to reflect these pathways' interactions with the North Atlantic Current in magnitude and/or position shift.

  17. Tobacco outlet density and tobacco knowledge, beliefs, purchasing behaviours and price among adolescents in Scotland.

    Science.gov (United States)

    Tunstall, Helena; Shortt, Niamh K; Niedzwiedz, Claire L; Richardson, Elizabeth A; Mitchell, Richard J; Pearce, Jamie R

    2018-06-01

    Despite long-term falls in global adult smoking prevalence and over 50 years of tobacco control policies, adolescent smoking persists. Research suggests greater densities of tobacco retail outlets in residential neighbourhoods are associated with higher adolescent smoking rates. Policies to reduce retail outlets have therefore been identified by public health researchers as a potential 'new frontier' in tobacco control. Better understanding of the pathways linking density of tobacco retailers and smoking behaviour could support these policies. In this study we use path analysis to assess how outlet density in the home environment is related to adolescent tobacco knowledge, beliefs, retail purchases and price in Scotland. We assessed 22,049 13 and 15 year old respondents to the nationally representative cross-sectional 2010 Scottish School Adolescent Lifestyle and Substance Use Survey. Outlet density was based on Scottish Tobacco Retailers Register, 2012, data. A spatially-weighted Kernel Density Estimation measure of outlet density within 400 m of respondents' home postcode was grouped into tertiles. The analysis considered whether outlet density was associated with the number of cigarette brands adolescents could name, positive beliefs about smoking, whether smokers purchased cigarettes from shops themselves or through adult proxies and perceived cost of cigarettes. Models were stratified by adolescent smoking status. The path analyses indicated that outlet density was not associated with most outcomes, but small, significant direct effects on knowledge of cigarette brands among those who had never smoked were observed. With each increase in outlet density tertile the mean number of brands adolescents could name rose by 0.07 (mean = 1.60; SD = 1.18; range = 4). This suggests greater outlet densities may have affected adolescents' knowledge of cigarette brands but did not encourage positive attitudes to smoking, purchases from shops or lower cigarette

  18. Robert Burns and the Re-making of National Memory in Contemporary Scotland

    Directory of Open Access Journals (Sweden)

    Josephine Dougal

    2012-05-01

    Full Text Available Robert Burns, the eighteenth-century Scottish poet and song writer, continues to maintain a substantial cultural ‘afterlife’ in the twenty first century, both within Scotland and beyond. Achieving cult status in the nineteenth century, the power of Burns as a popular cultural icon remains undiminished. Where the appropriation of Burns as national icon in the nineteenth century was made manifest in statuary, commemorative objects, and painted portraits, the twenty-first century has been marked by the proliferation of the image of Burns in new forms and technologies, with Burns as product and brand logo, museum and heritage attraction, and tourism industry selling point. This recent flourishing of interest and engagement raises questions about why and how an eighteenth-century poet continues to be the object of such extensive cultural elaboration at this time. In approaching this question, some fruitful lines of enquiry are being suggested in recent discussions that have looked at the nineteenth-century Burns as a ‘mobilizing agent in collective memory production’ (Rigney 2011, 81. One such appraisal points to how the construction of Burns in the nineteenth century as an iconic figure of Scottish cultural memory has the potential to ‘be resignified as necessary in subsequent chronological and geographical sites’ (Davis 2010, 14. It is this potential for the resignification of Burns as a symbolic site for the nation’s memory that this paper explores. In pointing to Burns’ representation in a variety of popular forms and in public discourse, the paper examines how a writer comes to be invested and reinvested as the voice and persona of the nation.

  19. Joys and challenges of relationships in Scotland and New Zealand rural midwifery: A multicentre study.

    Science.gov (United States)

    Crowther, Susan; Deery, Ruth; Daellenbach, Rea; Davies, Lorna; Gilkison, Andrea; Kensington, Mary; Rankin, Jean

    2018-04-21

    Globally there are challenges meeting the recruitment and retention needs for rural midwifery. Rural practice is not usually recognised as important and feelings of marginalisation amongst this workforce are apparent. Relationships are interwoven throughout midwifery and are particularly evident in rural settings. However, how these relationships are developed and sustained in rural areas is unclear. To study the significance of relationships in rural midwifery and provide insights to inform midwifery education. Multi-centre study using online surveys and discussion groups across New Zealand and Scotland. Descriptive and template analysis were used to organise, examine and analyse the qualitative data. Rural midwives highlighted how relationships with health organisations, each other and women and their families were both a joy and a challenge. Social capital was a principal theme. Subthemes were (a) working relationships, (b) respectful communication, (c) partnerships, (d) interface tensions, (e) gift of time facilitates relationships. To meet the challenges of rural practice the importance of relationship needs acknowledging. Relationships are created, built and sustained at a distance with others who have little appreciation of the rural context. Social capital for rural midwives is thus characterised by social trust, community solidarity, shared values and working together for mutual benefit. Rural communities generally exhibit high levels of social capital and this is key to sustainable rural midwifery practice. Midwives, educationalists and researchers need to address the skills required for building social capital in rural midwifery practice. These skills are important in midwifery pre- and post-registration curricula. Copyright © 2018 Australian College of Midwives. All rights reserved.

  20. Sociospatial distribution of access to facilities for moderate and vigorous intensity physical activity in Scotland by different modes of transport

    Directory of Open Access Journals (Sweden)

    Lamb Karen E

    2012-07-01

    Full Text Available Abstract Background People living in neighbourhoods of lower socioeconomic status have been shown to have higher rates of obesity and a lower likelihood of meeting physical activity recommendations than their more affluent counterparts. This study examines the sociospatial distribution of access to facilities for moderate or vigorous intensity physical activity in Scotland and whether such access differs by the mode of transport available and by Urban Rural Classification. Methods A database of all fixed physical activity facilities was obtained from the national agency for sport in Scotland. Facilities were categorised into light, moderate and vigorous intensity activity groupings before being mapped. Transport networks were created to assess the number of each type of facility accessible from the population weighted centroid of each small area in Scotland on foot, by bicycle, by car and by bus. Multilevel modelling was used to investigate the distribution of the number of accessible facilities by small area deprivation within urban, small town and rural areas separately, adjusting for population size and local authority. Results Prior to adjustment for Urban Rural Classification and local authority, the median number of accessible facilities for moderate or vigorous intensity activity increased with increasing deprivation from the most affluent or second most affluent quintile to the most deprived for all modes of transport. However, after adjustment, the modelling results suggest that those in more affluent areas have significantly higher access to moderate and vigorous intensity facilities by car than those living in more deprived areas. Conclusions The sociospatial distributions of access to facilities for both moderate intensity and vigorous intensity physical activity were similar. However, the results suggest that those living in the most affluent neighbourhoods have poorer access to facilities of either type that can be reached on foot

  1. Measuring the impact of a public awareness campaign to increase Welfare Power of Attorney registrations in Scotland.

    Science.gov (United States)

    Levin, Kate A; Carson, Jill; Crighton, Emilia

    2017-07-01

    to measure the impact of the 'My Power of Attorney' media campaign on the number of new power of attorney (POA) registrations in Scotland. POA registrations in Scotland processed by the Office of the Public Guardian during January 2010 to June 2015. multilevel Poisson models for POA registrations nested by council and annual quarter were run using Markov chain Monte Carlo methods, adjusting for time, campaign (variable ranging between 0 and 5 dependent on intensity of campaign measured by the number of media platforms received) and offset term mid-year population estimate for those aged 25 years+/65 years+. POA registrations saw a reduction between 2010 and 2011 but overall, increased between 2010 and 2015. POA registrations rose by 33.3% in Glasgow City between 2013 and 2014, when the campaign began, while the rest of Scotland saw a rise of 17.3%. When the data were modelled, Relative Risk (RR) of a POA registration increased with increasing intensity of campaign, so that in an area in receipt of the full campaign was RR = 1.31 (1.28, 1.34) that of an area with no campaign. Between council variation persisted after adjustment for campaign (Variance = 0.041 (0.011)). during the period of the campaign, area-level increases in POA registrations were observed associated with the 'My Power of Attorney' timing and location, in an approximate dose-response relationship with campaign intensity, suggesting that this is likely to be due to the campaign that began in Glasgow City. © The Author 2017. Published by Oxford University Press on behalf of the British Geriatrics Society.All rights reserved. For permissions, please email: journals.permissions@oup.com

  2. On the Long-term Behaviour of Wind-Wave Climatology over the West Region of Scotland, UK

    Directory of Open Access Journals (Sweden)

    Tarek M El-Geziry

    2015-08-01

    Full Text Available Using 38 years (January 1973-December 2010 of hourly wind records, the present paper aims at drawing the possible long-term trends of winds and ten surface wave parameters over the west region of Scotland using the quadratic regression approach. Four dominant wind components were determined: the southern, the western, the south-western and the north-western. Two opposite groups of oscillations were proven: one for the southern groups and one for the western groups.The examined wave parameters were: the wave frequency, the wave angular frequency, the peak angular frequency, the wave spectral density, the significant wave height, the peak period, both the peak and group velocities and lastly the wave energy and the wave power. Results revealed that every examined parameter tended to have a cyclic behaviour except the wave spectral density, which appeared to be linearly decreasing. All wave frequencies were in an inverse correlation to the mean monthly wind speed. All other wave parameters appeared to be highly correlated to the mean monthly wind speed with correlation factors exceeding 0.95 except the wave power, which had a correlation factor of 0.89.In conclusion, the general behaviours of the dominant wind components over the west region of Scotland, and of the different wave parameters tend to be cyclic. A longer time series, than that presently used, will be advantageous in order to strengthen this outcome with more robust investigation. This concluded cyclic behaviour may positively impact on the engineering work within the wave energy resource off the western coasts of Scotland.

  3. Increasing socioeconomic inequalities in first acute myocardial infarction in Scotland, 1990–92 and 2000–02

    Directory of Open Access Journals (Sweden)

    Dundas Ruth

    2009-05-01

    Full Text Available Abstract Background Despite substantial declines, Ischaemic Heart Disease (IHD remains the largest cause of death in Scotland and mortality rates are among the worst in Europe. There is evidence of strong, persisting regional and socioeconomic inequalities in IHD mortality, with the majority of such deaths being due to Acute Myocardial Infarction (AMI. We examine the changes in socioeconomic and geographic inequalities in first AMI events in Scotland and their interactions with age and gender. Methods We used linked hospital discharge and death records covering the Scottish Population (5.1 million. Risk ratios (RR of AMI incidence by area deprivation and age for men and women were estimated using multilevel Poisson modelling. Directly standardised rates were presented within these stratifications. Results During 1990–92 74,213 people had a first AMI event and 56,995 in 2000–02. Adjusting for area deprivation accounted for 59% of the geographic variability in AMI incidence rates in 1990–92 and 33% in 2000–02. Geographic inequalities in male incidence reduced; RR for smaller areas (comparing area on 97.5th centile to 2.5th reduced from 1.42 to 1.19. This was not true for women; RR increased from 1.45 to 1.59. The socioeconomic gradient in AMI incidence increased over time (p-value Conclusion Relative socioeconomic inequalities in AMI incidence have increased and gradients are steepest in young women. The geographical patterning of AMI incidence cannot be fully explained by socioeconomic deprivation. The reduction of inequalities in AMI incidence is key to reducing overall inequalities in mortality and must be a priority if Scotland is to achieve its health potential.

  4. Changing demographics of spinal cord injury over a 20-year period: a longitudinal population-based study in Scotland.

    Science.gov (United States)

    McCaughey, E J; Purcell, M; McLean, A N; Fraser, M H; Bewick, A; Borotkanics, R J; Allan, D B

    2016-04-01

    A retrospective cohort study. To review demographic trends in traumatic spinal cord injury (TSCI) and non-traumatic spinal cord injury (NTSCI). The Queen Elizabeth National Spinal Injuries Unit (QENSIU), sole provider of treatment for TSCI in Scotland; a devolved region of the UK National Health Service. A retrospective review of the QENSIU database was performed between 1994 and 2013. This database includes demographic and clinical data from all new TSCI patients in Scotland, as well as patients with severe NTSCI. Over this 20-year period there were 1638 new cases of TSCI in Scotland; 75.2% occurring in males. TSCI incidence increased non-significantly (13.3 per million population to 17.0), while there were significant increases in mean age at time of TSCI (44.1-52.6 years), the proportion of TSCIs caused by falls (41-60%), the proportion of TSCIs resulting in an American Spinal Injury Association Impairment Scale score of C and D on admission (19.7-28.6% and 34.5-39.5%, respectively) and the proportion of cervical TSCIs (58.4-66.3%). The increase in cervical TSCI was specifically due to an increase in C1-C4 lesions (21.7-31.2%). NTSCI patients (n=292) were 5 years older at injury, more likely to be female (68.1% male) and had a range of diagnoses. This study supports the suggestion that demographic profiles in SCI are subject to change. In this population, of particular concern is the increasing number of older patients and those with high level tetraplegia, due to their increased care needs. Prevention programmes, treatment pathways and service provision need to be adjusted for optimum impact, improved outcome and long-term care for their target population.

  5. Firewood, food and human niche construction: the potential role of Mesolithic hunter-gatherers in actively structuring Scotland's woodlands

    Science.gov (United States)

    Bishop, Rosie R.; Church, Mike J.; Rowley-Conwy, Peter A.

    2015-01-01

    Over the past few decades the potential role of Mesolithic hunter-gatherers in actively constructing their own niches, through the management of wild plants, has frequently been discussed. It is probable that Mesolithic hunter-gatherers systematically exploited specific woodland resources for food and fuel and influenced the 'natural' abundance or distribution of particular species within Mesolithic environments. Though there has been considerable discussion of the pollen evidence for potential small-scale human-woodland manipulation in Mesolithic Scotland, the archaeobotanical evidence for anthropogenic firewood and food selection has not been discussed in this context. This paper assesses the evidence for the active role of Mesolithic hunter-gatherer communities in systematically exploiting and managing woodlands for food and fuel in Scotland. While taphonomic factors may have impacted on the frequency of specific species in archaeobotanical assemblages, it is suggested that hunter-gatherers in Mesolithic Scotland were systematically using woodland plants, and in particular hazel and oak, for food and fuel. It is argued that the pollen evidence for woodland management is equivocal, but hints at the role of hunter-gatherers in shaping the structure of their environments, through the maintenance or creation of woodland clearings for settlement or as part of vegetation management strategies. It is proposed that Mesolithic hunter-gatherers may have actively contributed to niche construction and that the systematic use of hazel and oak as a fuel may reflect the deliberate pruning of hazel trees to increase nut-yields and the inadvertent - or perhaps deliberate - coppicing of hazel and oak during greenwood collection.

  6. The density of tobacco retailers in home and school environments and relationship with adolescent smoking behaviours in Scotland.

    Science.gov (United States)

    Shortt, N K; Tisch, C; Pearce, J; Richardson, E A; Mitchell, R

    2016-01-01

    Neighbourhood retailing of tobacco products has been implicated in affecting smoking prevalence rates. Long-term smoking usually begins in adolescence and tobacco control strategies have often focused on regulating 'child spaces', such as areas in proximity to schools. This cross-sectional study examines the association between adolescent smoking behaviour and tobacco retail outlet density around home and school environments in Scotland. Data detailing the geographic location of every outlet registered to sell tobacco products in Scotland were acquired from the Scottish Tobacco Retailers Register and used to create a retail outlet density measure for every postcode. This measure was joined to individual responses of the Scottish Schools Adolescent Lifestyle and Substance Use Survey (n=20 446). Using logistic regression models, we explored the association between the density of retailers, around both home and school address, and smoking behaviours. Those living in the areas of highest density of retailers around the home environment had 53% higher odds of reporting having ever smoked (95% CI 1.27 to 1.85, pretail density had lower odds of having ever smoked (OR 0.66, 95% CI 0.50 to 0.86 pretail outlets in residential neighbourhoods is associated with increased odds of both ever smoked and current smoking among adolescents in Scotland. Policymakers may be advised to focus on reducing the overall density of tobacco outlets, rather than concentrating on 'child spaces'. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

  7. Variations in fresh fruit and vegetable quality by store type, urban-rural setting and neighbourhood deprivation in Scotland.

    Science.gov (United States)

    Cummins, Steven; Smith, Dianna M; Taylor, Mathew; Dawson, John; Marshall, David; Sparks, Leigh; Anderson, Annie S

    2009-11-01

    Neighbourhood differences in access to fresh fruit and vegetables may explain social inequalities in diet. Investigations have focused on variations in cost and availability as barriers to the purchase and consumption of fresh produce; investigations of quality have been neglected. Here we investigate whether produce quality systematically varies by food store type, rural-urban location and neighbourhood deprivation in a selection of communities across Scotland. Cross-sectional survey of twelve fresh fruit and vegetable items in 288 food stores in ten communities across Scotland. Communities were selected to reflect a range of urban-rural settings and a food retail census was conducted in each location. The quality of twelve fruit and vegetable items within each food store was evaluated. Data from the Scottish Executive were used to characterise each small area by deprivation and urban-rural classification. Scotland. Quality of fruit and vegetables within the surveyed stores was high. Medium-sized stores, stores in small town and rural areas, and stores in more affluent areas tended to have the highest-quality fresh fruit and vegetables. Stores where food is secondary, stores in urban settings and stores in more deprived areas tended have the lowest-quality fresh produce. Although differences in quality were not always statistically significant, patterns were consistent for the majority of fruit and vegetable items. The study provides evidence that variations in food quality may plausibly be a micro-environmental mediating variable in food purchase and consumption and help partially explain neighbourhood differences in food consumption patterns.

  8. Socioeconomic and geographic inequalities in adolescent smoking: a multilevel cross-sectional study of 15 year olds in Scotland.

    Science.gov (United States)

    Levin, K A; Dundas, R; Miller, M; McCartney, G

    2014-04-01

    The objective of the study was to present socioeconomic and geographic inequalities in adolescent smoking in Scotland. The international literature suggests there is no obvious pattern in the geography of adolescent smoking, with rural areas having a higher prevalence than urban areas in some countries, and a lower prevalence in others. These differences are most likely due to substantive differences in rurality between countries in terms of their social, built and cultural geography. Previous studies in the UK have shown an association between lower socioeconomic status and smoking. The Scottish Health Behaviour in School-aged Children study surveyed 15 year olds in schools across Scotland between March and June of 2010. We ran multilevel logistic regressions using Markov chain Monte Carlo method and adjusting for age, school type, family affluence, area level deprivation and rurality. We imputed missing rurality and deprivation data using multivariate imputation by chained equations, and re-analysed the data (N = 3577), comparing findings. Among boys, smoking was associated only with area-level deprivation. This relationship appeared to have a quadratic S-shape, with those living in the second most deprived quintile having highest odds of smoking. Among girls, however, odds of smoking increased with deprivation at individual and area-level, with an approximate dose-response relationship for both. Odds of smoking were higher for girls living in remote and rural parts of Scotland than for those living in urban areas. Schools in rural areas were no more or less homogenous than schools in urban areas in terms of smoking prevalence. We discuss possible social and cultural explanations for the high prevalence of boys' and girls' smoking in low SES neighbourhoods and of girls' smoking in rural areas. We consider possible differences in the impact of recent tobacco policy changes, primary socialization, access and availability, retail outlet density and the home

  9. Pilot study protocol to inform a future longitudinal study of ageing using linked administrative data: Healthy AGeing in Scotland (HAGIS).

    Science.gov (United States)

    Douglas, Elaine; Rutherford, Alasdair; Bell, David

    2018-01-10

    Population ageing is a welcome testament to improvements in the social, economic and health circumstances over the life course. However, these successes necessitate that we understand more about the pathways of ageing to plan and cost our health and social care services, to support our ageing population to live healthier for longer and to make adequate provisions for retirement. Longitudinal studies of ageing facilitate such understanding in many countries around the world. Scotland presently does not have a longitudinal study of ageing, despite dramatic increases to its ageing population and its poor health record. Healthy AGeing in Scotland (HAGIS) constitutes the launch of Scotland's first comprehensive longitudinal study of ageing. A sample of 1000 people aged 50+ years will be invited to take part in a household social survey. The innovative sampling procedure used administrative data to identify eligible households. Anonymised survey responses will be linked to administrative data. Ethics approval was obtained from the host institution for the study design and from the Public Benefits and Privacy Panel for administrative data linkage. Anonymised survey data will be deposited with the UK Data Service. A subset of survey data, harmonised with other global ageing studies, will be available via the Gateway to Global Aging platform. These data will enable powerful cross-country comparisons across the social, economic and health domains that will be relevant for national and international research.Research publications from the HAGIS team will be disseminated through journal articles and national and international conferences. The findings will support current and future research and policy debate on ageing populations. © 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.

  10. Getting It Right for Every Child: A National Policy Framework to Promote Children's Well-being in Scotland, United Kingdom.

    Science.gov (United States)

    Coles, Emma; Cheyne, Helen; Rankin, Jean; Daniel, Brigid

    2016-06-01

    Getting It Right for Every Child (GIRFEC), a landmark policy framework for improving children's well-being in Scotland, United Kingdom, is a practice initiative signifying a distinct way of thinking, an agenda for change, and the future direction of child welfare policy. GIRFEC represents a unique case study of national transformative change within the contexts of children's well-being and universal services and is of relevance to other jurisdictions. Implementation is under way, with an understanding of well-being and the requirement for information sharing enshrined in law. Yet there is scope for interpretation within the legislation and associated guidance. Inherent tensions around intrusion, data gathering, professional roles, and balancing well-being against child protection threaten the effectiveness of the policy if not resolved. Despite persistent health inequalities and intergenerational deprivation, the Scottish government aspires for Scotland to be the best country for children to grow up in. Getting It Right for Every Child (GIRFEC) is a landmark children's policy framework to improve children's well-being via early intervention, universal service provision, and multiagency coordination across organizational boundaries. Placing the child and family "at the center," this approach marks a shift from welfare to well-being, yet there is still a general lack of consensus over how well-being is defined and measured. As an umbrella policy framework with broad reach, GIRFEC represents the current and future direction of children's/family policy in Scotland, yet large-scale practice change is required for successful implementation. This article explores the origins and emergence of GIRFEC and presents a critical analysis of its incremental design, development, and implementation. There is considerable scope for interpretation within the GIRFEC legislation and guidance, most notably around assessment of well-being and the role and remit of those charged with

  11. Liver mortality attributable to chronic hepatitis C virus infection in Denmark and Scotland - using spontaneous resolvers as the benchmark comparator

    DEFF Research Database (Denmark)

    Innes, H; Hutchinson, S J; Obel, N

    2016-01-01

    Liver mortality among individuals with chronic hepatitis C (CHC) infection is common, but the relative contribution of CHC per se versus adverse health behaviours is uncertain. We explored data on spontaneous resolvers of hepatitis C virus (HCV) as a benchmark group, to uncover the independent...... contribution of CHC on liver mortality. Using national HCV diagnosis and mortality registers from Denmark and Scotland, we calculated the liver mortality rate (LMR) for persons diagnosed with CHC infection (LMRchronic ) and spontaneously resolved infection (LMRresolved ), according to subgroups defined by: age...

  12. Material flows accounting for Scotland shows the merits of a circular economy and the folly of territorial carbon reporting.

    Science.gov (United States)

    Pratt, Kimberley; Lenaghan, Michael; Mitchard, Edward T A

    2016-12-01

    It is essential that the human race limits the environmental damage created by our consumption. A realistic pathway to limiting consumption would be to transition to a system where materials are conserved and cycled through the economy as many times as possible and as slowly as possible, greatly reducing the greenhouse gas intensive processes of resource extraction, resource processing and waste management. Material flow analysis (MFA) is a method used to understand how materials are consumed within a nation. In this study, we attempt a MFA for Scotland which links carbon emissions to material consumption using data directly based on the mass of materials used in the Scottish economy. It is the first time such an analysis has been conducted for an economy in its entirety. This study aims to create a detailed material flow account (MFA) for Scotland, compare the environmental impacts and possible policy implications of different future material consumption scenarios and consider two materials, steel and neodymium, in detail. The model estimated that 11.4 Mg per capita of materials are consumed per year in Scotland, emitting 10.7 Mg CO 2 e per capita in the process, of which, 6.7 Mg CO 2 e per capita falls under territorial carbon accounting. Only the circular economy scenario for 2050 allowed for increases in living standards without increases in carbon emissions and material consumption. This result was mirrored in the steel and neodymium case studies-environmental impacts can be minimised by a national strategy that first reduces use, and then locally reuses materials. Material consumption accounts for a large proportion of the carbon emissions of Scotland. Strategic dematerialisation, particular of materials such as steel, could support future efforts to reduce environmental impact and meet climate change targets. However, policy makers should consider consumption carbon accounting boundaries, as well as territorial boundaries, if carbon savings are to be

  13. Animal Health Surveillance in Scotland in 2030: Using Scenario Planning to Develop Strategies in the Context of “Brexit”

    Directory of Open Access Journals (Sweden)

    Lisa A. Boden

    2017-11-01

    Full Text Available Animal health surveillance is necessary to protect human and animal health, rural economies, and the environment from the consequences of large-scale disease outbreaks. In Scotland, since the Kinnaird review in 2011, efforts have been made to engage with stakeholders to ensure that the strategic goals of surveillance are better aligned with the needs of the end-users and other beneficiaries. The aims of this study were to engage with Scottish surveillance stakeholders and multidisciplinary experts to inform the future long-term strategy for animal health surveillance in Scotland. In this paper, we describe the use of scenario planning as an effective tool for the creation and exploration of five plausible long-term futures; we describe prioritization of critical drivers of change (i.e., international trade policy, data-sharing philosophies, and public versus private resourcing of surveillance capacity that will unpredictably influence the future implementation of animal health surveillance activities. We present 10 participant-developed strategies to support 3 long-term visions to improve future resilience of animal health surveillance and contingency planning for animal and zoonotic disease outbreaks in Scotland. In the absence of any certainty about the nature of post-Brexit trade agreements for agriculture, participants considered the best investments for long-term resilience to include data collection strategies to improve animal health benchmarking, user-benefit strategies to improve digital literacy in farming communities, and investment strategies to increase veterinary and scientific research capacity in rural areas. This is the first scenario planning study to explore stakeholder beliefs and perceptions about important environmental, technological, societal, political, and legal drivers (in addition to epidemiological “risk factors” and effective strategies to manage future uncertainties for both the Scottish livestock industry and

  14. Precipitation observations for operational flood forecasting in Scotland: Data availability, limitations and the impact of observational uncertainty

    Science.gov (United States)

    Parry, Louise; Neely, Ryan, III; Bennett, Lindsay; Collier, Chris; Dufton, David

    2017-04-01

    The Scottish Environment Protection Agency (SEPA) has a statutory responsibility to provide flood warning across Scotland. It achieves this through an operational partnership with the UK Met Office wherein meteorological forecasts are applied to a national distributed hydrological model, Grid- to- Grid (G2G), and catchment specific lumped PDM models. Both of these model types rely on observed precipitation input for model development and calibration, and operationally for historical runs to generate initial conditions. Scotland has an average annual precipitation of 1430mm per annum (1971-2000), but the spatial variability in totals is high, predominantly in relation to the topography and prevailing winds, which poses different challenges to both radar and point measurement methods of observation. In addition, the high elevations mean that in winter a significant proportion of precipitation falls as snow. For the operational forecasting models, observed rainfall data is provided in Near Real Time (NRT) from SEPA's network of approximately 260 telemetered TBR gauges and 4 UK Met Office C-band radars. Both data sources have their strengths and weaknesses, particularly in relation to the orography and spatial representativeness, but estimates of rainfall from the two methods can vary greatly. Northern Scotland, particularly near Inverness, is a comparatively sparse part of the radar network. Rainfall totals and distribution in this area are determined by the Northern Western Highlands and Cairngorms mountain ranges, which also have a negative impact on radar observations. In recognition of this issue, the NCAS mobile X-band weather radar (MXWR) was deployed in this area between February and August 2016. This study presents a comparison of rainfall estimates for the Inverness and Moray Firth region generated from the operational radar network, the TBR network, and the MXWR. Quantitative precipitation estimates (QPEs) from both sources of radar data were compared to

  15. Material flows accounting for Scotland shows the merits of a circular economy and the folly of territorial carbon reporting

    Directory of Open Access Journals (Sweden)

    Kimberley Pratt

    2016-09-01

    Full Text Available Abstract Background It is essential that the human race limits the environmental damage created by our consumption. A realistic pathway to limiting consumption would be to transition to a system where materials are conserved and cycled through the economy as many times as possible and as slowly as possible, greatly reducing the greenhouse gas intensive processes of resource extraction, resource processing and waste management. Material flow analysis (MFA is a method used to understand how materials are consumed within a nation. In this study, we attempt a MFA for Scotland which links carbon emissions to material consumption using data directly based on the mass of materials used in the Scottish economy. It is the first time such an analysis has been conducted for an economy in its entirety. Research aims This study aims to create a detailed material flow account (MFA for Scotland, compare the environmental impacts and possible policy implications of different future material consumption scenarios and consider two materials, steel and neodymium, in detail. Results The model estimated that 11.4 Mg per capita of materials are consumed per year in Scotland, emitting 10.7 Mg CO2e per capita in the process, of which, 6.7 Mg CO2e per capita falls under territorial carbon accounting. Only the circular economy scenario for 2050 allowed for increases in living standards without increases in carbon emissions and material consumption. This result was mirrored in the steel and neodymium case studies—environmental impacts can be minimised by a national strategy that first reduces use, and then locally reuses materials. Conclusions Material consumption accounts for a large proportion of the carbon emissions of Scotland. Strategic dematerialisation, particular of materials such as steel, could support future efforts to reduce environmental impact and meet climate change targets. However, policy makers should consider consumption carbon accounting

  16. Animal Health Surveillance in Scotland in 2030: Using Scenario Planning to Develop Strategies in the Context of "Brexit".

    Science.gov (United States)

    Boden, Lisa A; Auty, Harriet; Reeves, Aaron; Rydevik, Gustaf; Bessell, Paul; McKendrick, Iain J

    2017-01-01

    Animal health surveillance is necessary to protect human and animal health, rural economies, and the environment from the consequences of large-scale disease outbreaks. In Scotland, since the Kinnaird review in 2011, efforts have been made to engage with stakeholders to ensure that the strategic goals of surveillance are better aligned with the needs of the end-users and other beneficiaries. The aims of this study were to engage with Scottish surveillance stakeholders and multidisciplinary experts to inform the future long-term strategy for animal health surveillance in Scotland. In this paper, we describe the use of scenario planning as an effective tool for the creation and exploration of five plausible long-term futures; we describe prioritization of critical drivers of change (i.e., international trade policy, data-sharing philosophies, and public versus private resourcing of surveillance capacity) that will unpredictably influence the future implementation of animal health surveillance activities. We present 10 participant-developed strategies to support 3 long-term visions to improve future resilience of animal health surveillance and contingency planning for animal and zoonotic disease outbreaks in Scotland. In the absence of any certainty about the nature of post-Brexit trade agreements for agriculture, participants considered the best investments for long-term resilience to include data collection strategies to improve animal health benchmarking, user-benefit strategies to improve digital literacy in farming communities, and investment strategies to increase veterinary and scientific research capacity in rural areas. This is the first scenario planning study to explore stakeholder beliefs and perceptions about important environmental, technological, societal, political, and legal drivers (in addition to epidemiological "risk factors") and effective strategies to manage future uncertainties for both the Scottish livestock industry and animal health

  17. Animal Health Surveillance in Scotland in 2030: Using Scenario Planning to Develop Strategies in the Context of “Brexit”

    Science.gov (United States)

    Boden, Lisa A.; Auty, Harriet; Reeves, Aaron; Rydevik, Gustaf; Bessell, Paul; McKendrick, Iain J.

    2017-01-01

    Animal health surveillance is necessary to protect human and animal health, rural economies, and the environment from the consequences of large-scale disease outbreaks. In Scotland, since the Kinnaird review in 2011, efforts have been made to engage with stakeholders to ensure that the strategic goals of surveillance are better aligned with the needs of the end-users and other beneficiaries. The aims of this study were to engage with Scottish surveillance stakeholders and multidisciplinary experts to inform the future long-term strategy for animal health surveillance in Scotland. In this paper, we describe the use of scenario planning as an effective tool for the creation and exploration of five plausible long-term futures; we describe prioritization of critical drivers of change (i.e., international trade policy, data-sharing philosophies, and public versus private resourcing of surveillance capacity) that will unpredictably influence the future implementation of animal health surveillance activities. We present 10 participant-developed strategies to support 3 long-term visions to improve future resilience of animal health surveillance and contingency planning for animal and zoonotic disease outbreaks in Scotland. In the absence of any certainty about the nature of post-Brexit trade agreements for agriculture, participants considered the best investments for long-term resilience to include data collection strategies to improve animal health benchmarking, user-benefit strategies to improve digital literacy in farming communities, and investment strategies to increase veterinary and scientific research capacity in rural areas. This is the first scenario planning study to explore stakeholder beliefs and perceptions about important environmental, technological, societal, political, and legal drivers (in addition to epidemiological “risk factors”) and effective strategies to manage future uncertainties for both the Scottish livestock industry and animal health

  18. Negative stereotypes of the Scottish diet: A qualitative analysis of deep-fried Mars bar references in bestselling newspapers in Scotland, 2011-14.

    Science.gov (United States)

    Knight, Christine

    2016-08-01

    The Scottish diet is associated in the UK media and popular discourse with unhealthy deep-fried foods. In addition to the stereotype's negative effects on perceptions of Scottish food, culture and people, there is evidence that the stereotype of the Scottish diet has negative effects on food behaviour and public health in Scotland, having been shown to encourage consumption of deep-fried foods and discourage positive dietary change. The most notorious deep-fried food associated with Scotland is the deep-fried Mars bar (DFMB), arguably invented in Stonehaven (near Aberdeen), and first reported in the Scottish and UK press in 1995. This article reports findings from an analysis of newspaper references to the DFMB in the two highest selling newspapers in Scotland, the Scottish Sun and the Daily Record, between 2011 and 2014. A keyword search ("deep fried Mars bar") using the online media database Lexis Library generated 97 unique records, and the resulting dataset was analysed thematically and discursively. Analysis showed that both newspapers clearly associated the DFMB with Scotland. Further, both newspapers portrayed the DFMB and the broader "deep-fried" Scottish diet stereotype ambivalently (mixed positive and negative associations). However, the Daily Record actively criticised the DFMB stereotype much more often than did the Scottish Sun. These findings suggest that the Scottish population encounters different messages in the press about food and nutrition from people elsewhere in the UK, and that these messages vary depending on choice of media in Scotland. Given the known negative effects of the stereotype, differences in Scottish media discourse should be considered a potential factor in persistent health inequalities affecting Scotland. Educational efforts, and opening discussion with journalists and amongst the Scottish public, may be helpful. Copyright © 2016 The Author. Published by Elsevier Ltd.. All rights reserved.

  19. History and Surface Condition of the Lewis Chessmen in the Collection of the National Museums Scotland (Hebrides, late 12th-early 13th centuries)

    OpenAIRE

    Tate, Jim; Reiche, I.; Pinzari, F.; Clark, J.; Caldwell, D.

    2013-01-01

    This paper summarises on-going work to examine the surface condition of the 11 chess pieces in the collection of the National Museums Scotland. The chess pieces are part of the hoard found on the isle of Lewis on the west coast of Scotland and are remarkable examples of medieval ivory carving. The aim of the work is to characterise surface features that can be used to draw new information about the materials from which the pieces were made, their history from the period of their manufacture u...

  20. Assessing the consequences of an incursion of a vector-borne disease. II. Spread of bluetongue in Scotland and impact of vaccination

    Directory of Open Access Journals (Sweden)

    Camille Szmaragd

    2010-09-01

    Full Text Available Bluetongue is a viral disease of ruminants transmitted by Culicoides biting midges, which has spread across Europe over the past decade. The disease arrived in south-east England in 2007, raising the possibility that it could pose a risk to the valuable Scottish livestock industry. As part of an assessment of the economic consequences of a bluetongue virus incursion into Scotland commissioned by Scottish Government, we investigated a defined set of feasible incursion scenarios under different vaccination strategies. Our epidemiological simulations, based on expert knowledge, highlighted that infection will rarely spread in Scotland after the initial incursion and will be efficiently controlled by vaccination. Keywords: Epidemiology, modelling, disease control

  1. Maternal socioeconomic status and infant mortality with low birth weight as a mediator: an inter-country comparison between Scotland and Denmark using administrative data

    Directory of Open Access Journals (Sweden)

    Yongfu Yu

    2017-04-01

    Our result suggests that SES has similar effects on infant mortality in Denmark and Scotland but more of the effect of SES on infant mortality is mediated through low birth weight in Denmark. Public health preventive strategies for infant mortality in both countries need to address prenatal risk factors for low birth weight. The substantial direct effects of SES on infant mortality seen in Scotland, which were not mediated through low birth weight, may be explained by other birth characteristics or could reflect persisting SES disparities in the care of infants after birth.

  2. Seasonality, water quality trends and biological responses in four streams in the Cairngorm Mountains, Scotland

    Directory of Open Access Journals (Sweden)

    C. Soulsby

    2001-01-01

    Full Text Available The chemical composition and invertebrate communities found in four streams in the Cairngorms, Scotland, were monitored between 1985-1997. Stream waters were mildly acidic (mean pH ca. 6.5, with low alkalinity (mean acid neutralising capacity varying from 35-117 meq l-1 and low ionic strength. Subtle differences in the chemistry of each stream were reflected in their invertebrate faunas. Strong seasonality in water chemistry occurred, with the most acid, low alkalinity waters observed during the winter and early spring. This was particularly marked during snowmelt between January and April. In contrast, summer flows were usually groundwater dominated and characterised by higher alkalinity and higher concentrations of most other weathering-derived solutes. Seasonality was also clear in the invertebrate data, with Canonical Correspondence Analysis (CCA separating seasonal samples along axes related to water temperature and discharge characteristics. Inter-annual hydrological and chemical differences were marked, particularly with respect to the winter period. Invertebrate communities found in each of the streams also varied from year to year, with spring communities significantly more variable (PHydrochemical trends over the study period were analysed using a seasonal Kendall test, LOcally WEighted Scatterplot Smoothing (LOWESS and graphical techniques. These indicated that a reduction in sulphate concentrations in stream water is occurring, consistent with declining levels of atmospheric deposition. This may be matched by increases in pH and declining calcium concentrations, though available evidence is inconclusive. Other parameters, such as chloride, total organic carbon and zinc, reveal somewhat random patterns, probably reflecting irregular variations in climatic factors and/or atmospheric deposition. Previous studies have shown that the stream invertebrate communities have remained stable over this period (i.e. no significant linear trends

  3. Recovery from acidification of lochs in Galloway, south-west Scotland, UK: 1979-1998

    Directory of Open Access Journals (Sweden)

    R. C. Ferrier

    2001-01-01

    Full Text Available The Galloway region of south-west Scotland has historically been subject to long-term deposition of acidic precipitation which has resulted in acidification of soils and surface waters and subsequent damage to aquatic ecology. Since the end of the 1970s, however, acidic deposition has decreased substantially. The general pattern is for a rapid decline in non-marine sulphate in rainwater over the period 1978-1988 followed by stable concentrations to the mid-1990s. Concentrations of nitrate and ammonium in deposition have remained constant between 1980 and 1998. Seven water quality surveys of 48 lochs in the Galloway region have been conducted between 1979 and 1998. During the first 10 years, from 1979, there was a major decline in regional sulphate concentrations in the lochs, which was expected to have produced a decline in base cations and an increase in the acid neutralising capacity. But sea-salt levels (as indicated by chloride concentrations were approximately 25% higher in 1988 than in 1979 and thus short-term acidification due to sea-salts offset much of the long-term recovery trend expected in the lochs. During the next 10 years, however, the chloride concentrations returned to 1979 levels and the lochs showed large increases in acid neutralising capacity despite little change in sulphate concentrations. From the observed decline in sulphate deposition and concentrations of sulphate in the lochs, it appears that approximately 75% of the possible improvement in acid neutralising capacity has already occurred over the 20-year period (1979-1998. The role of acid deposition as a driving factor for change in water chemistry in the Galloway lochs is confounded by concurrent changes in other driving variables, most notably, factors related to episodic and year-to-year variations in climate. In addition to inputs of sea-salts, climate probably also influences other chemical signals such as peaks in regional nitrate concentrations and the sharp

  4. Occupant Interactions and Effectiveness of Natural Ventilation Strategies in Contemporary New Housing in Scotland, UK

    Directory of Open Access Journals (Sweden)

    Tim Sharpe

    2015-07-01

    Full Text Available The need to reduce carbon emissions and fuel poverty has led to increased building envelope air tightness, intended to reduce uncontrolled ventilation heat losses. Ventilation strategies in dwellings still allow the use of trickle ventilators in window frames for background ventilation. The extent to which this results in “healthy” Indoor Air Quality (IAQ in recently constructed dwellings was a concern of regulators in Scotland. This paper describes research to explore this. First a review of literature was conducted, then data on occupant interactions with ventilation provisions (windows, doors, trickle vents gathered through an interview-based survey of 200 recently constructed dwellings, and measurements made on a sample of 40 of these. The main measured parameter discussed here is CO2 concentration. It was concluded after the literature review that 1000 ppm absolute was a reasonable threshold to use for “adequate” ventilation. The occupant survey found that there was very little occupant interaction with the trickle ventilators e.g., in bedrooms 63% were always closed, 28% always open, and in only 9% of cases occupants intervened to make occasional adjustments. In the measured dwellings average bedroom CO2 levels of 1520 ppm during occupied (night time hours were observed. Where windows were open the average bedroom CO2 levels were 972 ppm. With windows closed, the combination of “trickle ventilators open plus doors open” gave an average of 1021 ppm. “Trickle ventilators open” gave an average of 1571 ppm. All other combinations gave averages of 1550 to 2000 ppm. Ventilation rates and air change rates were estimated from measured CO2 levels, for all dwellings calculated ventilation rate was less than 8 L/s/p, in 42% of cases calculated air change rate was less than 0.5 ach. It was concluded that trickle ventilation as installed and used is ineffective in meeting desired ventilation rates, evidenced by high CO2 levels reported

  5. Associations between health and different types of environmental incivility: a Scotland-wide study.

    Science.gov (United States)

    Ellaway, A; Morris, G; Curtice, J; Robertson, C; Allardice, G; Robertson, R

    2009-11-01

    Concern about the impact of the environment on health and well-being has tended to focus on the physical effects of exposure to toxic and infectious substances, and on the impact of large-scale infrastructures. Less attention has been paid to the possible psychosocial consequences of people's subjective perceptions of their everyday, street-level environment, such as the incidence of litter and graffiti. As little is known about the potential relative importance for health of perceptions of different types of environmental incivility, a module was developed for inclusion in the 2004 Scottish Social Attitudes survey in order to investigate this relationship. A random sample of 1637 adults living across a range of neighbourhoods throughout Scotland was interviewed. Respondents were asked to rate their local area on a range of possible environmental incivilities. These incivilities were subsequently grouped into three domains: (i) street-level incivilities (e.g. litter, graffiti); (ii) large-scale infrastructural incivilities (e.g. telephone masts); and (iii) the absence of environmental goods (e.g. safe play areas for children). For each of the three domains, the authors examined the degree to which they were thought to pose a problem locally, and how far these perceptions varied between those living in deprived areas and those living in less-deprived areas. Subsequently, the relationships between these perceptions and self-assessed health and health behaviours were explored, after controlling for gender, age and social class. Respondents with the highest levels of perceived street-level incivilities were almost twice as likely as those who perceived the lowest levels of street-level incivilities to report frequent feelings of anxiety and depression. Perceived absence of environmental goods was associated with increased anxiety (2.5 times more likely) and depression (90% more likely), and a 50% increased likelihood of being a smoker. Few associations with health were

  6. CCS acceptability: social site characterization and advancing awareness at prospective storage sites in Poland and Scotland

    International Nuclear Information System (INIS)

    Brunsting, Suzanne; Mastop, Jessanne; Kaiser, Marta; Zimmer, Rene; Shackley, Simon; Mabon, Leslie; Howell, Rhys

    2015-01-01

    This paper summarizes the work on the social dimension conducted within the EU FP7 SiteChar project. The most important aim of the research was to advance public awareness and draw lessons for successful public engagement activities when developing a CO 2 storage permit application. To this end, social site characterization (e.g. representative surveys) and public participation activities (focus conference) were conducted at two prospective Carbon Capture and Storage (CCS) sites: an onshore site in Poland and an offshore site in Scotland. The research consisted of four steps over a time period of 1.5 year, from early 2011 to mid-2012. The first step consisted of four related qualitative and quantitative research activities to provide a social characterization of the areas: desk research, stakeholder interviews, media analyses, and a survey among representative samples of the local community. The aim was to identify: - stakeholders or interested parties; - factors that may drive their perceptions of and attitudes towards CCS. Results were used to as input for the second step, in which a new format for public engagement named 'focus conferences' was tested at both sites involving a small sample of the local community. The third step consisted of making available generic as well as site-specific information to the general and local public, by: - setting up a bilingual set of information pages on the project web site suitable for a lay audience; - organizing information meetings at both sites that were open to all who took interest. The fourth step consisted of a second survey among a new representative sample of the local community. The survey was largely identical to the survey in step 1 to enable the monitoring of changes in awareness, knowledge and opinions over time. Results provide insight in the way local CCS plans may be perceived by the local stakeholders, how this can be reliably assessed at early stage without raising unnecessary concerns, and how

  7. The seabed geomorphology and geological structure of the Firth of Lorn, western Scotland, UK

    Science.gov (United States)

    Howe, John; Arosio, Riccardo; Dove, Dayton; Anderton, Roger; Bradwell, Tom

    2014-05-01

    We present recently collected swath bathymetry from the Firth of Lorn. 553km2 of data were collected during 2012-2013 as part of the INIS Hydro project (Ireland, Northern Ireland and Scotland Hydrographic Survey). The inshore waters covered by this survey represent a priority area for the renewable industry, shipping and tourism and encompass a number of Special Areas of Conservation (SAC) including for rocky reef habitat. Surprisingly, given this interest, this project is the first comprehensive bathymetric survey of the area. This region of near shore continental shelf is revealed as a predominantly bedrock-dominated seabed, characterised by a series of narrow, stratigraphically constrained basins eroded into the Proterozoic and Palaeozoic-age bedrock. The principal basement of the region is composed of deformed Dalradian-age metasediments overlain unconformably by ?Silurian-age Old Red Sandstones and lavas. The resistant, uneroded igneous extrusives have formed raised rock platforms. Most strikingly the central region of the Firth of Lorn is dominated by an up to 150m high vertical cliff extending for approximately 20km. The origin of this prominent feature, here termed the Insh Fault, is not well understood however it may have resulted from a combination of Dalradian-age faulting and erosion of exposed softer metasediments in the central basin. Extensive seabed faulting also occurs; possibly as Dalradian-age syn-sedimentary faults. Carboniferous and Tertiary-age minor intrusives are common throughout the region in particular the Tertiary-age dolerite dyke swarms can be traced for many kilometres, exposed on the sediment-free bedrock surfaces. The survey region includes the Corryvreckan Whirlpool and Great Race, beneath the tidal flows of which there are active submarine sand dunes. Evidence for past glaciation is widespread and well preserved in the Firth of Lorn with preserved moraines and over-deepened basins common across the area. Initial geological and

  8. Mortality related to novel psychoactive substances in Scotland, 2012: an exploratory study.

    Science.gov (United States)

    McAuley, Andrew; Hecht, Garry; Barnsdale, Lee; Thomson, Catherine S; Graham, Lesley; Priyadarshi, Saket; Robertson, J Roy

    2015-05-01

    The growth of novel psychoactive substances (NPS) over the last decade, both in terms of availability and consumption, is of increasing public health concern. Despite recent increases in related mortality, the circumstances surrounding and characteristics of individuals involved in NPS deaths at a population level remain relatively unknown. The Scottish National Drug Related Death Database (NDRDD) collects a wide-range of data relating to the nature and circumstances of individuals who have died a drug-related death (DRD). We conducted exploratory descriptive analysis of DRDs involving NPS recorded by the NDRDD in 2012. Statistical testing of differences between sub-groups was also conducted where appropriate. In 2012, we found 36 DRDs in Scotland to have NPS recorded within post-mortem toxicology. However, in only 23 of these cases were NPS deemed by the reporting pathologist to be implicated in the actual cause of death. The majority of NPS-implicated DRDs involved Benzodiazepine-type drugs (13), mainly Phenazepam (12). The remaining 10 NPS-implicated deaths featured a range of different Stimulant-type drugs. The majority of these NPS-implicated deaths involved males and consumption of more than one drug was recorded by toxicology in all except one case. NPS-implicated deaths involving Benzodiazepine-type NPS drugs appeared to involve older individuals known to be using drugs for a considerable period of time, many of whom had been in prison at some point in their lives. They also typically involved combinations of opioids and benzodiazepines; no stimulant drugs were co-implicated. Deaths where stimulant-type NPS drugs were implicated appeared to be a younger group in comparison, all consuming two or more Stimulant-type drugs in combination. This exploratory study provides an important insight into the circumstances surrounding and characteristics of individuals involved in NPS deaths at a population level. It identifies important issues for policy and practice

  9. Improving patient access to prevent sight loss: ophthalmic electronic referrals and communication (Scotland).

    Science.gov (United States)

    Khan, A A; Mustafa, M Z; Sanders, R

    2015-02-01

    With the number of people with sight loss predicted to double to four million people in the UK by the year 2050, preventable visual loss is a significant public health issue. Sight loss is associated with an increased risk of falls, accidents and depression and evidence suggests that 50% of sight loss can be avoided. Timely diagnosis is central to the prevention of sight loss. Access to care can be a limiting factor in preventable cases. By improving referrals and access to hospital eye services it is possible to treat and minimise the number of patients with preventable sight loss and the impact this has on wider society. In 2005, NHS Fife took part in a flagship pilot funded by the Scottish government e-health department to evaluate the feasibility, safety, clinical effectiveness, and cost of electronic referral with images of patients directly from community optometrists to Hospital Eye Service (HES). The pilot study showed that electronic referral was feasible, fast, safe, and obviated the need for outpatient appointments in 128 (37%) patients with a high patient satisfaction. The results of the pilot study were presented and in May 2007, the electronic referral system was rolled out regionally in southeast Scotland. Referrals were accepted at a single site with vetting by a trained team and appointments were allocated within 48 hours. Following the implementation of electronic referral, waiting times were reduced from a median of 14 to 4 weeks. Significantly fewer new patients were seen (7462 vs 8714 [p electronic communication between community optometry practices and hospital eye departments. Five electronic forms were specifically designed for cataract, glaucoma, macula, paediatric and general ophthalmic disease. A Virtual Private Network was created which enabled optometrists to connect to the Scottish clinical information gateway system and send referrals to hospital and receive referral status feedback. Numerous hurdles have been encountered and overcome

  10. Reproductive outcomes following induced abortion: a national register-based cohort study in Scotland.

    Science.gov (United States)

    Bhattacharya, Siladitya; Lowit, Alison; Bhattacharya, Sohinee; Raja, Edwin Amalraj; Lee, Amanda Jane; Mahmood, Tahir; Templeton, Allan

    2012-01-01

    To investigate reproductive outcomes in women following induced abortion (IA). Retrospective cohort study. Hospital admissions between 1981 and 2007 in Scotland. Data were extracted on all women who had an IA, a miscarriage or a live birth from the Scottish Morbidity Records. A total of 120 033, 457 477 and 47 355 women with a documented second pregnancy following an IA, live birth and miscarriage, respectively, were identified. Obstetric and perinatal outcomes, especially preterm delivery in a second ongoing pregnancy following an IA, were compared with those in primigravidae, as well as those who had a miscarriage or live birth in their first pregnancy. Outcomes after surgical and medical termination as well as after one or more consecutive IAs were compared. IA in a first pregnancy increased the risk of spontaneous preterm birth compared with that in primigravidae (adjusted RR (adj. RR) 1.37, 95% CI 1.32 to 1.42) or women with an initial live birth (adj. RR 1.66, 95% CI 1.58 to 1.74) but not in comparison with women with a previous miscarriage (adj. RR 0.85, 95% CI 0.79 to 0.91). Surgical abortion increased the risk of spontaneous preterm birth compared with medical abortion (adj. RR 1.25, 95% CI 1.07 to 1.45). The adjusted RRs (95% CI) for spontaneous preterm delivery following two, three and four consecutive IAs were 0.94 (0.81 to 1.10), 1.06 (0.76 to 1.47) and 0.92 (0.53 to 1.61), respectively. The risk of preterm birth after IA is lower than that after miscarriage but higher than that in a first pregnancy or after a previous live birth. This risk is not increased further in women who undergo two or more consecutive IAs. Surgical abortion appears to be associated with an increased risk of spontaneous preterm birth in comparison with medical termination of pregnancy. Medical termination was not associated with an increased risk of preterm delivery compared to primigravidae.

  11. Luminescence of Strontianite (SrCO3) from Strontian (Scotland, UK)

    International Nuclear Information System (INIS)

    Garcia-Guinea, J.; Crespo-Feo, E.; Correcher, V.; Cremades, A.; Rubio, J.; Tormo, L.; Townsend, P.D.

    2009-01-01

    An historic Strontianite-type specimen from Strontian, Scotland, UK, was characterized to broaden our knowledge on luminescence properties of common carbonates. These fibrous aggregates are Strontianite (Sr x Ca 1-x CO 3 ) with circa 6% of CaO, interfacial water, hydrosilicate anions and substitutional divalent cations, e.g., Ca 2+ , Mn 2+ , Fe 2+ in structural Sr 2+ positions. The specimen was analyzed by X-ray Fluorescence Spectrometry (XRF), Environmental Scanning Electron Microscopy coupled with an Energy Dispersive X-ray Spectroscopy (ESEM-EDS) probe, Spatially-resolved Cathodoluminescence under the Scanning Electron Microscope (SEM-CL), Differential-Thermal Analyses (DTA), Thermogravimetry (TG), Thermoluminescence (TL), Radioluminescence (RL) and High Resolution Spectra Thermoluminescence (3DTL), to gain an overview of the spectral emissions, the defect linkages were modified by heating from room temperature (RT) up to 500 deg. C. Substitutional transition elements are probably responsible for the spectral emission bands from 500 nm to 800 nm and hydrous molecules from 300 nm to 400 nm. DTA-TG analyses performed on little chips, to preserve the fiber interfaces coherence, exhibit minor endothermic peaks attributed to outflow of water groups in fiber interfaces. Both, CL and RL curves show common spectral positions but UV-blue and red emission intensities are counterbalanced since electron irradiation reduces the UV-blue emissions while X-irradiation increases them. The TL curves show a top thermal limit at ∼300 deg. C for the 300-400 nm TL emissions which become irreversibly destroyed, whereas the longer wavelength region emits at higher temperature. The non-reversible changes observed in the 320 nm and 360 nm bands during the spectra 3DTL emission could be linked with non-bridging oxygen defects, protons and hydroxyl groups and the red emissions to the 4 G ( 4 T 1g )- 6 S Mn 2+ ion transition. Following assignations and similar spectral CL patterns of

  12. The Healthcare Improvement Scotland evidence note rapid review process: providing timely, reliable evidence to inform imperative decisions on healthcare.

    Science.gov (United States)

    McIntosh, Heather M; Calvert, Julie; Macpherson, Karen J; Thompson, Lorna

    2016-06-01

    Rapid review has become widely adopted by health technology assessment agencies in response to demand for evidence-based information to support imperative decisions. Concern about the credibility of rapid reviews and the reliability of their findings has prompted a call for wider publication of their methods. In publishing this overview of the accredited rapid review process developed by Healthcare Improvement Scotland, we aim to raise awareness of our methods and advance the discourse on best practice. Healthcare Improvement Scotland produces rapid reviews called evidence notes using a process that has achieved external accreditation through the National Institute for Health and Care Excellence. Key components include a structured approach to topic selection, initial scoping, considered stakeholder involvement, streamlined systematic review, internal quality assurance, external peer review and updating. The process was introduced in 2010 and continues to be refined over time in response to user feedback and operational experience. Decision-makers value the responsiveness of the process and perceive it as being a credible source of unbiased evidence-based information supporting advice for NHSScotland. Many agencies undertaking rapid reviews are striving to balance efficiency with methodological rigour. We agree that there is a need for methodological guidance and that it should be informed by better understanding of current approaches and the consequences of different approaches to streamlining systematic review methods. Greater transparency in the reporting of rapid review methods is essential to enable that to happen.

  13. Time and a Place: A luni-solar 'time-reckoner' from 8th millennium BC Scotland

    Directory of Open Access Journals (Sweden)

    Vincent Gaffney

    2013-07-01

    Full Text Available The capacity to conceptualise and measure time is amongst the most important achievements of human societies, and the issue of when time was 'created' by humankind is critical in understanding how society has developed. A pit alignment, recently excavated in Aberdeenshire (Scotland, provides an intriguing contribution to this debate. This structure, dated to the 8th millennium BC, has been re-analysed and appears to possess basic calendrical functions. The site may therefore provide the earliest evidence currently available for 'time reckoning' as the pit group appears to mimic the phases of the Moon and is structured to track lunar months. It also aligns on the south east horizon and a prominent topographic point associated with sunrise on the midwinter solstice. In doing so the monument anticipates problems associated with simple lunar calendars by providing an annual astronomic correction in order to maintain the link between the passage of time indicated by the Moon, the asynchronous solar year, and the associated seasons. The evidence suggests that hunter-gatherer societies in Scotland had both the need and ability to track time across the year, and also perhaps within the month, and that this occurred at a period nearly five thousand years before the first formal calendars were created in Mesopotamia.

  14. Cost‐effectiveness of implementing automated grading within the national screening programme for diabetic retinopathy in Scotland

    Science.gov (United States)

    Scotland, G S; McNamee, P; Philip, S; Fleming, A D; Goatman, K A; Prescott, G J; Fonseca, S; Sharp, P F; Olson, J A

    2007-01-01

    Aims National screening programmes for diabetic retinopathy using digital photography and multi‐level manual grading systems are currently being implemented in the UK. Here, we assess the cost‐effectiveness of replacing first level manual grading in the National Screening Programme in Scotland with an automated system developed to assess image quality and detect the presence of any retinopathy. Methods A decision tree model was developed and populated using sensitivity/specificity and cost data based on a study of 6722 patients in the Grampian region. Costs to the NHS, and the number of appropriate screening outcomes and true referable cases detected in 1 year were assessed. Results For the diabetic population of Scotland (approximately 160 000), with prevalence of referable retinopathy at 4% (6400 true cases), the automated strategy would be expected to identify 5560 cases (86.9%) and the manual strategy 5610 cases (87.7%). However, the automated system led to savings in grading and quality assurance costs to the NHS of £201 600 per year. The additional cost per additional referable case detected (manual vs automated) totalled £4088 and the additional cost per additional appropriate screening outcome (manual vs automated) was £1990. Conclusions Given that automated grading is less costly and of similar effectiveness, it is likely to be considered a cost‐effective alternative to manual grading. PMID:17585001

  15. Cost-effectiveness of implementing automated grading within the national screening programme for diabetic retinopathy in Scotland.

    Science.gov (United States)

    Scotland, G S; McNamee, P; Philip, S; Fleming, A D; Goatman, K A; Prescott, G J; Fonseca, S; Sharp, P F; Olson, J A

    2007-11-01

    National screening programmes for diabetic retinopathy using digital photography and multi-level manual grading systems are currently being implemented in the UK. Here, we assess the cost-effectiveness of replacing first level manual grading in the National Screening Programme in Scotland with an automated system developed to assess image quality and detect the presence of any retinopathy. A decision tree model was developed and populated using sensitivity/specificity and cost data based on a study of 6722 patients in the Grampian region. Costs to the NHS, and the number of appropriate screening outcomes and true referable cases detected in 1 year were assessed. For the diabetic population of Scotland (approximately 160,000), with prevalence of referable retinopathy at 4% (6400 true cases), the automated strategy would be expected to identify 5560 cases (86.9%) and the manual strategy 5610 cases (87.7%). However, the automated system led to savings in grading and quality assurance costs to the NHS of 201,600 pounds per year. The additional cost per additional referable case detected (manual vs automated) totalled 4088 pounds and the additional cost per additional appropriate screening outcome (manual vs automated) was 1990 pounds. Given that automated grading is less costly and of similar effectiveness, it is likely to be considered a cost-effective alternative to manual grading.

  16. Results of national lake surveys 1995 in Finland, Norway, Sweden, Denmark, Russian Kola, Russian Karelia, Scotland and Wales

    Energy Technology Data Exchange (ETDEWEB)

    Henriksen, Arne; Skjelkvaale, Brit Lisa [Norsk Inst. for Vannforskning, Oslo (Norway); Mannio, Jaakko [FEI, (Finland)] [and others

    1997-12-31

    Beginning in 1995, national lake surveys were conducted in the above North European countries. This report provides the first united evaluation of lake water chemistry in Northern Europe. It was found that, except for Denmark, the water was characterized by low ionic strength and had low content of nitrogen and phosphorus. In Finland, Norway, Sweden, Russian Kola and Karelia more than 50% of the lakes had low critical load (CL) values for sulphur acidity (S), while Scotland, Wales and Denmark had very few lakes with low CL for S. The highest percentage (27%) of lakes with exceedence of CL for S was found in Norway, while the values for Russian Kola, Sweden and Finland were 17%, 9% and 9%, respectively. In Scotland and Wales, critical loads for sulphur acidity were exceeded in 1% of the total lake population. For Denmark and Russian Karelia, too few lakes were sampled to give reliable estimates. This adds up to approximately 22000 lakes in Northern Europe where CL for S was exceeded. However, this number of lakes is a minimum as exceedence of CL for N was not included in the calculation due to lack of catchment data. 26 refs., 21 figs., 13 tabs.

  17. Building Resilience into Sitka Spruce (Picea sitchensis (Bong. Carr. Forests in Scotland in Response to the Threat of Climate Change

    Directory of Open Access Journals (Sweden)

    Andrew D. Cameron

    2015-02-01

    Full Text Available It is expected that a warming climate will have an impact on the future productivity of European spruce forests. In Scotland, Sitka spruce (Picea sitchensis (Bong. Carr. dominates the commercial forestry sector and there is growing pressure to develop alternative management strategies to limit potential economic losses through climate change. This review considers management options to increase the resilience of Sitka spruce dominated forests in Scotland. Given the considerable uncertainty over the potential long-term impacts of climate change, it is recommended that Sitka spruce should continue to be planted where it already grows well. However, new planting and restocking should be established in mixtures where silviculturally practicable, even if no-thin regimes are adopted, to spread future risks of damage. Three potentially compatible species with Sitka spruce are western hemlock (Tsuga heterophylla (Raf. Sarg., grand fir (Abies grandis (Lamb. Lindl. and Douglas fir (Pseudotsuga menziesii (Mirb. Franco and all form natural mixtures in its native range in North America. The predicted windier climate will require a range of management inputs, such as early cutting of extraction racks and early selective thinning, to improve stability. The potential to improve resilience to particularly abiotic damage through transforming even-aged stands into irregular structures and limiting the overall size of the growing stock is discussed.

  18. Faith communities and their assets for health promotion: the views from health professionals and faith leaders in Dundee, in Scotland.

    Science.gov (United States)

    Fagan, Donna M; Kiger, Alice; van Teijlingen, Edwin

    2012-06-01

    Within the European Union, as well as in Canada and the United States (US), health promoters employ a number of strategies to encourage community-based health improvements. This involves the creation of innovative health promotion partnerships to support and enable people to choose and engage in healthy living practices. Compared to the US, in other Western countries, such as the United Kingdom, faith communities have largely been ignored in health promotion partnerships. This study established existing evidence about health promotion in faith communities in Scotland by examining the perceptions and attitudes concerning health promotion among faith leaders and health promotion professionals. We conducted 33 semi-structured interviews with health promotion professionals (n = 9) and representatives of Christian and non-Christian faith communities (n = 24). The majority of participants expressed an interest in the concept of health promotion in a faith community and could readily envision its application in their area of work. Both groups identified multiple physical assets, as well as social supports within faith communities that could be directed towards healthy living activities. Faith groups and church organisations may constitute potential partners and new settings to increase community capacity for health promotion. Further research and funding for demonstration projects may be particularly helpful to provide evidence of the strengths and limitations of faith-based health promotion in Scotland, which in turn could inform health promotion practice and policy.

  19. Geographic and socioeconomic variations in adolescent toothbrushing: a multilevel cross-sectional study of 15 year olds in Scotland.

    Science.gov (United States)

    Levin, K A; Nicholls, N; Macdonald, S; Dundas, R; Douglas, G V A

    2015-03-01

    This study examined urban-rural and socioeconomic differences in adolescent toothbrushing. The data were modelled using logistic multilevel modelling and the Markov Chain Monte Carlo method of estimation. Twice-a-day toothbrushing was regressed upon age, family affluence, family structure, school type, area-level deprivation and rurality, for boys and girls separately. Boys' toothbrushing was associated with area-level deprivation but not rurality. Variance at the school level remained significant in the final model for boys' toothbrushing. The association between toothbrushing and area-level deprivation was particularly strong for girls, after adjustment for individuals' family affluence and type of school attended. Rurality too was independently significant with lower odds of brushing teeth in accessible rural areas. The findings are at odds with the results of a previous study which showed lower caries prevalence among children living in rural Scotland. A further study concluded that adolescents have a better diet in rural Scotland. In total, these studies highlight the need for an examination into the relative importance of diet and oral health on caries, as increases are observed in population obesity and consumption of sugars. © The Author 2014. Published by Oxford University Press on behalf of Faculty of Public Health. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  20. Self-Evaluation and Internal Review: An Aspect Report on Provision in Scotland's Colleges by HM Inspectors on Behalf of the Scottish Funding Council

    Science.gov (United States)

    Education Scotland, 2011

    2011-01-01

    This report examines the contribution of self-evaluation to internal review processes in Scotland's colleges. It identifies the range of methodologies used by colleges, what makes these effective and what needs to improve further. It explores in particular, the extent to which self-evaluation has a positive impact on learners' experiences. The…

  1. Equality and Diversity. An Aspect Report on Provision in Scotland's Colleges by HM Inspectors on Behalf of the Scottish Funding Council

    Science.gov (United States)

    Her Majesty's Inspectorate of Education, 2010

    2010-01-01

    This report evaluates the extent to which Scotland's colleges have developed and embedded a culture of promoting equality and diversity effectively for all learners and staff. It considers how effectively colleges have mainstreamed equality and diversity in all aspects of their operations. The fieldwork for this report has been informed by…

  2. A Subject-Based Aspect Report on Provision in Scotland's Colleges by HM Inspectors on Behalf of the Scottish Funding Council: Hospitality and Tourism

    Science.gov (United States)

    Her Majesty's Inspectorate of Education, 2010

    2010-01-01

    The HM Inspectorate of Education publication, "External quality arrangements for Scotland's colleges, September 2008," specifies that HMIE will produce a number of subject aspect reports over the four years 2008-12. These reports complement in a subject specific context the generic evaluations of learning and teaching in HMIE's reports…

  3. Data linkage of Psychiatric and Maternity data to investigate the pregnancy outcomes of women with Non-affective Psychosis in Scotland

    Directory of Open Access Journals (Sweden)

    Paula Mcskimming

    2017-04-01

    This work highlights that there remain hurdles to linking data across sites, despite availability of rich datasets within Scotland. Women with non-affective psychosis within NHSGG&C region had a lower fertility rate on average than the general population and some poorer outcomes, such as birthweight and rate of admission to neonatal units.

  4. The Relationship between Waiting Times and "Adherence" to the Scottish Intercollegiate Guidelines Network 98 Guideline in Autism Spectrum Disorder Diagnostic Services in Scotland

    Science.gov (United States)

    McKenzie, Karen; Forsyth, Kirsty; O'Hare, Anne; McClure, Iain; Rutherford, Marion; Murray, Aja; Irvine, Linda

    2016-01-01

    The aim of this study was to explore the extent to which the Scottish Intercollegiate Guidelines Network 98 guidelines on the assessment and diagnosis of autism spectrum disorder were adhered to in child autism spectrum disorder diagnostic services in Scotland and whether there was a significant relationship between routine practice which more…

  5. Evidence, Policy and Guidance for Practice: A Critical Reflection on the Case of Social Housing Landlords and Antisocial Behaviour in Scotland

    Science.gov (United States)

    Anderson, Isobel

    2011-01-01

    This paper examines the role of guidance for practitioners in the evidence-policy-practice relationship through a critical reflection of the process of developing evidence-informed guidance for housing practitioners working in the area of antisocial behaviour in Scotland. The paper applies theoretical models for the use of evidence in policy and…

  6. An Examination of the Association between Seeing Smoking in Films and Tobacco Use in Young Adults in the West of Scotland: Cross-Sectional Study

    Science.gov (United States)

    Hunt, Kate; Sweeting, Helen; Sargent, James; Lewars, Heather; Cin, Sonya Dal; Worth, Keilah

    2009-01-01

    The objective is to examine the association between the amount of smoking seen in films and current smoking in young adults living in the west of Scotland in the UK. Cross-sectional analyses (using multivariable logistic regression) of data collected at age 19 (2002-04) from a longitudinal cohort originally surveyed at age 11 (1994-95) were…

  7. Open For Business? An Historical, Comparative Study of Public Access to Information about Two Controversial Coastal Developments in North-East Scotland

    Science.gov (United States)

    Baxter, Graeme

    2014-01-01

    Introduction: This paper compares public access to information about two controversial coastal developments in North-east Scotland: the construction of a gas terminal by the British Gas Council and Total in the 1970s, and the current development of "the world's greatest golf course" by the tycoon Donald Trump. Method: Data has been…

  8. "And afterwards your body to be given for public dissection": a history of the murderers dissected in Glasgow and the west of Scotland.

    Science.gov (United States)

    Kennedy, S S; McLeod, K J; McDonald, S W

    2001-02-01

    Between 1752 and 1832, the bodies of hanged murderers were dissected or gibbeted. During this period, 38 murderers were executed in the West of Scotland. The bodies of at least 23 were dissected in Glasgow. The stories of these murders are recounted. Insight is also given into the attitudes of the public and the anatomists to dissection of executed murderers.

  9. A Novel Method of Notification to Profile Childhood Visual Impairment in Scotland to Meet the Needs of Children with Visual Impairment

    Science.gov (United States)

    Ravenscroft, John; Blaikie, Andrew; Macewen, Caroline; O'Hare, Anne; Creswell, Lyn; Dutton, Gordon N.

    2008-01-01

    The purpose of this study is to pilot a new notification system for children with visual impairment (VI) and describe the initial summary findings. A system of notification of children in Scotland with VI was established. Information concerning this system was distributed to professionals working with visually impaired children to forward to…

  10. Two high resolution terrestrial records of atmospheric Pb deposition from New Brunswick, Canada, and Loch Laxford, Scotland

    International Nuclear Information System (INIS)

    Kylander, Malin E.; Weiss, Domink J.; Kober, Bernd

    2009-01-01

    Environmental archives like peat deposits allow for the reconstruction of both naturally and anthropogenically forced changes in the biogeochemical cycle of Pb as well as the quantification of past and present atmospheric Pb pollution. However, records of atmospheric Pb deposition from pre-industrial times are lacking. In a publication by Weiss et al. [Weiss, D., Shotyk, W., Boyle, E.A., Kramers, J.D., Appleby, P.G., Cheburkin, A.K., Comparative study of the temporal evolution of atmospheric lead deposition in Scotland and eastern Canada using blanket peat bogs. Sci Total Environ 2002;292:7-18]. Pb isotopes data measured by Q-ICP-MS and TIMS, concentration and enrichment data was presented for sites in eastern Canada (PeW1) and northwestern Scotland (LL7c), dating to 1586 A.D and 715 A.D., respectively. Here these same cores are re-analysed for Pb isotopes by MC-ICP-MS thereby acquiring 204 Pb data and improving on the original data in terms of resolution and temporal coverage. Significant differences were found between the Q-ICP-MS/TIMS and MC-ICP-MS measurements, particularly at PeW1. These discrepancies are attributed to the problematic presence of organic matter during sample preparation and analysis complicated by the heterogeneity of the organic compounds that survived sample preparation steps. The precision and accuracy of Pb isotopes in complex matrices like peat is not always well estimated by industrial standards like NIST-SRM 981 Pb. Lead pollution histories at each site were constructed using the MC-ICP-MS data. The entire LL7c record is likely subject to anthropogenic additions. Contributions from local mining were detected in Medieval times. Later, coal use and mining in Scotland, Wales and England became important. After industrialization (ca. 1885 A.D.) contributions from Broken Hill type ores and hence, leaded petrol, dominate atmospheric Pb signatures right up to modern times. At PeW1 anthropogenic impacts are first distinguishable in the late 17

  11. Directly measured currents and estimated transport pathways of Atlantic Water between 59.5°N and the Iceland–Faroes–Scotland Ridge

    Directory of Open Access Journals (Sweden)

    Katelin H. Childers

    2015-11-01

    Full Text Available Using vessel-mounted acoustic Doppler current profiler data from four different routes between Scotland, Iceland and Greenland, we map out the mean flow of water in the top 400 m of the northeastern North Atlantic. The poleward transport east of the Reykjanes Ridge (RR decreases from ~8.5 to 10 Sv (1 Sverdrup=106 m3 s−1 at 59.5°N to 61°N to 6 Sv crossing the Iceland–Faroes–Scotland Ridge. The two longest ~1200 km transport integrals have 1.4–0.94 Sv uncertainty, respectively. The overall decrease in transport can in large measure be accounted for by a ~1.5 Sv flow across the RR into the Irminger Sea north of 59.5°N and by a ~0.5 Sv overflow of dense water along the Iceland–Faroes Ridge. A remaining 0.5 Sv flux divergence is at the edge of detectability, but if real could be accounted for through wintertime convection to >400 m and densification of upper ocean water. The topography of the Iceland Basin and the banks west of Scotland play a fundamental role in controlling flow pathways towards and past Iceland, the Faroes and Scotland. Most water flows north unimpeded through the Iceland Basin, some in the centre of the basin along the Maury Channel, and some along Hatton Bank, turning east along the northern slopes of George Bligh Bank, Lousy Bank and Bill Bailey's Bank, whereupon the flow splits with ~3 Sv turning northwest towards the Iceland–Faroes Ridge and the remainder continuing east towards and north of the Wyville-Thomson Ridge (WTR to the Scotland slope thereby increasing the Slope Current transport from ~1.5 Sv south of the WTR to 3.5 Sv in the Faroes–Shetland Channel.

  12. Long range transport of acidic and polluted events from eastern Europe to the remote regions of Scotland

    International Nuclear Information System (INIS)

    Landsberger, S.; Davies, T.D.; Jickells, T.D.; Tranter, M.

    1991-01-01

    More than 60 daily snowfall samples were collected throughout a snow season at an altitude of 1,100 meters in Cairngorm Mountains in Scotland. Concentrations of major ions, trace metals, rare-earths, carbon and pH were measured in the aqueous and particulate phase. The techniques of neutron activation analysis, inductively coupled plasma mass spectrometry and ion chromatography were employed. Factor analysis indicated a marine and a combined anthropogenic and crustal source. Classification of back-trajectories showed that the events are heavily sector dependent: Eastern Europe and the Baltic dominating the transport of the polluted events. A very strong correlation was observed between low pH and high carbon concentrations in the particulate matter

  13. Taking account of what young women want from school sex education: two groups from Scotland and Uganda.

    Science.gov (United States)

    Cook, Sinead

    2010-01-01

    This study seeks to explore what young women want from their school-based sex education. Qualitative methods were used to explore the perspectives of two groups of young women from Uganda and Scotland. Of particular importance to all the young women were: a diverse sex education curriculum appropriate to the ages of the students, being taught by an outside female facilitator, single-sex classes and access to a female teacher. Furthermore, they proposed that discussion between small groups of friends is very useful. The Scottish group said that having a young teacher, teaching about emotions and relationships and being guided through their own decision making is also important. The Ugandan group emphasized the importance of being taught by female family members and having written materials provided on sex education. The study showed that young women from different backgrounds have strong opinions about sex education, and are an important resource for policy makers.

  14. A comparison of the bacterial microflora between coastal sites in Qingdao, P. R. China and Loch Fyne, Scotland

    Science.gov (United States)

    Macinnes, J.; Robertson, P. A. W.; Austin, B.

    2002-10-01

    Aerobic, heterotrophic bacteria, recovered from two sites located on the west coast of Scotland, were compared to cultures obtained in a similar way from industrial, aquacultural and clean sites in the vicinity of Qingdao, Shandong, P. R. China. Gram-negative bacterial cultures were examined by BIOLOG-GN, and the data analysed by the simple matching (SSM) and Jaccard coefficients (SJ) and unweighted average linkage clustering using NTSys. The output revealed that 20% of the bacteria, namely, Acinetobacter johnsonii, Aquaspirillum dispar, Pseudomonas spp. (two groups), Sphingobacterium sp., Vibrio, sp., V. campbellii, V. mimicus and V. hollisae, were common between the two geographical locations. However, the study revealed shortcomings with the BIOLOG-GN system for the study of coastal Gram-negative bacteria.

  15. Provision of hormonal and long-acting reversible contraceptive services by general practices in Scotland, UK (2004-2009).

    Science.gov (United States)

    Reddy, Anusha; Watson, Margaret; Hannaford, Philip; Lefevre, Karen; Ayansina, Dolapo

    2014-01-01

    In the UK, a large proportion of contraceptive services are provided from general practice. However, little is known about which contraceptive services are provided and to whom. Descriptive serial cross-sectional study of women aged 12-55 years, registered with 191 general practices in Scotland, UK between 2004 and 2009. Annual incidence of provision of hormonal and long-acting reversible contraceptives (LARCs) increased from 27.7% in 2004 to 30.1% in 2009. Amongst those women registered with a general practice for the full 5-year period the provision of LARCs increased from 8.8% to 12.5% (pemergency hormonal contraception (EHC) decreased from 5.2% to 2.6% (pcontraceptives and LARCs from general practices. It is important that a full range of contraceptive options remains easily available to women.

  16. Leaving NIMBYs behind – Uncertainty within space-related conflicts over offshore wind farms in Scotland and Germany

    DEFF Research Database (Denmark)

    Rudolph, David Philipp

    Offshore wind farms are widely considered to become a cornerstone of energy transition for securing the energy supply and tackling climate change simultaneously. But recent developments have demonstrated that offshore wind farms are far from being conflict-free, evoking confrontations with other...... stakeholder interests. Drawing on comparative case studies in Scotland and Germany, this paper addresses and explores various conflict lines emerging from the installation of offshore wind farms and contesting local community interests and concerns. Local resistance against wind farms opens up a vast debate...... explanations due to obscuring underlying rationales. By going beyond the stigmatisation of NIMBYism, the notion of space-related conflicts is intended to turn the attention towards conflicting interests and values that are aimed at space. This does not imply that such interests can be simply located...

  17. Changes in the association between health complaint frequency and medicine use among adolescents in Scotland between 1998 and 2010

    DEFF Research Database (Denmark)

    Levin, Kate Ann; Whitehead, Ross; Andersen, Anette

    2015-01-01

    and understand the mechanisms behind these changes METHODS: Data from the 1998, 2006 and 2010 Scotland Health Behaviour in School-aged Children Survey were modelled using multilevel logistic regression, modelling medicine use for: headache, stomachache, sleeping difficulties and nervousness, as well...... as a combined medicine use measure. Models adjusted for year and frequency of health complaints to measure trends in medicine use, and an interaction term to measure the relationship between medicine use and health complaint frequency. RESULTS: Medicine use reduced between 1998 and 2010. Hownever having...... the majority of the reduction was observed between 1998 and 2006 for all five outcomes. Adjustment for health complaint frequency only explained some of this reduction. When an interaction term was added between year and health complaint frequency this was significant for boys' medicine use, suggesting...

  18. Quantitative interpretation of Cl, Br and I porewater concentration profiles in lake sediments of Loch Lomond, Scotland

    International Nuclear Information System (INIS)

    Falck, W.E.; Hooker, P.J.

    1991-01-01

    One of the four natural analogue sites being investigated by the British Geological Survey is Loch Lomond, Scotland. Naturally occurring halogen elements (Cl, Br and I) have been migrating from a thin marine horizon into overlying freshwater deposits by a diffusion process which has been occurring for at least 5 400 years. This report summarizes the main findings accumulated since 1983 when the work was first begun, and provides a modelling interpretation of the measured concentration-depth profiles using a new numerical code called Diagen. The release rates of I and Br from the organic matter association in the shallow buried marine layer are very slow; subsequent anion movement by diffusion is affected by tortuosity differences in the sediments rather than by chemical reaction with the sediments. The bulk of the evidence supports conservative transport of iodide, bromide and chloride anions towards the sediment/loch interface. The report discusses some implications of the findings

  19. Kitchen knives and homicide: a systematic study of people charged with murder in the Lothian and Borders region of Scotland.

    Science.gov (United States)

    Kidd, S H; Hughes, N S; Crichton, J H M

    2014-07-01

    A recent English study demonstrated high rates of kitchen knife use in homicides by mentally disordered offenders subject to independent inquiries. Everyone accused of homicide in Scotland undergoes psychiatric examination; all such evaluations in a Scottish region between 2006 and 2011 were systematically analysed to identify homicide characteristics. It was hypothesised that kitchen knives would be the commonest sharp instruments used, and would be associated with unplanned domestic homicide against known victims, with no independent association with mental disorder. Kitchen knives were used in 32 of 55 homicides: 94% of 34 sharp object homicides (p < 0.05). No independent association was found between kitchen knife use and planning, location, relationship, intoxication or mental disorder. Kitchen knife use in homicide appears to be a significant public health issue, and not only in the mentally disordered population. Research is recommended into kitchen knife use in non-fatal violence, and weapon control in populations at increased risk of knife violence.

  20. Quality of life and well-being of people receiving haemodialysis treatment in Scotland: a cross-sectional survey.

    Science.gov (United States)

    Alshraifeen, Ali; McCreaddie, May; Evans, Josie M M

    2014-10-01

    End-stage renal disease is a complex, progressive and debilitating illness that affects patients' quality of life, physical and mental health, well-being, social functioning and emotional health. A cross-sectional survey was carried out in renal dialysis centres in Scotland to assess patients' health status and the impact of haemodialysis treatment on quality of life and well-being. Participants scored considerably lower than the UK general population in all domains of health-related quality of life, although mental health components were nearer to general population norms than physical health components. However, nearly half of the participants achieved a score on a general well-being questionnaire that was indicative of stress and anxiety. Increasing age was associated with better overall mental health but worse physical functioning. Increasing levels of hope and support were associated with improved general well-being. © 2013 Wiley Publishing Asia Pty Ltd.

  1. The Kuwait-Scotland eHealth Innovation Network (KSeHIN): a sustainable approach to quality improvement in healthcare.

    Science.gov (United States)

    Conway, N T; Wotayan, R Al; Alkuzam, A; Al-Refaei, F F; Badawi, D; Barake, R; Bell, A; Boyle, G; Chisholm, S; Connell, J; Emslie-Smith, A; Goddard, C A; Greene, S A; Halawa, N; Judson, A; Kelly, C; Ker, J; Scott, M; Shaltout, A; Sukkar, F; Wake, D; Morris, A; Sibbald, D; Behbehani, K

    2014-01-01

    The rising prevalence of obesity and diabetes in Kuwait represents a significant challenge for the country's healthcare system. Diabetes care in Scotland has improved by adopting a system of managed clinical networks supported by a national informatics platform. In 2010, a Kuwait-Dundee collaboration was established with a view to transforming diabetes care in Kuwait. This paper describes the significant progress that has been made to date. The Kuwait-Scotland eHealth Innovation Network (KSeHIN) is a partnership among health, education, industry and government. KSeHIN aims to deliver a package of clinical service development, education (including a formal postgraduate programme and continuing professional development) and research underpinned by a comprehensive informatics system. The informatics system includes a disease registry for children and adults with diabetes. At the patient level, the system provides an overview of clinical and operational data. At the population level, users view key performance indicators based on national standards of diabetes care established by KSeHIN. The national childhood registry (CODeR) accumulates approximately 300 children a year. The adult registry (KHN), implemented in four primary healthcare centres in 2013, has approximately 4000 registered patients, most of whom are not yet meeting national clinical targets. A credit-bearing postgraduate educational programme provides module-based teaching and workplace-based projects. In addition, a new clinical skills centre provides simulator-based training. Over 150 masters students from throughout Kuwait are enrolled and over 400 work-based projects have been completed to date. KSeHIN represents a successful collaboration between multiple stakeholders working across traditional boundaries. It is targeting patient outcomes, system performance and professional development to provide a sustainable transformation in the quality of diabetes healthcare for the growing population of

  2. Resourcefulness, Desperation, Shame, Gratitude and Powerlessness: Common Themes Emerging from A Study of Food Bank Use in Northeast Scotland.

    Science.gov (United States)

    Douglas, Flora; Sapko, Jennifer; Kiezebrink, Kirsty; Kyle, Janet

    2015-01-01

    There is growing policy maker and public concern about current trends in food bank use in Scotland. Yet little is known about the experiences of those seeking help from food banks in this country. This research aimed to address this issue by studying the use and operation of a food bank situated in a rich northeast city during January and June 2014. The study aimed to establish who was seeking help from the food bank, their reasons for doing so, and what those who did thought of, and dealt with the food they received from it. Consequently, an audit of the food bank's client database, four months of participant observation based in the food bank, and seven face-to-face interviews with current and former food bank clients were conducted. The audit revealed that clients came from a range of socio-economic backgrounds, with men more likely to access it compared to women. Debt and social security benefit delays were cited as the main reasons for doing so. Qualitative data confirmed that sudden and unanticipated loss of income was a key driver of use. Resourcefulness in making donated food last as long as possible, keeping fuel costs low, and concern to minimise food waste were commonly described by participants. Desperation, gratitude, shame and powerlessness were also prevalent themes. Furthermore, clients were reluctant to ask for food they normally ate, as they were acutely aware that the food bank had little control over what it was able offer. Insights from this study suggest that recent UK policy proposals to address food poverty may have limited impact, without concomitant effort to address material disadvantage. Research is urgently required to determine the precise nature and extent of household level food insecurity in Scotland, and to consider monitoring for adverse physical and mental health outcomes for those affected by it.

  3. No excess risk of adverse birth outcomes in populations living near special waste landfill sites in Scotland.

    Science.gov (United States)

    Morris, S E; Thomson, A O; Jarup, L; de Hoogh, C; Briggs, D J; Elliott, P

    2003-11-01

    A recent study showed small excess risks of low birth weight, very low birth weight and certain congenital anomalies in populations living near landfill sites in Great Britain. The objective of the current study was to investigate the risk of adverse birth outcomes associated with residence near special waste landfill sites in Scotland. We studied risks of adverse birth outcomes in populations living within 2 km of 61 Scottish special waste landfill sites operational at some time between 1982 and 1997 compared with those living further away. 324,167 live births, 1,849 stillbirths, and 11,138 congenital anomalies (including terminations) were included in the study. Relative risks were computed for all congenital anomalies combined, some specific anomalies and prevalence of stillbirth and low and very low birth weight (special waste landfill sites was 0.96 (99% confidence interval 0.89 to 1.02) adjusted for confounders. Adjusted risks were 0.71 (0.36 to 1.42) for neural tube defects, 1.03 (0.85 to 1.26) for cardiovascular defects, 0.84 (0.58 to 1.22) for hypospadias and epispadias (with no excess of surgical corrections), 0.78 (0.27 to 2.23) for abdominal wall defects (1.32 (0.42-4.17) for hospital admissions), 1.22 (0.28 to 5.38) for surgical correction of gastroschisis and exomphalos and 1.01 (0.96 to 1.07) and 1.01 (0.90 to 1.15) for low and very low birth weight respectively. There was no excess risk of stillbirth. In conclusion, we found no statistically significant excess risks of congenital anomalies or low birth weight in populations living near special waste landfill sites in Scotland.

  4. A survival analysis of GBM patients in the West of Scotland pre- and post-introduction of the Stupp regime.

    Science.gov (United States)

    Teo, Mario; Martin, Sean; Owusu-Agyemang, Kevin; Nowicki, Stefan; Clark, Brian; Mackinnon, Mairi; Stewart, Willie; Paul, James; St George, Jerome

    2014-06-01

    It is now accepted that the concomitant administration of temozolomide with radiotherapy (Stupp regime), in the treatment of patients with newly diagnosed glioblastoma multiforme (GBM), significantly improves survival and this practice has been adopted locally since 2004. However, survival outcomes in cancer can vary in different population groups, and outcomes can be affected by a number of local factors including socioeconomic status. In the West of Scotland, we have one of the worse socioeconomic status and overall health record for a western European country. With the ongoing reorganisation and rationalisation in the National Health Service, the addition of prolonged courses of chemotherapy to patients' management significantly adds to the financial burden of a cash stripped NHS. A survival analysis in patients with GBM was therefore performed, comparing outcomes of pre- and post-introduction of the Stupp regime, to justify the current practice. Prospectively collected clinical data were analysed in 105 consecutive patients receiving concurrent chemoradiotherapy (Stupp regime) following surgical treatment of GBM between December 2004 and February 2009. This was compared to those of 106 consecutive GBM patients who had radical radiotherapy (pre-Stupp regime) post-surgery between January 2001 and February 2006. The median overall survival for the post-Stupp cohort was 15.3 months (range, 2.83-50.5 months), with 1-year and 2-year overall survival rates of 65.7% and 19%, respectively. This was in comparison with the median overall pre-Stupp survival of 10.7 months, with 1-year and 2-year survival rates of 42.6% and 12%, respectively (log-rank test, p GBM patients in the West of Scotland.

  5. Understanding the Development of Minimum Unit Pricing of Alcohol in Scotland: A Qualitative Study of the Policy Process

    Science.gov (United States)

    Katikireddi, Srinivasa Vittal; Hilton, Shona; Bonell, Chris; Bond, Lyndal

    2014-01-01

    Background Minimum unit pricing of alcohol is a novel public health policy with the potential to improve population health and reduce health inequalities. Theories of the policy process may help to understand the development of policy innovation and in turn identify lessons for future public health research and practice. This study aims to explain minimum unit pricing’s development by taking a ‘multiple-lenses’ approach to understanding the policy process. In particular, we apply three perspectives of the policy process (Kingdon’s multiple streams, Punctuated-Equilibrium Theory, Multi-Level Governance) to understand how and why minimum unit pricing has developed in Scotland and describe implications for efforts to develop evidence-informed policymaking. Methods Semi-structured interviews were conducted with policy actors (politicians, civil servants, academics, advocates, industry representatives) involved in the development of MUP (n = 36). Interviewees were asked about the policy process and the role of evidence in policy development. Data from two other sources (a review of policy documents and an analysis of evidence submission documents to the Scottish Parliament) were used for triangulation. Findings The three perspectives provide complementary understandings of the policy process. Evidence has played an important role in presenting the policy issue of alcohol as a problem requiring action. Scotland-specific data and a change in the policy ‘image’ to a population-based problem contributed to making alcohol-related harms a priority for action. The limited powers of Scottish Government help explain the type of price intervention pursued while distinct aspects of the Scottish political climate favoured the pursuit of price-based interventions. Conclusions Evidence has played a crucial but complex role in the development of an innovative policy. Utilising different political science theories helps explain different aspects of the policy process

  6. External validation of the Intensive Care National Audit & Research Centre (ICNARC) risk prediction model in critical care units in Scotland.

    Science.gov (United States)

    Harrison, David A; Lone, Nazir I; Haddow, Catriona; MacGillivray, Moranne; Khan, Angela; Cook, Brian; Rowan, Kathryn M

    2014-01-01

    Risk prediction models are used in critical care for risk stratification, summarising and communicating risk, supporting clinical decision-making and benchmarking performance. However, they require validation before they can be used with confidence, ideally using independently collected data from a different source to that used to develop the model. The aim of this study was to validate the Intensive Care National Audit & Research Centre (ICNARC) model using independently collected data from critical care units in Scotland. Data were extracted from the Scottish Intensive Care Society Audit Group (SICSAG) database for the years 2007 to 2009. Recoding and mapping of variables was performed, as required, to apply the ICNARC model (2009 recalibration) to the SICSAG data using standard computer algorithms. The performance of the ICNARC model was assessed for discrimination, calibration and overall fit and compared with that of the Acute Physiology And Chronic Health Evaluation (APACHE) II model. There were 29,626 admissions to 24 adult, general critical care units in Scotland between 1 January 2007 and 31 December 2009. After exclusions, 23,269 admissions were included in the analysis. The ICNARC model outperformed APACHE II on measures of discrimination (c index 0.848 versus 0.806), calibration (Hosmer-Lemeshow chi-squared statistic 18.8 versus 214) and overall fit (Brier's score 0.140 versus 0.157; Shapiro's R 0.652 versus 0.621). Model performance was consistent across the three years studied. The ICNARC model performed well when validated in an external population to that in which it was developed, using independently collected data.

  7. The role of public and private natural space in children's social, emotional and behavioural development in Scotland: A longitudinal study.

    Science.gov (United States)

    Richardson, Elizabeth A; Pearce, Jamie; Shortt, Niamh K; Mitchell, Richard

    2017-10-01

    Poor mental health in childhood has implications for health and wellbeing in later life. Natural space may benefit children's social, emotional and behavioural development. We investigated whether neighbourhood natural space and private garden access were related to children's developmental change over time. We asked whether relationships differed between boys and girls, or by household educational status. We analysed longitudinal data for 2909 urban-dwelling children (aged 4 at 2008/9 baseline) from the Growing Up in Scotland (GUS) survey. The survey provided social, emotional and behavioural difficulty scores (Strengths and Difficulties Questionnaire (SDQ)), and private garden access. Area (%) of total natural space and parks within 500m of the child's home was quantified using Scotland's Greenspace Map. Interactions for park area, total natural space area, and private garden access with age and age 2 were modelled to quantify their independent contributions to SDQ score change over time. Private garden access was strongly related to most SDQ domains, while neighbourhood natural space was related to better social outcomes. We found little evidence that neighbourhood natural space or garden access influenced the trajectory of developmental change between 4 and 6 years, suggesting that any beneficial influences had occurred at younger ages. Stratified models showed the importance of parks for boys, and private gardens for the early development of children from low-education households. We conclude that neighbourhood natural space may reduce social, emotional and behavioural difficulties for 4-6 year olds, although private garden access may be most beneficial. Copyright © 2017. Published by Elsevier Inc.

  8. Understanding the development of minimum unit pricing of alcohol in Scotland: a qualitative study of the policy process.

    Science.gov (United States)

    Katikireddi, Srinivasa Vittal; Hilton, Shona; Bonell, Chris; Bond, Lyndal

    2014-01-01

    Minimum unit pricing of alcohol is a novel public health policy with the potential to improve population health and reduce health inequalities. Theories of the policy process may help to understand the development of policy innovation and in turn identify lessons for future public health research and practice. This study aims to explain minimum unit pricing's development by taking a 'multiple-lenses' approach to understanding the policy process. In particular, we apply three perspectives of the policy process (Kingdon's multiple streams, Punctuated-Equilibrium Theory, Multi-Level Governance) to understand how and why minimum unit pricing has developed in Scotland and describe implications for efforts to develop evidence-informed policymaking. Semi-structured interviews were conducted with policy actors (politicians, civil servants, academics, advocates, industry representatives) involved in the development of MUP (n = 36). Interviewees were asked about the policy process and the role of evidence in policy development. Data from two other sources (a review of policy documents and an analysis of evidence submission documents to the Scottish Parliament) were used for triangulation. The three perspectives provide complementary understandings of the policy process. Evidence has played an important role in presenting the policy issue of alcohol as a problem requiring action. Scotland-specific data and a change in the policy 'image' to a population-based problem contributed to making alcohol-related harms a priority for action. The limited powers of Scottish Government help explain the type of price intervention pursued while distinct aspects of the Scottish political climate favoured the pursuit of price-based interventions. Evidence has played a crucial but complex role in the development of an innovative policy. Utilising different political science theories helps explain different aspects of the policy process, with Multi-Level Governance particularly useful for

  9. Resourcefulness, Desperation, Shame, Gratitude and Powerlessness: Common Themes Emerging from A Study of Food Bank Use in Northeast Scotland

    Directory of Open Access Journals (Sweden)

    Flora Douglas

    2015-07-01

    Full Text Available There is growing policy maker and public concern about current trends in food bank use in Scotland. Yet little is known about the experiences of those seeking help from food banks in this country. This research aimed to address this issue by studying the use and operation of a food bank situated in a rich northeast city during January and June 2014. The study aimed to establish who was seeking help from the food bank, their reasons for doing so, and what those who did thought of, and dealt with the food they received from it. Consequently, an audit of the food bank's client database, four months of participant observation based in the food bank, and seven face-to-face interviews with current and former food bank clients were conducted. The audit revealed that clients came from a range of socio-economic backgrounds, with men more likely to access it compared to women. Debt and social security benefit delays were cited as the main reasons for doing so. Qualitative data confirmed that sudden and unanticipated loss of income was a key driver of use. Resourcefulness in making donated food last as long as possible, keeping fuel costs low, and concern to minimise food waste were commonly described by participants. Desperation, gratitude, shame and powerlessness were also prevalent themes. Furthermore, clients were reluctant to ask for food they normally ate, as they were acutely aware that the food bank had little control over what it was able offer. Insights from this study suggest that recent UK policy proposals to address food poverty may have limited impact, without concomitant effort to address material disadvantage. Research is urgently required to determine the precise nature and extent of household level food insecurity in Scotland, and to consider monitoring for adverse physical and mental health outcomes for those affected by it.

  10. Cancer drug funding decisions in Scotland: impact of new end-of-life, orphan and ultra-orphan processes.

    Science.gov (United States)

    Morrell, Liz; Wordsworth, Sarah; Fu, Howell; Rees, Sian; Barker, Richard

    2017-08-30

    The Scottish Medicines Consortium evaluates new drugs for use in the National Health Service in Scotland. Reforms in 2014 to their evaluation process aimed to increase patient access to new drugs for end-of-life or rare conditions; the changes include additional steps in the process to gain further information from patients and clinicians, and for revised commercial agreements. This study examines the extent of any impact of the reforms on funding decisions. Data on the Scottish Medicines Consortium's funding decisions during 24 months post-reform were extracted from published Advice, for descriptive statistics and thematic analysis. Comparison data were extracted for the 24 months pre-reform. Data on decisions for England by the National Institute for Clinical and Health Excellence for the same drugs were extracted from published Technology Appraisals. The new process was used by 90% (53/59) of cancer submissions. It is triggered if the initial advice is not to recommend, and this risk-of-rejection level is higher than in the pre-period. Thirty-eight cancer drugs obtained some level of funding through the new process, but there was no significant difference in the distribution of decision types compared to the pre-reform period. Thematic analysis of patient and clinician input showed no clear relationship between issues raised and funding decision. Differences between SMC's and NICE's definitions of End-of-Life did not fully explain differences in funding decisions. The Scottish Medicines Consortium's reforms have allowed funding of up to 38 cancer drugs that might previously have been rejected. However, the contribution of specific elements of the reforms to the final decision is unclear. The process could be improved by increased transparency in how the non-quantitative inputs influence decisions. Some disparities in funding decisions between England and Scotland are likely to remain despite recent process convergence.

  11. Cause-specific inequalities in mortality in Scotland: two decades of change. A population-based study

    Directory of Open Access Journals (Sweden)

    McLoone Philip

    2007-07-01

    Full Text Available Abstract Background Socioeconomic inequalities in mortality have increased in recent years in many countries. We examined age-, sex-, and cause-specific mortality rates for social groups in and regions of Scotland to understand the patterning of inequalities and the causes contributing to these inequalities. Methods We used death records for 1980–82, 1991–92 and 2000–02 together with mid-year population estimates for 1981, 1991 and 2001 covering the whole of Scotland to calculate directly standardised mortality rates. Deaths and populations were coded to small areas (postcode sectors and data zones, and deprivation was assessed using area based measures (Carstairs scores and the Scottish Index of Multiple Deprivation. We measured inequalities using rate ratios and the Slope Index of Inequality (SII. Results Substantial overall decreases in mortality rates disguised increases for men aged 15–44 and little change for women at the same ages. The pattern at these ages was mostly attributable to increases in suicides and deaths related to the use of alcohol and drugs. Under 65 a 49% fall in the mortality of men in the least deprived areas contrasted with a fall of just 2% in the most deprived. There were substantial increases in the social gradients for most causes of death. Excess male mortality in the Clydeside region was largely confined to more deprived areas, whilst for women in the region mortality was in line with the Scottish experience. Relative inequalities for men and women were greatest between the ages of 30 and 49. Conclusion General reductions in mortality in the major causes of death (ischaemic heart disease, malignant neoplasms are encouraging; however, such reductions were socially patterned. Relative inequalities in mortality have increased and are greatest among younger adults where deaths related to unfavourable lifestyles call for direct social policies to address poverty.

  12. Service user preferences for diabetes education in remote and rural areas of the Highlands and Islands of Scotland.

    Science.gov (United States)

    Hall, Jenny; Skinner, Fiona; Tilley, Phil; MacRury, Sandra

    2018-03-01

    Diabetes prevalence in Scotland is 5.3%, with type 2 diabetes accounting for 86.7% of all cases in the National Health Service Highlands health board area and 85.7% in the Western Isles. Structured education is a key component in the management of this chronic disease. However, current group session models are less feasible in lower-population non-urban environments due to distance, participant numbers and access to appropriately trained healthcare professionals. Group sessions may also be a less attractive option in small communities, where people tend to have close day-to-day personal contact. This study assesses the access and delivery preferences of remote and rural service users in the Highlands and Western Isles to structured diabetes education programs. The study used a mixed methods approach of focus groups and questionnaires with people with type 2 diabetes in the Highlands and Islands of Scotland. Both modes of participation were designed to explore perception of diabetes knowledge, diabetes education and use of technology. One-to-one delivery was the delivery method of choice; however, there was a preference for a digital approach over group education sessions. Service users expressed a strong desire to be able to learn at their own pace, when and where they wanted to, and with no requirement to travel. To address these requirements an online resource, providing access to both learning sessions and trusted sources of information, was the preferred mode of delivery. People with type 2 diabetes living in remote and rural areas of the Scottish Highlands and Islands who already use the internet are receptive to the use of digital technology for delivery of diabetes education and are interested in learning more about management of their condition through this medium. They believe that a technology approach will provide them with more control over the pace of learning, and where and when this learning can take place.

  13. Population levels of, and inequalities in, active travel: A national, cross-sectional study of adults in Scotland

    Directory of Open Access Journals (Sweden)

    Jonathan R. Olsen

    2017-12-01

    Full Text Available This study aimed to describe active travel (walking or cycling in Scotland and explore potential demographic, geographic, and socio-economic inequalities in active travel. We extracted data for the period 2012–13 (39,585 journey stages from the Scottish Household Survey. Survey travel diaries recorded all journeys made on the previous day by sampled individuals aged 16+ living within Scotland, and the stages within each journey. Descriptive statistics were calculated for journey stages, mode, purpose and distance. Logistic regression models were fitted to examine the relationship between the likelihood of a journey stage being active, age, sex, area deprivation and urban/rural classification. A quarter of all journey stages were walked or cycled (26%, n: 10,280/39,585; 96% of these were walked. Those living in the least deprived areas travelled a greater average distance per active journey stage than those in the most deprived. The likelihood of an active journey stage was higher for those living in the most deprived areas than for those in the least deprived (Odds Ratio (OR 1.21, 95% CI 1.04–1.41 and for those in younger compared to older age groups (OR 0.44, 95% CI 0.34–0.58. In conclusion, socio-economic inequalities in active travel were identified, but – contrary to the trends for many health-beneficial behaviours – with a greater likelihood of active travel in more deprived areas. This indicates a potential contribution to protecting and improving health for those whose health status tends to be worse. Walking was the most common mode of active travel, and should be promoted as much as cycling. Keywords: Active travel, Physical activity, Urban areas, Rural areas, Health inequality

  14. A comparison of methods for estimating soil characteristics in regional acidification models; an application of the MAGIC model to Scotland

    Directory of Open Access Journals (Sweden)

    R. C. Helliwell

    1998-01-01

    Full Text Available The results from an application of MAGIC (Model of Acidification of Groundwater In Catchments to 733 Scottish catchments are presented. The availability of representative, good quality soil data is frequently limiting factor for biogeochemical modelling, particularly those involving modelling at various spatial scales. This study tests the sensitivity of MAGIC to soil input data derived from two different methodologies; the 'nearest neighbour method' considers the closest representative soil profile to a catchment, and the 'spatial weighting method' of all soil types identified in a catchment, based on a soil physico-chemical classification of Scotland. Soil data (soil depth, density, cation exchange capacity and base saturation calculated using the 'nearest neighbour method' and the 'spatial weighting method' were highly variable, although the range of upper and lower limits were greater for soil data produced using the nearest neighbour method. In contrast to the predominantly organic soil data calculated by the nearest neighbour method, the spatially weighted soil parameters included a greater proportion of mineral soils. With regard to simulated surface water Acid Neutralising Capacity (ANC for 1851, 1997 and 2050, MAGIC predictions were similar irrespective of the methodology used to determine soil input parameters. However, soil input data derived from both methods resulted in variable base saturation predictions. It is concluded that the 'nearest neighbour' methodology is most appropriate if the objective is to determine the predicted response of the most acid- sensitive sites within a region in line with the approach used in Critical Laod mapping. On the other hand, 'spatial weighting' integrates catchment soils and represents a more robust methodology by which to determine changes in median soil and water response in a regional context. The anticipated reductions in S emissions associated with the Second S Protocol are predicted to have

  15. Factors associated with late HIV diagnosis in North-East Scotland: a six-year retrospective study.

    Science.gov (United States)

    Noble, G; Okpo, E; Tonna, I; Fielding, S

    2016-10-01

    Late HIV diagnosis is associated with increased morbidity and mortality, increased risk of transmission, impaired response to antiretroviral therapy and increased health care costs. The aim of this study was to determine the factors associated with late HIV diagnosis in Grampian, North-East Scotland. A population based retrospective database analysis. All newly diagnosed HIV positive individuals in Grampian, North-East Scotland between 2009 and 2014 were included in the study. Participants were classified as having a late diagnosis if the CD4 cell count at presentation was less than 350 cells/mm 3 . Socio-economic and demographic factors were investigated in relation to outcome (late diagnosis) using Chi-squared and Mann-Whitney tests. CD4 cell count results were available for 111 (89.5%) of the 124 newly diagnosed individuals during the study period. The prevalence of late diagnosis was 53.2% (n = 59). Those infected via heterosexual mode of transmission had a 2.83 times higher odds of late diagnosis (OR 2.83 [95% CI: 1.10-7.32]) than men who have sex with men (MSM) and those with no previous HIV testing had a 5.46 increased odds of late diagnosis (OR 5.46 [95% CI: 1.89-15.81]) compared to those who had previously been tested. Missed opportunities for HIV diagnosis were identified in 16.3% (n = 15) of participants. Heterosexual individuals and those with no previous HIV testing were more likely to be diagnosed late. Targeted initiatives to increase perception of HIV risk and uptake of testing in these risk groups are recommended. Copyright © 2016 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.

  16. Students' attitudes to learning physics at school and university levels in Scotland

    Science.gov (United States)

    Skryabina, Elena

    revealed that although boys and girls are equally interested in certain areas of the subject, there are areas in Physics where boys and girls interests are significantly different. No differences were found in intensity of boys' and girls' interests towards suggested Physics topics at primary P6/P7 level, S3 and S5/S6 levels. At S2 and S4 levels a significant decline of girls' interests relative to boys interests was observed. S2 and S4 stages are decision making ones when pupils have the opportunity to select courses for the future. It was also revealed that the ratio of boys to girls in Physics once established at S2 level remains unchanged through the years of Standard Grade and Higher Grade Physics courses. This may indicate that if the number of girls in Physics is an issue for concern then attention should be paid to the primary and, especially early secondary years to attract girls to Physics. School Physics courses in Scotland revealed a high retention rate of girls in Physics. Analyses of preferred activities revealed that practical work is the most enjoyable activity in Science/Physics lessons for both girls and boys at every stage of schooling and studying the theory was found to be the least enjoyable activity at school for both genders at every age. The picture was almost the reverse with university Physics students.

  17. Steve Boardman and Julian Goodare, eds., Kings, Lords and Men in Scotland and Britain, 1300–1625: Essays in Honour of Jenny Wormald. Edinburgh: Edinburgh University Press, 2014. Pp. 368. ISBN: 9780748691500. £75.00.

    Directory of Open Access Journals (Sweden)

    Lucinda Dean

    2015-08-01

    Full Text Available Steve Boardman and Julian Goodare, eds., Kings, Lords and Men in Scotland and Britain, 1300–1625: Essays in Honour of Jenny Wormald. Edinburgh: Edinburgh University Press, 2014. Pp. 368. ISBN: 9780748691500. £75.00.

  18. The changing course of aortic valve disease in Scotland:temporal trends in hospitalizations and mortality and prognostic importance of aortic stenosis

    OpenAIRE

    Berry, Colin; Lloyd, Suzanne M; Wang, Yanzhong; Macdonald, Alyson; Ford, Ian

    2013-01-01

    Aims: To investigate the contemporary clinical course of aortic valve disease types.Methods and results: We performed a retrospective population-level epidemiological study of hospitalized care in Scotland from 1 January 1997 to 31 December 2005 using electronic case identification of hospital admissions and deaths. Time-to-event analyses were performed using Cox Proportional-Hazards models. A total of 19 733 adults with an index hospitalization and a final diagnosis of non-congenital aortic ...

  19. What shapes 7-year-olds? subjective well-being? Prospective analysis of early childhood and parenting using the Growing Up in Scotland study

    OpenAIRE

    Parkes, Alison; Sweeting, Helen; Wight, Daniel

    2016-01-01

    Purpose Research on predictors of young children?s psychosocial well-being currently relies on adult-reported outcomes. This study investigated whether early family circumstances and parenting predict 7-year-olds? subjective well-being. Methods Information on supportive friendships, liking school and life satisfaction was obtained from 7-year-olds in one Growing Up in Scotland birth cohort in 2012?2013 (N?=?2869). Mothers provided information on early childhood factors from 10 to 34?months, p...

  20. ?I know exactly what I'm going into?: recommendations for pre?nursing experience from an evaluation of a pre?nursing scholarship in rural Scotland

    OpenAIRE

    Smith, Annetta; Beattie, Michelle; Kyle, Richard G.

    2015-01-01

    Abstract Aim To develop a model of pre?nursing experience from evaluation of a pre?nursing scholarship for school pupils in Scotland. Design Action research study. Methods School pupils (n?=?42) completed questionnaire surveys and participated in anecdote circles. Student nurses acting as pupil ?buddies? (n?=?33) participated in focus groups. Descriptive quantitative data and thematic analyses of qualitative data were integrated across cohorts and campuses. Results Ten recommended components ...

  1. Juggling work and motherhood: the impact of employment and maternity leave on breastfeeding duration: a survival analysis on Growing Up in Scotland data.

    Science.gov (United States)

    Skafida, Valeria

    2012-02-01

    In 2005, Scotland became the first nation to make breastfeeding in public a legal right, but current breastfeeding targets and maternity leave allowance do not acknowledge the conflicting demands women face when juggling employment and motherhood. This paper explores how employment and maternity leave relate to breastfeeding duration among mothers in Scotland. The Growing Up in Scotland national longitudinal cohort study of 5,217 babies born in 2004-2005 was used. Multivariate proportional hazards regression models were specified using one cross-sectional wave of data to predict breastfeeding duration. Mothers working as employees, full-time (Hazard Ratio 1.6) or part-time (HR1.3), had a higher risk of earlier breastfeeding cessation than non-working mothers. However, self-employed mothers did not differ significantly from non-working mothers in their breastfeeding patterns. Mothers who took longer maternity leave breastfed for longer. The relationships between employment, maternity leave and breastfeeding duration were significant when controlling for known predictors of breastfeeding. Younger mothers, those with less formal education, single mothers, those of white ethnic background, and first-time mothers were more likely to stop breastfeeding sooner, as has been noted in previous research. Employment and early return to work are both factors associated with a shorter duration of breastfeeding. More flexible working conditions and more generous employment leave could help to prolong breastfeeding among working mothers. Current health and employment policy in Scotland and the UK could be better coordinated so that working mothers have the adequate support to meet the conflicting demands of employment and motherhood.

  2. Use of the theoretical domains framework to further understanding of what influences application of fluoride varnish to children's teeth: a national survey of general dental practitioners in Scotland.

    Science.gov (United States)

    Gnich, Wendy; Bonetti, Debbie; Sherriff, Andrea; Sharma, Shilpi; Conway, David I; Macpherson, Lorna M D

    2015-06-01

    Despite recent improvements in the oral health of Scotland's population, the persistence of childhood dental caries underscores a need to reduce the disease burden experienced by children living in Scotland. Application of fluoride varnish (FV) to children's teeth provides an evidence-based approach to achieving this goal. Despite policy, health service targets and professional recommendations supporting application, not all children receive FV in line with guidance. The objective of this study was to use the theoretical domains framework (TDF) to further an understanding of what may influence fluoride varnish application (FVA) in General Dental Practice in Scotland. A postal questionnaire assessing current behaviour (frequency of FVA) and theoretical domains (TDs) was sent to all General Dental Practitioners (GDPs) in Scotland. Correlations and linear regression models were used to examine the association between FVA and the TDs. One thousand and ninety (53.6%) eligible GDPs responded. Respondents reported applying FV more frequently to increased risk and younger children (aged 2-5 years). Higher scores in eight TDs (Knowledge, Social/professional role and identity, Beliefs about consequences, Motivation and goals, Environmental context and resources, Social influences, Emotion and Behavioural regulation) were associated with greater frequency of FVA. Four beliefs in particular appear to be driving GDPs' decision to apply FV (recognizing that FVA is a guideline recommended behaviour (Knowledge), that FVA is perceived as an important part of the GDPs' professional role (Professional role/identity), that FV is something parents want for their children (Social influences) and that FV is something GDPs really wanted to do (Emotion). The findings of this study support the use of the TDF as a tool to understand GDPs application of FV and suggest that a multifaceted intervention, targeting dental professionals and families, and more specifically those domains and items

  3. Urban-rural differences in adolescent eating behaviour: a multilevel cross-sectional study of 15-year-olds in Scotland.

    Science.gov (United States)

    Levin, Kate A

    2014-08-01

    Improving the diet of the Scottish population has been a government focus in recent years. Population health is known to vary between geographies; therefore alongside trends and socio-economic inequalities in eating behaviour, geographic differences should also be monitored. Eating behaviour data from the 2010 Scotland Health Behaviour in School-aged Children survey were modelled using multilevel linear and logistic modelling. Data were collected in schools across urban and rural Scotland. Schoolchildren aged 15 years. Adolescents living in remote rural Scotland had the highest consumption frequency of vegetables (on average consumed on 6·68 d/week) and the lowest consumption frequency of sweets and crisps (on 4·27 and 3·02 d/week, respectively). However, it was not in the major four cities of Scotland (Glasgow, Edinburgh, Dundee and Aberdeen) but in the geography described by the classification 'other urban' areas (large towns of between 10 000 and 125 000 residents) that adolescents had the poorest diet. Deprivation and rurality were independently associated with food consumption for all but fruit consumption. Sharing a family meal, dieting behaviour, food poverty and breakfast consumption did not differ by rurality. Variance at the school level was significant for fruit and vegetable consumption frequencies and for irregular breakfast consumption, regardless of rurality. Young people from rural areas have a healthier diet than those living in urban areas. The eating behaviours examined did not explain these differences. Future research should investigate why urban-rural differences exist for consumption frequencies of 'healthy' and 'unhealthy' foods.

  4. Does equality legislation reduce intergroup differences? Religious affiliation, socio-economic status and mortality in Scotland and Northern Ireland: A cohort study of 400,000 people.

    Science.gov (United States)

    Wright, David M; Rosato, Michael; Raab, Gillian; Dibben, Chris; Boyle, Paul; O'Reilly, Dermot

    2017-05-01

    Religion frequently indicates membership of socio-ethnic groups with distinct health behaviours and mortality risk. Determining the extent to which interactions between groups contribute to variation in mortality is often challenging. We compared socio-economic status (SES) and mortality rates of Protestants and Catholics in Scotland and Northern Ireland, regions in which interactions between groups are profoundly different. Crucially, strong equality legislation has been in place for much longer and Catholics form a larger minority in Northern Ireland. Drawing linked Census returns and mortality records of 404,703 people from the Scottish and Northern Ireland Longitudinal Studies, we used Poisson regression to compare religious groups, estimating mortality rates and incidence rate ratios. We fitted age-adjusted and fully adjusted (for education, housing tenure, car access and social class) models. Catholics had lower SES than Protestants in both countries; the differential was larger in Scotland for education, housing tenure and car access but not social class. In Scotland, Catholics had increased age-adjusted mortality risk relative to Protestants but variation among groups was attenuated following adjustment for SES. Those reporting no religious affiliation were at similar mortality risk to Protestants. In Northern Ireland, there was no mortality differential between Catholics and Protestants either before or after adjustment. Men reporting no religious affiliation were at increased mortality risk but this differential was not evident among women. In Scotland, Catholics remained at greater socio-economic disadvantage relative to Protestants than in Northern Ireland and were also at a mortality disadvantage. This may be due to a lack of explicit equality legislation that has decreased inequality by religion in Northern Ireland during recent decades. Copyright © 2017 Elsevier Ltd. All rights reserved.

  5. Rare earth mineralisation in the Cnoc nan Cuilean intrusion of the Loch Loyal Syenite Complex, northern Scotland

    Science.gov (United States)

    Walters, A. S.; Hughes, H. S. R.; Goodenough, K. M.; Gunn, A. G.; Lacinska, A.

    2012-04-01

    Due to growing global concerns about security of rare earth element (REE) supply, there is considerable interest in identifying new deposits and in understanding the processes responsible for their formation. Ongoing studies by BGS on potential indigenous resources have focused on the Caledonian alkaline intrusive complexes of north-west Scotland. The highest values of total rare earth oxide (TREO) have been found in the Cnoc nan Cuilean intrusion of the Loch Loyal Complex in Sutherland. The Loch Loyal Syenite Complex comprises three intrusions: Ben Loyal, Beinn Stumanadh and Cnoc nan Cuilean. The Cnoc nan Cuilean intrusion, which covers an area of about 3 km2, can be subdivided into two zones: a Mixed Syenite Zone (MSZ) and a later Massive Leucosyenite Zone (MLZ). Evidence from field mapping and 3D-modelling suggests that the melasyenites were passively emplaced to form a lopolith concordant with the Moine and Lewisian country rocks. A later episode of leucosyenitic magmatism caused mixing and mingling with the melasyenite forming the MSZ. Continued intrusion of leucosyenite melts then formed the MLZ [1]. The melasyenites are enriched in TREO relative to the leucosyenites with average values of 3800 ppm and 1400 ppm respectively. The highest contents, up to 20 000 ppm TREO, are found in narrow biotite-magnetite-rich veins identified in a single stream section near the eastern margin of the intrusion. All lithologies are light rare earth element (LREE) dominated with high concentrations of Ba and Sr and low levels of Nb and Ta. Various REE-bearing minerals are present but allanite is dominant, being present in all major magmatic lithologies and the biotite-magnetite veins. Three generations of allanite have been identified: a late-magmatic phase rimming apatite; allanite micro veinlets cross-cutting the syenite; and a third phase only observed in the biotite-magnetite veins. TREO concentrations of the different allanite generations are similar, averaging 22%. The

  6. Utilisation of internet resources for continuing professional development: a cross-sectional survey of general practitioners in Scotland.

    Science.gov (United States)

    MacWalter, Gordon; McKay, John; Bowie, Paul

    2016-01-21

    Participation in continuing professional development (CPD) is a professional and regulatory expectation of general practitioners (GPs). Traditionally, CPD activity was undertaken face-to-face in educational settings, but internet based formats have found increasing favour. The need for doctors to use the internet for service and educational purposes is growing, particularly in support of specialty training and appraisal. We aimed to determine how GPs in Scotland utilise online resources in support of their CPD. This involved identifying which resources are used and how frequently, along with their preferences as to how and why they access these resources. A cross sectional study was undertaken using an online questionnaire to survey general practitioners across Scotland. Data were subjected to descriptive analysis and differences in attitudinal responses between groups and Fischer's exact tests were calculated. Three hundred and eighty-three GP responses were received, with the majority being female (n = 232, 60.6%) and GP partners (n = 236, 61.6%). The majority used the internet on three or more working days per week or more frequently (n = 361, 94.3%) with the three most common reasons being to obtain information for a patient (n = 358, 93.5%), answering a clinical question (n = 357, 93.2%) and CPD purposes (n = 308, 80.4%). Of 37 online resources used by respondents, the top five were SIGN Guidelines (n = 303, 79.3%), BMJ Learning (n = 279, 73.0%), NICE Guidelines (n = 255, 66.8%), GP Notebook (n = 243, 63.6%) and Google (n = 234, 61.3%). Low use of social media such as Facebook (n = 11, 2.9%) and Twitter (n = 11, 2.9%) was reported for CPD. A majority agreed that 'reading information online' (95.0%) and 'completing online learning modules' (87.4%) were the most valued online activities. Slow internet connections (n = 240, 62.7%), website access restrictions (n = 177, 46.2%) and difficulties logging

  7. Local and global influences on population declines of coastal waders: Purple Sandpiper Calidris maritima numbers in the Moray Firth, Scotland

    Science.gov (United States)

    Summers, Ron W.; Foster, Simon; Swann, Bob; Etheridge, Brian

    2012-05-01

    Declines in numbers by several wader species in Britain have been linked to climate change, but the mechanism for the declines has rarely been explored. Britain lies at the northern end of the East Atlantic Flyway, and supports 1.3 million out of the Flyway's 8.5 million coastal waders (Charadrii) in winter and the Purple Sandpiper is one of the species whose numbers have declined. Here, we examine the dynamics of the decline as observed in the Moray Firth, northeast Scotland, investigating whether the decline was due to poorer apparent survival (return rate) or poorer recruitment of young birds. The maximum number in the Moray Firth declined from 860 in 1987/88 to 236 in 2006/07, with some increase during winters 2007/08 and 2008/09. At the three main high-tide roosts (Balintore, Lossiemouth and Buckie) the maximum combined number declined from 574 to 90. Changes in survival and recruitment (percentage of first-year birds) were examined at these roosts from captured samples, which were ringed and recaptured. There were no significant changes between winters in survival rates, nor were there differences between the survival rates of age groups (first-year and adult) or bill size groups, which represented birds of different sex and breeding origin. Annual survival estimates for the three roosts ranged from 72 to 77%. The percentage of first-year birds varied among roosts and years; the lowest values were during the late 1980s/early 1990s and early 2000s. A free-running population model incorporating varying percentages of first-year birds and constant mortality for each roost provided a plausible explanation for the decline. Although modelled numbers followed the observed pattern, a discrepancy in one year was carried forward in subsequent years, so that the fit with the observed numbers was parallel rather than similar. However, it seems that the decline in numbers was largely due to poorer recruitment. We discuss whether breeding success had declined, whether the

  8. Explaining trends in alcohol-related harms in Scotland 1991-2011 (II): policy, social norms, the alcohol market, clinical changes and a synthesis.

    Science.gov (United States)

    McCartney, G; Bouttell, J; Craig, N; Craig, P; Graham, L; Lakha, F; Lewsey, J; McAdams, R; MacPherson, M; Minton, J; Parkinson, J; Robinson, M; Shipton, D; Taulbut, M; Walsh, D; Beeston, C

    2016-03-01

    To provide a basis for evaluating post-2007 alcohol policy in Scotland, this paper tests the extent to which pre-2007 policy, the alcohol market, culture or clinical changes might explain differences in the magnitude and trends in alcohol-related mortality outcomes in Scotland compared to England & Wales (E&W). Rapid literature reviews, descriptive analysis of routine data and narrative synthesis. We assessed the impact of pre-2007 Scottish policy and policy in the comparison areas in relation to the literature on effective alcohol policy. Rapid literature reviews were conducted to assess cultural changes and the potential role of substitution effects between alcohol and illicit drugs. The availability of alcohol was assessed by examining the trends in the number of alcohol outlets over time. The impact of clinical changes was assessed in consultation with key informants. The impact of all the identified factors were then summarised and synthesised narratively. The companion paper showed that part of the rise and fall in alcohol-related mortality in Scotland, and part of the differing trend to E&W, were predicted by a model linking income trends and alcohol-related mortality. Lagged effects from historical deindustrialisation and socio-economic changes exposures also remain plausible from the available data. This paper shows that policy differences or changes prior to 2007 are unlikely to have been important in explaining the trends. There is some evidence that aspects of alcohol culture in Scotland may be different (more concentrated and home drinking) but it seems unlikely that this has been an important driver of the trends or the differences with E&W other than through interaction with changing incomes and lagged socio-economic effects. Substitution effects with illicit drugs and clinical changes are unlikely to have substantially changed alcohol-related harms: however, the increase in alcohol availability across the UK is likely to partly explain the rise in

  9. Pattern of injury mortality by age-group in children aged 0–14 years in Scotland, 2002–2006, and its implications for prevention

    Directory of Open Access Journals (Sweden)

    Stone David H

    2009-04-01

    Full Text Available Abstract Background Knowledge of the epidemiology of injuries in children is essential for the planning, implementation and evaluation of preventive measures but recent epidemiological information on injuries in children both in general and by age-group in Scotland is scarce. This study examines the recent pattern of childhood mortality from injury by age-group in Scotland and considers its implications for prevention. Methods Routine mortality data for the period 2002–2006 were obtained from the General Register Office for Scotland and were analysed in terms of number of deaths, mean annual mortality rates per 100,000 population, leading causes of death, and causes of injury death. Mid-year population estimates were used as the denominator. Chi-square tests were used to determine statistical significance. Results 186 children aged 0–14 died from an injury in Scotland during 2002–06 (MR 4.3 per 100,000. Injuries were the leading cause of death in 1–14, 5–9 and 10–14 year-olds (causing 25%, 29% and 32% of all deaths respectively. The leading individual causes of injury death (0–14 years were pedestrian and non-pedestrian road-traffic injuries and assault/homicide but there was variation by age-group. Assault/homicide, fire and suffocation caused most injury deaths in young children; road-traffic injuries in older ones. Collectively, intentional injuries were a bigger threat to the lives of under-15s than any single cause of unintentional injury. The mortality rate from assault/homicide was highest in infants ( Conclusion Injuries continue to be a leading cause of death in childhood in Scotland. Variation in causes of injury death by age-group is important when targeting preventive efforts. In particular, the threats of assault/homicide in infants, fire in 1–4 year-olds, pedestrian injury in 5–14 year-olds, and suicide in 10–14 year-olds need urgent consideration for preventive action.

  10. HIV-1 integrase inhibitor resistance among treatment naïve patients in the West of Scotland.

    Science.gov (United States)

    Bradley-Stewart, A; Urcia, C; MacLean, A; Aitken, C; Gunson, R

    2017-07-01

    Transmitted integrase inhibitor resistance is rare, with only a small number of cases reported world-wide to date. The aim of this study was to assess whether transmitted integrase inhibitor resistance has occurred in Scotland and if so, could there be a case for performing genotypic integrase resistance testing at baseline. The study population consisted of 106 treatment naïve, newly diagnosed, HIV positive patients. The patient samples were collected between October 2015 and March 2016 at the time of HIV diagnosis and prior to initiation of anti-retroviral therapy. The integrase region was amplified and sequenced. We detected integrase inhibitor resistance (T66I/T) at baseline in one patient sample. This is a non-polymorphic mutation seen in patients receiving elvitegravir which confers high-level resistance to elvitegravir and intermediate resistance to raltegravir. A further 10 patients had accessory mutations which have minimal or no effect on susceptibility to integrase inhibitors. Transmitted integrase inhibitor resistance remains rare. The results of the present study do not support performing integrase resistance testing at baseline. Crown Copyright © 2017. Published by Elsevier B.V. All rights reserved.

  11. Evidence for multiphase water-escape during rafting of shelly marine sediments at Clava, Inverness-shire, NE Scotland

    Science.gov (United States)

    Phillips, Emrys; Merritt, Jon

    2008-05-01

    The Pleistocene shelly glaciomarine sediments exposed at Clava, near Inverness, northeast Scotland, occur in a series of thrust-bound rafts accreted at on the up-ice side of a bedrock high (150 m above OD) on the SE side of the valley of the River Nairn. These sediments originally formed part of a coarsening upwards deltaic or subaqueous fan sequence deposited in the marine fjord of the Loch Ness basin, located some 50 km to the SW. The geometry of these allochthonous rafts, coupled with the associated thrusting and large-scale folding of these bodies, are typical of many glacially transported rafts described in literature. However, at Clava, macro- and microscopic evidence indicates that these ice-rafted sediments were not frozen, with liquefaction, hydrofracturing and water-escape occurring repeatedly during their transport and accretion. The presence of large-scale detachments within the sequence has led to the development of a purely glacitectonic model for rafting at Clava. The detachments acted as a focus for fluid flow which lubricated these décollement surfaces, aiding in the subglacial transport of the rafts.

  12. Hydrogeochemical modelling of an active system of uranium fixation by organic soils and sediments (Needle's Eye, Scotland)

    International Nuclear Information System (INIS)

    Jamet, P.; Schmitt, J.M.; Ledoux, E.; Hooker, P.J.; Escalier des Orres, P.

    1993-01-01

    Uranium accumulation in organic-rich sediments can be closely modelled by assuming that the dominant effect of the uranium-organic matter interaction is the direct or indirect reduction of uranyl compounds to form U(IV) minerals, especially uraninite-pitchblende. Application of this model to the Needle's Eye (Scotland) site where uranium is actively accumulating in Quaternary sediments demonstrates that uranium accumulation is both effective and rapid in environments involving shallow, organic-rich, reducing horizons. The period of uranium deposit formation at Needle's Eye is estimated to be as short as 5000 years. The transport of uranium to the site of deposition by oxidizing groundwaters and the channelling of these oxidizing uraniferous groundwaters are identified as important factors involved in the rapid accumulation of uranium. The regional hydrogeological model indicates that a fault in the area appears to act as a hydraulic screen for the uraniferous groundwaters. On one side of the fault the Quaternary sediments are well drained whilst on the other the flow of groundwater seeps out creating a major flux just at the bottom of the organic-rich layers. The local hydrogeological model shows that the groundwater flow is vertical in this area. A third significant factor in the development of these uranium accumulations is the presence of a significant nearby source of leachable primary uranium. In the case of the Needle's Eye site this is in the form of some thirty 185 ± 20 Ma, pitchblende-bearing veins. 32 refs., 10 figs., 8 tabs

  13. Comparison of Health Examination Survey Methods in Brazil, Chile, Colombia, Mexico, England, Scotland, and the United States.

    Science.gov (United States)

    Mindell, Jennifer S; Moody, Alison; Vecino-Ortiz, Andres I; Alfaro, Tania; Frenz, Patricia; Scholes, Shaun; Gonzalez, Silvia A; Margozzini, Paula; de Oliveira, Cesar; Sanchez Romero, Luz Maria; Alvarado, Andres; Cabrera, Sebastián; Sarmiento, Olga L; Triana, Camilo A; Barquera, Simón

    2017-09-15

    Comparability of population surveys across countries is key to appraising trends in population health. Achieving this requires deep understanding of the methods used in these surveys to examine the extent to which the measurements are comparable. In this study, we obtained detailed protocols of 8 nationally representative surveys from 2007-2013 from Brazil, Chile, Colombia, Mexico, the United Kingdom (England and Scotland), and the United States-countries that that differ in economic and inequity indicators. Data were collected on sampling frame, sample selection procedures, recruitment, data collection methods, content of interview and examination modules, and measurement protocols. We also assessed their adherence to the World Health Organization's "STEPwise Approach to Surveillance" framework for population health surveys. The surveys, which included half a million participants, were highly comparable on sampling methodology, survey questions, and anthropometric measurements. Heterogeneity was found for physical activity questionnaires and biological samples collection. The common age range included by the surveys was adults aged 18-64 years. The methods used in these surveys were similar enough to enable comparative analyses of the data across the 7 countries. This comparability is crucial in assessing and comparing national and subgroup population health, and to assisting the transfer of research and policy knowledge across countries. © The Author(s) 2017. Published by Oxford University Press on behalf of the Johns Hopkins Bloomberg School of Public Health. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  14. Simulated environmental transport distances of Lepeophtheirus salmonis in Loch Linnhe, Scotland, for informing aquaculture area management structures.

    Science.gov (United States)

    Salama, N K G; Murray, A G; Rabe, B

    2016-04-01

    In the majority of salmon farming countries, production occurs in zones where practices are coordinated to manage disease agents such as Lepeophtheirus salmonis. To inform the structure of zones in specific systems, models have been developed accounting for parasite biology and system hydrodynamics. These models provide individual system farm relationships, and as such, it may be beneficial to produce more generalized principles for informing structures. Here, we use six different forcing scenarios to provide simulations from a previously described model of the Loch Linnhe system, Scotland, to assess the maximum dispersal distance of lice particles released from 12 sites transported over 19 day. Results indicate that the median distance travelled is 6.1 km from release site with management areas developed for infectious salmon anaemia control may also have properties appropriate for salmon lice management in Scottish coastal waters. Additionally, general numerical descriptors of the simulated relative lice abundance reduction with increased distance from release location are proposed. © 2015 Crown copyright. © 2015 John Wiley & Sons Ltd.

  15. Assessing the cumulative impacts of wind farms on peatland birds: a case study of golden plover Pluvialis apricaria in Scotland

    Directory of Open Access Journals (Sweden)

    J.W. Pearce-Higgins

    2008-05-01

    Full Text Available The distribution of golden plover across Scotland was modelled using land cover and management variables, and used to highlight the spatial association between golden plover abundance and current and proposed wind farm developments. Overlap was greatest in three biogeographical zones (the Western Isles, the Western Central Belt and the Borders Hills and was estimated at ca. 5% of the biogeographical population in each case. New field data were used to predict the effects of wind farm development on golden plover populations, employing a conservative analytical approach to detect statistically significant wind farm related effects. The results provide evidence of significant avoidance of wind turbines by breeding golden plovers to a distance of at least 200 metres. Furthermore, wind farm sites appear to support lower densities of golden plover than predicted by the distribution model for sites without wind farms. Therefore, there is evidence for negative effects of wind farm developments on golden plover, and we suggest strategies to reduce any potential conflict between the need to promote wind energy and the need to maintain golden plover populations.

  16. Implications of heterogeneous fracture distribution on reservoir quality; an analogue from the Torridon Group sandstone, Moine Thrust Belt, NW Scotland

    Science.gov (United States)

    Watkins, Hannah; Healy, David; Bond, Clare E.; Butler, Robert W. H.

    2018-03-01

    Understanding fracture network variation is fundamental in characterising fractured reservoirs. Simple relationships between fractures, stress and strain are commonly assumed in fold-thrust structures, inferring relatively homogeneous fracture patterns. In reality fractures are more complex, commonly appearing as heterogeneous networks at outcrop. We use the Achnashellach Culmination (NW Scotland) as an outcrop analogue to a folded tight sandstone reservoir in a thrust belt. We present fracture data is collected from four fold-thrust structures to determine how fracture connectivity, orientation, permeability anisotropy and fill vary at different structural positions. We use a 3D model of the field area, constructed using field observations and bedding data, and geomechanically restored using Move software, to determine how factors such as fold curvature and strain influence fracture variation. Fracture patterns in the Torridon Group are consistent and predictable in high strain forelimbs, however in low strain backlimbs fracture patterns are inconsistent. Heterogeneities in fracture connectivity and orientation in low strain regions do not correspond to fluctuations in strain or fold curvature. We infer that where strain is low, other factors such as lithology have a greater control on fracture formation. Despite unpredictable fracture attributes in low strain regions, fractured reservoir quality would be highest here because fractures in high strain forelimbs are infilled with quartz. Heterogeneities in fracture attribute data on fold backlimbs mean that fractured reservoir quality and reservoir potential is difficult to predict.

  17. Calibration of the sodium base cation dominance index of weathering for the River Dee catchment in north-east Scotland

    Energy Technology Data Exchange (ETDEWEB)

    Stutter, M. [Aberdeen Univ. (United Kingdom). Dept. of Plant and Soil Science; Smart, R.; Cresser, M. [York Univ. (United Kingdom). Environmental Dept.

    2002-07-01

    Previously the dominance of base cations by Na{sup +} in river water in upland catchments with low weathering rates and influenced by marine-derived aerosols has been suggested as a quantitative index of weathering rate upstream of the sampling point. Using data for 59 sites from a study of the River Dee catchment in NE Scotland, the index has been fully calibrated against catchment weathering rates and net alkalinity production, derived through input output budget methods, for both upland and agricultural catchments and over a wide range of parent materials. It is shown that the relationship between Na{sup +} dominance and weathering rate is logarithmic, rather than linear as initially suggested. The excellent correlations highlight the potential use of this Na{sup +} dominance index for the direct quantification of catchment susceptibility to acidification at fine spatial resolution, using a few simple and inexpensive measurements. Stronger correlations were observed between the % Na{sup +} dominance and net annual flux of alkalinity than between % Na{sup +} dominance and weathering rate derived from summation of base cation fluxes. This demonstrates the importance of mechanisms controlling the transport of base cations out of catchments, namely in association with organic matter and with anthropogenically derived SO{sub 4}{sup 2-}. These processes are shown to reduce the residual alkalinity derived through weathering. The partial neutralization of organic acidity by internally generated alkalinity has implications in the context of using the mass balance approach for setting critical loads for catchments. (Author)

  18. Accumulation of Sellafield-derived radiocarbon ((14)C) in Irish Sea and West of Scotland intertidal shells and sediments.

    Science.gov (United States)

    Tierney, Kieran M; Muir, Graham K P; Cook, Gordon T; MacKinnon, Gillian; Howe, John A; Heymans, Johanna J; Xu, Sheng

    2016-01-01

    The nuclear energy industry produces radioactive waste at various stages of the fuel cycle. In the United Kingdom, spent fuel is reprocessed at the Sellafield facility in Cumbria on the North West coast of England. Waste generated at the site comprises a wide range of radionuclides including radiocarbon ((14)C) which is disposed of in various forms including highly soluble inorganic carbon within the low level liquid radioactive effluent, via pipelines into the Irish Sea. This (14)C is rapidly incorporated into the dissolved inorganic carbon (DIC) reservoir and marine calcifying organisms, e.g. molluscs, readily utilise DIC for shell formation. This study investigated a number of sites located in Irish Sea and West of Scotland intertidal zones. Results indicate (14)C enrichment above ambient background levels in shell material at least as far as Port Appin, 265 km north of Sellafield. Of the commonly found species (blue mussel (Mytilus edulis), common cockle (Cerastoderma edule) and common periwinkle (Littorina littorea)), mussels were found to be the most highly enriched in (14)C due to the surface environment they inhabit and their feeding behaviour. Whole mussel shell activities appear to have been decreasing in response to reduced discharge activities since the early 2000s but in contrast, there is evidence of continuing enrichment of the carbonate sediment component due to in-situ shell erosion, as well as indications of particle transport of fine (14)C-enriched material close to Sellafield. Copyright © 2015 The Authors. Published by Elsevier Ltd.. All rights reserved.

  19. Cross-Cultural Collaboration as Community Growth and Integration: Children’s Music Projects in Bosnia-Herzegovina and Scotland

    Directory of Open Access Journals (Sweden)

    Hannah Linklater

    2012-01-01

    Full Text Available This paper constitutes a reflective account of inclusive approaches in two children’s music projects, both aiming to foster group creativityalongside cross-cultural awareness and understanding. The first of these projects involved sharing songs composed by children and youngpeople from a special needs school in Mostar, Bosnia-Herzegovina, with a primary school choir in Edinburgh, Scotland. The second project, inSarajevo, Bosnia-Herzegovina, focused on group song-writing and performance involving three groups of children from ethnically separated schools, alongside a choir from a school for children with visual impairments. On reflection, we discuss cross-cultural musical collaboration as an effective means of bringing children togetheracross social and cultural divides in order to share new experiences while building respect for differences. We hope projects such as these may represent the first step towards the ultimate goal of encouraging and nurturing more inclusive friendships between children who might not otherwise have opportunities to interact with each other.

  20. Autonomous Vehicles for Wave Energy Site Characterisation and monitoring in the Atlantic areas: North Scotland and Portugal

    Science.gov (United States)

    McIlvenny, J.; Campuzano, F.; Goddijn-Murphy, L.

    2016-02-01

    Surface autonomous marine robots allow the collection of environmental data for weeks or months at a time in difficult to reach or extreme oceanic environments. Wave glider technology has improved in recent years and is now capable of carrying instruments from different manufacturers1, such as ADCP, wave modules, and acoustic sensors2. Here we investigate the suitability of surface based robotic platforms for the collection of environmental data for the renewable energy industry. The Waveglider robotic platform was chosen for this study, representing one of the most advanced platforms in its class. Two sites were chosen: Farr point in North Scotland and Nazare in Portugal. Both study sites are potential locations for wave energy development. We present the results of two simultaneous field campaigns using Waveglider technology. Of particular importance to the study were data integrity and accuracy, platform ability, performance and durability and risk. The project's main aims were to test the platform's capabilities and collect wave data from two wave energy lease sites. The wave data from the Waveglider are compared to nearshore wave height and period data from simultaneous overhead passes by the altimeter satellite AltiKa3. In addition, Waverider buoys were also deployed and recording wave characteristics at both sites visited by the Waveglider. We present the preliminary inter-comparison between the three wave datasets at both sites and assess the performance of the Waveglider technology.

  1. Paternal age in relation to offspring intelligence in the West of Scotland Twenty-07 prospective cohort study.

    Directory of Open Access Journals (Sweden)

    Elise Whitley

    Full Text Available BACKGROUND: The adverse effects of advancing maternal age on offspring's health and development are well understood. Much less is known about the impact of paternal age. METHODS: We explored paternal age-offspring cognition associations in 772 participants from the West of Scotland Twenty-07 study. Offspring cognitive ability was assessed using Part 1 of the Alice Heim 4 (AH4 test of General Intelligence and by reaction time (RT. RESULTS: There was no evidence of a parental age association with offspring RT. However, we observed an inverse U-shaped association between paternal age and offspring AH4 score with the lowest scores observed for the youngest and oldest fathers. Adjustment for parental education and socioeconomic status somewhat attenuated this association. Adjustment for number of, particularly older, siblings further reduced the scores of children of younger fathers and appeared to account for the lower offspring scores in the oldest paternal age group. CONCLUSION: We observed a paternal age association with AH4 but not RT, a measure of cognition largely independent of social and educational experiences. Factors such as parental education, socioeconomic status and number of, particularly older, siblings may play an important role in accounting for paternal age-AH4 associations. Future studies should include parental intelligence.

  2. Inequalities in the distribution of the costs of alcohol misuse in Scotland: a cost of illness study.

    Science.gov (United States)

    Johnston, Marjorie C; Ludbrook, Anne; Jaffray, Mariesha A

    2012-01-01

    To examine the distribution of the costs of alcohol misuse across Scotland in 2009/2010, in relation to deprivation. A cost of illness approach was used. Alcohol-related harmful effects were assessed for inclusion using a literature review. This was based upon the following categories: direct healthcare costs, intangible health costs, social care costs, crime costs and labour and productivity costs. An analysis of secondary data supplemented by a literature review was carried out to quantify each harmful effect, determine its value and provide an estimate of the distribution by deprivation. The deprivation distributions used were area measures (primarily the Scottish Index of Multiple Deprivation). The overall cost was £7457 million. Two alcohol harmful effects were not included in the overall cost by deprivation due to a lack of data. These were 'children's social work and hearing system' and the criminal justice system costs from 'alcohol-specific offences'. The included alcohol harmful effects demonstrated that 40.41% of the total cost arose from the 20% most deprived areas. The intangible cost category was the largest category (78.65%). The study found that the burden of alcohol harmful effects is greater in deprived groups and these burdens do not simply arise from deprived groups but are also experienced more by these groups. The study was limited by a lack of data availability in certain areas, leading to less-precise cost estimates.

  3. Improving the quality and impact of public health social media activity in Scotland during 2016: #ScotPublicHealth.

    Science.gov (United States)

    Mackenzie, Douglas Graham

    2017-06-07

    Social media, including Twitter, potentially provides a route to communicate public health messages to a large audience. Simple measures can boost onward broadcast to other users ('retweeting'). This study compares the impact of a structured programme of social media activity in Scotland during 2016 (using #ScotPublicHealth hashtag) with previous years. The Twitter search function was used to identify tweets between 2014 and 2016 inclusive. The first three tweets from each Twitter user were selected for each period. The number of retweets was used as a measure of impact. The quality of tweets was assessed by recording use of image, weblink (uniform resource locator or URL), mention of another Twitter user and/or hashtag, each of which have been shown to boost number of retweets. The percentage of tweets with an image, URL and/or mention of another Twitter user increased during the period of study. The percentage of tweets retweeted during Scottish Public Health conferences increased from 43% in 2014 to 70% in 2016. The volume of tweeting also increased. The quality and impact of tweets sent by the Scottish Public Health community was higher during 2016 than previous years. Conference tweeting remains an area for improvement. © The Author 2017. Published by Oxford University Press on behalf of Faculty of Public Health. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com

  4. Trauma care in Scotland: effect of rurality on ambulance travel times and level of destination healthcare facility.

    Science.gov (United States)

    Yeap, E E; Morrison, J J; Apodaca, A N; Egan, G; Jansen, J O

    2014-06-01

    The aim of this study was to determine the effect of rurality on the level of destination healthcare facility and ambulance response times for trauma patients in Scotland. We used a retrospective analysis of pre-hospital data routinely collected by the Scottish Ambulance Service from 2009-2010. Incident locations were categorised by rurality, using the Scottish urban/rural classification. The level of destination healthcare facility was coded as either a teaching hospital, large general hospital, general hospital, or other type of facility. A total of 64,377 incidents met the inclusion criteria. The majority of incidents occurred in urban areas, which mostly resulted in admission to teaching hospitals. Incidents from other areas resulted in admission to a lower-level facility. The majority of incidents originating in very remote small towns and very remote rural areas were treated in a general hospital. Median call-out times and travel times increased with the degree of rurality, although with some exceptions. Trauma is relatively rare in rural areas, but patients injured in remote locations are doubly disadvantaged by prolonged pre-hospital times and admission to a hospital that may not be adequately equipped to deal with their injuries. These problems may be overcome by the regionalisation of trauma care, and enhanced retrieval capability.

  5. Perceived tutor benefits of teaching near peers: insights from two near peer teaching programmes in South East Scotland.

    Science.gov (United States)

    Qureshi, Z U; Gibson, K R; Ross, M T; Maxwell, S

    2013-08-01

    There is little evidence about the benefits to junior doctors of participating in teaching, or how to train doctors as teachers. We explore (through South East Scotland based teaching programmes): (a) How prepared do junior doctors feel to teach? (b) What junior doctors consider to be the main challenges of teaching? (c) What motivates the junior doctors to continue teaching, and what is the perceived impact of teaching on their professional development? 'Questionnaire 1', distributed at 'tutor training days', explored (i) attitudes towards teaching and (ii) tutors' preparedness to teach. 'Questionnaire 2', distributed after completion of a teaching programme, evaluated the tutor experience of teaching. Seventy-six per cent of tutors reported no previous teacher training; 10% were able to teach during allocated work hours. The strongest motivation for teaching was to help students with their learning and to develop teaching skills. Ninety one per cent of tutors felt more prepared to teach by the end of the programme. Tutors also improved their clinical skills from teaching. There is a body of junior doctors, who see teaching as an important part of their career, developing both teaching and clinical skills in the tutor. If teaching is expected of foundation doctors, rotas ought to be more flexible to facilitate both teaching and teacher training.

  6. Recent trends in water quality in an agricultural catchment in Eastern Scotland: elucidating the roles of hydrology and land use.

    Science.gov (United States)

    Dunn, S M; Sample, J; Potts, J; Abel, C; Cook, Y; Taylor, C; Vinten, A J A

    2014-07-01

    Across the EU, programmes of measures have been introduced as part of river basin management planning as a means of tackling problems of diffuse pollution from agriculture. Evidence is required to demonstrate the effectiveness of these measures and with this overarching objective, monitoring of an agricultural catchment in Eastern Scotland was initiated in 2007. As a precursor to evaluating the effect of new management measures it is essential to understand how other factors, including hydrology and land use changes, could have influenced water quality. This study undertook an analysis of the trends in concentrations and loads of nitrate, soluble reactive phosphorus (SRP), suspended solids (SS) and turbidity measured at six points in the catchment over a six year period. The results identified both differing trends between determinands and differing trends occurring over varying spatial scales. The only direct relationships between land use and water quality that could be identified based on annual data was a positive link between arable cropping and nitrate concentrations. At the sub-catchment scale some temporal changes in land use and management explained short-term trends in nitrate but not in SRP. Lags in the system were identified due to soil adsorption, in-stream/loch processing and groundwater transport making the identification of cause and effect problematic. The results have implications for the demonstration of effectiveness of measures over the shorter term and the timescales of recovery from diffuse pollution. Longer term monitoring at small scales will be important in this regard.

  7. First report to the Secretary of State for the Environment, Secretary of State for Scotland, Secretary of State for Wales

    Energy Technology Data Exchange (ETDEWEB)

    1983-01-01

    This report covers the first year of existence of NIREX, the Nuclear Industry Radioactive Waste Executive. NIREX was established, with the Government's agreement, by British Nuclear Fuels Ltd, the Central Electricity Generating Board, the South of Scotland Electricity Board and the United Kingdom Atomic Energy Authority. The Executive's responsibilities do not encompass high-level wastes. NIREX seeks to develop a fully integrated system for the disposal of low- and intermediate-level wastes, including the standardisation of the waste packages which will be passed to NIREX for disposal, appropriate transport arrangements and the development of facilities for storage and disposal. The overwhelming weight of scientific evidence continues to confirm that the present practice of disposing of solidified wastes in the deep ocean causes no harm to Man or the environment. NIREX will, therefore pursue deep-ocean disposal of wastes within the limits laid down by the UK regulatory authorities and internationally. Shallow and deep land-based repositories are being planned. NIREX is initiating research, where needed, to demonstrate in any proposal put to the relevant authorities how the public will be safeguarded. NIREX recognises the widespread public interest in radioactive waste management issues and welcomes a well-informed public scrutiny of its plans and proposals.

  8. Prevalence of overweight and obesity among nurses in Scotland: A cross-sectional study using the Scottish Health Survey.

    Science.gov (United States)

    Kyle, Richard G; Neall, Rosie A; Atherton, Iain M

    2016-01-01

    Increasing prevalence of overweight and obesity represents a global pandemic. As the largest occupational group in international healthcare systems nurses are at the forefront of health promotion to address this pandemic. However, nurses own health behaviours are known to influence the extent to which they engage in health promotion and the public's confidence in advice offered. Estimating the prevalence of overweight and obesity among nurses is therefore important. However, to date, prevalence estimates have been based on non-representative samples and internationally no studies have compared prevalence of overweight and obesity among nurses to other healthcare professionals using representative data. To estimate overweight and obesity prevalence among nurses in Scotland, and compare to other healthcare professionals and those working in non-heath related occupations. Cross-sectional study using a nationally representative sample of five aggregated annual rounds (2008-2012) of the Scottish Health Survey. Scotland. 13,483 adults aged 17-65 indicating they had worked in the past 4 weeks, classified in four occupational groups: nurses (n=411), other healthcare professionals (n=320), unqualified care staff (n=685), and individuals employed in non-health related occupations (n=12,067). Prevalence of overweight and obesity defined as Body Mass Index≥25.0. Estimates of overweight and obesity prevalence in each occupational group were calculated with 95% confidence intervals (CI). A logistic regression model was then built to compare the odds of being overweight or obese with not being overweight or obese for nurses in comparison to the other occupational categories. Data were analysed using SAS 9.1.3. 69.1% (95% CI 64.6, 73.6) of Scottish nurses were overweight or obese. Prevalence of overweight and obesity was higher in nurses than other healthcare professionals (51.3%, CI 45.8, 56.7), unqualified care staff (68.5%, CI 65.0, 72.0) and those in non-health related

  9. Hydrological and vegetational response to the Younger Dryas climatic oscillations: a high resolution case study from Quoyloo Meadow, Orkney, Scotland

    Science.gov (United States)

    Maas, David; Abrook, Ashley; Timms, Rhys; Matthews, Ian; Palmer, Adrian; Milner, Alice; Candy, Ian; Sachse, Dirk

    2016-04-01

    macrotephra study (Timms et al in prep). References: Bunting, M.J., 1994, Vegetation history of Orkney, Scotland: pollen records from two small basins in west Mainland, New Phytologist, Vol 128, p 771-792 Castañeda, I.S., Mulitza, S., Schefuß, E., Lopes dos Santos, R.A., Sinninghe Damsté, J.S. and Schouten, S. (2009) Wet phases in the Sahara/Sahel region and human migration patterns in North Africa, Proceedings of the National Academy of Sciences, Vol 106, p 20159 - 20163, Supporting Information: 10.1073/pnas.0905771106 Rach, O., Brauer, A., Wilkes, H. and Sachse, D. (2014) Delayed hydrological response to Greenland cooling at the onset of the Younger Dryas in western Europe, Nature Geoscience, Vol 7, p 109 - 112 Timms, R.G.O., Matthews, I.P., Palmer, A.P., and Candy, I (in prep), A high resolution tephrostratigraphy from Quoyloo Meadow, Orkney, Scotland: Implications for tephrostratigraphic refinement in the Last Glacial - Interglacial Transition (ca. 16-8 ka) [working title

  10. Tobacco companies' use of retailer incentives after a ban on point-of-sale tobacco displays in Scotland.

    Science.gov (United States)

    Stead, Martine; Eadie, Douglas; Purves, Richard I; Moodie, Crawford; Haw, Sally

    2017-07-31

    Incentives have been used by tobacco companies for many years to encourage retailers to sell and promote their products. However, few studies have examined the use of retailer incentives in countries with a ban on the open display of tobacco products in stores. As part of the DISPLAY(Determining the Impact of Smoking Point of Sale Legislation Among Youth) study, annual qualitative interviews were conducted with 24 small retailers in four Scottish communities. This article focuses on data collected in June to July 2015 and June to July 2016 after a ban on the open display of tobacco was fully implemented in Scotland. Retailers described being offered and benefiting from a range of financial and other incentives, typically offered via tobacco company representatives ('reps'). Most of the retailers received tobacco manufacturer support for converting their storage unit to be compliant with the new regulations, and several participated in manufacturer 'loyalty' or 'reward' schemes. Incentives were additionally offered for maintaining stock levels and availability, positioning brands in specified spaces in the public-facing storage units (even though products were covered up), increasing sales, trialling new products and participating in specific promotions, such as verbally recommending specific brands to customers. Even in a market where the open display of tobacco is prohibited, tobacco companies continue to incentivise retailers to sell and promote their brands and have developed new promotional strategies. For countries that have implemented tobacco display bans, or are considering doing so, one option to combat these practices would be to ban promotional communications between manufacturers and retailers. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

  11. Unemployment and inflammatory markers in England, Wales and Scotland, 1998-2012: Meta-analysis of results from 12 studies.

    Science.gov (United States)

    Hughes, Amanda; Kumari, Meena; McMunn, Anne; Bartley, Mel

    2017-08-01

    Unemployment represents for many affected individuals a substantial source of psychosocial stress, and is linked to both increased risk of morbidity and mortality and adverse health-related behaviours. Few studies have examined the association of unemployment with systemic inflammation, a plausible mediator of the associations of psychosocial stress and health, and results are mixed and context dependent. This study examines the association of unemployment with C-reactive protein (CRP) and fibrinogen, two markers of systemic inflammation. A random-effects meta-analysis was performed using a multilevel modelling approach, including 12 national UK surveys of working-age participants in which CRP and fibrinogen were measured between 1998 and 2012 (N=30,037 economically active participants). The moderating impact of participant age and UK country was explored. CRP and fibrinogen were elevated in unemployed compared to employed participants; jobseekers were also more likely (Odds Ratio: 1.39, p3mg/L), after adjustment for age, gender, education, long-term illness, smoking, and body mass index. Associations were not explained by mental health. Associations peaked in middle-age, and were stronger in Scotland and Wales than in England. Our study demonstrates that systemic inflammation is associated with an important but little-studied aspect of the social environment, as it is elevated in unemployed compared to employed survey participants. Modifications suggest the association of unemployment and inflammation is substantially influenced by contextual factors, and may be especially strong in Wales, where further investigation of this relationship is needed. Copyright © 2017 The Author(s). Published by Elsevier Inc. All rights reserved.

  12. Public attitudes towards alcohol control policies in Scotland and England: Results from a mixed-methods study.

    Science.gov (United States)

    Li, Jessica; Lovatt, Melanie; Eadie, Douglas; Dobbie, Fiona; Meier, Petra; Holmes, John; Hastings, Gerard; MacKintosh, Anne Marie

    2017-03-01

    The harmful effects of heavy drinking on health have been widely reported, yet public opinion on governmental responsibility for alcohol control remains divided. This study examines UK public attitudes towards alcohol policies, identifies underlying dimensions that inform these, and relationships with perceived effectiveness. A cross-sectional mixed methods study involving a telephone survey of 3477 adult drinkers aged 16-65 and sixteen focus groups with 89 adult drinkers in Scotland and England was conducted between September 2012 and February 2013. Principal components analysis (PCA) was used to reduce twelve policy statements into underlying dimensions. These dimensions were used in linear regression models examining alcohol policy support by demographics, drinking behaviour and perceptions of UK drinking and government responsibility. Findings were supplemented with a thematic analysis of focus group transcripts. A majority of survey respondents supported all alcohol policies, although the level of support varied by type of policy. Greater enforcement of laws on under-age sales and more police patrolling the streets were strongly supported while support for pricing policies and restricting access to alcohol was more divided. PCA identified four main dimensions underlying support on policies: alcohol availability, provision of health information and treatment services, alcohol pricing, and greater law enforcement. Being female, older, a moderate drinker, and holding a belief that government should do more to reduce alcohol harms were associated with higher support on all policy dimensions. Focus group data revealed findings from the survey may have presented an overly positive level of support on all policies due to differences in perceived policy effectiveness. Perceived effectiveness can help inform underlying patterns of policy support and should be considered in conjunction with standard measures of support in future research on alcohol control policies

  13. Ecohydrodynamics of cold-water coral reefs: a case study of the Mingulay Reef Complex (western Scotland.

    Directory of Open Access Journals (Sweden)

    Juan Moreno Navas

    Full Text Available Ecohydrodynamics investigates the hydrodynamic constraints on ecosystems across different temporal and spatial scales. Ecohydrodynamics play a pivotal role in the structure and functioning of marine ecosystems, however the lack of integrated complex flow models for deep-water ecosystems beyond the coastal zone prevents further synthesis in these settings. We present a hydrodynamic model for one of Earth's most biologically diverse deep-water ecosystems, cold-water coral reefs. The Mingulay Reef Complex (western Scotland is an inshore seascape of cold-water coral reefs formed by the scleractinian coral Lophelia pertusa. We applied single-image edge detection and composite front maps using satellite remote sensing, to detect oceanographic fronts and peaks of chlorophyll a values that likely affect food supply to corals and other suspension-feeding fauna. We also present a high resolution 3D ocean model to incorporate salient aspects of the regional and local oceanography. Model validation using in situ current speed, direction and sea elevation data confirmed the model's realistic representation of spatial and temporal aspects of circulation at the reef complex including a tidally driven current regime, eddies, and downwelling phenomena. This novel combination of 3D hydrodynamic modelling and remote sensing in deep-water ecosystems improves our understanding of the temporal and spatial scales of ecological processes occurring in marine systems. The modelled information has been integrated into a 3D GIS, providing a user interface for visualization and interrogation of results that allows wider ecological application of the model and that can provide valuable input for marine biodiversity and conservation applications.

  14. Trends in incidence and in short term survival following a subarachnoid haemorrhage in Scotland, 1986 - 2005: a retrospective cohort study

    Directory of Open Access Journals (Sweden)

    Walters Matthew

    2011-03-01

    Full Text Available Abstract Background To examine age and sex specific incidence and 30 day case fatality for subarachnoid haemorrhage (SAH in Scotland over a 20 year period. Methods A retrospective cohort study using routine hospital discharge data linked to death records. Results Between 1986 and 2005, 12,056 individuals experienced an incident SAH. Of these 10,113 (84% survived to reach hospital. Overall age-standardised incidence rates were greater in women than men and remained relatively stable over the study period. In 2005, incidence in women was 12.8 (95% CI 11.5 to 14.2 and in men 7.9 (95% CI 6.9 to 9.1. 30 day case fatality in individuals hospitalised with SAH declined substantially, falling from 30.0% in men and 33.9% in women in 1986-1990 to 24.5% in men and 29.1% in women in 2001-2005. For both men and women, the largest reductions were observed in those aged between 40 to 59 years. After adjustment for age, socio-economic status and co-morbidity, the odds of death at 30 days in 2005 compared to odds of death in 1986 was 0.64 (0.54 to 0.76, p Conclusions Incidence rates for SAH remained stable between 1986 and 2005 suggesting that a better understanding of SAH risk factors and their reduction is needed. 30 day case fatality rates have declined substantially, particularly in middle-age. However, they remain high and it is important to ensure that this is not due to under-diagnosis or under-treatment.

  15. Contested space in the pharmacy: public attitudes to pharmacy harm reduction services in the West of Scotland.

    Science.gov (United States)

    Gidman, Wendy; Coomber, Ross

    2014-01-01

    Internationally, community pharmacies have become increasingly involved in providing harm reduction services and health advice to people who use illicit drugs. This paper considers public opinion of community pharmacy services. It discusses attitudes to harm reduction services in the context of stigmatization of addiction and people who use drugs. This exploratory study involved twenty-six purposively sampled members of the public, from the West of Scotland, participating in one of 5 focus groups. The groups were composed to represent known groups of users and non-users of community pharmacy, none of whom were problem drug users. Three thematic categories were identified: methadone service users in community pharmacies; attitudes to harm reduction policies; contested space. Harm reduction service expansion has resulted in a high volume of drug users in and around some Scottish pharmacies. Even if harm reduction services are provided discretely users' behavior can differentiate them from other pharmacy users. Drug users' behavior in this setting is commonly perceived to be unacceptable and can deter other consumers from using pharmacy services. The results of this study infer that negative public opinion is highly suggestive of stereotyping and stigmatization of people who use drugs. Participants considered that (1) community pharmacies were unsuitable environments for harm reduction service provision, as they are used by older people and those with children; (2) current drug policy is perceived as ineffective, as abstinence is seldom achieved and methadone was reported to be re-sold; (3) people who use drugs were avoided where possible in community pharmacies. Community pharmacy harm reduction services increasingly bring together the public and drug users. Study participants were reluctant to share pharmacy facilities with drug users. This paper concludes by suggesting mechanisms to minimize stigmatization. Copyright © 2014 Elsevier Inc. All rights reserved.

  16. A national survey of health service infrastructure and policy impacts on access to computerised CBT in Scotland

    Directory of Open Access Journals (Sweden)

    Kenicer David

    2012-09-01

    Full Text Available Abstract Background NICE recommends computerised cognitive behavioural therapy (cCBT for the treatment of several mental health problems such as anxiety and depression. cCBT may be one way that services can reduce waiting lists and improve capacity and efficiency. However, there is some doubt about the extent to which the National Health Service (NHS in the UK is embracing this new health technology in practice. This study aimed to investigate Scottish health service infrastructure and policies that promote or impede the implementation of cCBT in the NHS. Methods A telephone survey of lead IT staff at all health board areas across Scotland to systematically enquire about the ability of local IT infrastructure and IT policies to support delivery of cCBT. Results Overall, most of the health boards possess the required software to use cCBT programmes. However, the majority of NHS health boards reported that they lack dedicated computers for patient use, hence access to cCBT at NHS sites is limited. Additionally, local policy in the majority of boards prevent staff from routinely contacting patients via email, skype or instant messenger, making the delivery of short, efficient support sessions difficult. Conclusions Conclusions: Overall most of the infrastructure is in place but is not utilised in ways that allow effective delivery. For cCBT to be successfully delivered within a guided support model, as recommended by national guidelines, dedicated patient computers should be provided to allow access to online interventions. Additionally, policy should allow staff to support patients in convenient ways such as via email or live chat. These measures would increase the likelihood of achieving Scottish health service targets to reduce waiting time for psychological therapies to 18 weeks.

  17. Long-term development of nursing mixtures of Sitka spruce and larch species in an experiment in northern Scotland

    Directory of Open Access Journals (Sweden)

    William L. Mason

    2014-12-01

    Full Text Available Aim of the study: An experiment was established in 1966 to compare the growth and development of 50: 50 mixtures of Sitka spruce (Picea sitchensis with either Japanese larch (Larix kaempferi or tamarack (L. laricina with that found in pure plots of Sitka spruce. The site was one of moderate nitrogen availability where the presence of heather (Calluna vulgaris could be expected to limit the growth ofSitka spruce.Area of the study: North-east Scotland.Material and methods: There were different patterns of spruce growth in the pure plots and in the mixtures, with faster spruce growth in mixture in the years approaching and immediately following canopy closure (i.e. ages 15-25. Foliage analysis suggested that this was linked with improved nitrogen status of spruce trees in the mixed compared to the pure plots.Main results: At years 20 and 25 there were significant differences in height, diameter, and basal area between treatments, with the largest basal area being found in the Japanese larch/Sitka spruce mixtures, indicative of overyielding in the mixed plots. However, when the experiment was clearfelled at 41 years of age, all treatments had self-thinned to produce spruce dominated stands of similar height with only an occasional larch tree surviving in plots that were originally 50:50 mixtures.Research highlights: There were no differences between treatments in basal area, harvested volume or sawlog outturn after 41 years. These results can be interpreted as showing facilitation between the larch and the spruce during the establishment phase followed by competition for light once canopy closure had occurred.Keywords: Mixed stand dynamics; facilitation; nitrogen status; product outturn.

  18. Assessing the psychometric and ecometric properties of neighborhood scales using adolescent survey data from urban and rural Scotland.

    Science.gov (United States)

    Martin, Gina; Inchley, Joanna; Humphris, Gerry; Currie, Candace

    2017-03-28

    Despite the well-established need for specific measurement instruments to examine the relationship between neighborhood conditions and adolescent well-being outcomes, few studies have developed scales to measure features of the neighborhoods in which adolescents reside. Moreover, measures of neighborhood features may be operationalised differently by adolescents living in different levels of urban/rurality. This has not been addressed in previous studies. The objectives of this study were to: 1) establish instruments to measure adolescent neighborhood features at both the individual and neighborhood level, 2) assess their psychometric and ecometric properties, 3) test for invariance by urban/rurality, and 4) generate neighborhood level scores for use in further analysis. Data were from the Scottish 2010 Health Behaviour in School-aged Children Survey, which included an over-sample of rural adolescents. The survey responses of interest came from questions designed to capture different facets of the local area in which each respondent resided. Intermediate data zones were used as proxies for neighborhoods. Internal consistency was evaluated by Cronbach's alpha. Invariance was examined using confirmatory factor analysis. Multilevel models were used to estimate ecometric properties and generate neighborhood scores. Two constructs labeled neighborhood social cohesion and neighborhood disorder were identified. Adjustment was made to the originally specified model to improve model fit and measures of invariance. At the individual level, reliability was .760 for social cohesion and .765 for disorder, and between .524 and .571 for both constructs at the neighborhood level. Individuals in rural areas experienced greater neighborhood social cohesion and lower levels of neighborhood disorder compared with those in urban areas. The scales are appropriate for measuring neighborhood characteristics experienced by adolescents across urban and rural Scotland, and can be used in

  19. Why are rates of sterilization in decline? A pilot study designed to explore reasons for declining female sterilization in Scotland.

    Science.gov (United States)

    Chen, Zhong E; Glasier, Anna; Warner, Pamela

    2008-10-01

    In the last decade, female sterilization had been in decline throughout the UK. It is not clear whether fewer women are requesting sterilization or whether the universal enthusiasm for long-acting reversible methods is leading health professionals to discourage women from being sterilized. Since correct and consistent use of alternative, reversible contraceptive methods depends somewhat on their acceptability, it is important to determine whether women are being refused sterilization or whether they are freely choosing other methods. This study aims to explore whether female sterilization is being widely considered as a contraceptive method, the reasons for choosing or rejecting it, and whether women are being discouraged by health professionals from being sterilized. A self-completed questionnaire survey among 205 women aged 30 to 50 years who felt that their family was complete attending a family planning clinic in Scotland. Of the 203 women included in the study, 151 (74.4%) had heard of female sterilization, 90 had discussed it with someone (60%) and 87 (58%) had considered it as a contraceptive option. Of the 56 women who consulted their family doctor about sterilization, almost half (27; 48%) were not referred to a hospital and fewer than one (17, 30.4%) in three of them was eventually sterilized or had arrangements in place to get it done. Free-text comments from the women revealed a variety of reasons for not choosing female sterilization and suggested that some women are being deterred from sterilization. The study suggests that some women are being actively encouraged by health professionals to use long-acting reversible contraceptive methods and discouraged from choosing sterilization. However, other women recognize for themselves the wisdom of keeping their fertility options open.

  20. Equine grass sickness in Scotland: a case-control study of signalment- and meteorology-related risk factors.

    Science.gov (United States)

    Wylie, C E; Shaw, D J; Fordyce, F M; Lilly, A; McGorum, B C

    2014-01-01

    Equine grass sickness (EGS) remains a frequently fatal disease of equids in Britain. Since previous investigations of signalment- and meteorology-related risk factors for EGS have yielded some conflicting data, further investigation is warranted. To identify signalment- and meteorology-related risk factors for EGS in Scotland. Retrospective time-matched case-control study. This study was undertaken using data for 455 EGS cases and 910 time-matched controls that were referred to the Royal (Dick) School of Veterinary Studies, and average UK Meteorological Office weather station meteorological values from the month of admission of the animal, from the 3, 6 and 12 months prior to admission, and for the entire 1990-2006 period. Signalment-related risk factors associated with an increased risk of EGS were native Scottish pure breeds compared with crossbreeds (odds ratio [OR] = 3.56, 95% confidence interval [CI] 2.43-5.43) and animals living on premises located further north within the study region (OR = 1.08, 95% CI 1.06-1.10). There was a decreased risk of EGS in animals aged 11-20 years compared with animals 2-10 years (OR = 0.32, 95% CI 0.22-0.45), non-native Scottish pure breeds compared with crossbreeds (OR = 0.71, 95% CI 0.54-0.94), and stallions compared with mares (OR = 0.43, 95% CI 0.22-0.86). Meteorology-related risk factors associated with an increased risk of EGS were (if Ordnance Survey northing is excluded) more sun hours (OR>1.43) and more frost days (OR>1.13), while there was a decreased risk of EGS with higher average maximum temperature (ORmeteorological risk factors may assist studies on the aetiology of EGS. © 2013 EVJ Ltd.

  1. Establishing data-intensive healthcare: the case of Hospital Electronic Prescribing and Medicines Administration systems in Scotland

    Directory of Open Access Journals (Sweden)

    Kathrin Cresswell

    2016-10-01

    Full Text Available Background Creating learning health systems, characterised by the use and repeated reuse of demographic, process and clinical data to improve the safety, quality and efficiency of care, is a key aim in realising the potential benefits and efficiency savings associated with the implementation of health information technology. Objectives We sought to investigate stakeholder perspectives on and experiences of the implementation of hospital electronic prescribing and medicines administration (HEPMA systems in Scotland and use these to inform political decisions on approaches to promoting the use and reuse of digitised prescribing and medication administration data in order to improve care processes and outcomes. Methods We identified and recruited key national stakeholders involved in implementing and/or using HEPMA data from generic and specialty systems. These included representatives from healthcare settings (i.e. doctors, pharmacists and nurses, managers of existing national databases, policy makers, healthcare analytics companies, system suppliers and patient representatives. We conducted multi-disciplinary focus group discussions, audio-recorded these, transcribed data verbatim and thematically analysed the transcripts with the help of NVivo10. In analysing the data, we drew on theoretical and previous empirical work on information infrastructures. Results We identified the following key themes: 1 micro-factors – usability of systems and motivating users to input data; 2 meso-factors – developing technical and organisational infrastructures to facilitate the aggregation of data; and 3 macro-factors – facilitating interoperability and data reuse at larger scales to ensure that data are effectively generated and used. Conclusions This work is relevant not only to countries in the early stages of data strategy development but also to countries aiming to aggregate data at national levels. An overall shared vision of a learning health system

  2. Colour Sonar: Multi-Frequency Sidescan Sonar Images of the Seabed in the Inner Sound of the Pentland Firth, Scotland

    Directory of Open Access Journals (Sweden)

    Duncan Tamsett

    2016-03-01

    Full Text Available The backscatter response of a seabed to an incident sonar signal is dependent on the carrier wave frequency: i.e., the seabed is acoustically colourful. Colour is implemented in a prototype three-frequency sidescan sonar system deployed in the Pentland Firth, north Scotland. Sonar amplitude data as a function of frequency are processed to render them an unconfounded effect of the seabed normalized to the response at a reference inclination angle, for colour to be a meaningful property of the seabed. Methods for mapping data at sonar frequencies to optical primary colours for human visualisation are explored. We recommend methods that in our opinion generate colour characteristics harmonious with human vision in which: shadow is white; saturation black; colour shade darkness is proportional to backscatter strength; and shades of red, green and blue are seen in proportion to the backscatter amplitudes of the low-, mid- and high-frequency sonar data. Frequency equalisation is applied to achieve a balance in colour responses in images. The seabed in the survey area is acoustically colourful. Using the “negative BGR” colour mapping method: a weakly backscattering sand dune in the north of the survey area appears as shades of light blue and purple; a strongly backscattering halo of cobbles around the dune appears as shades of hazel brown; a strongly backscattering gravel ridge across the south of the survey area appears as shades of royal blue; and exposed rock as textures ranging in colour from light brown to light blue/green. There is evidence for colour anisotropy (a dependence of colour on the direction of ensonification. Similarities between anthropic colour sonar and the natural sonar of Microchiropteran bats are noted. Bats’ sonar satisfies the information criteria for acoustic colour, and it is hypothesized that it informs a colourfully-perceived world view.

  3. Inpatient costs for people with type 1 and type 2 diabetes in Scotland: a study from the Scottish Diabetes Research Network Epidemiology Group.

    Science.gov (United States)

    Govan, L; Wu, O; Briggs, A; Colhoun, H M; McKnight, J A; Morris, A D; Pearson, D W M; Petrie, J R; Sattar, N; Wild, S H; Lindsay, R S

    2011-08-01

    The rising prevalence of diabetes worldwide has increased interest in the cost of diabetes. Inpatient costs for all people with diabetes in Scotland were investigated. The Scottish Care Information-Diabetes Collaboration (SCI-DC), a real-time clinical information system of almost all diagnosed cases of diabetes in Scotland, UK, was linked to data on all hospital admissions for people with diabetes. Inpatient stay costs were estimated using the 2007-2008 Scottish National Tariff. The probability of hospital admission and total annual cost of admissions were estimated in relation to age, sex, type of diabetes, history of vascular admission, HbA(1c), creatinine, body mass index and diabetes duration. In Scotland during 2005-2007, 24,750 people with type 1 and 195,433 people with type 2 diabetes were identified, accounting for approximately 4.3% of the total Scottish population (5.1 million). The estimated total annual cost of admissions for all people diagnosed with type 1 and type 2 diabetes was £26 million and £275 million, respectively, approximately 12% of the total Scottish inpatient expenditure (£2.4 billion). Sex, increasing age, serum creatinine, previous vascular history and HbA(1c) (the latter differentially in type 1 and type 2) were all associated with likelihood and total annual cost of admission. Diabetes inpatient expenditure accounted for 12% of the total Scottish inpatient expenditure, whilst people with diabetes account for 4.3% of the population. Of the modifiable risk factors, HbA(1c) was the most important driver of cost in type 1 diabetes.

  4. Silurian to Devonian magmatism, molybdenite mineralization, regional exhumation and brittle strike-slip deformation along the Loch Shin Line, NW Scotland

    OpenAIRE

    Holdsworth, R.; Dempsey, E.; Selby, D.; Darling, James Richard; Feely, M.; Costanzo, A.; Strachan, Robin A; Waters, P.; Finlay, A.J.

    2015-01-01

    The Loch Shin Line is a geological–geophysical lineament associated with a zone of mantle-derived appinites, granites and strike-slip faulting that runs NW–SE across the Moine Nappe, northern Scotland. U–Pb zircon and Re–Os molybdenite dating of the Loch Shin and Grudie plutons, which lie immediately SW of the NW–SE Loch Shin–Strath Fleet fault system, yield c. 427–430 Ma ages that overlap within error. They also coincide with previously obtained U–Pb zircon ages for the Rogart pluton, which ...

  5. Food and drink purchasing habits out of school at lunchtime: a national survey of secondary school pupils in Scotland.

    Science.gov (United States)

    Macdiarmid, Jennie I; Wills, Wendy J; Masson, Lindsey F; Craig, Leone C A; Bromley, Catherine; McNeill, Geraldine

    2015-08-04

    Food and drink purchasing habits of pupils out of school at lunchtime may be contributing to poor dietary intakes and overweight and obesity. The aim of this study was to identify the places from which purchases were made, types of food and drinks purchased and, the reasons for purchasing food or drinks out of school. A survey of the food and drinks purchasing habits of secondary school pupils (11-16 yrs) out of school at lunchtime was conducted in Scotland in 2010. A face-to-face interview and a self-completion questionnaire was designed to identify the food outlets used at lunchtime, types of food and drinks purchased and pupils' reasons for purchasing food or drinks out of school. Height and weight were measured and BMI centiles used to classify pupils as normal weight, overweight or obese. Results were compared by age group, sex, BMI group and level of socio-economic deprivation. Of the 612 pupils who completed the survey, 97 % reported having access to places selling food or drinks out of school at lunchtime, and of these 63 % made purchases. A higher proportion of pupils from more deprived areas reported purchasing food or drinks out of school, but the proportion making purchases did not differ significantly by sex or BMI group. Supermarkets were the outlets from which pupils reported most often making purchases, with fewer purchasing food or drinks from fast food takeaways, and this did not differ significantly by socio-economic deprivation. Reasons for making purchases included availability of preferred food and drinks, some of which are restricted for sale in schools, and social reasons, such as wanting to be with friends. Sandwiches and non-diet soft drinks were items most commonly purchased, followed by confectionery and diet soft drinks. However, less than 10 % of all the secondary school pupils reported purchasing these foods every day. Supermarkets, not just fast food outlets, should be considered when developing strategies to improve the dietary

  6. Patterns of HIV testing practices among young gay and bisexual men living in Scotland: a qualitative study

    Directory of Open Access Journals (Sweden)

    Nicola Boydell

    2017-08-01

    Full Text Available Abstract Background Increasing overall rates, and frequency, of HIV testing in populations at risk is a key public health objective and a critical dimension of HIV prevention efforts. In the UK, men who have sex with men (MSM remain one of the communities most at risk of HIV and, within this, young gay men are a key risk group. Understanding HIV testing practices is important in the development of interventions to promote testing among young gay and bisexual men. Methods Qualitative interviews were conducted with thirty young gay and bisexual men (aged 18–29 in Scotland. Thematic analysis of men’s accounts of their approach to HIV testing identified three overarching patterns of testing: ‘habitual’, ‘reactive’ and ‘ ad hoc’. Results This qualitative study, the first to explore patterns of HIV testing practices among young gay and bisexual men in the UK, contributes novel findings around the role of social support and ‘community’ in shaping young men’s approaches to HIV testing. The findings suggest that social support can play an important role in encouraging and facilitating HIV testing among young gay men, however, social norms of non-testing also have the potential to act as a barrier to development of a regular routine. Men with habitual testing practices framed HIV testing as both a personal and ‘community’ responsibility, and more effective than testing in response to risk events or emergent symptoms. Men who reported reactive testing practices described testing for HIV primarily in response to perceived exposure to sexual risk, along with ‘transitional moments’ such as starting, ending or changes to a relationship. Among young men who reported testing on an ad hoc basis, inconvenience and disruptions to HIV testing practices, particularly where men lacked social support, acted as a barrier to developing a routine of regular testing. Conclusions Our findings suggest that interventions which seek to increase

  7. Patterns of HIV testing practices among young gay and bisexual men living in Scotland: a qualitative study.

    Science.gov (United States)

    Boydell, Nicola; Buston, Katie; McDaid, Lisa Margaret

    2017-08-17

    Increasing overall rates, and frequency, of HIV testing in populations at risk is a key public health objective and a critical dimension of HIV prevention efforts. In the UK, men who have sex with men (MSM) remain one of the communities most at risk of HIV and, within this, young gay men are a key risk group. Understanding HIV testing practices is important in the development of interventions to promote testing among young gay and bisexual men. Qualitative interviews were conducted with thirty young gay and bisexual men (aged 18-29) in Scotland. Thematic analysis of men's accounts of their approach to HIV testing identified three overarching patterns of testing: 'habitual', 'reactive' and ' ad hoc'. This qualitative study, the first to explore patterns of HIV testing practices among young gay and bisexual men in the UK, contributes novel findings around the role of social support and 'community' in shaping young men's approaches to HIV testing. The findings suggest that social support can play an important role in encouraging and facilitating HIV testing among young gay men, however, social norms of non-testing also have the potential to act as a barrier to development of a regular routine. Men with habitual testing practices framed HIV testing as both a personal and 'community' responsibility, and more effective than testing in response to risk events or emergent symptoms. Men who reported reactive testing practices described testing for HIV primarily in response to perceived exposure to sexual risk, along with 'transitional moments' such as starting, ending or changes to a relationship. Among young men who reported testing on an ad hoc basis, inconvenience and disruptions to HIV testing practices, particularly where men lacked social support, acted as a barrier to developing a routine of regular testing. Our findings suggest that interventions which seek to increase rates of HIV testing and testing frequency among young gay and bisexual men should include a

  8. Assessing oral health-related quality of life in general dental practice in Scotland: validation of the OHIP-14.

    Science.gov (United States)

    Fernandes, Marcelo José; Ruta, Danny Adolph; Ogden, Graham Richard; Pitts, Nigel Berry; Ogston, Simon Alexander

    2006-02-01

    To validate the Oral Health Impact Profile (OHIP)-14 in a sample of patients attending general dental practice. Patients with pathology-free impacted wisdom teeth were recruited from six general dental practices in Tayside, Scotland, and followed for a year to assess the development of problems related to impaction. The OHIP-14 was completed at baseline and at 1-year follow-up, and analysed using three different scoring methods: a summary score, a weighted and standardized score and the total number of problems reported. Instrument reliability was measured by assessing internal consistency and test-retest reliability. Construct validity was assessed using a number of variables. Linear regression was then used to model the relationship between OHIP-14 and all significantly correlated variables. Responsiveness was measured using the standardized response mean (SRM). Adjusted R(2)s and SRMs were calculated for each of the three scoring methods. Estimates for the differences between adjusted R(2)s and the differences between SRMs were obtained with 95% confidence intervals. A total of 278 and 169 patients completed the questionnaire at baseline and follow-up, respectively. Reliability - Cronbach's alpha coefficients ranged from 0.30 to 0.75. Alpha coefficients for all 14 items were 0.88 and 0.87 for baseline and follow-up, respectively. Test-retest coefficients ranged from 0.72 to 0.78. Validity - OHIP-14 scores were significantly correlated with number of teeth, education, main activity, the use of mouthwash, frequency of seeing a dentist, the reason for the last dental appointment, smoking, alcohol intake, pain and symptoms. Adjusted R(2)s ranged from 0.123 to 0.202 and there were no statistically significant differences between those for the three different scoring methods. Responsiveness - The SRMs ranged from 0.37 to 0.56 and there was a statistically significant difference between the summary scores method and the total number of problems method for symptomatic

  9. Exploration of preterm birth rates associated with different models of antenatal midwifery care in Scotland: Unmatched retrospective cohort analysis.

    Science.gov (United States)

    Symon, Andrew; Winter, Clare; Cochrane, Lynda

    2015-06-01

    preterm birth represents a significant personal, clinical, organisational and financial burden. Strategies to reduce the preterm birth rate have had limited success. Limited evidence indicates that certain antenatal care models may offer some protection, although the causal mechanism is not understood. We sought to compare preterm birth rates for mixed-risk pregnant women accessing antenatal care organised at a freestanding midwifery unit (FMU) and mixed-risk pregnant women attending an obstetric unit (OU) with related community-based antenatal care. unmatched retrospective 4-year Scottish cohort analysis (2008-2011) of mixed-risk pregnant women accessing (i) FMU antenatal care (n=1107); (ii) combined community-based and OU antenatal care (n=7567). Data were accessed via the Information and Statistics Division of the NHS in Scotland. Aggregates analysis and binary logistic regression were used to compare the cohorts׳ rates of preterm birth; and of spontaneous labour onset, use of pharmacological analgesia, unassisted vertex birth, and low birth weight. Odds ratios were adjusted for age, parity, deprivation score and smoking status in pregnancy. after adjustment the 'mixed risk' FMU cohort had a statistically significantly reduced risk of preterm birth (5.1% [n=57] versus 7.7% [n=583]; AOR 0.73 [95% CI 0.55-0.98]; p=0.034). Differences in these secondary outcome measures were also statistically significant: spontaneous labour onset (FMU 83.9% versus OU 74.6%; AOR 1.74 [95% CI 1.46-2.08]; pbirth weight was not statistically significant after adjustment for other variables. There was no significant difference in the rate of perinatal or neonatal death. given this study׳s methodological limitations, we can only claim associations between the care model and or chosen outcomes. Although both cohorts were mixed risk, differences in risk levels could have contributed to these findings. Nevertheless, the significant difference in preterm birth rates in this study

  10. Community pharmacy services for people with drug problems over two decades in Scotland: Implications for future development.

    Science.gov (United States)

    Matheson, Catriona; Thiruvothiyur, Manimekalai; Robertson, Helen; Bond, Christine

    2016-01-01

    In Scotland community pharmacies are heavily involved in service delivery for people with drug problems (PWDP) as documented through surveys of all community pharmacies in 1995, 2000 and 2006. A further survey in 2014 enabled trends in service demand/provision to be analysed and provides insight into future development. The lead pharmacist in every Scottish pharmacy (n=1246) was invited to complete a postal questionnaire covering attitudes towards PWDP and service provision and level of involvement in services (needle exchange, dispensing for PWDP and methadone supervision). Additional questions covered new services of take-home naloxone (THN) and pharmacist prescribing for opioid dependence. Telephone follow-up of non-responders covered key variables. A comparative analysis of four cross-sectional population surveys of the community pharmacy workforce (1995, 2000, 2006 and 2014) was undertaken. Completed questionnaires were returned by 709 (57%) pharmacists in 2014. Key variables (questionnaire or telephone follow-up) were available from 873 (70%). The proportion of pharmacies providing needle exchange significantly increased from 1995 to 2014 (8.6%, 9.5%, 12.2%, 17.8%, p<0.001) as did the proportion of pharmacies dispensing for the treatment of drug misuse (58.9%, 73.4%, 82.6% and 88%, p<0.001). Methadone was dispensed to 16,406 individuals and buprenorphine to 1777 individuals (increased from 12,400 and 192 respectively in 2006). Attitudes improved significantly from 1995 to 2014 (p<0.001). Being male and past training in drug misuse significantly predicted higher attitude scores (p<0.05) in all four years. Attitude score was a consistently significant predictor in all four years for dispensing for the treatment of drug misuse [OR=1.1 (1995 and 2006, CI 1.1-1.3, and 2014 CI 1.1-1.4) and 1.2 (2000), CI 1.3-1.5] and providing needle exchange [OR=1.1 (1995 and 2006), CI 1.1-1.2, 1.1-1.3 and 1.2 (2000 and 2014), CI 1.1-1.3 and 1.1-1.5]. In 2014, 53% of pharmacists

  11. Constraints on early Cenozoic underplating-driven uplift and denudation of western Scotland from low temperature thermochronometry

    Science.gov (United States)

    Persano, Cristina; Barfod, Dan N.; Stuart, Finlay M.; Bishop, Paul

    2007-11-01

    Apatite (U-Th)/He and fission track data from profiles in western Scotland constrain the timing and magnitude of denudation during the early Cenozoic when the north Atlantic region was the site of intense magmatic activity related to the proto-Icelandic plume. Apatite helium ages vary from 77 ± 8 to 265 ± 27 Ma (± 2 σ) at Sgorr Dhonuill, Ballachulish, and from 104 ± 10 Ma to 166 ± 17 Ma at Clisham, Outer Hebrides. At both locations apatite fission track (AFT) ages are older than the corresponding He ages; at Clisham they vary from 189 ± 28 Ma to 242 ± 26 Ma, and from 186 ± 6 Ma to 257 ± 12 Ma at Sgorr Dhonuill. Apatite He ages increase linearly with elevation suggesting that the cooling rate remained constant in the late Mesozoic. However, the apatite He age profile requires a period of rapid cooling after ˜ 100 Ma. Apatite He ages predicted from the AFT-derived thermal histories are indistinguishable from measured He ages for a rapid cooling event of 1 to 10 Myr duration between 61 and 47 Ma at Sgorr Dhonuill and 65 to 49 Ma at Clisham. The combined apatite FT- and He-derived thermal histories constrain the early Cenozoic geothermal gradient at 39 ± 9 °C/km at Sgorr Dhonuill and 19 ± 6 °C/km at Clisham. Amounts of denudation related to the rapid cooling event vary from 1330 ± 230 m at Sgorr Dhonuill to 2250 ± 750 m at Clisham, in agreement with models that predict greater amounts of denudation where magmatic underplating is thicker. However, the direct correlation between underplating-driven surface uplift and denudation may only be apparent and a more complex link between spatial variation of surface uplift and denudation is suggested. The integration of results from multiple low-temperature thermochronometers, combined with inverse and forward modelling, provides a convincing and quantitative method to deduce onshore erosional histories, and provides critical information about the spatial distribution of erosion that cannot be derived from the

  12. Do social inequalities in health widen or converge with age? Longitudinal evidence from three cohorts in the West of Scotland

    Directory of Open Access Journals (Sweden)

    Benzeval Michaela

    2011-12-01

    Full Text Available Abstract Background Existing studies are divided as to whether social inequalities in health widen or converge as people age. In part this is due to reliance on cross-sectional data, but also among longitudinal studies to differences in the measurement of both socioeconomic status (SES and health and in the treatment of survival effects. The aim of this paper is to examine social inequalities in health as people age using longitudinal data from the West of Scotland Twenty-07 Study to investigate the effect of selective mortality, the timing of the SES measure and cohort on the inequality patterns. Methods The Twenty-07 Study has followed three cohorts, born around 1932, 1952 and 1972, from 1987/8 to 2007/8; 4,510 respondents were interviewed at baseline and, at the most recent follow-up, 2,604 were interviewed and 674 had died. Hierarchical repeated-measures models were estimated for self-assessed health status, with and without mortality, with baseline or time-varying social class, sex and cohort. Results Social inequalities in health emerge around the age of 30 after which they widen until the early 60s and then begin to narrow, converging around the age of 75. This pattern is a result of those in manual classes reporting poor health at younger ages, with the gap narrowing as the health of those in non-manual classes declines at older ages. However, employing a more proximal measure of SES reduces inequalities in middle age so that convergence of inequalities is not apparent in old age. Including death in the health outcome steepens the health trajectories at older ages, especially for manual classes, eliminating the convergence in health inequalities, suggesting that healthy survival effects are important. Cohort effects do not appear to affect the pattern of inequalities in health as people age in this study. Conclusions There is a general belief that social inequalities in health appear to narrow at older ages; however, taking account of

  13. Flow dependent water quality impacts of historic coal and oil shale mining in the Almond River catchment, Scotland

    International Nuclear Information System (INIS)

    Haunch, Simon; MacDonald, Alan M.; Brown, Neil; McDermott, Christopher I.

    2013-01-01

    Highlights: • A GIS map of coal and oil shale mining in the Almond basin was constructed. • Water quality data confirms the continued detrimental impact of historic mining. • Oil shale mining is confirmed as a contributor to poor surface water quality. • Surface water flow affects mine contaminant chemistry, behaviour and transport. • River bed iron precipitate is re-suspended and transported downstream at high flow. - Abstract: The Almond River catchment in Central Scotland has experienced extensive coal mining during the last 300 years and also provides an example of enduring pollution associated with historic unconventional hydrocarbon exploitation from oil shale. Detailed spatial analysis of the catchment has identified over 300 abandoned mine and mine waste sites, comprising a significant potential source of mine related contamination. River water quality data, collected over a 15 year period from 1994 to 2008, indicates that both the coal and oil shale mining areas detrimentally impact surface water quality long after mine abandonment, due to the continued release of Fe and SO 4 2- associated with pyrite oxidation at abandoned mine sites. Once in the surface water environment Fe and SO 4 2- display significant concentration-flow dependence: Fe increases at high flows due to the re-suspension of river bed Fe precipitates (Fe(OH) 3 ); SO 4 2- concentrations decrease with higher flow as a result of dilution. Further examination of Fe and SO 4 loading at low flows indicates a close correlation of Fe and SO 4 2- with mined areas; cumulative low flow load calculations indicate that coal and oil shale mining regions contribute 0.21 and 0.31 g/s of Fe, respectively, to the main Almond tributary. Decreases in Fe loading along some river sections demonstrate the deposition and storage of Fe within the river channel. This river bed Fe is re-suspended with increased flow resulting in significant transport of Fe downstream with load values of up to 50 g/s Fe

  14. Prevalence of pre-treatment hepatitis C virus NS5A resistance associated amino-acid substitutions in genotype 1A infected patients in Scotland.

    Science.gov (United States)

    Bradley-Stewart, Amanda; Goldstein, Emily; MacLean, Alasdair; Gunson, Rory

    2018-04-01

    Hepatitis C (HCV) NS5A resistance associated amino-acid substitutions (RAS) can exist at baseline in treatment naïve individuals and have been shown to be associated with lower rates of sustained virological response (SVR) for patients infected with HCV genotype 1A (G1A) following treatment with NS5A inhibitors. The aim of this study was to measure the prevalence of baseline NS5A resistance in Scotland. The study population consisted of 531 treatment naïve, G1A infected patients. The patient samples were collected between March and September 2017. The NS5A region was amplified and sequenced. Baseline NS5A resistance in Scotland is high (16.8%) and is comparable to rates reported by a number of previously published studies. The high rate of baseline RAS, together with the high cost of direct-acting antivirals (DAAs), supports resistance testing to guide current patient treatment. However, given the rate at which new DAAs are currently being licensed with ever broader genotype efficacy and higher SVR rates, baseline resistance testing may not be required in the near future. Baseline NS5A inhibitor resistance is high. The results of the present study support performing resistance testing at baseline for current regimens. Crown Copyright © 2018. Published by Elsevier B.V. All rights reserved.

  15. Impact on alcohol purchasing of a ban on multi-buy promotions: a quasi-experimental evaluation comparing Scotland with England and Wales

    Science.gov (United States)

    Nakamura, Ryota; Suhrcke, Marc; Pechey, Rachel; Morciano, Marcello; Roland, Martin; Marteau, Theresa M

    2014-01-01

    Aims To evaluate the impact of the 2011 Scottish ban on multi-buy promotions of alcohol in retail stores. Design and setting Difference-in-differences analysis was used to estimate the impact of the ban on the volume of alcohol purchased by Scottish households, compared with those in England and Wales, between January 2010 and June 2012. Participants A total of 22 356 households in Scotland, England and Wales. Measurements Records of alcohol purchasing from each of four categories (beer and cider, wine, spirits and flavoured alcoholic beverages), as well as total volume of pure alcohol purchased. Findings Controlling for general time trends and household heterogeneity, there was no significant effect of the multi-buy ban in Scotland on volume of alcohol purchased either for the whole population or for individual socio-economic groups. There was also no significant effect on those who were large pre-ban purchasers of alcohol. Most multi-buys were for beer and cider or for wine. The frequency of shopping trips involving beer and cider purchases increased by 9.2% following the ban (P purchased on each trip decreased by 8.1% (P purchasing in the short term. Wider regulation of price promotion and price may be needed to achieve this. PMID:24251415

  16. The Efficacy of Emamectin Benzoate against Infestations of Lepeophtheirus salmonis on Farmed Atlantic Salmon (Salmo salar L) in Scotland, 2002–2006

    Science.gov (United States)

    Lees, Fiona; Baillie, Mark; Gettinby, George; Revie, Crawford W.

    2008-01-01

    Background Infestations of the parasitic copepod Lepeophtheirus salmonis, commonly referred to as sea lice, represent a major challenge to commercial salmon aquaculture. Dependence on a limited number of theraputants to control such infestations has led to concerns of reduced sensitivity in some sea lice populations. This study investigates trends in the efficacy of the in-feed treatment emamectin benzoate in Scotland, the active ingredient most widely used across all salmon producing regions. Methodology/Principal Findings Study data were drawn from over 50 commercial Atlantic salmon farms on the west coast of Scotland between 2002 and 2006. An epi-informatics approach was adopted whereby available farm records, descriptive epidemiological summaries and statistical linear modelling methods were used to identify factors that significantly affect sea lice abundance following treatment with emamectin benzoate (SLICE®, Schering Plough Animal Health). The results show that although sea lice infestations are reduced following the application of emamectin benzoate, not all treatments are effective. Specifically there is evidence of variation across geographical regions and a reduction in efficacy over time. Conclusions/Significance Reduced sensitivity and potential resistance to currently available medicines are constant threats to maintaining control of sea lice populations on Atlantic salmon farms. There is a need for on-going monitoring of emamectin benzoate treatment efficacy together with reasons for any apparent reduction in performance. In addition, strategic rotation of medicines should be encouraged and empirical evidence for the benefit of such strategies more fully evaluated. PMID:18253496

  17. The efficacy of emamectin benzoate against infestations of Lepeophtheirus salmonis on farmed Atlantic salmon (Salmo salar L in Scotland, 2002-2006.

    Directory of Open Access Journals (Sweden)

    Fiona Lees

    Full Text Available BACKGROUND: Infestations of the parasitic copepod Lepeophtheirus salmonis, commonly referred to as sea lice, represent a major challenge to commercial salmon aquaculture. Dependence on a limited number of theraputants to control such infestations has led to concerns of reduced sensitivity in some sea lice populations. This study investigates trends in the efficacy of the in-feed treatment emamectin benzoate in Scotland, the active ingredient most widely used across all salmon producing regions. METHODOLOGY/PRINCIPAL FINDINGS: Study data were drawn from over 50 commercial Atlantic salmon farms on the west coast of Scotland between 2002 and 2006. An epi-informatics approach was adopted whereby available farm records, descriptive epidemiological summaries and statistical linear modelling methods were used to identify factors that significantly affect sea lice abundance following treatment with emamectin benzoate (SLICE(R, Schering Plough Animal Health. The results show that although sea lice infestations are reduced following the application of emamectin benzoate, not all treatments are effective. Specifically there is evidence of variation across geographical regions and a reduction in efficacy over time. CONCLUSIONS/SIGNIFICANCE: Reduced sensitivity and potential resistance to currently available medicines are constant threats to maintaining control of sea lice populations on Atlantic salmon farms. There is a need for on-going monitoring of emamectin benzoate treatment efficacy together with reasons for any apparent reduction in performance. In addition, strategic rotation of medicines should be encouraged and empirical evidence for the benefit of such strategies more fully evaluated.

  18. The efficacy of emamectin benzoate against infestations of Lepeophtheirus salmonis on farmed Atlantic salmon (Salmo salar L) in Scotland, 2002-2006.

    Science.gov (United States)

    Lees, Fiona; Baillie, Mark; Gettinby, George; Revie, Crawford W

    2008-02-06

    Infestations of the parasitic copepod Lepeophtheirus salmonis, commonly referred to as sea lice, represent a major challenge to commercial salmon aquaculture. Dependence on a limited number of theraputants to control such infestations has led to concerns of reduced sensitivity in some sea lice populations. This study investigates trends in the efficacy of the in-feed treatment emamectin benzoate in Scotland, the active ingredient most widely used across all salmon producing regions. Study data were drawn from over 50 commercial Atlantic salmon farms on the west coast of Scotland between 2002 and 2006. An epi-informatics approach was adopted whereby available farm records, descriptive epidemiological summaries and statistical linear modelling methods were used to identify factors that significantly affect sea lice abundance following treatment with emamectin benzoate (SLICE(R), Schering Plough Animal Health). The results show that although sea lice infestations are reduced following the application of emamectin benzoate, not all treatments are effective. Specifically there is evidence of variation across geographical regions and a reduction in efficacy over time. Reduced sensitivity and potential resistance to currently available medicines are constant threats to maintaining control of sea lice populations on Atlantic salmon farms. There is a need for on-going monitoring of emamectin benzoate treatment efficacy together with reasons for any apparent reduction in performance. In addition, strategic rotation of medicines should be encouraged and empirical evidence for the benefit of such strategies more fully evaluated.

  19. Implementing a Public Health Objective for Alcohol Premises Licensing in Scotland: A Qualitative Study of Strategies, Values, and Perceptions of Evidence

    Directory of Open Access Journals (Sweden)

    Niamh Fitzgerald

    2017-02-01

    Full Text Available The public health objective for alcohol premises licensing, established in Scotland in 2005, is unique globally. We explored how public health practitioners engaged with the licensing system following this change, and what helped or hindered their efforts. Semi-structured interviews were conducted with 13 public health actors, audio-recorded, and analysed using an inductive framework approach. Many interviewees viewed the new objective as synonymous with reducing population-level alcohol consumption; however, this view was not always shared by licensing actors, some of whom did not accept public health as a legitimate goal of licensing, or prioritised economic development instead. Some interviewees were surprised that the public health evidence they presented to licensing boards did not result in their hoped-for outcomes; they reported that licensing officials did not always understand or value health data or statistical evidence. While some tried to give “impartial” advice to licensing boards, this was not always easy; others were clear that their role was one of “winning hearts and minds” through relationship-building with licensing actors over time. Notwithstanding the introduction of the public health objective, there remain significant, and political, challenges in orienting local premises licensing boards towards decisions to reduce the availability of alcohol in Scotland.

  20. Climate change increases the probability of heavy rains in Northern England/Southern Scotland like those of storm Desmond—a real-time event attribution revisited

    Science.gov (United States)

    Otto, Friederike E. L.; van der Wiel, Karin; van Oldenborgh, Geert Jan; Philip, Sjoukje; Kew, Sarah F.; Uhe, Peter; Cullen, Heidi

    2018-02-01

    On 4-6 December 2015, storm Desmond caused very heavy rainfall in Northern England and Southern Scotland which led to widespread flooding. A week after the event we provided an initial assessment of the influence of anthropogenic climate change on the likelihood of one-day precipitation events averaged over an area encompassing Northern England and Southern Scotland using data and methods available immediately after the event occurred. The analysis was based on three independent methods of extreme event attribution: historical observed trends, coupled climate model simulations and a large ensemble of regional model simulations. All three methods agreed that the effect of climate change was positive, making precipitation events like this about 40% more likely, with a provisional 2.5%-97.5% confidence interval of 5%-80%. Here we revisit the assessment using more station data, an additional monthly event definition, a second global climate model and regional model simulations of winter 2015/16. The overall result of the analysis is similar to the real-time analysis with a best estimate of a 59% increase in event frequency, but a larger confidence interval that does include no change. It is important to highlight that the observational data in the additional monthly analysis does not only represent the rainfall associated with storm Desmond but also that of storms Eve and Frank occurring towards the end of the month.

  1. Accuracy of Assignment of Atlantic Salmon (Salmo salar L.) to Rivers and Regions in Scotland and Northeast England Based on Single Nucleotide Polymorphism (SNP) Markers

    Science.gov (United States)

    Gilbey, John; Cauwelier, Eef; Coulson, Mark W.; Stradmeyer, Lee; Sampayo, James N.; Armstrong, Anja; Verspoor, Eric; Corrigan, Laura; Shelley, Jonathan; Middlemas, Stuart

    2016-01-01

    Understanding the habitat use patterns of migratory fish, such as Atlantic salmon (Salmo salar L.), and the natural and anthropogenic impacts on them, is aided by the ability to identify individuals to their stock of origin. Presented here are the results of an analysis of informative single nucleotide polymorphic (SNP) markers for detecting genetic structuring in Atlantic salmon in Scotland and NE England and their ability to allow accurate genetic stock identification. 3,787 fish from 147 sites covering 27 rivers were screened at 5,568 SNP markers. In order to identify a cost-effective subset of SNPs, they were ranked according to their ability to differentiate between fish from different rivers. A panel of 288 SNPs was used to examine both individual assignments and mixed stock fisheries and eighteen assignment units were defined. The results improved greatly on previously available methods and, for the first time, fish caught in the marine environment can be confidently assigned to geographically coherent units within Scotland and NE England, including individual rivers. As such, this SNP panel has the potential to aid understanding of the various influences acting upon Atlantic salmon on their marine migrations, be they natural environmental variations and/or anthropogenic impacts, such as mixed stock fisheries and interactions with marine power generation installations. PMID:27723810

  2. Rural population mixing and childhood leukaemia: effects of the North Sea oil industry in Scotland, including the area near Dounreay nuclear site

    International Nuclear Information System (INIS)

    Kinlen, L.J.; O'Brien, F.; Clarke, K.; Balkwill, A.; Matthews, F.

    1993-01-01

    The objective of this study was to determine if any excess of childhood leukaemia and non-Hodgkin's lymphoma was associated with certain striking examples of population mixing in rural Scotland produced by the North Sea oil industry. Details were traced for over 30 000 workers (25 yrs old) involved in the construction of the large oil terminals in the Shetland and Orkney islands in northern Scotland or employed offshore. Home addresses of the 17160 Scottish residents were postcoded, integrated with census data, and then classified as urban or rural. Rural postcode sectors, ranked by proportion of oil workers, were grouped into three categories with similar numbers of children but contrasting densities of oil workers. The incidence of leukaemia and non-Hodgkin's lymphoma was examined in these rural (and also in urban) categories in the periods 1974-8, 1979-83 and 1984-8. A significant excess of leukaemia and non-Hodgkin's lymphoma was found in 1979-83 in the group of rural home areas with the largest proportion of oil workers, following closely on large increases in the workforce. The area near the Dounreay nuclear installation, where an excess of leukaemia is already well known, was within the rural high oil category. (Author)

  3. The Nation and the Family: The Impact of National Identification and Perceived Importance of Family Values on Homophobic Attitudes in Lithuania and Scotland.

    Science.gov (United States)

    Wakefield, Juliet R H; Kalinauskaite, Monika; Hopkins, Nick

    The meanings attached to the nation can be consequential for group members' attitudes and beliefs. We examined how national identity definition can influence the extent of individuals' homophobia with 159 Lithuanian and 176 Scottish university students who completed a questionnaire which measured their national identification, homophobia, and the extent to which they felt traditional family values were central to their nation's identity. Consistent with nation-wide differences in the significance given to the family, Lithuanian participants perceived family values to be more important for their national identity and expressed higher levels of homophobia than did Scottish participants. Moreover, the relationship between level of national identification and homophobia was stronger in Lithuania than in Scotland. Analyses revealed that the perceived importance of family values helped explain the difference between homophobia levels in Lithuania and Scotland. In both sites we found an indirect effect of national identification on homophobia via the perceived importance of family values, but this effect was significantly stronger for Lithuanian participants. These findings illustrate the ways in which identification with the nation is relevant to attitudes concerning sexuality, and how this varies according to national context. Our work indicates that LGBT rights campaigns should be informed by the knowledge that homophobia may be perpetuated by national valorisation of the family.

  4. practice managers in Scotland

    Directory of Open Access Journals (Sweden)

    Lisa Hanna

    2011-03-01

    Conclusion Practice managers are likely to play a central role in the introduction of new consultation/ communication technologies within general practice. They hold varying views on the appropriateness of these technologies, influenced by a complex mix of contextual characteristics.Managers from areas in which the ethos of the practice prioritises personalised care in service delivery are less enthusiastic about the adoption of remote consultation/ communication technologies.

  5. Silver flowe, Galloway, Scotland

    Energy Technology Data Exchange (ETDEWEB)

    Ratcliffe, D A; Walker, D

    1958-01-01

    The silver flowe consists of a series of blanket bogs differentiated by physiography and at one end of the series showing marked affinities with raised bog. The definitive vegetation type of each individual bog is a sphagnum-dominated pool and hummock complex. The pool and hummock complex is described in terms of a small-scale succession involving several recognizable stages. To facilitate quantitative description, the pool and hummock complex is divided into four vertical levels (pool, flat, medium hummock and tall hummock) and different micro-communities are recognized within each one. The floristic composition of these units was analysed by the selective placing of a 1 m. quadrat. The pattern of pool and hummock complex is complicated by different developmental trends, often involving erosion. A method was devised to measure quantitatively the relationship between the vertical distribution of plant species and water level. The stratigraphy of two bogs of the series is described and shows (a) that the two patches are more closely akin to blanket bog than to raised bogs; (b) that there has been a relatively recent change-over from a sphagnum-molinia community to the present pool and hummock complex. The pool and hummock system is not regarded as a 'regeneration complex' but the validity of considering the various stages as part of a small-scale succession is discussed. Three possible future developments of this community are investigated: (1) persistence of pool and hummock complex, with a very high water table, (2) development of intermediate bog, with a rather lower water table and (3) degeneration of pool and hummock complex, with a rapid and considerable lowering of the water table. The alignment of pools with their long axes at right angles to the slope is discussed.

  6. Radon affected areas: Scotland

    International Nuclear Information System (INIS)

    Miles, J.C.H.; Green, B.M.R.; Lomas, P.R.

    1993-01-01

    Board advice on radon in homes issued in 1990 specifies that areas of the UK where 1% or more of homes exceed the Action Level of 200 becquerels per cubic metre of air should be regarded as Affected Areas. Results of radon measurements in homes in the districts of Kincardine and Deeside and Gordon in Grampian Region and Caithness and Sutherland in Highland Region are mapped and used to delineate Affected Areas in these areas where required. The Scottish Office is advised to consider the desirability of developing guidance on precautions against radon in future homes. (author)

  7. The Health Promoting School: The Conduct of Education about Responsible Personal Relationships and Sexual Health in Scottish Schools--The Response of Schools and Education Authorities in Scotland to Circular 2/2001 and the McCabe Report

    Science.gov (United States)

    Her Majesty's Inspectorate of Education, 2004

    2004-01-01

    The Ethical Standards in Public Life etc (Scotland) Act 2000 placed a duty on councils: (1) to have regard to the value of stable family life in children's development; (2) to provide education appropriate in content and approach to pupils' age, understanding and stage of development; (3) to work with parents and put in place direct procedures for…

  8. Influences upon the lead isotopic composition of organic and mineral horizons in soil profiles from the National Soil Inventory of Scotland (2007–09)

    Energy Technology Data Exchange (ETDEWEB)

    Farmer, John G., E-mail: J.G.Farmer@ed.ac.uk [School of GeoSciences, The University of Edinburgh, Crew Building, Alexander Crum Brown Road, Edinburgh, EH9 3FF Scotland (United Kingdom); Graham, Margaret C. [School of GeoSciences, The University of Edinburgh, Crew Building, Alexander Crum Brown Road, Edinburgh, EH9 3FF Scotland (United Kingdom); Eades, Lorna J. [School of Chemistry, The University of Edinburgh, Joseph Black Building, David Brewster Road, Edinburgh, EH9 3FJ Scotland (United Kingdom); Lilly, Allan; Bacon, Jeffrey R. [James Hutton Institute, Craigiebuckler, Aberdeen, AB15 8QH Scotland (United Kingdom)

    2016-02-15

    Some 644 individual soil horizons from 169 sites in Scotland were analyzed for Pb concentration and isotopic composition. There were three scenarios: (i) 36 sites where both top and bottom (i.e. lowest sampled) soil horizons were classified as organic in nature, (ii) 67 with an organic top but mineral bottom soil horizon, and (iii) 66 where both top and bottom soil horizons were mineral. Lead concentrations were greater in the top horizon relative to the bottom horizon in all but a few cases. The top horizon {sup 206}Pb/{sup 207}Pb ratio was lesser (outside analytical error) than the corresponding bottom horizon {sup 206}Pb/{sup 207}Pb ratio at (i) 64%, (ii) 94% and (iii) 73% of sites, and greater at only (i) 8%, (ii) 3% and (iii) 8% of sites. A plot of {sup 208}Pb/{sup 207}Pb vs. {sup 208}Pb/{sup 206}Pb ratios showed that the Pb in organic top (i, ii) and bottom (i) horizons was consistent with atmospherically deposited Pb of anthropogenic origin. The {sup 206}Pb/{sup 207}Pb ratio of the organic top horizon in (ii) was unrelated to the {sup 206}Pb/{sup 207}Pb ratio of the mineral bottom horizon as demonstrated by the geographical variation in the negative shift in the ratio, a result of differences in the mineral horizon values arising from the greater influence of radiogenic Pb in the north. In (iii), the lesser values of the {sup 206}Pb/{sup 207}Pb ratio for the mineral top horizon relative to the mineral bottom horizon were consistent with the presence of anthropogenic Pb, in addition to indigenous Pb, in the former. Mean anthropogenic Pb inventories of 1.5 and 4.5 g m{sup −2} were obtained for the northern and southern halves of Scotland, respectively, consistent with long-range atmospheric transport of anthropogenic Pb (mean {sup 206}Pb/{sup 207}Pb ratio ~ 1.16). For cultivated agricultural soils (Ap), this corresponded to about half of the total Pb inventory in the top 30 cm of the soil column. - Highlights: • Pb isotope ratios were determined for 644

  9. Modelling the impact of incarceration and prison-based hepatitis C virus (HCV) treatment on HCV transmission among people who inject drugs in Scotland.

    Science.gov (United States)

    Stone, Jack; Martin, Natasha K; Hickman, Matthew; Hutchinson, Sharon J; Aspinall, Esther; Taylor, Avril; Munro, Alison; Dunleavy, Karen; Peters, Erica; Bramley, Peter; Hayes, Peter C; Goldberg, David J; Vickerman, Peter

    2017-07-01

    People who inject drugs (PWID) experience high incarceration rates, and previous incarceration is associated with elevated hepatitis C virus (HCV) transmission risk. In Scotland, national survey data indicate lower HCV incidence in prison than the community (4.3 versus 7.3 per 100 person-years), but a 2.3-fold elevated transmission risk among recently released (prison-related prevention interventions, including scaling-up direct-acting antivirals (DAAs) in prison. Dynamic mathematical modelling of incarceration and HCV transmission, using approximate Bayesian computation for model calibration. Scotland, UK. A simulated population of PWID. Population-attributable fraction (PAF) of incarceration to HCV transmission among PWID. Decrease in HCV incidence and chronic prevalence due to current levels of prison opiate substitution therapy (OST; 57% coverage) and HCV treatment, as well as scaling-up DAAs in prison and/or preventing the elevated risk associated with prison release. Incarceration contributes 27.7% [PAF; 95% credible interval (CrI) -3.1 to 51.1%] of HCV transmission among PWID in Scotland. During the next 15 years, current HCV treatment rates (10.4/6.8 per 1000 incarcerated/community PWID annually), with existing prison OST, could reduce incidence and chronic prevalence among all PWID by a relative 10.7% (95% CrI = 8.4-13.3%) and 9.7% (95% CrI = 7.7-12.1%), respectively. Conversely, without prison OST, HCV incidence and chronic prevalence would decrease by 3.1% (95% CrI = -28.5 to 18.0%) and 4.7% (95% CrI = -11.3 to 14.5%). Additionally, preventing the heightened risk among recently released PWID could reduce incidence and chronic prevalence by 45.0% (95% CrI = 19.7-57.5%) and 33.3% (95% CrI = 15.6-43.6%) or scaling-up prison HCV treatments to 80% of chronic PWID prison entrants with sufficient sentences (>16 weeks) could reduce incidence and prevalence by 45.6% (95% CrI = 38.0-51.3%) and 45.5% (95% CrI = 39.3-51.0%), respectively

  10. Long-term impacts of peatland restoration on the net ecosystem exchange (NEE) of blanket bogs in Northern Scotland.

    Science.gov (United States)

    Hambley, Graham; Hill, Timothy; Saunders, Matthew; Arn Teh, Yit

    2016-04-01

    Unmanaged peatlands represent an important long-term C sink and thus play an important part of the global C cycle. Despite covering only 12 % of the UK land area, peatlands are estimated to store approximately 20 times more carbon than the UK's forests, which cover 13% of the land area. The Flow Country of Northern Scotland is the largest area of contiguous blanket bog in the UK, and one of the biggest in Europe, covering an area in excess of 4000 km2 and plays a key role in mediating regional atmospheric exchanges of greenhouse gases (GHGs) such as carbon dioxide (CO2), and water vapour (H2O). However, these peatlands underwent significant afforestation in the 1980s, when over 670 km2 of blanket bog were drained and planted with Sitka spruce (Picea sitchensis) and Lodgepole pine (Pinus contorta). This resulted in modifications to hydrology, micro-topography, vegetation and soil properties all of which are known to influence the production, emission and sequestration of key GHGs. Since the late 1990s restoration work has been carried out to remove forest plantations and raise water tables, by drain blocking, to encourage the recolonisation of Sphagnum species and restore ecosystem functioning. Here, we report findings of NEE and its constituent fluxes, GPP and Reco, from a study investigating the impacts of restoration on C dynamics over a chronosequence of restored peatlands. The research explored the role of environmental variables and microtopography in modulating land-atmosphere exchanges, using a multi-scale sampling approach that incorporated eddy covariance measurements with dynamic flux chambers. Key age classes sampled included an undrained peatland; an older restored peatland (17 years old); and a more recently restored site (12 years old). The oldest restored site showed the strongest uptake of C, with an annual assimilation rate of 858 g C m-2 yr-1 compared to assimilation rates of 501g C m-2 yr-1 and 575g C m-2 yr-1 from the younger restored site and

  11. Identifying the unique characteristics of independent fashion retailers in Scotland by utilising Porter’s generic competitive strategy model and the marketing mix

    Directory of Open Access Journals (Sweden)

    Nicola O’HARE

    2018-01-01

    Full Text Available El mismo texto del Independent retailers in the fashion sector make a substantial contribution to the UK economy at the time of significant change on the high street due to financial pressures and the growth of online trade. They provide an element of creativity and innovation to a homogenous retail landscape. The independent fashion retailer creates a destination and individual identity by presenting a unique offering and differentiated experience. Whilst independent retailers are important to the future of our high street, research is limited, particularly in the area of fashion independents. Therefore this research examines and identifies the unique characteristics of independent fashion retailers within Scotland. The research adopts a case study approach, qualitative methods of data collection in order to fulfil the aim and objectives of the study. Porter’s Generic Competitive Strategies and the marketing mix were utilised as a means of drawing out the individual aspects and unique characteristics of the independent fashion retailer.

  12. "I know exactly what I'm going into": recommendations for pre-nursing experience from an evaluation of a pre-nursing scholarship in rural Scotland.

    Science.gov (United States)

    Smith, Annetta; Beattie, Michelle; Kyle, Richard G

    2015-11-01

    To develop a model of pre-nursing experience from evaluation of a pre-nursing scholarship for school pupils in Scotland. Action research study. School pupils ( n  = 42) completed questionnaire surveys and participated in anecdote circles. Student nurses acting as pupil 'buddies' ( n  = 33) participated in focus groups. Descriptive quantitative data and thematic analyses of qualitative data were integrated across cohorts and campuses. Ten recommended components of a model of pre-nursing experience were identified: educational experience of: (1) face-to-face on-campus teaching; (2) hands-on clinical skills sessions; and (3) andragogy, practice exposure to (4) nursing language; (5) nurses' emotional labour; (6) patients' stories; (7) pupils socializing with buddies; (8) buddies planning placement activities; and (9) supporting pupils during placements. Academic attainment was not a central component of the model due to pupils' need to (10) prioritize examined work for further/higher education entry.

  13. Multilateral nonproliferation cooperation: US - Led effort to remove HEU/LEU fresh and spent fuels from the Republic of Georgia to Dounreay, Scotland

    International Nuclear Information System (INIS)

    Shelton, Thomas A.; Viebrock, James M.; Riedy, Alexander W.; Moses, Stanley D.; Bird, Helen M.

    1998-01-01

    This paper presents the efforts led by United States for removing HEU/LEU fresh and spent fuel from dhe Republic of Georgia to Dounreay, Scotland. These efforts are resulted from a plan approved by the United States Government, in cooperation with the United Kingdom and Georgia Governments to rapidly retrieve and transport circa 4.3 kilograms of enriched uranium. This material consisted largely of highly enriched uranium (HEU) and a small amount of low enriched uranium (LEU) fresh fuel, as well as about 800 grams of HEU/LEU-based spent fuel from a shutdown IR T-M research reactor on the outskirts of Table's, Georgia. The technical team lead by DOE consisted of HEU handling, packaging and transportation experts from the Oak Ridge Y-12 plant, managed and operated by Lockheed Martin Energy Systems, and fuel handling and transportation experts from Nac International in Norcross, Georgia, United States

  14. A survey of culturable aerobic and anaerobic marine bacteria in de novo biofilm formation on natural substrates in St. Andrews Bay, Scotland.

    Science.gov (United States)

    Finnegan, Lucy; Garcia-Melgares, Manuel; Gmerek, Tomasz; Huddleston, W Ryan; Palmer, Alexander; Robertson, Andrew; Shapiro, Sarah; Unkles, Shiela E

    2011-10-01

    This study reports a novel study of marine biofilm formation comprising aerobic and anaerobic bacteria. Samples of quartz and feldspar, minerals commonly found on the earth, were suspended 5 m deep in the North Sea off the east coast of St. Andrews, Scotland for 5 weeks. The assemblage of organisms attached to these stones was cultivated under aerobic and anaerobic conditions in the laboratory. Bacteria isolated on Marine Agar 2216 were all Gram-negative and identified to genus level by sequencing the gene encoding 16S rRNA. Colwellia, Maribacter, Pseudoaltermonas and Shewanella were observed in aerobically-grown cultures while Vibrio was found to be present in both aerobic and anaerobic cultures. The obligate anaerobic bacterium Psychrilyobacter atlanticus, a recently defined genus, was identified as a close relative of isolates grown anaerobically. The results provide valuable information as to the main players that attach and form de novo biofilms on common minerals in sea water.

  15. An overview of atmospheric mercury monitoring at Auchencorth Moss, the UK EMEP Supersite in southern Scotland: trends, patterns and a source analysis

    Directory of Open Access Journals (Sweden)

    Kentisbeer J.

    2013-04-01

    Full Text Available Speciated atmospheric mercury has been measures semi-continuously at the Auchencorth Moss field site in southern Scotland since 2004. Here we present an analysis of the data from 2009 to 2011 for the three species: elemental, gaseous oxidized (GOM and particulate bound (PBM mercury. Measurements of elemental mercury were made using the Tekran 2537A analyser and the Tekran 1130 and 1135 speciation units were used to collect GOM and PBM respectively. The data shows no upward or downward trend for elemental mercury, with yearly average concentrations between 1.3 and 1.5 ng m-3. We will continue the work started in Kentisbeer et al, 2010 to analyse the effect of wind direction on the mercury species, making further of air mass back trajectories and introducing cluster analysis to investigate the effects of longer rangetransport to the site.

  16. The changing course of aortic valve disease in Scotland: temporal trends in hospitalizations and mortality and prognostic importance of aortic stenosis.

    Science.gov (United States)

    Berry, Colin; Lloyd, Suzanne M; Wang, Yanzhong; Macdonald, Alyson; Ford, Ian

    2013-06-01

    To investigate the contemporary clinical course of aortic valve disease types. We performed a retrospective population-level epidemiological study of hospitalized care in Scotland from 1 January 1997 to 31 December 2005 using electronic case identification of hospital admissions and deaths. Time-to-event analyses were performed using Cox Proportional-Hazards models. A total of 19 733 adults with an index hospitalization and a final diagnosis of non-congenital aortic valve disease were identified. Aortic stenosis, aortic insufficiency, mixed aortic valve disease, or unspecified aortic valve disease occurred in 13 220 (67.0%), 2807 (14.2%), 699 (3.5%), and 3007 (15.2%), individuals, respectively. The majority of hospitalizations occurred in elderly persons aged 80 and older. In total, 9981 (50.6%) patients had died by 31 December 2006. When compared with aortic stenosis, the risk of death was less with aortic insufficiency [hazard ratio (95% confidence interval) 0.79 (0.74, 0.84)] and mixed aortic valve disease [0.83 (0.74, 0.93)]. Female gender, admission year, and hypertension were associated with lower mortality in patients with aortic stenosis. Patients with aortic stenosis had increased risk of death or heart failure (adjusted P valve replacement of whom 73.2% had aortic stenosis, 11.9% aortic valve disease (unspecified),10.0% aortic insufficiency, and 4.9% aortic stenosis with insufficiency. Patients with aortic stenosis with insufficiency had increased likelihood of aortic valve replacement [1.19 (1.02, 1.38)]. Age, female gender, and co-morbidity reduced the likelihood of aortic valve replacement. The incidence of aortic valve stenosis has substantially increased in Scotland in recent years. Aortic stenosis predicts morbidity and mortality when compared with other types of aortic valve disease.

  17. Comparing early years and childhood experiences and outcomes in Scotland, England and three city-regions: a plausible explanation for Scottish 'excess' mortality?

    Science.gov (United States)

    Taulbut, Martin; Walsh, David; O'Dowd, John

    2014-10-10

    Negative early years and childhood experiences (EYCE), including socio-economic circumstances, parental health and parenting style, are associated with poor health outcomes both in childhood and adulthood. It has also been proposed that EYCE were historically worse in Scottish areas, especially Glasgow and the Clyde Valley, compared to elsewhere in the UK and that this variation can provide a partial explanation for the excess of ill health and mortality observed among those Scottish populations. Multiple logistic regression analysis was applied to two large, representative, British birth cohorts (the NCDS58 and the BCS70), to test the independent association of area of residence at ages 7 and 5 with risk of behavioural problems, respiratory problems and reading/vocabulary problems at the same age. Cohort members resident in Scotland were compared with those who were resident in England, while those resident in Glasgow and the Clyde Valley were compared with those resident in Merseyside and Greater Manchester. After adjustment for a range of relevant variables, the risk of adverse childhood outcomes was found to be either no different, or lower, in the Scottish areas. At a national level, the study reinforces the combined association of socio-economic circumstances, parental health (especially maternal mental health) and parenting with child health outcomes. Based on these samples, the study does not support the hypothesis that EYCE were worse in Scotland and Glasgow and the Clyde Valley. It seems, therefore (based on these data), less likely that the roots of the excess mortality observed in the Scottish areas can be explained by these factors.

  18. Infant feeding in Eastern Scotland: a longitudinal mixed methods evaluation of antenatal intentions and postnatal satisfaction--the Feeding Your Baby study.

    Science.gov (United States)

    Symon, Andrew G; Whitford, Heather; Dalzell, Janet

    2013-07-01

    breast-feeding initiation rates have improved in Scotland, but exclusive and partial breast-feeding rates fall rapidly for several reasons. We aimed to examine whether antenatal feeding intention was associated with satisfaction with infant feeding method; and to explore the similarities and differences in infant feeding experience of women with different antenatal feeding intention scores. antenatal questionnaire assessment of infant feeding intentions, based on the theory of planned behaviour; two-weekly postnatal follow-up of infant feeding practice by text messaging; final telephone interview to determine reasons for and satisfaction with infant feeding practice. 355 women in eastern Scotland were recruited antenatally; 292 completed postnatal follow up. Antenatal feeding intentions broadly predicted postnatal practice. The highest satisfaction scores were seen in mothers with no breast-feeding intention who formula fed from birth, and those with high breast-feeding intention who breastfed for more than 8 weeks. The lowest satisfaction scores were seen in those with high intention scores who only managed to breast feed for less than 3 weeks. This suggests that satisfaction with infant feeding is associated with achieving feeding goals, whether artificial milk or breast feeding. Reasons for stopping breast feeding were broadly similar over time (too demanding, pain, latching, perception of amount of milk, lack of professional support, sibling jealousy). Perseverance appeared to mark out those women who managed to breast feed for longer; this was seen across the socio-economic spectrum. Societal and professional pressure to breast feed was commonly experienced. satisfaction with actual infant feeding practice is associated with antenatal intention; levels are higher for those meeting their goals, whether formula feeding from birth or breast feeding for longer periods. Perceived pressure to breast feed raises questions about informed decision making. Identifying

  19. Alcohol and drug use during unprotected anal intercourse among gay and bisexual men in Scotland: what are the implications for HIV prevention?

    Science.gov (United States)

    Li, Jessica; McDaid, Lisa M

    2014-01-01

    Objectives To examine alcohol and drug use during unprotected anal intercourse (UAI), and whether use is associated with HIV-related risk behaviours among gay and bisexual men in Scotland. Methods Cross-sectional survey of 17 gay commercial venues in Glasgow and Edinburgh in May 2011 (n=1515, 65.2% response rate); 639 men reporting UAI are included. Results 14.4% were always and 63.4% were sometimes drunk during UAI in the previous 12 months; 36.3% always/sometimes used poppers; 22.2% always/sometimes used stimulant or other recreational/illicit drugs; and 14.1% always/sometimes used Viagra. All were significantly correlated and, in multivariate analysis, the adjusted odds of having UAI with 2+ partners in the previous 12 months were significantly higher for men who reported stimulant or recreational/illicit drug use during UAI (AOR=2.75, 95% CI 1.74 to 4.34) and the adjusted odds of UAI with casual partners were higher for men who reported poppers use (AOR=1.50, 95% CI 1.03 to 2.17). Men who reported always being drunk during UAI were more likely to report UAI with 2+ partners (AOR=1.68, 95% CI 1.01 to 2.81), casual partners (AOR=2.18, 95% CI 1.27 to 3.73), and partners of unknown/discordant HIV status (AOR=2.14, 95% CI 1.29 to 3.53), than men who were not. Conclusions Our study suggests alcohol and drug use may be relatively common during UAI among gay and bisexual men in Scotland. Brief alcohol or drug interventions, particularly in clinical settings, are justified, but should be properly evaluated and take into account the potential influence of broader, situational and social factors on sexual risk. PMID:24345556

  20. Implications of 36Cl exposure ages from Skye, northwest Scotland for the timing of ice stream deglaciation and deglacial ice dynamics

    Science.gov (United States)

    Small, David; Rinterknecht, Vincent; Austin, William E. N.; Bates, Richard; Benn, Douglas I.; Scourse, James D.; Bourlès, Didier L.; Hibbert, Fiona D.

    2016-10-01

    Geochronological constraints on the deglaciation of former marine based ice streams provide information on the rates and modes by which marine based ice sheets have responded to external forcing factors such as climate change. This paper presents new 36Cl cosmic ray exposure dating from boulders located on two moraines (Glen Brittle and Loch Scavaig) in southern Skye, northwest Scotland. Ages from the Glen Brittle moraines constrain deglaciation of a major marine terminating ice stream, the Barra-Donegal Ice Stream that drained the former British-Irish Ice Sheet, depending on choice of production method and scaling model this occurred 19.9 ± 1.5-17.6 ± 1.3 ka ago. We compare this timing of deglaciation to existing geochronological data and changes in a variety of potential forcing factors constrained through proxy records and numerical models to determine what deglaciation age is most consistent with existing evidence. Another small section of moraine, the Scavaig moraine, is traced offshore through multibeam swath-bathymetry and interpreted as delimiting a later stillstand/readvance stage following ice stream deglaciation. Additional cosmic ray exposure dating from the onshore portion of this moraine indicate that it was deposited 16.3 ± 1.3-15.2 ± 0.9 ka ago. When calculated using the most up-to-date scaling scheme this time of deposition is, within uncertainty, the same as the timing of a widely identified readvance, the Wester Ross Readvance, observed elsewhere in northwest Scotland. This extends the area over which this readvance has potentially occurred, reinforcing the view that it was climatically forced.

  1. Alcohol use, alcohol-related aggression and intimate partner abuse: A cross-sectional survey of convicted versus general population men in Scotland.

    Science.gov (United States)

    Gilchrist, Elizabeth Allison; Ireland, Lana; Forsyth, Alasdair; Godwin, Jon; Laxton, Tim

    2017-01-01

    Scotland has a particular problem with alcohol, and the links between intimate partner abuse (IPA) and alcohol appear stronger here than elsewhere across Europe. This study explored differences in alcohol use, related aggression and relationship conflict across a number of groups: men convicted for intimate partner abuse, men convicted of general offences and men recruited from community sports teams. Participants (n = 64) completed three questionnaires exploring their experiences of alcohol use (Alcohol Use Disorders Identification Test, AUDIT); alcohol and aggression (Alcohol Related Aggression Questionnaire, ARAQ-28), and relationship conflict (Revised Conflict Tactics Scale, CTS-2). There were significant differences across the groups in terms of AUDIT and ARAQ-28 scores, IPA and general offenders scored higher than the community sample. CTS-2 scores showed significant differences: both offender groups reported more use of negotiation and psychological abuse, than the community men, and IPA offenders reported causing more physical harm than either general offenders or the community sample. ARAQ-28 scores correlated with psychological abuse for general offenders. Alcohol use was very high across all groups, but the community group did not endorse an aggression-precipitating view of alcohol and did not report high IPA. Discussed is the need for cross-cultural research to explore putative mediators and moderators in the relationship between alcohol, aggressiveness and IPA. [Gilchrist EA, Ireland L, Forsyth A, Godwin J, Laxton T. Alcohol use, alcohol-related aggression and intimate partner abuse: A cross-sectional survey of convicted versus general population men in Scotland. Drug Alcohol Rev 2017;36:20-23]. © 2017 Australasian Professional Society on Alcohol and other Drugs.

  2. Quality in general practice consultations; a qualitative study of the views of patients living in an area of high socio-economic deprivation in Scotland

    Directory of Open Access Journals (Sweden)

    Bikker Annemieke P

    2007-04-01

    Full Text Available Abstract Background Inequality in health and health care services is an important policy issue internationally as well as in the UK, and is closely linked to socio-economic deprivation, which in Scotland is concentrated in and around Glasgow. Patients views on primary care in deprived areas are not well documented. In the present study we explore the views of patients living in a high deprivation area on the quality of consultations in general practice. Methods Qualitative focus group study set in an area of high socio-economic deprivation in a large peripheral housing estate in Glasgow, Scotland. 11 focus groups were conducted; 8 with local community groups and 3 with other local residents. In total 72 patients took part. Grounded theory was used to analyse the data. Results Patients' perceptions of the quality of the consultation with GPs consisted of two broad, inter-relating themes; (1 the GPs' competence, and (2 the GPs empathy or ' caring'. Competence was often assumed but many factors coloured this assumption, in particular whether patients had experienced (directly or indirectly with a close family member 'successful' outcomes with that doctor previously or not. 'Caring' related to patients feeling (a listened to by the doctor and being able to talk; (b valued as an individual by the doctor (c that the doctor understood 'the bigger picture', and (d the doctors' explanations were clear and understandable. Relational continuity of care (being able to see the same GP and having a good relationship, and having sufficient time in the consultation were closely linked with perceptions of consultation quality. Conclusion Patients from deprived areas want holistic GPs who understand the realities of life in such areas and whom they can trust as both competent and genuinely caring. Without this, they may judge doctors as socially distant and emotionally detached. Relational continuity, empathy and sufficient time in consultations are key factors

  3. Intelligent policy making? Key actors' perspectives on the development and implementation of an early years' initiative in Scotland's public health arena.

    Science.gov (United States)

    Deas, L; Mattu, L; Gnich, W

    2013-11-01

    Increased political enthusiasm for evidence-based policy and action has re-ignited interest in the use of evidence within political and practitioner networks. Theories of evidence-based policy making and practice are being re-considered in an attempt to better understand the processes through which knowledge translation occurs. Understanding how policy develops, and practice results, has the potential to facilitate effective evidence use. Further knowledge of the factors which shape healthcare delivery and their influence in different contexts is needed. This paper explores the processes involved in the development of a complex intervention in Scotland's National Health Service (NHS). It uses a national oral health programme for children (Childsmile) as a case study, drawing upon key actors' perceptions of the influence of different drivers (research evidence, practitioner knowledge and values, policy, and political and local context) to programme development. Framework analysis is used to analyse stakeholder accounts from in-depth interviews. Documentary review is also undertaken. Findings suggest that Childsmile can be described as an 'evidence-informed' intervention, blending available research evidence with knowledge from practitioner experience and continual learning through evaluation, to plan delivery. The importance of context was underscored, in terms of the need to align with prevailing political ideology and in the facilitative strength of networks within the relatively small public health community in Scotland. Respondents' perceptions support several existing theoretical models of translation, however no single theory offered a comprehensive framework covering all aspects of the complex processes reported. Childsmile's use of best available evidence and on-going contribution to knowledge suggest that the programme is an example of intelligent policy making with international relevance. Copyright © 2013 Elsevier Ltd. All rights reserved.

  4. Rough Justice? Exploring the Relationship Between Information Access and Environmental and Ecological Justice Pertaining to Two Controversial Coastal Developments in North-east Scotland

    Directory of Open Access Journals (Sweden)

    Graeme Baxter

    2014-09-01

    Full Text Available This paper explores the relationship between information access and environmental and ecological justice through an historical comparison of two controversial coastal developments in Aberdeenshire, North-east Scotland: the building of a North Sea gas reception terminal by the British Gas Council and the French exploration company Total Oil Marine in the 1970s; and the more recent construction of ‘the greatest golf course anywhere in the world’ by the American property tycoon, Donald Trump. These two projects have much in common, not least because each one has had actual or potential impacts on an environmentally sensitive site, and because each has also been affected by plans for another major structure in its immediate vicinity. But the Trump golf course project has taken place during a period when access to information and citizens’ influence on major planning decisions in Scotland has been significantly greater, at least theoretically. With these points in mind, the paper considers whether or not environmental justice (more specifically, procedural environmental justice and ecological justice are now more attainable in the current era of supposed openness, transparency and public engagement, than in the more secretive and less participative 1970s. It reveals that, at the planning application stage, information on the potential environmental impact of Trump’s golf resort was more readily obtainable, compared with that provided by the Gas Council and Total forty years earlier. However, during and after the construction stage, when considering whether or not the developments have met environmental planning conditions – and whether or not ecological justice has been done – the situation with the gas terminal has been far clearer than with Trump’s golf resort. Despite the golf course being built in an era of government openness, there remain a number of unanswered questions concerning its environmental impact.

  5. Awareness and willingness to use HIV pre-exposure prophylaxis amongst gay and bisexual men in Scotland: implications for biomedical HIV prevention.

    Directory of Open Access Journals (Sweden)

    Ingrid Young

    Full Text Available To investigate the awareness of, and willingness to use, HIV Pre-Exposure Prophylaxis (PrEP, and willingness to take part in a PrEP study among gay and bisexual men in Scotland.Cross-sectional survey of 17 gay commercial venues in Glasgow and Edinburgh in May 2011 (N = 1515, 65.2% response rate; 1393 are included in the analyses.Just under one-third of participants had heard of PrEP (n = 434; 31.2%, with awareness associated with being aged older than 35 years, talking to UAI partners about HIV, and with having had an HIV or STI test in the previous 12 months. Around half were willing to take part in a PrEP study (n = 695; 49.9% or to take PrEP on a daily basis (n = 756; 54.3%. In multivariate analysis, willingness to take PrEP was associated with lower levels of education, regular gay scene attendance, 'high-risk' unprotected anal intercourse (UAI and testing for HIV or STI in the previous 12 months. Reasons for not wanting to participate in a PrEP study or take PrEP included perceptions of low personal risk of HIV and concerns with using medication as an HIV prevention method.There is a willingness to engage in new forms of HIV prevention and research amongst a significant number of gay and bisexual men in Scotland. Future biomedical HIV interventions need to consider the links between sexual risk behaviour, testing, and potential PrEP use.

  6. Partial pressure (or fugacity) of carbon dioxide, salinity and other variables collected from Surface underway observations using Carbon dioxide (CO2) gas analyzer and other instruments from Atlantic Cartier in the Inner Sea - West Coast Scotland, Irish Sea and St. George's Channel and North Atlantic Ocean from 2015-09-12 to 2015-12-22 (NCEI Accession 0157236)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — NCEI Accession 0157236 includes Surface underway, chemical, meteorological and physical data collected from Atlantic Cartier in the Inner Sea - West Coast Scotland,...

  7. Dissolved inorganic carbon, alkalinity, temperature, salinity and other variables collected from discrete sample and profile observations using CTD, bottle and other instruments from DISCOVERY in the Inner Sea - West Coast Scotland and North Atlantic Ocean from 2012-08-02 to 2012-08-15 (NCEI Accession 0157313)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — NCEI Accession 0157313 includes chemical, discrete sample, physical and profile data collected from DISCOVERY in the Inner Sea - West Coast Scotland and North...

  8. Dissolved inorganic carbon, alkalinity, temperature, salinity and other variables collected from discrete sample and profile observations using CTD, bottle and other instruments from RRS JAMES COOK in the Inner Sea - West Coast Scotland and North Atlantic Ocean from 2013-05-10 to 2013-05-24 (NCEI Accession 0157282)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — NCEI Accession 0157282 includes chemical, discrete sample, optical, physical and profile data collected from RRS JAMES COOK in the Inner Sea - West Coast Scotland...

  9. Dissolved inorganic carbon, alkalinity, temperature, salinity and other variables collected from discrete sample and profile observations using CTD, bottle and other instruments from the DARVIN in the Inner Sea - West Coast Scotland and North Atlantic Ocean from 1991-06-14 to 1991-07-02 (NODC Accession 0113525)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — NODC Accession 0113525 includes chemical, discrete sample, physical and profile data collected from DARVIN in the Inner Sea - West Coast Scotland and North Atlantic...

  10. Ethnic variations in asthma hospital admission, readmission and death: a retrospective, national cohort study of 4.62 million people in Scotland.

    Science.gov (United States)

    Sheikh, Aziz; Steiner, Markus F C; Cezard, Genevieve; Bansal, Narinder; Fischbacher, Colin; Simpson, Colin R; Douglas, Anne; Bhopal, Raj

    2016-01-12

    Our previous meta-analysis found that South Asians and Blacks in the UK were at a substantially increased risk of hospital admission from asthma. These estimates were, however, derived from pooling data from a limited number of now dated studies, confined to only three very broad ethnic groups (i.e. Whites, South Asians and Blacks) and failed to take account of possible sex-related differences in outcomes within these ethnic groups. We undertook the first study investigating ethnic variations in asthma outcomes across an entire population. This retrospective 9-year cohort study linked Scotland's hospitalisation/death records on asthma to the 2001 census (providing ethnic group). We calculated age, country of birth and Scottish Index of Multiple Deprivation adjusted incident rate ratios (IRRs) for hospitalisation or death by sex for the period May 2001-2010. We calculated hazard ratios (HRs) for asthma readmission and subsequent asthma death. We were able to link data on 4.62 million people (91.8% of the Scottish population), yielding over 38 million patient-years of data, 1,845 asthma deaths, 113,795 first asthma admissions, and 107,710 readmissions (40,075 of which were for asthma). There were substantial ethnic variations in the rate of hospitalisation/death in both males and females. When compared to the reference Scottish White population, the highest age-adjusted rates were in Pakistani males (IRR = 1.59; 95% CI, 1.30-1.94) and females (IRR = 1.50; 95% CI, 1.06-2.11) and Indian males (IRR = 1.34; 95% CI, 1.16-1.54), and the lowest were seen in Chinese males (IRR = 0.62; 95% CI, 0.41-0.94) and females (IRR = 0.49; 95% CI, 0.39-0.61). There are very substantial ethnic variations in hospital admission/deaths from asthma in Scotland, with Pakistanis having the worst and Chinese having the best outcomes. Cultural factors, including self-management and health seeking behaviours, and variations in the quality of primary care provision are the most

  11. Isotopic characterisation of the historical lead deposition record at Glensaugh, an organic-rich, upland catchment in rural N.E. Scotland

    International Nuclear Information System (INIS)

    Farmer, J.G.; Graham, M.C.; Bacon, J.R.; Dunn, S.M.; Vinogradoff, S.I.; MacKenzie, A.B.

    2005-01-01

    As part of a wider investigation of the biogeochemistry and fate of Pb deposited from the atmosphere at Glensaugh, a rural upland catchment in N.E. Scotland, the concentration and isotopic composition of Pb were determined in four thinly sectioned monolith cores (25 cm) of peat collected at altitudes of 426-434 m from different faces of Thorter Hill and in a series of 21 10-cm unsectioned cores of peat and organic-rich soil along a transect from near the top (434 m) to the bottom (224 m) of the catchment. Depth profiles of Pb concentration and 206 Pb/ 207 Pb ratio were similar for the longer cores. Subsurface Pb maxima (238-489 mg kg -1 ) typically occurred below 206 Pb/ 207 Pb minima (1.123-1.134). One core was 210 Pb-dated and had a fairly constant 206 Pb/ 207 Pb value of 1.170 from mid-19th century to ca. 1930, followed by a decline (attributable to the increasing influence of Australian Pb of much lower 206 Pb/ 207 Pb ratio) to 1.134 by the early 1990s, and then a rapid increase to 1.160 by 2002, after the phased withdrawal of leaded petrol. The fluxes of Pb increased from 15 mg m -2 year -1 in the late 19th century to a peak of 60 mg m -2 year -1 ca. 1960, before declining steadily to 3.6 mg m -2 year -1 by the beginning of the 21st century. Some 40% of the anthropogenic Pb in the core had been deposited prior to 1900. The mean anthropogenic Pb inventory of the four longer cores was 7.4±1.5 g m -2 , of which ∼70% occurred in the top 10 cm, in good agreement with the inventories of the shorter cores collected above 400 m. These inventories are higher than those of the industrial central belt of Scotland, probably because of enhanced deposition at altitude. This is consistent with the derived average 210 Pb flux of 198±11 Bq m -2 year -1 , which is twice that of typical UK 210 Pb deposition and the rainfall for the site. The past deposition of Pb at Glensaugh, including that from sources (e.g., smelting, coal combustion) other than leaded petrol, has clearly

  12. A population-based audit of surgical practice and outcomes of oncoplastic breast conservations in Scotland - An analysis of 589 patients.

    Science.gov (United States)

    Romics, Laszlo; Macaskill, E Jane; Fernandez, Teresa; Simpson, Louise; Morrow, Elizabeth; Pitsinis, Vassilis; Tovey, Sian; Barber, Matthew; Masannat, Yazan; Stallard, Sheila; Weiler-Mithoff, Eva; Malyon, Andrew; Mansell, James; Campbell, Esther J; Doughty, Julie; Dixon, J Michael

    2018-04-13

    Current evidence for oncoplastic breast conservation (OBC) is based on single institutional series. Therefore, we carried out a population-based audit of OBC practice and outcomes in Scotland. A predefined database of patients treated with OBC was completed retrospectively in all breast units practicing OBC in Scotland. 589 patients were included from 11 units. Patients were diagnosed between September 2005 and March 2017. High volume units performed a mean of 19.3 OBCs per year vs. low volume units who did 11.1 (p = 0.012). 23 different surgical techniques were used. High volume units offered a wider range of techniques (8-14) than low volume units (3-6) (p = 0.004). OBC was carried out as a joint operation involving a breast and a plastic surgeon in 389 patients. Immediate contralateral symmetrisation rate was significantly higher when OBC was performed as a joint operation (70.7% vs. not joint operations: 29.8%; p < 0.001). The incomplete excision rate was 10.4% and was significantly higher after surgery for invasive lobular carcinoma (18.9%; p = 0.0292), but was significantly lower after neoadjuvant chemotherapy (3%; p = 0.031). 9.2% of patients developed major complications requiring hospital admission. Overall the complication rate was significantly lower after neoadjuvant chemotherapy (p = 0.035). The 5 year local recurrence rate was 2.7%, which was higher after OBC for DCIS (8.3%) than invasive ductal cancer (1.6%; p = 0.026). 5-year disease-free survival was 91.7%, overall survival was 93.8%, and cancer-specific survival was 96.1%. This study demonstrated that measured outcomes of OBC in a population-based multi-centre setting can be comparable to the outcomes of large volume single centre series. Copyright © 2018 Elsevier Ltd, BASO ~ The Association for Cancer Surgery, and the European Society of Surgical Oncology. All rights reserved.

  13. Job leaving intentions and occupation-related beliefs amongst preregistered dental nurses in Scotland: the mediating role of work engagement and personal accomplishment.

    Science.gov (United States)

    Forbes, Gillian; Freeman, Ruth; McCombes, Wendy; Humphris, Gerry

    2014-02-01

    To identify the job resource beliefs of preregistration dental nurses and subsequently investigate their relationship with work engagement, personal accomplishment and intention to leave amongst this occupational group in Scotland. A cross-sectional survey design was used. The Utrecht Work Engagement Scale, Personal accomplishment (a subscale of Maslach Burnout Inventory) and author-developed questions for job resource beliefs and intention to leave were the measuring instruments used. Two hundred and thirty-one dental nurses participated (82% response rate). Mean age was 25 and mean job tenure was 17.5 months. The job resource belief most valued was 'good working relationship'. A multiple mediated path analytical model was explored. Work engagement adjusted for job resource beliefs was very strongly negatively associated with intention to leave (-0.93). There was an indirect relationship between job resource beliefs and intention to leave (-0.28) mediated via work engagement and personal accomplishment. Dental nurses under training held job resource beliefs about their profession that were associated with work engagement, personal accomplishment and their stability of remaining in the job. © 2013 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  14. Biodiversity characterisation and hydrodynamic consequences of marine fouling communities on marine renewable energy infrastructure in the Orkney Islands Archipelago, Scotland, UK.

    Science.gov (United States)

    Want, Andrew; Crawford, Rebecca; Kakkonen, Jenni; Kiddie, Greg; Miller, Susan; Harris, Robert E; Porter, Joanne S

    2017-08-01

    As part of ongoing commitments to produce electricity from renewable energy sources in Scotland, Orkney waters have been targeted for potential large-scale deployment of wave and tidal energy converting devices. Orkney has a well-developed infrastructure supporting the marine energy industry; recently enhanced by the construction of additional piers. A major concern to marine industries is biofouling on submerged structures, including energy converters and measurement instrumentation. In this study, the marine energy infrastructure and instrumentation were surveyed to characterise the biofouling. Fouling communities varied between deployment habitats; key species were identified allowing recommendations for scheduling device maintenance and preventing spread of invasive organisms. A method to measure the impact of biofouling on hydrodynamic response is described and applied to data from a wave-monitoring buoy deployed at a test site in Orkney. The results are discussed in relation to the accuracy of the measurement resources for power generation. Further applications are suggested for future testing in other scenarios, including tidal energy.

  15. Molecular detection of Toxoplasma gondii in water samples from Scotland and a comparison between the 529bp real-time PCR and ITS1 nested PCR.

    Science.gov (United States)

    Wells, Beth; Shaw, Hannah; Innocent, Giles; Guido, Stefano; Hotchkiss, Emily; Parigi, Maria; Opsteegh, Marieke; Green, James; Gillespie, Simon; Innes, Elisabeth A; Katzer, Frank

    2015-12-15

    Waterborne transmission of Toxoplasma gondii is a potential public health risk and there are currently no agreed optimised methods for the recovery, processing and detection of T. gondii oocysts in water samples. In this study modified methods of T. gondii oocyst recovery and DNA extraction were applied to 1427 samples collected from 147 public water supplies throughout Scotland. T. gondii DNA was detected, using real time PCR (qPCR) targeting the 529bp repeat element, in 8.79% of interpretable samples (124 out of 1411 samples). The samples which were positive for T. gondii DNA originated from a third of the sampled water sources. The samples which were positive by qPCR and some of the negative samples were reanalysed using ITS1 nested PCR (nPCR) and results compared. The 529bp qPCR was the more sensitive technique and a full analysis of assay performance, by Bayesian analysis using a Markov Chain Monte Carlo method, was completed which demonstrated the efficacy of this method for the detection of T. gondii in water samples. Copyright © 2015 The Authors. Published by Elsevier Ltd.. All rights reserved.

  16. History of dyspepsia in Scotland. Admissions to the Edinburgh Royal Infirmary 1729-1830, doctoral theses 1726-1823, and contemporary British publications.

    Science.gov (United States)

    Baron, J H; Sonnenberg, A

    2008-08-01

    The aim of the study was to assess whether the rise in the occurrence of dyspepsia in Scotland during the eighteenth century was a true epidemiologic phenomenon or just an increase in medical awareness. Admissions for dyspepsia to the Edinburgh Royal Infirmary from 1729 until 1830 were analysed by consecutive five-year time periods. The titles of MD theses on dyspepsia from 1726 to 1823 were extracted from the Edinburgh University index. Monographs and articles on dyspepsia from Britain during the same time period were sought in the Catalogues of the US Surgeon-General's Library. During the eighteenth century, the annual number of dyspepsia patients admitted to the Edinburgh Royal Infirmary showed an extraordinary increase from none in 1730 to 900 per million population in 1760. About 4000 MD theses were presented to the Edinburgh University between 1726 and 1823. There were none on dyspepsia or gastritis between 1726 and 1749, after when it gradually started to rise. British publications on dyspepsia similarly appeared only in the 1790s and then rapidly increased. We suggest that the rise in MD theses and publications on dyspepsia were responses to a real increase in dyspepsia during the mid eighteenth century.

  17. Healthcare professional views and experiences of complementary and alternative therapies in obstetric practice in North East Scotland: a prospective questionnaire survey.

    Science.gov (United States)

    Stewart, D; Pallivalappila, A R; Shetty, A; Pande, B; McLay, J S

    2014-07-01

    The aim of this study was to investigate the use of complementary and alternative medicines (CAMs) therapy by UK healthcare professionals involved in the care of pregnant women, and to identify key predictors of use. A prospective survey. Maternity services in Grampian, North East Scotland. All healthcare professionals (135) involved in the care of pregnant women (midwives, obstetricians, anaesthetists). Questionnaire development, piloting, and distribution. Descriptive and inferential statistical analysis. A response rate of 87% was achieved. A third of respondents (32.5%) had recommended (prescribed, referred, or advised) the use of CAMs to pregnant women. The most frequently recommended CAMs modalities were: vitamins and minerals (excluding folic acid) (55%); massage (53%); homeopathy (50%); acupuncture (32%); yoga (32%); reflexology (26%); aromatherapy (24%); and herbal medicine (21%). Although univariate analysis identified that those who recommended CAMs were significantly more likely to be midwives who had been in post for more than 5 years, had received training in CAMs, were interested in CAMs, and were themselves users of CAMs, the only variable retained in bivariate logistic regression was 'personal use of CAM', with an odds ratio of 8.26 (95% CI 3.09-22.05; P pregnant women by approximately a third of healthcare professionals, with those recommending the use of CAMs being eight times more likely to be personal CAM users. © 2014 Royal College of Obstetricians and Gynaecologists.

  18. Comparison of the Rowe-Kahn Model of Successful Aging With Self-rated Health and Life Satisfaction: The West of Scotland Twenty-07 Prospective Cohort Study.

    Science.gov (United States)

    Whitley, Elise; Popham, Frank; Benzeval, Michaela

    2016-12-01

    With increasing longevity in industrialized populations, there is growing interest in what defines "successful aging" (SA). Various SA measures have been proposed but no consensus has been reached and many have been criticized for not representing the views and priorities of older people. We consider whether the Rowe-Kahn SA model captures older individual's perceptions of their own health and aging. Using two cohorts of 886 and 483 men and women from the West of Scotland Twenty-07 Study, aged around 57 and 76, respectively, we explored associations between Rowe-Kahn SA dimensions (absence of disease/disability; good physical/cognitive functioning; good interpersonal/productive social engagement) and four aspects of self-rated health and satisfaction (current general health; health for age; satisfaction with health; satisfaction with life). Respondents' self-rated health and satisfaction was generally good but few had all six Rowe-Kahn dimensions positive, the conventional definition of SA. All individual positive SA dimensions were associated with better self-rated health and satisfaction. This was consistent across age, gender, manual/nonmanual occupations, and personality. The prevalence of good self-rated health and satisfaction increased with increasing numbers of positive SA dimensions. The Rowe-Kahn model provides a functional definition of SA. Future work on ageing should include all Rowe-Kahn dimensions and consider SA as a continuum. © The Author 2016. Published by Oxford University Press on behalf of The Gerontological Society of America.

  19. Evaluation of a Disposable-Diaper Collection Trial in Korea through Comparison with an Absorbent-Hygiene-Product Collection Trial in Scotland

    Directory of Open Access Journals (Sweden)

    Kyung-Shin Kim

    2018-03-01

    Full Text Available This study was designed to analyze the feasibility of economic aspects assuming that the policy of diaper recycling is necessary. With respect to economic feasibility, the collection and transportation of the diaper waste, which accounts for much of the cost, need to be optimized. Starting with the results of a collection trial in Scotland (2012, the method used in a collection trial in Korea (2014 was analyzed to identify problems incurring additional costs. This paper targeted daycare centers in Nowon-Gu, Seoul—because of the quantity of waste diapers they produce and the efficiency of collection—to identify the problems and to predict the cost of collection. This study evaluated multiple scenarios in light of their collection costs, discovering factors that could improve the system and reduce the cost and created the most economically feasible and optimized collection model. This paper will serve as empirical evidence proving the economics of diaper collection when the regulation is revised or amended in the future.

  20. ‘At-risk’ places: inequities in the distribution of environmental stressors and prescription rates of mental health medications in Glasgow, Scotland

    Science.gov (United States)

    Maantay, Juliana; Maroko, Andrew

    2015-11-01

    Using geospatial analytical methods, this study examines the association between one aspect of the built environment, namely, the concentration of vacant and derelict land (VDL), and the prevalence of mental health disorders (using the proxy variable of mental health medication prescription rates) in Glasgow, Scotland. This study builds on our previous research, which demonstrated the spatial correspondence between the locations of VDL in Glasgow and several physical health outcomes. Numerous studies of other locales have found similar correspondence between different elements of the built environment and various health outcomes. This is the first study of its kind to look at the spatial concentration of vacant and derelict land in relation to mental health, socio-economic indicators, environmental justice, and health inequities. The findings of this study demonstrate an inequity with respect to the distribution of vacant and derelict land, as confirmed by Pearson correlations between VDL density and deprivation (r = .521, p depression, or psychosis and the density of vacant and derelict land while adjusting for socio-demographic characteristics. This indicates that areas with higher VDL densities tend to exhibit higher rates of mental health issues. Based on these findings, strategies for constructive re-use of VDL are proposed.

  1. Are there practical opportunities for developing leadership skills during GP training and beyond? A survey of GP trainees and trainers in South East Scotland.

    Science.gov (United States)

    Curry, Nicola; Denney, MeiLing

    2016-01-01

    There is currently a lack of formal training in leadership skills, particularly during GP training. This study aimed to explore the current training and practical opportunities which exist, specifically exploring the views of GP trainees and trainers. An electronic questionnaire was sent to 266 GP trainees and trainers in south-east Scotland. Questions focused on respondents' experience of leadership-specific training and opportunities to engage with leadership roles. There were a total of 76 respondents (28.6% response rate). Response rate was 19.0% in trainees and 34.6% in trainers. A majority of respondents (80.0%) were established GPs. Of those who had received training in leadership, most (72.1%) underwent this after qualifying as a GP. Respondents identified a range of leadership roles within and outside the practice covering clinical and non-clinical areas. Most were interested in future leadership roles (46.7% moderately interested; 28% very interested). More time, training opportunities and the presence of GP role models were motivating factors in terms of participants' readiness to take on future leadership roles. Signposting trainees, trainers and general practitioners to leadership opportunities and training would be relatively easy but addressing a lack of motivating factors at a local level is essential. The effectiveness of such training and opportunities for experiential learning in leadership roles requires further research.

  2. Hydrochemical and isotopic tracing of mixing dynamics and water quality evolution under pumping conditions in the mine shaft of the abandoned Frances Colliery, Scotland

    International Nuclear Information System (INIS)

    Elliot, Trevor; Younger, Paul L.

    2007-01-01

    Since 1995, when pumps were withdrawn from deep mines in East Fife (Scotland), mine waters have been rebounding throughout the coalfield. Recently, it has become necessary to pump and treat these waters to prevent their uncontrolled emergence at the surface. However, even relatively shallow pumping to surface treatment lagoons of the initially chemically-stratified mine water from a shaft in the coastal Frances Colliery during two dynamic step-drawdown tests to establish the hydraulic characteristics of the system resulted in rapid breakdown of the stratification within 24 h and a poor pumped water quality with high dissolved Fe loading. Further, data are presented here of hydrochemical and isotopic sampling of the extended pump testing lasting up to several weeks. The use in particular of the environmental isotopes δ 18 O, δ 2 H, δ 34 S, 3 H, 13 C and 14 C alongside hydrochemical and hydraulic pump test data allowed characterisation of the Frances system dynamics, mixing patterns and water quality sources feeding into this mineshaft under continuously pumped conditions. The pumped water quality reflects three significant components of mixing: shallow freshwater, seawater, and leakage from the surface treatment lagoons. In spite of the early impact of recirculating lagoon waters on the hydrochemistries, the highest Fe loadings in the longer-term pumped waters are identified with a mixed freshwater-seawater component affected by pyrite oxidation/melanterite dissolution in the subsurface system

  3. The relationship between waiting times and 'adherence' to the Scottish Intercollegiate Guidelines Network 98 guideline in autism spectrum disorder diagnostic services in Scotland.

    Science.gov (United States)

    McKenzie, Karen; Forsyth, Kirsty; O'Hare, Anne; McClure, Iain; Rutherford, Marion; Murray, Aja; Irvine, Linda

    2016-05-01

    The aim of this study was to explore the extent to which the Scottish Intercollegiate Guidelines Network 98 guidelines on the assessment and diagnosis of autism spectrum disorder were adhered to in child autism spectrum disorder diagnostic services in Scotland and whether there was a significant relationship between routine practice which more closely reflected these recommendations (increased adherence) and increased waiting times. Retrospective, cross-sectional case note analysis was applied to data from 80 case notes. Adherence ranged from a possible 0 (no adherence) to 19 (full adherence). Overall, 17/22 of the recommendations were adhered to in over 50 of the 80 cases and in 70 or more cases for 11/22 of the recommendations, with a mean adherence score of 16 (standard deviation = 1.9). No significant correlation was found between adherence and total wait time for untransformed (r = 0.15, p = 0.32) or transformed data (r = 0.12, p = 0.20). The results indicated that the assessment and diagnostic practices were consistent with the relevant Scottish Intercollegiate Guidelines Network 98 guideline recommendations. Increased adherence to the 19 included recommendations was not significantly related to increased total waiting times, indicating that the Scottish Intercollegiate Guidelines Network 98 recommendations have generally been integrated into practice, without a resultant increase in patient waits. © The Author(s) 2015.

  4. Prevalence of Influenza A (H1N1) Sero positivity in Unvaccinated Health care Workers in Scotland at the Height of the Global Pandemic

    International Nuclear Information System (INIS)

    Smith, K.; Katikireddi, S.V.; Mackenzie, D.G.; Warner, P.; Williams, L.J.; Adamson, W.E.; Carman, W.F.; Dewart, P.; Templeton, K.; Denison, F.C.

    2011-01-01

    Background. We set out to identify the level of previous exposure to influenza A (H1N1) in unvaccinated health care workers (HCWs) at the peak of the pandemic outbreak in the UK, with control samples collected prior to the outbreak. Methods. Cross-sectional study (sero prevalence assessed before and at pandemic peak, with questionnaire data collected at peak of outbreak) in HCWs in Scotland. Results. The prevalence of sero positivity in 493 HCWs at pandemic peak was 10.3%, which was higher than the pre pandemic level by 3.7 percentage points (95% CI 0.3% to 7.3%, P=0.048). Sero positivity rates for front line and non front line HCWs were similar. Conclusion. At pandemic peak, only 10.3% of HCWs were seropositive for influenza A (H1N1), so the great majority were still susceptible to infection at the introduction of the vaccination programme. Few studies have reported on sero prevalence in unvaccinated and asymptomatic participants, so our findings may have relevance to the wider population

  5. Antroponimia femminile nella Scozia del XIII secolo: la testimonianza del Ragman Roll (1296 Feminine anthroponyms in 13th-century Scotland: the Ragman Roll (1296

    Directory of Open Access Journals (Sweden)

    Valeria Di Clemente

    2012-10-01

    Full Text Available La serie di documenti nota come Ragman Roll raccoglie i giuramenti di fedeltà e l’omaggio feudale resi da aristocratici, ecclesiastici, proprietari terrieri e borghesi di Scozia a Edoardo I Plantageneto dopo la campagna di occupazione inglese della primavera-estate 1296. In questa veste, essa riporta nomi e cognomi di circa 1800 persone, rappresentando una fonte preziosa per lo studio dell’antroponimia in uso in Scozia nella seconda metà del XIII secolo. Il presente saggio esamina gli antroponimi femminili nelle forme ricorrenti nel documento, ricostruendone la vicenda storico-etimologica e culturale.

    The documents known as Ragman Roll collect the fealty oaths sworn and the homages rendered by Scottish nobility, clergy, landowners and burgesses to Edward I Plantagenet after the English invasion of Scotland in the spring and summer of 1296. These documents record personal names and surnames of ca. 1800 people, being a precious source for the study of Scottish anthroponymy in the second half of the 13th century. This paper focuses on the feminine anthroponyms occurring in the Ragman Roll, on their form and on their historical-etymological and cultural background.

  6. Studies of /sup 131/I, /sup 137/Cs and /sup 103/Ru in milk, meat and vegetables in North East Scotland following the Chernobyl accident

    Energy Technology Data Exchange (ETDEWEB)

    Martin, C J; Heaton, B; Robb, J D

    1988-01-01

    Uptake and clearance of radionuclides in foodstuffs have been studied in the neighbourhood of Aberdeen in North East Scotland following the Chernobyl accident. The level of /sup 131/I in goats' milk was 100-200 Bq litre/sup -1/ in early May and declined with an effective half-life of 4.3 days, but that in cows's milk was only a few Bq litre/sup -1/ as most cattle were kept indoors. /sup 137/Cs and /sup 103/Ru activities in broccoli declined with effective half-lives of 11 and 6 days respectively, while /sup 137/Cs in grass decreased with a half-life of 22 days, the reduction appearing to show a relationship to weekly rainfall. Studies of tissues from groups of lambs initially grazed on contaminated pasture and later (a) fed indoors on concentrates or (b) continuing to graze outdoors, showed the /sup 137/Cs concentrations to decline with half-lives of (a) 17 days and (b) 25 days, while the half-lives describing the reduction in total /sup 137/Cs activity were (a) 20 days and (b) 35 days.

  7. Studies of 131I, 137Cs and 103Ru in milk, meat and vegetables in North East Scotland following the Chernobyl accident

    International Nuclear Information System (INIS)

    Martin, C.J.; Heaton, B.; Robb, J.D.

    1988-01-01

    Uptake and clearance of radionuclides in foodstuffs have been studied in the neighbourhood of Aberdeen in North East Scotland following the Chernobyl accident. The level of 131 I in goats' milk was 100-200 Bq litre -1 in early May and declined with an effective half-life of 4.3 days, but that in cows's milk was only a few Bq litre -1 as most cattle were kept indoors. 137 Cs and 103 Ru activities in broccoli declined with effective half-lives of 11 and 6 days respectively, while 137 Cs in grass decreased with a half-life of 22 days, the reduction appearing to show a relationship to weekly rainfall. Studies of tissues from groups of lambs initially grazed on contaminated pasture and later (a) fed indoors on concentrates or (b) continuing to graze outdoors, showed the 137 Cs concentrations to decline with half-lives of (a) 17 days and (b) 25 days, while the half-lives describing the reduction in total 137 Cs activity were (a) 20 days and (b) 35 days. (author)

  8. The views of policy influencers and mental health officers concerning the Named Person provisions of the Mental Health (Care and Treatment) (Scotland) Act 2003.

    Science.gov (United States)

    Berzins, Kathryn M; Atkinson, Jacqueline M

    2010-10-01

    The Mental Health (Care and Treatment) (Scotland) Act 2003 introduced the role of the Named Person, who can be nominated by service users to protect their interests if they become subject to compulsory measures and replaces the Nearest Relative. If no nomination is made, the primary carer or nearest relative is appointed the Named Person. The views of professionals involved in the development and implementation of the provisions were unknown. To describe the perceptions of mental health officers and policy makers involved in the development and implementation of the new provisions. Sixteen professionals were interviewed to explore their perceptions of and experiences with the Named Person provisions. Data were analysed using Thematic Analysis. Perceptions of the Named Person provisions were generally favourable but concerns were expressed over low uptake; service users' and carers' lack of understanding of the role; and potential conflict with human rights legislation over choice and information sharing. Legislation should be amended to allow the choice of no Named Person and the prevention of information being shared with the default appointed Named Person. Removal of the default appointment should be considered.

  9. A direct estimate of poleward volume, heat, and freshwater fluxes at 59.5°N between Greenland and Scotland

    Science.gov (United States)

    Rossby, T.; Reverdin, Gilles; Chafik, Leon; Søiland, Henrik

    2017-07-01

    The meridional overturning circulation (MOC) in the North Atlantic plays a major role in the transport of heat from low to high latitudes. In this study, we combine recent measurements of currents from the surface to >700 m from a shipboard acoustic Doppler current profiler with Argo profiles (to 2000 m) to estimate poleward volume, heat, and freshwater flux at 59.5°N between Greenland and Scotland. This is made possible thanks to the vessel Nuka Arctica that operates on a 3 week schedule between Greenland and Denmark. For the period late 2012 to early 2016, the deseasoned mean meridional overturning circulation reaches a 18.4 ± 3.4 Sv maximum at the σθ = 27.55 kg m-3 isopycnal, which varies in depth from near the surface in the western Irminger Sea to 1000 m in Rockall Trough. The total heat and freshwater fluxes across 59.5°N = 399 ± 74 TW and -0.20 ± 0.04 Sv, where the uncertainties are principally due to that of the MOC. Analysis of altimetric sea surface height variations along exactly the same route reveals a somewhat stronger geostrophic flow north during this period compared to the 23 year mean suggesting that for a long-term mean the above flux estimates should be reduced slightly to 17.4 Sv, 377 TW, and -0.19 Sv, respectively, with the same estimate uncertainties. The ADCP program is ongoing.

  10. Use of a birth plan within woman-held maternity records: a qualitative study with women and staff in northeast Scotland.

    Science.gov (United States)

    Whitford, Heather M; Entwistle, Vikki A; van Teijlingen, Edwin; Aitchison, Patricia E; Davidson, Tracey; Humphrey, Tracy; Tucker, Janet S

    2014-09-01

    Birth plans are written preferences for labor and birth which women prepare in advance. Most studies have examined them as a novel intervention or "outside" formal care provision. This study considered use of a standard birth plan section within a national, woman-held maternity record. Exploratory qualitative interviews were conducted with women (42) and maternity service staff (24) in northeast Scotland. Data were analyzed thematically. Staff and women were generally positive about the provision of the birth plan section within the record. Perceived benefits included the opportunity to highlight preferences, enhance communication, stimulate discussions, and address anxieties. However, not all women experienced these benefits or understood the birth plan's purpose. Some were unaware of the opportunity to complete it or could not access the support they needed from staff to discuss or be confident about their options. Some were reluctant to plan too much. Staff recognized the need to support women with birth plan completion but noted practical challenges to this. A supportive antenatal opportunity to allow discussion of options may be needed to realize the potential benefits of routine inclusion of birth plans in maternity notes. © 2014 Wiley Periodicals, Inc.

  11. Paleoenvironmental Reconstruction of the North Atlantic Current Variations from MIS 3 to Holocene Based on Multiproxy Record from the North-East Scotland Continental Margin.

    Science.gov (United States)

    Ovsepyan, Y.; Tikhonova, A.; Novichkova, E.; Gupta, R. M.; Korsun, S.; Matul, A.

    2017-12-01

    In order to reconstruct the history of water mass interaction between the North Atlantic and the Nordic Seas since MIS 3 to the present, the sediment core from the North-East Scotland continental slope was investigated. The site of core AI-3521 (59°30.009 N, 7°20.062 E) from the 1051 m water depth is located beneath the pathway of the North Atlantic current which transports warm and saline Atlantic surface water to the Norwegian Sea. The age model of the sequence is based on stable isotope record of benthic Cassidulina neoteretis and planktic Neogloboquadrina pachyderma sin. and Globigerina bulloides. The Holocene interval of the upper 1.5 m is characterized by high sedimentation rates and the high biodiversity of microfauna. The distribution of ice rafted debris and CaCO3 content; benthic and planktic foraminiferal assemblages; oxygen, carbon and boron isotopes, Mg/Ca ratio were used to reconstruct the regional paleoceanographic conditions (bioproductivity, temperature, salinity) and to compare with the paleoclimatic events in the subpolar North Atlantic in the frame of the global environmental changes during the Late Pleistocene and Holocene. The research was supported by Russian Science Foundation projects 16-47-02009 and 14-50-00095.

  12. PLACEMENT OF PREFORMED METAL CROWNS ON CARIOUS PRIMARY MOLARS BY DENTAL HYGIENE/THERAPY VOCATIONAL TRAINEES IN SCOTLAND: A SERVICE EVALUATION ASSESSING PATIENT AND PARENT SATISFACTION.

    Science.gov (United States)

    Jackson, Guy

    2015-11-01

    The utility and acceptability of preformed metal crowns (PMC) for management of carious primary molars has been established in the literature and published guidance. The role of dental hygienist and therapists (DHT) in the evolving team model in primary care has been recognised as requiring further investigation. The importance of patient and parental acceptance is acknowledged in recent healthcare research. This study focuses on patient and parent acceptance of preformed metal crowns placed by DHTs. Prescription format is investigated and the availability of bitewing radiographs considered. Reflective assignments at the end of training gave an indication of DHTs views on increased professional autonomy and the issue of direct access. Patient and parent satisfaction following placement of PMCs by DHT vocational trainees (DHTVT) were evaluated. Data was collected in two audit rounds from 2013 to 2014 using a 'faces' scale for children and a Likert scale for parents following placement of PMCs on carious primary molars. 133 PMCs were placed (110 children) by 10 DHTVTs over an eight-month period. Overall, radiographs were available for 10.5% of cases. The data showed high levels of patient and parent acceptance of the use of PMCs. Low availability of radiographs may represent a missed diagnostic opportunity. PMC placement by DHTVTs resulted in high patient and parent satisfaction, comparable to other studies. Although caries has been declining over the last decade in Scotland, evidence shows that inequalities and a social gradient in experience of caries in children remain. There is a need for tools and strategies for the prevention, recognition, risk assessment, diagnosis, and management of caries in the primary dentition. These must be accessible, acceptable to children and their parents/carers, cost effective, affordable and applicable in the primary care general dental practice environment where most families are likely to be registered. The emerging theme of

  13. Front-line perspectives on 'joined-up' working relationships: a qualitative study of social prescribing in the west of Scotland.

    Science.gov (United States)

    White, Jane M; Cornish, Flora; Kerr, Susan

    2017-01-01

    Cross-sector collaboration has been promoted by government policies in the United Kingdom and many western welfare states for decades. Literature on joint working has focused predominantly on the strategic level, neglecting the role of individual practitioners in putting 'joined-up working' into practice. This paper takes the case of 'social prescribing' in the west of Scotland as an instance of joined-up working, in which primary healthcare professionals are encouraged to refer patients to non-medical sources of support in the third sector. This study draws on social capital theory to analyse the quality of the relationships between primary healthcare professionals and third sector practitioners. Eighteen health professionals and 15 representatives of third sector organisations participated in a qualitative interview study. Significant barriers to collaborative working were evident. The two stakeholder groups expressed different understandings of health, with few primary healthcare professionals considering non-medical sources of support to be useful or relevant. Health professionals were mistrustful of unknown third sector organisations, and concerned about their accountability for referrals that were not successful or positive for the patient. Third sector practitioners sought to build trust through face-to-face interactions with health professionals. However, primary healthcare professionals and third sector practitioners were not connected in effective networks. We highlight the ongoing imbalance of power between primary healthcare professionals and third sector organisations. Strategic collaborations should be complemented by efforts to build shared understandings, trust and connections between the diverse front-line workers whose mutual co-operation is necessary to achieve effective joined-up working. © 2015 John Wiley & Sons Ltd.

  14. Time perspective as a predictor of smoking status: findings from the International Tobacco Control (ITC) Surveys in Scotland, France, Germany, China, and Malaysia.

    Science.gov (United States)

    Sansone, Genevieve; Fong, Geoffrey T; Hall, Peter A; Guignard, Romain; Beck, François; Mons, Ute; Pötschke-Langer, Martina; Yong, Hua-Hie; Thompson, Mary E; Omar, Maizurah; Jiang, Yuan

    2013-04-15

    Prior studies have demonstrated that time perspective-the propensity to consider short-versus long-term consequences of one's actions-is a potentially important predictor of health-related behaviors, including smoking. However, most prior studies have been conducted within single high-income countries. The aim of this study was to examine whether time perspective was associated with the likelihood of being a smoker or non-smoker across five countries that vary in smoking behavior and strength of tobacco control policies. The data were from the International Tobacco Control (ITC) Surveys in five countries with large probability samples of both smokers (N=10,341) and non-smokers (N=4,955): Scotland, France, Germany, China, and Malaysia. The surveys were conducted between 2005-2008. Survey respondents indicated their smoking status (smoker vs. non-smoker) and time perspective (future oriented vs. not future-oriented) and provided demographic information. Across all five countries, non-smokers were significantly more likely to be future-oriented (66%) than were smokers (57%), χ(2)(1, N = 15,244) = 120.64, p perspective and smoking status held in a multivariate analysis. After controlling for country, age, sex, income, education, and ethnicity (language in France), those who were future-oriented had 36% greater odds of being a non-smoker than a smoker (95% CI: 1.22 to 1.51, pperspective as an important predictor of smoking status across multiple countries and suggest the potential value of incorporating material to enhance future orientation in smoking cessation interventions.

  15. What shapes 7-year-olds' subjective well-being? Prospective analysis of early childhood and parenting using the Growing Up in Scotland study.

    Science.gov (United States)

    Parkes, Alison; Sweeting, Helen; Wight, Daniel

    2016-10-01

    Research on predictors of young children's psychosocial well-being currently relies on adult-reported outcomes. This study investigated whether early family circumstances and parenting predict 7-year-olds' subjective well-being. Information on supportive friendships, liking school and life satisfaction was obtained from 7-year-olds in one Growing Up in Scotland birth cohort in 2012-2013 (N = 2869). Mothers provided information on early childhood factors from 10 to 34 months, parenting (dysfunctional parenting, home learning and protectiveness) from 46 to 70 months, and 7-year-olds' adjustment. Multivariable path models explored associations between early childhood factors, parenting and 7-year-olds' subjective well-being. Supplementary analyses compared findings with those for mother-reported adjustment. In a model of early childhood factors, maternal distress predicted less supportive friendships and lower life satisfaction (coefficients -0.12), poverty predicted less supportive friendships (-0.09) and remote location predicted all outcomes (-0.20 to -0.27). In a model with parenting added, dysfunctional parenting predicted all outcomes (-10 to -0.16), home learning predicted liking school (0.11) and life satisfaction (0.08), and protectiveness predicted life satisfaction (0.08). Effects of maternal distress were fully mediated, largely via dysfunctional parenting, while home learning mediated negative effects of low maternal education. Direct effects of poverty and remote location remained. Findings for mother-reported child adjustment were broadly similar. Unique prospective data show parenting and early childhood impact 7-year-olds' subjective well-being. They underline the benefits for children of targeting parental mental health and dysfunctional parenting, and helping parents develop skills to support children at home and school.

  16. Effects of wind farm construction on concentrations and fluxes of dissolved organic carbon and suspended sediment from peat catchments at Braes of Doune, central Scotland

    Directory of Open Access Journals (Sweden)

    I. Grieve

    2008-07-01

    Full Text Available This paper assesses the impacts of disturbance associated with the construction of a wind farm on fluxes of dissolved organic carbon (DOC and suspended sediment from a blanket peat catchment in central Scotland during the period immediately following completion of construction. Six streams draining the site were sampled on six dates from October 2006, when construction was completed, and an additional three control streams to the west of the site were sampled on the same dates. Turbidity and stage were recorded semi-continuously in the two largest streams (one disturbed and one control, which were also sampled during storm events. Absorbance (400 nm and DOC concentrations were determined on all samples, and suspended sediment was determined on the event samples. Absorbance and DOC were closely correlated in both the disturbed and undisturbed streams, with slightly greater absorbance per unit DOC in the disturbed streams. DOC concentrations in disturbed tributaries were always greater than those in undisturbed streams, with mean differences ranging from 2 to around 5 mg L-1. DOC and stage were positively correlated during events with maximum concentrations in excess of 30 mg L 1 at peak flow. Suspended sediment concentrations were markedly elevated in the disturbed stream with maximum concentrations at peak flow some 4–5 times greater than in the control. The colour of the sediment suggested that it was highly organic in nature at peak flow, and suspended particulate organic carbon represented a further loss of C from the site. Using flow-weighted mean DOC concentrations calculated for the storms monitored in autumn 2007, dissolved carbon losses can be estimated for the catchments of the disturbed and control streams. From these data the additional DOC loss related to disturbance associated with the wind farm is estimated at 5 g m-2.

  17. Haplotype-based association analysis of general cognitive ability in Generation Scotland, the English Longitudinal Study of Ageing, and UK Biobank [version 1; referees: 2 approved

    Directory of Open Access Journals (Sweden)

    David M. Howard

    2017-08-01

    Full Text Available Background: Cognitive ability is a heritable trait with a polygenic architecture, for which several associated variants have been identified using genotype-based and candidate gene approaches. Haplotype-based analyses are a complementary technique that take phased genotype data into account, and potentially provide greater statistical power to detect lower frequency variants. Methods: In the present analysis, three cohort studies (ntotal = 48,002 were utilised: Generation Scotland: Scottish Family Health Study (GS:SFHS, the English Longitudinal Study of Ageing (ELSA, and the UK Biobank. A genome-wide haplotype-based meta-analysis of cognitive ability was performed, as well as a targeted meta-analysis of several gene coding regions. Results: None of the assessed haplotypes provided evidence of a statistically significant association with cognitive ability in either the individual cohorts or the meta-analysis. Within the meta-analysis, the haplotype with the lowest observed P-value overlapped with the D-amino acid oxidase activator (DAOA gene coding region