On population growth near protected areas.

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Lucas N Joppa

Full Text Available Protected areas are the first, and often only, line of defense in efforts to conserve biodiversity. They might be detrimental or beneficial to rural communities depending on how they alter economic opportunities and access to natural resources. As such, protected areas may attract or repel human settlement. Disproportionate increases in population growth near protected area boundaries may threaten their ability to conserve biodiversity.Using decadal population datasets, we analyze population growth across 45 countries and 304 protected areas. We find no evidence for population growth near protected areas to be greater than growth of rural areas in the same country. Furthermore, we argue that what growth does occur near protected areas likely results from a general expansion of nearby population centers.Our results contradict those from a recent study by Wittemyer et al., who claim overwhelming evidence for increased human population growth near protected areas. To understand the disagreement, we re-analyzed the protected areas in Wittemyer et al.'s paper. Their results are simply artifacts of mixing two incompatible datasets. Protected areas may experience unusual population pressures near their edges; indeed, individual case studies provide examples. There is no evidence, however, of a general pattern of disproportionate population growth near protected areas.

Evaluating the outcomes of the STEPPS programme in a UK community-based population; implications for the multidisciplinary treatment of borderline personality disorder.

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Hill, N; Geoghegan, M; Shawe-Taylor, M

2016-08-01

WHAT IS KNOWN ON THE SUBJECT?: Individuals with a diagnosis of Borderline Personality Disorder (BPD) now constitute a substantial portion of the caseload for community teams. Specialized treatments for BPD often consume a large portion of available psychology resources and also involve lengthy waiting lists. The STEPPS programme is a treatment approach which is growing in evidence, particularly in the US. However, further evidence for the effectiveness of this programme within the UK healthcare system is needed. The results of this study support the preliminary evidence for the effectiveness of STEPPS in a UK community-based population. A reduction in symptom severity was in evidence. Novel measures were used to build on previous evaluations of the STEPPS programme. These measures show a significant reduction in patients' affinity for unhelpful schemas, as well as an increase in patients' self-reported quality of life; an important perspective for a recovery focused approach to treatment. WHAT ARE THE IMPLICATIONS FOR PRACTICE?: The STEPPS programme has shown its merit as an effective and more accessible treatment option for the community-based treatment of BPD, though some methodological limitations are noted. Furthermore, the results of this study demonstrate that STEPPS can be delivered effectively by teams of facilitators from different professional backgrounds who do not necessarily have extensive training in psychotherapeutic interventions. The result is a well-rounded and diverse skill set possessed by the team of facilitators, adding to the richness of the patient's recovery journey and leading to a more favourable spread of teams' resources. Aims & Background Systems Training for Emotional Predictability and Problem Solving (STEPPS) is a group treatment for individuals with a diagnosis of Borderline Personality Disorder (BPD) which has a growing evidence base, particularly in the US. Evidence is sparse for its use with UK populations, and this study seeks

The millennium problem and physical protection systems in UK

International Nuclear Information System (INIS)

Groves, J.

1999-01-01

In the United Kingdom the Competent Authority is Nuclear Industries Directorate of the UK Government's department of Trade and Industry. It is charged with ensuring that the security regimes at all civil nuclear sites in the country conform with the rues laid down by Government. This task is achieved through giving advice, issuing and interpreting policy, performing trustworthiness checks and conducting security assessments of all aspects of security. This presentation is not concerned with safety or safeguards systems but purely with those concerned with physical protection

Fire fighting at Chernobyl and fire protection at UK nuclear power stations

International Nuclear Information System (INIS)

Bindon, F.J.L.

1987-01-01

The fire fighting measures undertaken by the fire crews at the Chernobyl reactor accident are described. This information highlights the need to develop engineering equipment which will give a far greater degree of personnel protection to fire crews and others in radiological accidents. The British position on fire protection at nuclear power stations is outlined. The general levels of radiation exposure which would be used as a guide to persons in the vicinity of a radiation accident are also given. (UK)

Immunity to tetanus and diphtheria in the UK in 2009.

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Wagner, Karen S; White, Joanne M; Andrews, Nick J; Borrow, Ray; Stanford, Elaine; Newton, Emma; Pebody, Richard G

2012-11-19

This study aimed to estimate the immunity of the UK population to tetanus and diphtheria, including the potential impact of new glycoconjugatate vaccines, and the addition of diphtheria to the school leaver booster in 1994. Residual sera (n=2697) collected in England in 2009/10 were selected from 18 age groups and tested for tetanus and diphtheria antibody. Results were standardised by testing a panel of sera (n=150) to enable comparison with a previously (1996) published serosurvey. Data were then standardised to the UK population. In 2009, 83% of the UK population were protected (≥0.1 IU/mL) against tetanus compared to 76% in 1996 (p=0.079), and 75% had at least basic protection against diphtheria (≥0.01 IU/mL) in 2009 compared to 60% in 1996 (pdiphtheria. Higher diphtheria immunity was observed in those aged 16-34 years in 2009 compared to 1996 (geometric mean concentration [GMC] 0.15 IU/mL vs. 0.03 IU/mL, pdiphtheria in 2009 were 29% susceptible), 45-69 years (>20% susceptible) and 70+ years (>32% susceptible). Low immunity was observed in those aged 10-11 years (>19% susceptible), between the scheduled preschool and school leaver booster administration. The current schedule appears to induce protective levels; increases in the proportions protected/GMCs were observed for the ages receiving vaccinations according to UK policy. Glycoconjugate vaccines appear to have increased immunity, in particular for diphtheria, in preschool age groups. Diphtheria immunity in teenagers and young adults has increased as a result of the addition of diphtheria to the school leaver booster. However, currently older adults remain susceptible, without any further opportunities for immunisations planned according to the present schedule. Copyright © 2012 Elsevier Ltd. All rights reserved.

UK Renal Registry 11th Annual Report (December 2008): Chapter 13 Demography of the UK paediatric renal replacement therapy population.

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Lewis, Malcolm A; Shaw, Joanne; Sinha, Manish; Adalat, Shazia; Hussain, Farida; Inward, Carol

2009-01-01

To describe the demographics of the paediatric RRT population in the UK and analyse changes in demographics with time. Extraction and analysis of data from the UK paediatric Renal Registry. The UK paediatric established renal failure (ERF) population in April 2008 was 875 patients. The prevalence under the age of 16 years was 55 per million age related population (pmp) and the incidence 7.92 pmp. The incidence and prevalence for South Asian and Other ethnic groups were 3 times that of the White and Black populations. Renal dysplasia was the most common cause of ERF accounting for 33% of prevalent cases. Diseases with autosomal recessive inheritance were more common in patients from ethnic minority groups. The spectrum of diseases seen has changed over a generation. Overall 5 year survival for children with ERF was 91.8%. Five year survival of infants starting dialysis was just 62%. Transplanted patients accounted for 74% of the current population. The proportion with grafts from living donors has steadily risen to 34%. Children from ethnic minority groups were less likely to have an allograft and living donation was less frequent in this population. For those on dialysis, 57% were receiving peritoneal dialysis. This was the main treatment modality for patients under 4 years of age. The paediatric ERF population continued to expand slowly. Incidence and prevalence rates were stable and similar to other developed nations. The high incidence in patients from ethnic minority groups will lead to a greater proportion of the population being from these groups in time. To maintain the high proportion of engrafted patients it will be necessary to encourage living donation in the ethnic minority population. The spectrum of diseases seen has already changed over a generation with the treatment of young children with diseases such as congenital nephrosis. The incidence of cystinosis causing ERF was reduced, probably reflecting better early treatment. Copyright 2009 S. Karger

Addressing long-term physical healthcare needs in a forensic mental health inpatient population using the UK primary care Quality and Outcomes Framework (QOF): an audit.

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Ivbijaro, Go; Kolkiewicz, LA; McGee, Lsf; Gikunoo, M

2008-03-01

Objectives This audit aims to evaluate the effectiveness of delivering an equivalent primary care service to a long-term forensic psychiatric inpatient population, using the UK primary care national Quality and Outcomes Framework (QOF).Method The audit compares the targets met by the general practitioner with special interest (GPwSI) service, using local and national QOF benchmarks (2005-2006), and determines the prevalence of chronic disease in a long-term inpatient forensic psychiatry population.Results The audit results show that the UK national QOF is a useful tool for assessment and evaluation of physical healthcare needs in a non-community based population. It shows an increased prevalence of all QOF-assessed long-term physical conditions when compared to the local East London population and national UK population, confirming previously reported elevated levels of physical healthcare need in psychiatric populations.Conclusions This audit shows that the UK General Practice QOF can be used as a standardised instrument for commissioning and monitoring the delivery of physical health services to in-patient psychiatric populations, and for the evaluation of the effectiveness of clinical interventions in long-term physical conditions. The audit also demonstrates the effectiveness of using a GPwSI in healthcare delivery in non-community based settings. We suggest that the findings may be generalisable to other long-term inpatient psychiatric and prison populations in order to further the objective of delivering an equivalent primary care service to all populations.The QOF is a set of national primary care audit standards and is freely available on the British Medical Association website or the UK Department of Health website. We suggest that primary care workers in health economies who have not yet developed their own national primary care standards can access and adapt these standards in order to improve the clinical standards of care given to the primary care

The Influence of Physical Activity, Sport and Exercise Motives among UK-Based University Students

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Roberts, Simon; Reeves, Matthew; Ryrie, Angus

2015-01-01

Recent evidence suggests that the majority of the adult population fails to achieve the recommended target of 30-minutes moderate intensity exercise, days a week. This includes university students who often have the time to engage in physical activity. The aim of this study was to determine exercise motives for a UK-based student population. The…

Characterization of Hb Lepore variants in the UK population.

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Guo, Lina; Kausar, Anika; Old, John M; Henderson, Shirley J; Gallienne, Alice E

2015-01-01

A molecular study of Hb Lepore heterozygotes identified by the UK population screening program has revealed four out of the five known Lepore variants. The region of homologous δ- and β-globin gene sequence was determined in 58 unrelated Hb Lepore heterozygotes referred for confirmation of their carrier status by DNA analysis through the national thalassemia and sickle cell screening program over a period of 10 years. The most common variant found was Hb Lepore-Boston-Washington (Hb LBW, HBD: c.265 C > c.315 + 7 C) observed in 46 carriers (79.0%). Hb Lepore-Hollandia (HBD: c.69 A > c.92 + 16 A) was found in nine cases (16.0%); Hb Lepore-Baltimore (HBD: c.208 G > c.254 C) in two cases (4.0%) and Hb Lepore-ARUP (HBD: c.97 C > c.150 C) in one carrier (2.0%). Analysis of the hematological findings showed no significant differences between the four groups. The wide range of Hb Lepore variants observed in this study confirms the very diverse range of α- and β-globin gene mutations observed in the UK population by previous studies.

Training Teachers to Deliver Mindfulness-Based Interventions: Learning from the UK Experience.

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Crane, Rebecca S; Kuyken, Willem; Hastings, Richard P; Rothwell, Neil; Williams, J Mark G

2010-06-01

Several randomised controlled trials suggest that mindfulness-based approaches are helpful in preventing depressive relapse and recurrence, and the UK Government's National Institute for Health and Clinical Excellence has recommended these interventions for use in the National Health Service. There are good grounds to suggest that mindfulness-based approaches are also helpful with anxiety disorders and a range of chronic physical health problems, and there is much clinical and research interest in applying mindfulness approaches to other populations and problems such as people with personality disorders, substance abuse, and eating disorders. We review the UK context for developments in mindfulness-based approaches and set out criteria for mindfulness teacher competence and training steps, as well as some of the challenges and future directions that can be anticipated in ensuring that evidence-based mindfulness approaches are available in health care and other settings.

Does protecting humans protect the environment? A crude examination for UK nuclear power plants and the marine environment using information in the public domain

International Nuclear Information System (INIS)

Brownless, G P

2008-01-01

Current activity around radiological protection of the environment implies concerns over the effectiveness of the current approach to this-namely if humans are adequately protected, then so are non-human species. This study uses models and data currently available in the public domain to carry out a 'quick and dirty' examination of whether protecting humans does indeed imply that other species are well protected. Using marine discharges and human habits data for operational coastal UK nuclear power stations, this study compares doses to humans and a set of reference non-human species. The study concludes that the availability of data and models, and consequent ease of studying potential effects on non-humans (as well as humans), vindicates recent efforts in this area, and that these imply a high level of protection, in general, for non-human biota from UK nuclear power station marine discharges. In general terms, the study finds that protection of non-human biota relies on taking ingestion and external exposure doses to humans into account; where only one of these pathways is considered, the level of protection of non-human biota through protection of humans would depend on the radionuclide(s) in question.

Treatment cost and life expectancy of diffuse large B-cell lymphoma (DLBCL): a discrete event simulation model on a UK population-based observational cohort.

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Wang, Han-I; Smith, Alexandra; Aas, Eline; Roman, Eve; Crouch, Simon; Burton, Cathy; Patmore, Russell

2017-03-01

Diffuse large B-cell lymphoma (DLBCL) is the commonest non-Hodgkin lymphoma. Previous studies examining the cost of treating DLBCL have generally focused on a specific first-line therapy alone; meaning that their findings can neither be extrapolated to the general patient population nor to other points along the treatment pathway. Based on empirical data from a representative population-based patient cohort, the objective of this study was to develop a simulation model that could predict costs and life expectancy of treating DLBCL. All patients newly diagnosed with DLBCL in the UK's population-based Haematological Malignancy Research Network ( www.hmrn.org ) in 2007 were followed until 2013 (n = 271). Mapped treatment pathways, alongside cost information derived from the National Tariff 2013/14, were incorporated into a patient-level simulation model in order to reflect the heterogeneities of patient characteristics and treatment options. The NHS and social services perspective was adopted, and all outcomes were discounted at 3.5 % per annum. Overall, the expected total medical costs were £22,122 for those treated with curative intent, and £2930 for those managed palliatively. For curative chemotherapy, the predicted medical costs were £14,966, £23,449 and £7376 for first-, second- and third-line treatments, respectively. The estimated annual cost for treating DLBCL across the UK was around £88-92 million. This is the first cost modelling study using empirical data to provide 'real world' evidence throughout the DLBCL treatment pathway. Future application of the model could include evaluation of new technologies/treatments to support healthcare decision makers, especially in the era of personalised medicine.

A population-based audit of ethnicity and breast cancer risk in one general practice catchment area in North London, UK: implications for practice

Directory of Open Access Journals (Sweden)

Ferris Michelle

2007-09-01

Full Text Available Abstract Objectives To conduct a pilot population-based study within a general practice catchment area to determine whether the incidence of breast cancer was increased in the Ashkenazi population. Design Population-based cohort study. Setting A single general practice catchment area in North London. Participants 1947 women over the age of 16 who responded to a questionnaire about ethnicity and breast cancer. Main outcome measures Incidence of breast cancer, ethnicity. Results This study showed a 1.5-fold (95% CI 0.93–2.39 increase in breast cancer risk in the Ashkenazim compared with the non-Ashkenazi white population. The increased incidence was for both premenopausal and postmenopausal breast cancer (expected incidence pre:post is 1:4 whereas in the Ashkenazim it was 1:1; 51 and 52% of cases respectively. This increase was not shown in the Sephardim. Asians had a reduction in incidence (OR = 0.44; 95% CI 0.10–1.89. Results were adjusted for other risk factors for breast cancer. Conclusion This study showed a 1.5-fold increase in breast cancer rates in Ashkenazim compared with the non-Jewish white population when adjusted for age (i.e. corrections were made to allow comparison of age groups and this is not observed in the Sephardic population. The proportion of premenopausal breast cancer was just over double that of the general population. This is the first general practice population-based study in the UK to address this issue and has implications for general practitioners who care for patients from the Ashkenazi community.

Colour Counts: Sunlight and Skin Type as Drivers of Vitamin D Deficiency at UK Latitudes.

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Webb, Ann R; Kazantzidis, Andreas; Kift, Richard C; Farrar, Mark D; Wilkinson, Jack; Rhodes, Lesley E

2018-04-07

Sunlight exposure, with resulting cutaneous synthesis, is a major source of vitamin D for many, while dietary intake is low in modern diets. The constitutive pigment in skin determines skin type, observed as white, brown, or black skin. The melanin pigment absorbs ultraviolet radiation (UVR) and protects underlying skin from damage caused by UVR. It also reduces the UVR available for vitamin D synthesis in the skin. It has been shown that the white-skinned population of the UK are able to meet their vitamin D needs with short, daily lunchtime exposures to sunlight. We have followed the same methodology, based on a 10-year UK all-weather UVR climatology, observation (sun exposure, diet, vitamin D status), and UVR intervention studies with Fitzpatrick skin type V (brown) adults, to determine whether sunlight at UK latitudes could provide an adequate source of vitamin D for this section of the population. Results show that to meet vitamin D requirements, skin type V individuals in the UK need ~25 min daily sunlight at lunchtime, from March to September. This makes several assumptions, including that forearms and lower legs are exposed June-August; only exposing hands and face at this time is inadequate. For practical and cultural reasons, enhanced oral intake of vitamin D should be considered for this population.

Colour Counts: Sunlight and Skin Type as Drivers of Vitamin D Deficiency at UK Latitudes

Directory of Open Access Journals (Sweden)

Ann R. Webb

2018-04-01

Full Text Available Sunlight exposure, with resulting cutaneous synthesis, is a major source of vitamin D for many, while dietary intake is low in modern diets. The constitutive pigment in skin determines skin type, observed as white, brown, or black skin. The melanin pigment absorbs ultraviolet radiation (UVR and protects underlying skin from damage caused by UVR. It also reduces the UVR available for vitamin D synthesis in the skin. It has been shown that the white-skinned population of the UK are able to meet their vitamin D needs with short, daily lunchtime exposures to sunlight. We have followed the same methodology, based on a 10-year UK all-weather UVR climatology, observation (sun exposure, diet, vitamin D status, and UVR intervention studies with Fitzpatrick skin type V (brown adults, to determine whether sunlight at UK latitudes could provide an adequate source of vitamin D for this section of the population. Results show that to meet vitamin D requirements, skin type V individuals in the UK need ~25 min daily sunlight at lunchtime, from March to September. This makes several assumptions, including that forearms and lower legs are exposed June–August; only exposing hands and face at this time is inadequate. For practical and cultural reasons, enhanced oral intake of vitamin D should be considered for this population.

Developing the radiation protection safety culture in the UK.

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Cole, P; Hallard, R; Broughton, J; Coates, R; Croft, J; Davies, K; Devine, I; Lewis, C; Marsden, P; Marsh, A; McGeary, R; Riley, P; Rogers, A; Rycraft, H; Shaw, A

2014-06-01

In the UK, as elsewhere, there is potential to improve how radiological challenges are addressed through improvement in, or development of, a strong radiation protection (RP) safety culture. In preliminary work in the UK, two areas have been identified as having a strong influence on UK society: the healthcare and nuclear industry sectors. Each has specific challenges, but with many overlapping common factors. Other sectors will benefit from further consideration.In order to make meaningful comparisons between these two principal sectors, this paper is primarily concerned with cultural aspects of RP in the working environment and occupational exposures rather than patient doses.The healthcare sector delivers a large collective dose to patients each year, particularly for diagnostic purposes, which continues to increase. Although patient dose is not the focus, it must be recognised that collective patient dose is inevitably linked to collective occupational exposure, especially in interventional procedures.The nuclear industry faces major challenges as work moves from operations to decommissioning on many sites. This involves restarting work in the plants responsible for the much higher radiation doses of the 1960/70s, but also performing tasks that are considerably more difficult and hazardous than those original performed in these plants.Factors which influence RP safety culture in the workplace are examined, and proposals are considered for a series of actions that may lead to an improvement in RP culture with an associated reduction in dose in many work areas. These actions include methods to improve knowledge and awareness of radiation safety, plus ways to influence management and colleagues in the workplace. The exchange of knowledge about safety culture between the nuclear industry and medical areas may act to develop RP culture in both sectors, and have a wider impact in other sectors where exposures to ionising radiations can occur.

Developing the radiation protection safety culture in the UK

International Nuclear Information System (INIS)

Cole, P; Marsh, A; Hallard, R; Broughton, J; Coates, R; Croft, J; Davies, K; Devine, I; Lewis, C; Marsden, P; McGeary, R; Riley, P; Rogers, A; Rycraft, H; Shaw, A

2014-01-01

In the UK, as elsewhere, there is potential to improve how radiological challenges are addressed through improvement in, or development of, a strong radiation protection (RP) safety culture. In preliminary work in the UK, two areas have been identified as having a strong influence on UK society: the healthcare and nuclear industry sectors. Each has specific challenges, but with many overlapping common factors. Other sectors will benefit from further consideration. In order to make meaningful comparisons between these two principal sectors, this paper is primarily concerned with cultural aspects of RP in the working environment and occupational exposures rather than patient doses. The healthcare sector delivers a large collective dose to patients each year, particularly for diagnostic purposes, which continues to increase. Although patient dose is not the focus, it must be recognised that collective patient dose is inevitably linked to collective occupational exposure, especially in interventional procedures. The nuclear industry faces major challenges as work moves from operations to decommissioning on many sites. This involves restarting work in the plants responsible for the much higher radiation doses of the 1960/70s, but also performing tasks that are considerably more difficult and hazardous than those original performed in these plants. Factors which influence RP safety culture in the workplace are examined, and proposals are considered for a series of actions that may lead to an improvement in RP culture with an associated reduction in dose in many work areas. These actions include methods to improve knowledge and awareness of radiation safety, plus ways to influence management and colleagues in the workplace. The exchange of knowledge about safety culture between the nuclear industry and medical areas may act to develop RP culture in both sectors, and have a wider impact in other sectors where exposures to ionising radiations can occur. (memorandum)

Clinical governance and research ethics as barriers to UK low-risk population-based health research?

Directory of Open Access Journals (Sweden)

Douglas Flora

2008-11-01

Full Text Available Abstract Background Since the Helsinki Declaration was introduced in 1964 as a code of practice for clinical research, it has generally been agreed that research governance is also needed in the field of public health and health promotion research. Recently, a range of factors led to the development of more stringent bureaucratic procedures, governing the conduct of low-risk population-based health research in the United Kingdom. Methods Our paper highlights a case study of the application process to medical research ethics committees in the United Kingdom for a study of the promotion of physical activity by health care providers. The case study presented here is an illustration of the challenges in conducting low-risk population-based health research. Results Our mixed-methods approach involved a questionnaire survey of and semi-structured interviews with health professionals (who were all healthy volunteers. Since our study does not involve the participation of either patients or the general population, one would expect the application to the relevant research ethics committees to be a formality. This proved not to be the case! Conclusion Research ethics committees could be counter-productive, rather than protecting the vulnerable in the research process, they can stifle low-risk population-based health research. Research ethics in health services research is first and foremost the responsibility of the researcher(s, and we need to learn to trust health service researchers again. The burden of current research governance regulation to address the perceived ethical problems is neither appropriate nor adequate. Senior researchers/academics need to educate and train students and junior researchers in the area of research ethics, whilst at the same time reducing pressures on them that lead to unethical research, such as commercial funding, inappropriate government interference and the pressure to publish. We propose that non-invasive low

Cost effectiveness of population based BRCA1 founder mutation testing in Sephardi Jewish women.

Science.gov (United States)

Patel, Shreeya; Legood, Rosa; Evans, D Gareth; Turnbull, Clare; Antoniou, Antonis C; Menon, Usha; Jacobs, Ian; Manchanda, Ranjit

2018-04-01

Population-based BRCA1/BRCA2 founder-mutation testing has been demonstrated as cost effective compared with family history based testing in Ashkenazi Jewish women. However, only 1 of the 3 Ashkenazi Jewish BRCA1/BRCA2 founder mutations (185delAG[c.68_69delAG]), 5382insC[c.5266dupC]), and 6174delT[c.5946delT]) is found in the Sephardi Jewish population (185delAG[c.68_69delAG]), and the overall prevalence of BRCA mutations in the Sephardi Jewish population is accordingly lower (0.7% compared with 2.5% in the Ashkenazi Jewish population). Cost-effectiveness analyses of BRCA testing have not previously been performed at these lower BRCA prevalence levels seen in the Sephardi Jewish population. Here we present a cost-effectiveness analysis for UK and US populations comparing population testing with clinical criteria/family history-based testing in Sephardi Jewish women. A Markov model was built comparing the lifetime costs and effects of population-based BRCA1 testing, with testing using family history-based clinical criteria in Sephardi Jewish women aged ≥30 years. BRCA1 carriers identified were offered magnetic resonance imaging/mammograms and risk-reducing surgery. Costs are reported at 2015 prices. Outcomes include breast cancer, ovarian cancer, and excess deaths from heart disease. All costs and outcomes are discounted at 3.5%. The time horizon is lifetime, and perspective is payer. The incremental cost-effectiveness ratio per quality-adjusted life-year was calculated. Parameter uncertainty was evaluated through 1-way and probabilistic sensitivity analysis. Population testing resulted in gain in life expectancy of 12 months (quality-adjusted life-year = 1.00). The baseline discounted incremental cost-effectiveness ratio for UK population-based testing was £67.04/quality-adjusted life-year and for US population was $308.42/quality-adjusted life-year. Results were robust in the 1-way sensitivity analysis. The probabilistic sensitivity analysis showed 100% of

Randon daughter exposure of the U.K. population

International Nuclear Information System (INIS)

Cliff, K.D.

1980-01-01

The highest dose to the body tissues from natural radioactivity is that to the bronchial epithelium arising predominantly from the short-lived daughters of 222 Rn with a lesser contribution from the daughters of 220 Rn. This paper discusses the estimation of current United Kingdom population exposure to these nuclides. At present the exposure for an average member of the population of the UK is 0.15 WLM y -1 when the winter ventilation rate is 0.8 h -1 . This will increase to 0.58 WLM y -1 if the winter ventilation rate is reduced to 0.2 h -1 . The use of electrostatic precipitators would decrease the measured WL but would not affect the unattached fraction of 222 Rn daughter products, which determines the dose to the epithelium. Other methods of reducing 222 Rn daughter concentrations under investigation include prevention of the ingress of 222 Rn from the subsoil and the coating of construction materials with a radon barrier

Collection, use, and protection of population-based birth defects surveillance data in the united states.

Science.gov (United States)

Mai, Cara T; Law, David J; Mason, Craig A; McDowell, Bradley D; Meyer, Robert E; Musa, Debra

2007-12-01

Birth defects surveillance systems collect population-based birth defects data from multiple sources to track trends in prevalence, identify risk factors, refer affected families to services, and evaluate prevention efforts. Strong state and federal public health and legal mandates are in place to govern the collection and use of these data. Despite the prima facie appeal of "opt-in" and similar strategies to those who view data collection as a threat to privacy, the use of these strategies in lieu of population-based surveillance can severely limit the ability of public health agencies to accurately access the health status of a group within a defined geographical area. With the need for population-based data central to their mission, birth defects programs around the country take their data stewardship role seriously, recognizing both moral and legal obligations to protect the data by employing numerous safeguards. Birth defects surveillance systems are shaped by the needs of the community they are designed to serve, with the goal of preventing birth defects or alleviating the burdens associated with them. (c) 2007 Wiley-Liss, Inc.

Population structure of the ash dieback pathogen, Hymenoscyphus fraxineus, in relation to its mode of arrival in the UK.

Science.gov (United States)

Orton, E S; Brasier, C M; Bilham, L J; Bansal, A; Webber, J F; Brown, J K M

2018-02-01

The ash dieback fungus, Hymenoscyphus fraxineus , a destructive, alien pathogen of common ash ( Fraxinus excelsior ), has spread across Europe over the past 25 years and was first observed in the UK in 2012. To investigate the relationship of the pathogen's population structure to its mode of arrival, isolates were obtained from locations in England and Wales, either where established natural populations of ash had been infected by wind-dispersed ascospores or where the fungus had been introduced on imported planting stock. Population structure was determined by tests for vegetative compatibility (VC), mating type and single-nucleotide polymorphisms (SNPs). VC heterogeneity was high at all locations, with 96% of isolate pairings being incompatible. Frequencies of the MAT1-1-1 and MAT1-2-1 idiomorphs were approximately equal, consistent with H. fraxineus being an obligate outbreeder. Most SNP variation occurred within study location and there was little genetic differentiation between the two types of location in the UK, or between pathogen populations in the UK and continental Europe. There was modest differentiation between UK subpopulations, consistent with genetic variation between source populations in continental Europe. However, there was no evidence of strong founder effects, indicating that numerous individuals of H. fraxineus initiated infection at each location, regardless of the route of pathogen transmission. The ssRNA virus HfMV1 was present at moderate to high frequencies in all UK subpopulations. The results imply that management of an introduced plant pathogen requires action against its spread at the continental level involving coordinated efforts by European countries.

Population exposure to smoking and tobacco branding in the UK reality show 'Love Island'.

Science.gov (United States)

Barker, Alexander B; Opazo Breton, Magdalena; Cranwell, Jo; Britton, John; Murray, Rachael L

2018-02-05

Reality television shows are popular with children and young adults; inclusion of tobacco imagery in these programmes is likely to cause smoking in these groups. Series 3 of the UK reality show Love Island, broadcast in 2017, attracted widespread media criticism for high levels of smoking depicted. We have quantified this tobacco content and estimated the UK population exposure to generic and branded tobacco imagery generated by the show. We used 1-min interval coding to quantify actual or implied tobacco use, tobacco paraphernalia or branding, in alternate episodes of series 3 of Love Island, and Census data and viewing figures from Kantar Media to estimate gross and per capita tobacco impressions. We coded 21 episodes comprising 1001 min of content. Tobacco imagery occurred in 204 (20%) intervals; the frequency of appearances fell significantly after media criticism. An identifiable cigarette brand, Lucky Strike Double Click, appeared in 16 intervals. The 21 episodes delivered an estimated 559 million gross tobacco impressions to the UK population, predominantly to women, including 47 million to children aged branding, including 4 million to children branded tobacco impressions both to children and adults in the UK. More stringent controls on tobacco content in television programmes are urgently needed. © 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.

The development of an environmental protection programme for the population based on concepts and standards inspired by radiological protection

International Nuclear Information System (INIS)

Recht, P.

1977-01-01

Following the United Nations Conference in Stockholm, 1972, on the protection of the environment a certain number of principles and methods have been put forward to national authorities which put into effect environmental protection programmes. Several of these principles have been taken directly from and inspired by the field of application of radiological protection; it is not without interest to draw comparisons between those which have been conceived and applied in health physics for the prevention of a radioactivity risk as it applies to the population, and those which already exist or which are envisaged vis-a-vis the risks from non radioactive pollutants. It is opportune to remember that the ICRP publications, in particular those published in and after 1958, included recommendations on radiological protection, and that these recommendations laid down the bases for both the theoretical steps and the practical methodology of which the main components are still in existence today; a remarkable achievement which merits emphasis. The ICRP recommendations included in publication 1 and more particularly publications 7, 9 and 22 introduced the basic concepts of a health physics policy which can be recognized as having been beneficial for the protection of man and his environment and which can be utilized as a basis for consideration, if not action, as it concerns the non-radioactive environmental pollutants [fr

Cause-specific mortality in professional flight crew and air traffic control officers: findings from two UK population-based cohorts of over 20,000 subjects.

Science.gov (United States)

De Stavola, Bianca L; Pizzi, Costanza; Clemens, Felicity; Evans, Sally Ann; Evans, Anthony D; dos Santos Silva, Isabel

2012-04-01

Flight crew are exposed to several potential occupational hazards. This study compares mortality rates in UK flight crew to those in air traffic control officers (ATCOs) and the general population. A total of 19,489 flight crew and ATCOs were identified from the UK Civil Aviation Authority medical records and followed to the end of 2006. Consented access to medical records and questionnaire data provided information on demographic, behavioral, clinical, and occupational variables. Standardized mortality ratios (SMR) were estimated for these two occupational groups using the UK general population. Adjusted mortality hazard ratios (HR) for flight crew versus ATCOs were estimated via Cox regression models. A total of 577 deaths occurred during follow-up. Relative to the general population, both flight crew (SMR 0.32; 95% CI 0.30, 0.35) and ATCOs (0.39; 0.32, 0.47) had lower all-cause mortality, mainly due to marked reductions in mortality from neoplasms and cardiovascular diseases, although flight crew had higher mortality from aircraft accidents (SMR 42.8; 27.9, 65.6). There were no differences in all-cause mortality (HR 0.99; 95% CI 0.79, 1.25), or in mortality from any major cause, between the two occupational groups after adjustment for health-related variables, again except for those from aircraft accidents. The latter ratios, however, declined with increasing number of hours. The low all-cause mortality observed in both occupational groups relative to the general population is consistent with a strong "healthy worker effect" and their low prevalence of smoking and other risk factors. Mortality among flight crew did not appear to be influenced by occupational exposures, except for a rise in mortality from aircraft accidents.

Radiation protection for human population

International Nuclear Information System (INIS)

Kenigsberg, Ya.Eh.; Bogdevich, I.M.; Rolevich, I.V.; Sharovarov, G.A.; Skurat, V.V.

1997-01-01

Are given the results of researches carried out in Belarus in 1996 on the following directions: study of features of formation of the population irradiation doze; definition of collective irradiation dozes of the population of Belarus for 10 years after the Chernobyl accident and forecast of risk of radiation induced diseases; study of influence of the radioactive contamination on agricultural ecosystems; development of technologies of manufacture on the contaminated soils of plant and cattle-breeding production and food products with the permissible contents of radionuclides in according to the requirements of radiation protection; development and perfection of complex technologies, ways and means of decontamination, processing and burial of radioactive wastes; development and substantiation of actions for increase of radiation security of the population of Belarus; development of combined system of an estimation on problems of radiation protection of the population living on contaminated territories

Individual based model of slug population and spatial dynamics

NARCIS (Netherlands)

Choi, Y.H.; Bohan, D.A.; Potting, R.P.J.; Semenov, M.A.; Glen, D.M.

2006-01-01

The slug, Deroceras reticulatum, is one of the most important pests of agricultural and horticultural crops in UK and Europe. In this paper, a spatially explicit individual based model (IbM) is developed to study the dynamics of a population of D. reticulatum. The IbM establishes a virtual field

Assessing Protective Factors for Violence Risk in U.K. General Mental Health Services Using the Structured Assessment of Protective Factors.

Science.gov (United States)

Haines, Alina; Brown, Andrew; Javaid, Syed Fahad; Khan, Fayyaz; Noblett, Steve; Omodunbi, Oladipupo; Sadiq, Khurram; Zaman, Wahid; Whittington, Richard

2017-12-01

Violence risk assessment and management are key tasks in mental health services and should be guided by validated instruments covering both risk and protective factors. This article is part of an international effort to validate the Structured Assessment of Protective Factors (SAPROF) for violence. The SAPROF, Historical, Clinical, Risk Management-20 (HCR-20) and the Psychopathy Checklist-Screening Version (PCL-SV) were administered in a sample of 261 patients in U.K. forensic, general inpatient, and community mental health settings. There was significant variation between these groups on SAPROF scores with fewer protective factors in the forensic group. The prospective validity of the SAPROF for nonviolence in the general inpatient and community samples was moderate (area under the curve [AUC] = .60). Adoption of the SAPROF or similar instruments as a supplement to risk-focused assessments has the potential to improve awareness of protective factors and enhance therapeutic engagement in a range of mental health services.

Assessing national nutrition security: The UK reliance on imports to meet population energy and nutrient recommendations.

Science.gov (United States)

Macdiarmid, Jennie I; Clark, Heather; Whybrow, Stephen; de Ruiter, Henri; McNeill, Geraldine

2018-01-01

Nutrition security describes the adequacy of the food supply to meet not only energy but also macronutrient and micronutrient requirements for the population. The aim of this study was to develop a method to assess trends in national nutrition security and the contribution of imports to nutrition security, using the UK as a case study. Food supply data from FAO food balance sheets and national food composition tables were used to estimate the nutrient content of domestically produced food, imported food and exported food. Nutrition security was defined as the total nutrient supply (domestic production, minus exports, plus imports) to meet population-level nutrient requirements. The results showed that the UK was nutrition secure over the period 1961-2011 for energy, macronutrients and key micronutrients, with the exception of total carbohydrates and fibre, which may be due to the loss of fibre incurred by processing cereals into refined products. The supply of protein exceeded population requirements and could be met with domestic production alone. Even excluding all meat there was sufficient protein for population requirements. The supply of total fat, saturated fat and sugar considerably exceeded the current dietary recommendation. As regards nutrition security in 2010, the UK was reliant on imported foods to meet energy, fibre, total carbohydrate, iron, zinc and vitamin A requirements. This analysis demonstrates the importance of including nutrients other than energy to determine the adequacy of the food supply. The methodology also provides an alternative perspective on food security and self-sufficiency by assessing the dependency on imports to meet population level nutritional requirements.

Radiation regulations - a UK/European perspective

International Nuclear Information System (INIS)

Shrimpton, P.C.

2000-01-01

Full text: Basic standards for radiation protection in the European Union are laid down in Directives made under the EURATOM Treaty that must be implemented by Member States in national legislation. These Directives are presently based on the 1990 recommendations of the International Commission on Radiological Protection and include Basic Safety Standards (1996) for the protection of workers and the public, and the Medical Exposure Directive (1997) for the protection of patients. UK legislation has recently been revised to meet these new standards, principally through the Ionising Radiations Regulations 1999 and the Ionising Radiation (Medical Exposure) Regulations (IR(ME)R) 2000. A framework of formal and informal guidance supports these regulations. IR(ME)R 2000 clarifies and strengthens the roles and responsibilities of Employers, Practitioners, Operators and Referrers in relation to the justification and optimisation of protection for individual medical exposures. In particular, there is now a formal requirement for the adoption of diagnostic reference levels (DRLs) by employers as a practical tool for promoting patient protection during diagnostic exposures. The recent revision of regulations concerned with medical exposures in the UK is seen as an evolutionary rather than revolutionary process to strengthen the safe and effective use of radiation in medicine. Copyright (2000) Australasian College of Physical Scientists and Engineers in Medicine

Organisation of radiation protection at Sizewell Nuclear Power Plant in the UK. Report n. 290

International Nuclear Information System (INIS)

Crouail, P.; Jeannin, B.; Lefaure, C.; Panisset, L.

2004-01-01

This report first describes the organisation and management of radiation protection at Sizewell Nuclear Power Plant (UK): general organisation, organisation of the radiation protection department, goals of radiation protection at plant and corporate levels, measurement of radiation protection performance, presence of health physicists in the plant, national and international comparisons. Then, it addresses the training of workers and radiation protection specialists with respect to radiation protection, the management of zoning and surveillance (action to address the radiation risk and the contamination risk). It describes the relationships of Health physicists with contractors and other workers teams, and the relationships with safety authorities. It indicates the different outages of this organisation: general planning, information sheets, physicists work planning, reviews and meetings. It describes the management of personal dosimetry with radiation work permits and actions aimed at the reduction of doses during various operations. The last part proposes a feedback experience report and evokes the generated database, and addresses events reporting

Sun-exposure knowledge and protection behavior in a North Chinese population: a questionnaire-based study.

Science.gov (United States)

Cheng, Shaowei; Lian, Shi; Hao, Yongjing; Kang, Nan; Li, Shujuan; Nie, Yanjun; Zhang, Fan

2010-08-01

Sun exposure can cause a range of skin disorders. Skin damage can be prevented by following certain sun-protection measures. However, the majority of reported studies regarding sun-exposure knowledge and behavior have involved Caucasian populations. A self-administered multiple-choice questionnaire was administered. The questionnaire consisted of 13 questions aimed at evaluating people's knowledge, awareness, and protection behavior regarding sun exposure, and their knowledge of sunscreens and sunscreen use. A total of 623 volunteers were enrolled, including 238 men (38.2%) and 385 women (61.8%). The percentages of correct answers regarding sun-exposure knowledge and awareness ranged from 50% to 80%. Overall, 58.8% used sunscreen as a sun-protection measure in daily life, followed by use of protective clothes (49.3%), sun umbrella (45.4%), sunglasses (45.3%), and hat (42.2%). Fifty-two percent thought that suntan was harmful or not attractive. The mean sun-protection factor (SPF) of the sunscreens used was 27.7 +/- 9.2 and the mean UVA protection grade (PA) was 2.3 +/- 0.6. Knowledge and awareness concerning the harmful effects of sun exposure are widespread among the Chinese population. Sunscreens with high SPF and PA are the most commonly used among Chinese people. Clear sex differences were observed. There is a significant difference in the attitude toward suntan between Chinese and Caucasian populations.

CONSERVATION MANAGEMENT AND LEGISLATION THE UK EXPERIENCE

Directory of Open Access Journals (Sweden)

SIBLEY P. J.

2003-04-01

Full Text Available Underpinning the conservation management of Austropotamobius pallipes in the UK is the process of monitoring and reporting crayfish distribution. Should the current trend in the decline of A. pallipes continue, the species could be virtually extinct in mainland Britain within 30 years (SIBLEY, 2003. Conversely, if the increase in the distribution of non-indigenous crayfish species (NICS continues at its current rate, the distribution (by 10 km squares of these species could double within 15 years. These forward projections are based on a number of possibly unreliable assumptions; they illustrate however the magnitude of the challenge facing those concerned with the conservation of A. pallipes in the UK at this time. Recent work in crayfish conservation management in the UK has yielded guidance in several areas including monitoring, habitat enhancement and a re-introduction protocol for A. pallipes (KEMP and HILEY, 2003. Similarly, scientific research continues to inform our understanding of the movement and behaviour of NICS and explores new methods for the potential management of these species. In addition, the protection afforded to A. pallipes by current legislation is key to the long-term survival prospects of the species, albeit with a probable fragmented distribution, across the British Isles and continental Europe. Legal provisions in the UK derive in part from European instructions (e.g. EC Habitats and Species Directive and also from national legislation (e.g. Salmon and Freshwater Fisheries Act (1975 and the Wildlife and Countryside Act (1981. Also, a raft of “quasi-legislation” exists which requires responsible organisations in the UK to implement the white-clawed crayfish biodiversity action plan (BAP. Altogether these provisions constitute a considerable volume of legal protection for crayfish and provide the legal framework on which UK management policy and practice are based.

Radon Remediation and Protective Measures in UK Buildings: The Work of the Building Research Establishment Ltd. (invited paper)

International Nuclear Information System (INIS)

Scivyer, C.; Woolliscroft, M.

1998-01-01

The scope is described of work carried out by the Building Research Establishment Ltd (BRE) in the UK. BRE, funded by the UK Department of the Environment and the Regions (DETR), have been carrying out research into radon in UK buildings for over 10 years. Research has resulted in the successful development of a range of reliable, practical and cost effective radon remedial measures. The measures, which are described in a series of practical guides, are applicable to almost all building types found in the UK, and would be appropriate for use in many buildings found in other countries. The principal aims of this work have been to develop practical, cost effective and appropriate methods for reducing radon levels in existing buildings and to develop protective measures for new buildings. It is considered particularly important to ensure that measures recommended not only reduce radon levels, but that they do not cause adverse effects to the structure or indoor environment, whilst also being cost effective. A comprehensive series of field trials has been undertaken to test a variety of different solutions in more than 300 existing buildings and protective measures in more than 500 new buildings. To support the field trials BRE have a test house located in the South West of England which allows researchers access to a real house without causing considerable disruption to householders in conducting experiments. BRE have also carried out computer modelling work to try to understand the processes which cause radon entry, and how measures taken might affect these processes. A comprehensive database of work carried out in some 300 UK houses is also maintained. (author)

Mental health consequences of overstretch in the UK Armed Forces, 2007-09: a population-based cohort study.

Science.gov (United States)

Rona, Roberto J; Jones, Margaret; Keeling, Mary; Hull, Lisa; Wessely, Simon; Fear, Nicola T

2014-12-01

Concerns have been raised about the effect of tour length on the mental health of the UK armed forces. In 2007, we reported that cumulative length of deployment was associated with mental illness in military personnel. Our findings provided empirical evidence to support the UK advisory policy for tour length, known as the Harmony Guidelines. If fully implemented, these guidelines could aid prevention of mental illnesses. We aimed to reassess the association between cumulative length of deployment and number of deployments with mental illness in the UK forces. Our analysis was based on data from a representative study of the military for UK regular personnel who had completed a questionnaire between Nov 2, 2007, and Sept 24, 2009, and were deployed in the 3 years before questionnaire completion. Study outcomes were presence of possible post-traumatic stress disorder (PTSD), psychological distress, multiple physical symptoms, alcohol misuse, problems at home during and after deployment, and relationship or family problems. The key independent factors were deployment for 13 months or more, and months and number of deployments in the past 3 years. 8278 regulars responded to the questionnaire, of whom 3982 (48%) had been deployed in the 3 years before questionnaire completion. Deployment for 13 months or more decreased from 22% in March, 2005, (median March 8, 2005 [IQR Oct 10, 2004 to April 28, 2005]), to 12% in May, 2008, (May 17, 2008, [Feb 14, 2008, to Dec 5, 2008]). We noted an association between cumulative time deployed as a continuous variable and a score of 40 or more on the PTSD checklist (p=0·002), presence of psychological distress (p=0·018), and multiple physical symptoms (p=0·030; table 2). Furthermore, 13 months or more of deployment was associated with multiple physical symptoms (adjusted odds ratio [OR] 2·15, 95% CI 1·39-3·32), a PTSD checklist score of 40 or more (2·02, 1·31-3·12), and problems at home, but not a PTSD checklist score of 50 or

A cost-effectiveness analysis of radon protection methods in domestic properties: a comparative case study in Brixworth, Northamptonshire, UK

International Nuclear Information System (INIS)

Coskeran, Thomas; Denman, Antony; Phillips, Paul; Tornberg, Roger

2006-01-01

Building regulations in the UK have since 1992 required that radon-proof membranes be installed in new domestic properties to protect residents against the adverse effects of radon. This study compares the cost-effectiveness of the current regulatory regime with an alternative that would entail new properties being tested for radon after construction, and being remediated if necessary. The alternative regime is found to be more cost-effective for a sample of properties in Brixworth, Northamptonshire, UK. For this regime, the central estimate of cost per quality-adjusted life-year gained, the measure of cost-effectiveness used, is Pounds 2869 compared to Pounds 6182 for installing membranes, results suggesting a case for re-examining the current regulations on radon protection in new properties. Pilot studies will, however, be needed to consider how different means of protecting residents of new properties against radon might operate in practice and to provide improved evidence on their relative cost-effectiveness

Radiological protection and radioactive waste management aspects of the decommissioning of redundant nuclear facilities at the Rosyth Dockyard, UK

International Nuclear Information System (INIS)

Kerr, Robert W.; Murdo Murray; Hunter Common

2008-01-01

The Rosyth Dockyard is located near the city of Edinburgh in Scotland. The dockyard's nuclear activities centred around the refuelling and refitting of submarines, as well as some submarine decommissioning. In 1993, submarine refitting work was transferred to Devonport in Southern England. This meant that there were a number of facilities at the Rosyth Dockyard that were now redundant. In accordance with UK government policy a programme of works was instigated to allow for the decommissioning of these nuclear liabilities. This paper provides a brief overview of work activities performed to allow physical decommissioning to take place. Topics covered include radiological characterisation activities, development of monitoring protocols for decommissioning, obtaining relevant environmental authorisations, developing a decommissioning safety case, gaining the UK's Nuclear Installations Inspectorate approval to proceed with decommissioning and an overview of some of the post operative clean out (POCO) activities performed. Edmund Nuttall Ltd were contracted to perform the physical decommissioning of the redundant nuclear facilities, that have been subject to POCO, and this work commenced in February 2006. As part of this contract they were to provide a radiological protection infrastructure including dosimetry and health physics monitoring. This paper discusses the radiological protection infrastructure established by the decommissioning contractor, the radiological protection aspects of the decommissioning work, some of the tools and techniques utilised to date during the nuclear decommissioning, and the radioactive waste management processes established for the project. All activities are referenced to relevant aspects of UK nuclear industry best practice and to the Scottish, UK and European regulatory framework. The progress to date is discussed and lessons that have been learnt are highlighted. (author)

Radiation protection for human population

International Nuclear Information System (INIS)

Bogdevich, I.M.; Kenigsberg, Ya.Eh.; Minenko, V.F.; Mrochek, A.G.; Rolevich, I.V.; Skurat, V.V.; Sharovarov, G.A.

1998-01-01

The purpose of researches is development of methods and means of reduction of radiation risk caused by the Chernobyl accident consequences by means of decrease of both individual and collective dozes by realization of special protective measures. The reconstruction of average collective accumulated irradiation dozes of the inhabitants of the contaminated populated localities of Belarus is carried out; the forecast of development of radiation induced oncologic diseases is given. The laws of formation of annual irradiation dozes are investigated; the prevailing role of internal irradiation dozes in formation of total dose loadings is detected. On this basis a number of practical projects directed on creation of effective land tenure and decrease of radioactive contamination of agricultural production, as well as decontamination technologies and radioactive waste management are executed. Are given the results of researches carried out in Belarus in 1997 on the following directions: dose monitoring of the population, estimation and forecast of both collective irradiation dozes and risks of radiation induced diseases; development and optimization of a complex of measures for effective land use and decrease of radioactive contamination of agricultural production in order to reduce irradiation dozes of the population; development of complex technologies and means of decontamination, treatment and burial of radioactive wastes; development and ground of the measures for increase of radiation protection of the population of Belarus during of the reducing period after the Chernobyl accident; development of complex system of an estimation and decision-making on problems of radiation protection of the population living on contaminated territories

CONSANGUINITY, GENETICS AND DEFINITIONS OF KINSHIP IN THE UK PAKISTANI POPULATION.

Science.gov (United States)

Bittles, A H; Small, N A

2016-11-01

Consanguineous marriage is a controversial topic in many Western societies, with attention mainly focused on the health of immigrant communities from Asia and Africa. In the UK consanguinity is especially prevalent in the Pakistani community, which now numbers over 1.1 million. Less attention has been paid to the influence of hereditary population stratification within Pakistani communities, in particular biraderi (literally brotherhood) membership, which denotes male lineages that largely govern marriage partner choice and hence the transmission of disease genes. The various roles played by biraderi and their relationship to other socio-occupational and kinship terms, such as caste, quom and zat, are often overlooked in health-based studies. The interchangeable use of these different kinship terms without rigorous definition can create identity uncertainty and hinders inter-study comparisons. Where feasible, standardization of terminology would be both desirable and beneficial, with biraderi the preferred default term to identify specific social and genetic relationships within the Pakistani diaspora.

Population structure and genetic diversity of the parasite Trichomonas vaginalis in Bristol, UK.

Science.gov (United States)

Hawksworth, Joseph; Levy, Max; Smale, Chloe; Cheung, Dean; Whittle, Alice; Longhurst, Denise; Muir, Peter; Gibson, Wendy

2015-08-01

The protozoan parasite Trichomonas vaginalis is the causative agent of trichomoniasis, an extremely common, but non-life-threatening, sexually-transmitted disease throughout the world. Recent population genetics studies of T. vaginalis have detected high genetic diversity and revealed a two-type population structure, associated with phenotypic differences in sensitivity to metronidazole, the drug commonly used for treatment, and presence of T. vaginalis virus. There is currently a lack of data on UK isolates; most isolates examined to date are from the US. Here we used a recently described system for multilocus sequence typing (MLST) of T. vaginalis to study diversity of clinical isolates from Bristol, UK. We used MLST to characterise 23 clinical isolates of T. vaginalis collected from female patients during 2013. Seven housekeeping genes were PCR-amplified for each isolate and sequenced. The concatenated sequences were then compared with data from other MLST-characterised isolates available from http://tvaginalis.mlst.net/ to analyse the population structure and construct phylogenetic trees. Among the 23 isolates from the Bristol population of T. vaginalis, we found 23 polymorphic nucleotide sites, 25 different alleles and 19 sequence types (genotypes). Most isolates had a unique genotype, in agreement with the high levels of heterogeneity observed elsewhere in the world. A two-type population structure was evident from population genetic analysis and phylogenetic reconstruction split the isolates into two major clades. Tests for recombination in the Bristol population of T. vaginalis gave conflicting results, suggesting overall a clonal pattern of reproduction. We conclude that the Bristol population of T. vaginalis parasites conforms to the two-type population structure found in most other regions of the world. We found the MLST scheme to be an efficient genotyping method. The online MLST database provides a useful repository and resource that will prove

GIS-based models for ambient PM exposure and health impact assessment for the UK

International Nuclear Information System (INIS)

Stedman, John R; Grice, Susannah; Kent, Andrew; Cooke, Sally

2009-01-01

GIS-based models have been developed to map ambient PM 10 and PM 25 mass concentrations across the UK. The resulting maps are used for the assessments of air quality required by the EU ambient air quality directives, health impact assessment and the development of UK air quality policy. Maps are presented for 2006 along with projections to 2020. The largest single contribution to the UK population-weighted mean annual mean background concentrations of PM 10 in 2006 is estimated to be from secondary PM (43%), followed by the contribution from primary PM (24%). Concentrations are predicted to decline by 15% for PM 10 and 13% for PM 25 over the period from 2006 to 2020. The extent of exceedence of the 24-hour limit value is predicted to decline from 1.9% to 0.1% of urban major roads over the same period. The potential health benefits of reductions in ambient PM are large. A reduction in concentration of 0.93 μg m -3 as a result of a possible package of measures has been estimated within the UK Air Quality Strategy to result in a reduction in life years lost of approximately 2 - 4 million over a period of 100 years.

Demography and disorders of the French Bulldog population under primary veterinary care in the UK in 2013.

Science.gov (United States)

O'Neill, Dan G; Baral, Lauren; Church, David B; Brodbelt, Dave C; Packer, Rowena M A

2018-01-01

that the disorder profiles reported in this study reflect a current young UK population and are likely to shift as this cohort ages. Otitis externa, diarrhoea and conjunctivitis were the most common disorders in French Bulldogs. Identification of health priorities based on VetCompass™ data can support evidence-based reforms to improve health and welfare within the breed.

Analysis of population inquiry on practices for ultraviolet radiation protection.

Science.gov (United States)

Celaj, Stela; Deng, Jie; Murphy, Brendan L

2017-10-15

UV radiation exposure is one of the key modifiable risk factors for skin cancer. Hence, patient education regarding skin protection and sunscreen use is of tremendous importance to public health. To better understand patient practices regarding skin protection in a population level, we looked into the Internet search behavior of the US-based population. We investigated patient inquires on the United States Food and Drug Administration (FDA) announcements regarding sunscreen use by quantifying search terms such as "broad spectrum sunscreen", "sunscreen" and "sunblock" with Google Trends, a novel methodology for understanding internet search practices. Our findings show that "broad spectrum sunscreen" searches were significantly increased post 2011 FDA announcements, which suggest increased public awareness regarding the importance of broad spectrum protection. It is encouraging these preliminary results indicate that skin protection practices are being increasingly investigated by the general public and may serve as a novel approach for identifying areas of improvement regarding patient education on the reduction of the risk for skin cancer.

Control of ionising radiation - a UK viewpoint

International Nuclear Information System (INIS)

Shrimpton, P.C.

1995-01-01

The primary aim of radiological protection is to provide an appropriate standard of protection for mankind, both as individuals and collectively, without unduly limiting the beneficial practices giving rise to radiation exposure. Guidance on the fundamental principles for radiation protection is provided on a global scale by the International Commission on Radiological Protection (ICRP). Member states of the European Union, such as the UK, are bound by the Euratom Treaty that requires the Commission of the European Communities (CEC) to develop uniform standards for radiological protection. These standards are based on recommendations from ICRP and are laid down in Euratom Directives relating to the safety of workers and the public, and of patients undergoing medical exposures. Member states are required to introduce national legislation to comply with Directives. In addition to ICRP and CEC, other international bodies are involved in developing practical standards and guidelines for radiological protection. For example, the International Atomic Energy Agency (IAEA) provides guidelines relating to the transport of radioactive material, and the United Nations Scientific Committee on the Effects of Atomic Radiation (UNSCEAR) provides information on the biological effects of radiation. In the UK, the National Radiological Protection Board (NRPB) was established in 1970 as a statutory advisory body. It has no regulatory functions. NRPB advises Government on the acceptability and applicability of international recommendations. Principles are then applied in the UK by Acts of Parliament and subsidiary instruments such as regulations, licences, authorizations and approvals. Various government departments are involved in policing the control of radiation according to their particular role, for example the Department of the Environment in relation to pollution, and the Department of Employment for the health and safety of workers. (author)

Protective effect of metformin against retinal vein occlusions in diabetes mellitus - A nationwide population-based study.

Directory of Open Access Journals (Sweden)

Tai-Chi Lin

Full Text Available Previous studies have found that metformin can reduce cardiovascular risk, but its association with retinal vein occlusion (RVO is unknown. In this population-based cohort study using the Taiwan National Health Insurance Research Database (NHIRD, we demonstrated the protective effect of metformin against RVO in diabetes mellitus (DM and explored the incidence rate and factors associated with RVO development in general and diabetic populations. One million patients were randomly selected from the registry files of the NHIRD, and all their claims data were collected for the 1996-2011 period. Patients with a new diagnosis of central or branch RVO were identified using International Classification of Disease codes. DM was defined for patients with diagnoses and treatments. Factors associated with RVO development in the non-DM and DM cohorts were explored using Cox proportional regression models. In total, 1,018 RVO patients were identified from the database. The average incidence of RVO was 9.93 and 53.5 cases per 100,000 person-years in the non-DM and DM cohorts, respectively. Older age, DM, hypertension, and glaucoma were significant risk factors for RVO, whereas the prescription of anticoagulants was a significant protective factor. In the DM cohort, older age, hypertension, and diabetic retinopathy were significant risk factors for RVO, whereas metformin treatment was a significant protective factor. These results confirmed the risk factors for RVO and demonstrated the protective effect of metformin against RVO in DM patients. Prescribing metformin for DM patients may be beneficial for reducing the incidence of RVO, along with its hypoglycemic action.

Assessment of the Swedish EQ-5D experience-based value sets in a total hip replacement population.

Science.gov (United States)

Nemes, Szilárd; Burström, Kristina; Zethraeus, Niklas; Eneqvist, Ted; Garellick, Göran; Rolfson, Ola

2015-12-01

All patients undergoing elective total hip replacement (THR) in Sweden are asked to complete a survey, including the EQ-5D. Thus far, EQ-5D values have been presented using the UK TTO value set based on hypothetical values. Shift to the use of the recently introduced Swedish experience-based value set, derived from a representative Swedish population, is an appealing alternative. To investigate how accurate the Swedish experience-based VAS value set predicts observed EQ VAS values and to compare correlations between Swedish and UK value sets including two provisional value sets derived from the THR population. Pre- and one-year postoperative data from 56,062 THR patients from the Swedish Hip Arthroplasty Register were used. Agreement between the observed and the predicted EQ VAS values was assessed with correlation. Based on pre- and postoperative data, we constructed two provisional VAS value sets. Correlations between observed and calculated values using the Swedish VAS value set were moderate (r = 0.46) in preoperative data and high (r = 0.72) in postoperative data. Correlations between UK and register-based value sets were constantly lower compared to Swedish value sets. Register-based values and Swedish values were highly correlated. The Swedish value sets are more accurate in terms of representation of the Swedish THR patients than the currently used UK TTO value set. We find it feasible to use the experience-based Swedish value sets for further presentation of EQ-5D values in the Swedish THR population.

Parliamentary privilege--mortality in members of the Houses of Parliament compared with the UK general population: retrospective cohort analysis, 1945-2011.

Science.gov (United States)

Dennis, John; Crayford, Tim

2015-12-14

To examine mortality in members of the two UK Houses of Parliament compared with the general population, 1945-2011. Retrospective cohort analysis of death rates and predictors of mortality in Members of Parliament (MPs) and members of the House of Lords (Lords). UK. 4950 MPs and Lords first joining the UK parliament in 1945-2011. Standardised mortality ratios, comparing all cause death rates of MPs and Lords from first election or appointment with those in the age, sex, and calendar year matched general population. Between 1945 and 2011, mortality was lower in MPs (standardised mortality ratio 0.72, 95% confidence interval 0.67 to 0.76) and Lords (0.63, 0.60 to 0.67) than in the general population. Over the same period, death rates among MPs also improved more quickly than in the general population. For every 100 expected deaths, 22 fewer deaths occurred among MPs first elected in 1990-99 compared with MPs first elected in 1945-49. Labour party MPs had 19% higher death rates compared with the general population than did Conservative MPs (relative mortality ratio 1.19, 95% confidence interval 1.01 to 1.40). The effect of political party on mortality disappeared when controlling for education level. From 1945 to 2011, MPs and Lords experienced lower mortality than the UK general population, and, at least until 1999, the mortality gap between newly elected MPs and the general population widened. Even among MPs, educational background was an important predictor of mortality, and education possibly explains much of the mortality difference between Labour and Conservative MPs. Social inequalities are alive and well in UK parliamentarians, and at least in terms of mortality, MPs are likely to have never had it so good. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

Application of the Ionizing Radiations Regulations 1985 to a research establishment in the UK

International Nuclear Information System (INIS)

Ashton, I.; Walker, J.M.G.

1988-01-01

Three important reasons for the UK Health and Safety Executive to embark on the preparation of the Ionising Radiation Regulations were: the International Commission on Radiological Protection (ICRP) Publication 26 revised the basic recommendations for radiation protection on which national provisions are based; As members of the European Commission the UK is bound by the Euratom Directives to align its national legislation with other member states. The Directives lay down the basic safety standards for the health protection of the general public and workers against the dangers of ionising radiation; The UK Health and Safety at Work etc. Act 1974 allows outdated legislation to be progressively replaced by a system of regulations and approved codes of practice designed to maintain or improve the standards of health, safety and welfare in the workplace

Radiation exposure of the UK population

International Nuclear Information System (INIS)

Taylor, F.E.; Webb, G.A.M.

1978-11-01

Man is continuously exposed to radiation from many sources, both natural and man-made. The man-made sources include medical irradiation, exposure from radioactive waste disposal, fallout from nuclear weapons tests and various 'miscellaneous sources' which include consumer products. The National Radiological Protection Board (NRPB) keeps these contributions to the radiation exposure of the population under continuous review and publishes reports on the subject periodically. This is the second such report and contains considerably more information than the first published in 1974. The balance of the report reflects the availability of data and the advice given in the sixth report of the Royal Commission on Environmental Pollution. The conclusions are: (a) that the major contribution to the dose to the population is from natural background radiation; (b) that the largest man-made contribution is from medical uses of radiation; (c) that the largest contribution from environmental contamination is still from the residual effects of fallout from nuclear weapons testing; (d) that occupational exposure and irradiation from miscellaneous sources, considered as contributions to the per caput dose to the population, are the next largest components; (e) that radioactive waste disposal is the smallest contributor to the per caput dose to the population. It was also felt useful to review the past trends in the doses resulting from the various sources and the authors have attempted to make some tentative predictions of doses up to the year 2000. (author)

Radiation protection

International Nuclear Information System (INIS)

1989-01-01

A NRPB leaflet in the 'At-a-Glance' series explains in a simple but scientifically accurate way what radiation is, the biological effects and the relative sensitivity of different parts of the human body. The leaflet then discusses radiation protection principles, radiation protection in the UK and finally the effectiveness of this radiation protection as judged by a breakdown of the total dose received by an average person in the UK, a heavy consumer of Cumbrian seafood, an average nuclear industry worker and an average person in Cornwall. (UK)

Seroprevalence of hepatitis E virus in the UK farming population.

Science.gov (United States)

Meader, E; Thomas, D; Salmon, R; Sillis, M

2010-12-01

Hepatitis E is a zoonosis that can be acquired by the consumption of contaminated food or water, or via person-to-person spread. However, little is known about the transmission of hepatitis E virus (HEV) in the UK. We investigated the epidemiology of indigenous hepatitis E infection using the PHLS Farm Cohort, a sentinel group with a history of close contact with a range of domestic animals. Ten of the 413 subjects tested were positive for hepatitis E IgG antibodies (2.4%). Seroprevalence peaked in those aged 51 to 60 years (relative risk 3.3, 95% CI: 1.0-10.5). Male participants (relative risk 3.6, 95% CI: 0.6-21.2) and those from farms in the Hereford area of the United Kingdom (relative risk 2.7, 95% CI: 0.8-8.4), an area of mixed livestock farming, were more likely to have serological evidence of previous HEVs exposure, although these findings were not statistically significant. Exposure to pigs, or water from a private supply, was not identified as a significant risk factor. The results of this study suggest that UK farming populations are exposed to HEV, but the predominant route of transmission remains elusive. © 2009 The Authors. Journal compilation © 2009 Blackwell Verlag GmbH.

Molecular Diversity of Anthracnose Pathogen Populations Associated with UK Strawberry Production Suggests Multiple Introductions of Three Different Colletotrichum Species

Science.gov (United States)

Baroncelli, Riccardo; Zapparata, Antonio; Sarrocco, Sabrina; Sukno, Serenella A.; Lane, Charles R.; Thon, Michael R.; Vannacci, Giovanni; Holub, Eric; Sreenivasaprasad, Surapareddy

2015-01-01

Fragaria × ananassa (common name: strawberry) is a globally cultivated hybrid species belonging to Rosaceae family. Colletotrichum acutatum sensu lato (s.l.) is considered to be the second most economically important pathogen worldwide affecting strawberries. A collection of 148 Colletotrichum spp. isolates including 67 C. acutatum s.l. isolates associated with the phytosanitary history of UK strawberry production were used to characterize multi-locus genetic variation of this pathogen in the UK, relative to additional reference isolates that represent a worldwide sampling of the diversity of the fungus. The evidence indicates that three different species C. nymphaeae, C. godetiae and C. fioriniae are associated with strawberry production in the UK, which correspond to previously designated genetic groups A2, A4 and A3, respectively. Among these species, 12 distinct haplotypes were identified suggesting multiple introductions into the country. A subset of isolates was also used to compare aggressiveness in causing disease on strawberry plants and fruits. Isolates belonging to C. nymphaeae, C. godetiae and C. fioriniae representative of the UK anthracnose pathogen populations showed variation in their aggressiveness. Among the three species, C. nymphaeae and C. fioriniae appeared to be more aggressive compared to C. godetiae. This study highlights the genetic and pathogenic heterogeneity of the C. acutatum s.l. populations introduced into the UK linked to strawberry production. PMID:26086351

Molecular Diversity of Anthracnose Pathogen Populations Associated with UK Strawberry Production Suggests Multiple Introductions of Three Different Colletotrichum Species.

Directory of Open Access Journals (Sweden)

Riccardo Baroncelli

Full Text Available Fragaria × ananassa (common name: strawberry is a globally cultivated hybrid species belonging to Rosaceae family. Colletotrichum acutatum sensu lato (s.l. is considered to be the second most economically important pathogen worldwide affecting strawberries. A collection of 148 Colletotrichum spp. isolates including 67 C. acutatum s.l. isolates associated with the phytosanitary history of UK strawberry production were used to characterize multi-locus genetic variation of this pathogen in the UK, relative to additional reference isolates that represent a worldwide sampling of the diversity of the fungus. The evidence indicates that three different species C. nymphaeae, C. godetiae and C. fioriniae are associated with strawberry production in the UK, which correspond to previously designated genetic groups A2, A4 and A3, respectively. Among these species, 12 distinct haplotypes were identified suggesting multiple introductions into the country. A subset of isolates was also used to compare aggressiveness in causing disease on strawberry plants and fruits. Isolates belonging to C. nymphaeae, C. godetiae and C. fioriniae representative of the UK anthracnose pathogen populations showed variation in their aggressiveness. Among the three species, C. nymphaeae and C. fioriniae appeared to be more aggressive compared to C. godetiae. This study highlights the genetic and pathogenic heterogeneity of the C. acutatum s.l. populations introduced into the UK linked to strawberry production.

An evaluation of the effectiveness of the UK programme to protect new buildings in radon affected areas

International Nuclear Information System (INIS)

Denman, A.R.; Fraser, J.; Phillips, P.S.

2000-01-01

The discovery of areas in the UK with significant indoor radon levels prompted the Building Research Establishment in 1992 to publish guidance (1) specifying protection measures, enforced by law, when building new houses in radon Affected Areas. In high risk areas, with over 10% of existing houses above the 200 Bq m -3 Action Level, primary protection in the form of a radon-proof membrane is required, as well as secondary protection in the form of a sump capable of being fitted with a low cost pump. In lower risk areas with 3 to 10% of houses above the Action Level only secondary protection is specified. This latter requirement reduces the cost of providing radon remediation to around pound 150 for the fan, rather than an average of pound 750 for providing a sump and fitting a fan, but requires measurement of the radon level to judge whether remediation is required. Northamptonshire, with 6.3% of houses above the Action Level, has areas of both high and lower risk. There has been considerable influx of population in recent years, with 12,200 new houses built since 1993. In high risk areas in Northamptonshire, the collective dose reduction of primary protection has been calculated and has now reached 23 man-sieverts per year has been avoided in the total of 7,900 houses built since 1993. Using current NRPB risk estimates this is equivalent to 0.8 lung cancers avoided each year. This is similar to that achieved by the remediation programme in existing housing, although the potential saving in existing housing is much greater if more householders can be encouraged to carry out remediation (2). In addition, two new housing estates in the lower risk area have been assessed by issuing 6-day etched track detectors to householders, and using a questionnaire to assess their knowledge of radon. Two detectors were used, one in the living area and bedroom, and results were combined using the NRPB protocol to give a weighted seasonally corrected average radon level. In one

Rise in psychotropic drug prescribing in children and adolescents during 1992-2001: a population-based study in the UK

International Nuclear Information System (INIS)

Hsia Yingfen; Maclennan, Karyn

2009-01-01

Background The trend towards increased psychotropic drug prescribing in children and adolescents is well recognised in North America and continental Europe. However, it is unclear to what extent these studies are applicable to clinical practice in the United Kingdom (UK). This study was conducted to estimate the prevalence of psychotropic drug prescribing in children and adolescents aged <19 years in general practice in the UK from January 1992 to December 2001. Methods Data were obtained from the General Practice Research Database (GPRD). Annual age- and sex-specific prevalence of psychotropic drug prescribing was calculated. Results A total of 143,079 prescriptions were issued to 34,398 study subjects. Stimulant prescriptions rose significantly from 0.03 per 1,000 (95% confidence interval 0.02-0.04) in 1992 to 2.9 per 1,000 (2.52-3.32) in 2001; a 96-fold increase. Methylphenidate accounted for the majority of stimulant prescriptions; 2.4% (349/14,370) of stimulant prescriptions were prescribed to children aged <6 years. Increased prescribing was also noted for antidepressants (1.6-fold), hypnotics/anxiolytics (1.3-fold), antipsychotics (1.3-fold) and anticonvulsants (1.3-fold), whilst the prevalence of clonidine and lithium prescribing remained fairly stable throughout the study period. The use of antidepressant, hypnotic/anxiolytic and anticonvulsant increased with increasing age. A high proportion of boys received stimulants, whereas antidepressants and hypnotics/anxiolytics were more likely prescribed to girls. Conclusion There is an increased trend of psychotropic drug use in children and adolescents in the UK practice. Since most psychotropic drugs are not licensed for use in children at this time, research is needed to investigate the efficacy and long-term safety in this population

Cost of illness of oral lichen planus in a U.K. population--a pilot study.

Science.gov (United States)

Ni Riordain, Richeal; Christou, Joanna; Pinder, Denise; Squires, Vanessa; Hodgson, Tim

2016-05-01

To assess the economic burden of oral lichen planus (OLP) from the perspective of the healthcare provider in a U.K. population. This prevalence-based cost-of-illness analysis was carried out via a cross-sectional study conducted in the Oral Medicine Unit of the Eastman Dental Hospital. This study was conducted in three phases - phase 1 involved framing of the cost-of-illness analysis, development of the cost inventory and design of the patient questionnaire for ease of data collection. Data collected from patients were inputted during phase 2, and costings were determined. The final phase consisted of the calculation of the cost of illness of OLP. One hundred patients were enrolled in the study, 30 males and 70 females, with an average age of 59.9 years (±13.4 years). The average OLP patient, based on our cohort, attends the oral medicine unit 2.64 times per year, their general medical practitioner 1.13 times annually, their general dental practitioner 0.82 times in a year and fills on average 3.37 prescriptions annually. This leads to an average annual cost of £398.58 (€541.16) per patient per year from the perspective of the healthcare provider. The annual average cost of OLP to the healthcare provider in the U.K. is substantial. The prevalence-based cost-of-illness data generated in this study will facilitate comparison with other chronic oral mucosal diseases and with chronic diseases managed in allied medical specialties. © 2016 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

Population-animating on self protection of over irradiation

International Nuclear Information System (INIS)

Ruzicka, I.

1994-01-01

Decrease of over irradiation of the population, by X-rays examinations and from radon, can be helped by self protection of the population. This one must previously have sufficiently information about the radiation and about the prevention of the radiation. The author has organised and continually carried out health education of the population, in such a manner as it was desired upon an asking of the population. After eight years of activity in this manner the radiation exposition of the population was a third lesser. The health education about the prevention and protection of the radiation exposition must be organized systematically and continually by the leading of responsible experts and corresponding institutions

Sustainability in the UK construction minerals industry

OpenAIRE

Mitchell, Clive

2015-01-01

Sustainability in the UK construction minerals industry Clive Mitchell, Industrial Minerals Specialist, British Geological Survey, Nottingham, UK Email: Sustainability is not just about environmental protection it also concerns biodiversity, community relations, competence, employment, geodiversity, health and safety, resource efficiency, restoration and stakeholder accountability. The UK construction minerals industry aims to supply essential materials in a sustainabl...

Playing a Musical Instrument as a Protective Factor against Dementia and Cognitive Impairment: A Population-Based Twin Study.

Science.gov (United States)

Balbag, M Alison; Pedersen, Nancy L; Gatz, Margaret

2014-01-01

Increasing evidence supports that playing a musical instrument may benefit cognitive development and health at young ages. Whether playing an instrument provides protection against dementia has not been established. In a population-based cotwin control study, we examined the association between playing a musical instrument and whether or not the twins developed dementia or cognitive impairment. Participation in playing an instrument was taken from informant-based reports of twins' leisure activities. Dementia diagnoses were based on a complete clinical workup using standard diagnostic criteria. Among 157 twin pairs discordant for dementia and cognitive impairment, 27 pairs were discordant for playing an instrument. Controlling for sex, education, and physical activity, playing a musical instrument was significantly associated with less likelihood of dementia and cognitive impairment (odds ratio [OR] = 0.36 [95% confidence interval 0.13-0.99]). These findings support further consideration of music as a modifiable protective factor against dementia and cognitive impairment.

Playing a Musical Instrument as a Protective Factor against Dementia and Cognitive Impairment: A Population-Based Twin Study

Directory of Open Access Journals (Sweden)

M. Alison Balbag

2014-01-01

Full Text Available Increasing evidence supports that playing a musical instrument may benefit cognitive development and health at young ages. Whether playing an instrument provides protection against dementia has not been established. In a population-based cotwin control study, we examined the association between playing a musical instrument and whether or not the twins developed dementia or cognitive impairment. Participation in playing an instrument was taken from informant-based reports of twins’ leisure activities. Dementia diagnoses were based on a complete clinical workup using standard diagnostic criteria. Among 157 twin pairs discordant for dementia and cognitive impairment, 27 pairs were discordant for playing an instrument. Controlling for sex, education, and physical activity, playing a musical instrument was significantly associated with less likelihood of dementia and cognitive impairment (odds ratio [OR] = 0.36 [95% confidence interval 0.13–0.99]. These findings support further consideration of music as a modifiable protective factor against dementia and cognitive impairment.

The contribution of breakfast cereals to the nutritional intake of the materially deprived UK population.

Science.gov (United States)

Holmes, B A; Kaffa, N; Campbell, K; Sanders, T A B

2012-01-01

Breakfast is an important source of micronutrients in the diet and its consumption has been linked to positive health outcomes. The present analysis investigated the contribution that breakfast cereals make to the nutrient intakes of the materially deprived (low income) UK population. Data for 3728 respondents aged 2 years and over from the UK Low Income Diet and Nutrition Survey (2003-2005) were analysed. Nutrient intakes of consumers and non-consumers of breakfast cereal were compared. Breakfast cereals were consumed by 49% of men, 58% of women, 80% of boys and 80% of girls, and median intakes were: 35, 25, 29 and 21 g/d, respectively. Consumers of breakfast cereals had higher intakes of thiamin, riboflavin, niacin, biotin, folate, vitamin B(6), vitamin B(12), iron and zinc than non-consumers. Breakfast cereal consumption was also related to higher intakes of calcium, attributable to higher milk consumption. The intake of wholegrain and high-fibre breakfast cereals was associated with a higher intake of non-starch polysaccharides. Intakes of niacin, biotin, calcium and zinc were higher but that of vitamin B(6) was lower among consumers of exclusively wholegrain and high-fibre breakfast cereals compared with consumers of other breakfast cereals. There were no significant differences observed in intakes of non-milk extrinsic sugars according to type of breakfast cereal consumed. Breakfast cereals make a significant contribution to the micronutrient intake of the low-income UK population.

Radiation protection and environmental protection

International Nuclear Information System (INIS)

Xie Zi; Dong Liucan; Zhang Yongxing

1994-01-01

A collection of short papers is presented which review aspects of research in radiation and environmental protection carried out by the Chinese Institute of Atomic Energy in 1991. The topics covered are: the analysis of Po 210 in the gaseous effluent of coal-fired boilers; the determination of natural radionuclide levels in various industrial waste slags and management countermeasures; assessment of the collective radiation dose from natural sources for the Chinese population travelling by water; the preliminary environmental impact report for the multipurpose heavy water research reactor constructed by China for the Islamic Republic of Algeria. (UK)

Spinal Cord Independence Measure, version III: applicability to the UK spinal cord injured population.

Science.gov (United States)

Glass, Clive A; Tesio, Luigi; Itzkovich, Malka; Soni, Bakul M; Silva, Pedro; Mecci, Munawar; Chadwick, Raymond; el Masry, Waghi; Osman, Aheed; Savic, Gordana; Gardner, Brian; Bergström, Ebba; Catz, Amiram

2009-09-01

To examine the validity, reliability and usefulness of the Spinal Cord Independence Measure for the UK spinal cord injury population. Multi-centre cohort study. Four UK regional spinal cord injury centres. Eighty-six people with spinal cord injury. Spinal Cord Independence Measure and Functional Independence Measure on admission analysed using inferential statistics, and Rasch analysis of Spinal Cord Independence Measure. Internal consistency, inter-rater reliability, discriminant validity; Spinal Cord Independence Measure subscale match between distribution of item difficulty and patient ability measurements; reliability of patient ability measures; fit of data to Rasch model; unidimensionality of subscales; hierarchical ordering of categories within items; differential item functioning across patient groups. Scale reliability (kappa coefficients range 0.491-0.835; (p Spinal Cord Independence Measure subscales compatible with stringent Rasch requirements; mean infit indices high; distinct strata of abilities identified; most thresholds ordered; item hierarchy stable across clinical groups and centres. Misfit and differences in item hierarchy identified. Difficulties assessing central cord injuries highlighted. Conventional statistical and Rasch analyses justify the use of the Spinal Cord Independence Measure in clinical practice and research in the UK. Cross-cultural validity may be further improved.

Computer based systems for fast reactor core temperature monitoring and protection

International Nuclear Information System (INIS)

Wall, D.N.

1991-01-01

Self testing fail safe trip systems and guardlines have been developed using dynamic logic as a basis for temperature monitoring and temperature protection in the UK. The guardline and trip system have been tested in passive operation on a number of reactors and a pulse coded logic guardline is currently in use on the DIDO test reactor. Acoustic boiling noise and ultrasonic systems have been developed in the UK as diverse alternatives to using thermocouples for temperature monitoring and measurement. These systems have the advantage that they make remote monitoring possible but they rely on complex signal processing to achieve their output. The means of incorporating such systems within the self testing trip system architecture are explored and it is apparent that such systems, particularly that based on ultrasonics has great potential for development. There remain a number of problems requiring detailed investigation in particular the verification of the signal processing electronics and trip software. It is considered that these problems while difficult are far from insurmountable and this work should result in the production of protection and monitoring systems suitable for deployment on the fast reactor. 6 figs

Radiation protection training for diverse general employee populations

International Nuclear Information System (INIS)

Copenhaver, E.D.; Houser, B.S.

1986-01-01

Radiation protection training for the general employee at the Oak Ridge National Laboratory has undergone a great deal of restructuring in the last two years. The number of personnel totally dedicated to nuclear facilities is less than a fifth of our employees and the percentage of contracted employees who are dedicated radiation workers is much smaller. However, the aging of our facilities and increasing emphasis on environmental control means that everyone needs to understand the basics of radiation protection. In accordance with changing DOE guidelines and internal ORNL policies, greater emphasis has been placed on keeping training focused on current issues, training the total workforce, and requiring some type of testing or feedback mechanism. This report describes efforts to instill respect, but not fear, of radiation in the work environment. Flexible tools are being developed to meet this objective for several diverse general employee populations. Continuing efforts include consideration of computer-based training for retraining, developing additional modules for specialized groups and jobs, and testing/documentation appropriate to each population segment. 6 refs

The UK Bribery Act: Business Integrity and Whistleblowers

OpenAIRE

Carr, I

2012-01-01

This article’s main focus is the extent to which the U.K. Bribery Act 2010 and the Guidance Document prepared by the Secretary of State, address- ing the procedures that commercial organizations can put into place to prevent bribery, include whistleblower protection. The article also exam- ines provisions for whistleblower protection in the four anti-corruption conventions that the U.K. has ratified in order to provide the context for a discussion of whistleblower protection in the Bribery Ac...

Regulation, proportionality and discharges of radioactive wastes: UK perspective

International Nuclear Information System (INIS)

Morley, Bob; Butler, Gregg; Mc Glynn, Grace

2008-01-01

In recent years, the UK Government and the Regulators have made a commitment to further improve the operation of the regulatory regime and to its operating within the principles of proportionality, transparency, consistency and accountability which underpin the Government's approach to regulation in general. Particular emphasis was to be placed upon ensuring that there is greater consistency in the treatment of risk and hazard; proportionate and cost effective delivery of public, worker and environmental protection; and an open and transparently applied regulatory system. It is noteworthy that with regard to radiation protection, there are different limits for public doses and workforce doses, with the latter 15 times greater. Allowable doses for medical patients are higher still. This discrepancy raises a question in itself. This presentation focuses on the practical application of the regulatory regime with particular regard to environmental discharges and disposals. Under the Radioactive Substances Act 1993, Operators within the UK nuclear industry are required to employ Best Practicable Means (BPM) to control and minimise radioactive discharges to ensure that doses from discharges are As Low As Reasonably Achievable (ALARA). Scientific assessments to date indicate that there are no expectations of environmental harm from discharges at Sellafield (and hence likewise at other UK nuclear sites where the discharges are lower), even where those discharges have historically been up to two orders of magnitude higher than current levels. Current discharges result in doses which are a small fraction of those received by the UK population due to natural background radiation. In addition, there is no proven environmental harm from foreseeable future discharges from Sellafield or other UK nuclear sites. This is supported by independent work which illustrates that the public collective dose from Sellafield discharges is almost all delivered at risks of less that one in a

UK National Data Guardian for Health and Care’s Review of Data Security: Trust, better security and opt-outs

Directory of Open Access Journals (Sweden)

Tom Chan

2016-12-01

Full Text Available Sharing health and social care data is essential to the delivery of high quality health care as well as disease surveillance, public health, and for conducting research. However, these societal benefits may be constrained by privacy and data protection principles. Hence, societies are striving to find a balance between the two competing public interests. Whilst the spread of IT advancements in recent decades has increased the demand for an increased privacy and data protection in many ways health is a special case. UK, are adopting guidelines, codes of conduct and regulatory instruments aimed to implement privacy principles into practical settings and enhance public trust. Accordingly, in 2015, the UK National Data Guardian (NDG requested to conduct a further review of data protection, referred to as Caldicott 3.  The scope of this review is to strengthen data security standards and confidentiality. It also proposes a consent system based on an “opt-out” model rather than on “opt-in. Across Europe as well as internationally the privacy-health data sharing balance is not fixed.  In Europe enactment of the new EU Data Protection Regulation in 2016 constitute a major breakthrough, which is likely to have a profound effect on European countries and beyond.  In Australia and across North America different ways are being sought to balance out these twin requirements of a modern society - to preserve privacy alongside affording high quality health care for an ageing population.   Whilst in the UK privacy legal framework remains complex and fragmented into different layers of legislation, which may negatively impact on both the rights to privacy and health the UK is at the forefront in the uptake of international and EU privacy and data protection principles. And, if the privacy regime were reorganised in a more comprehensive manner, it could be used as a sound implementation model for other countries.

Domestic hygienic legislation concerning population radiation protection

International Nuclear Information System (INIS)

Marej, A.N.

1984-01-01

Problems and principles of domestic sanitary legislation, concerning population radiation protection, are considered. The legislation envisages preventive measures, directed to contamination preventation of the main environmental objects, it regulates their content in the objects, their human intake and ionizing radiation doses, which might affect population. Existing domestic hygienic guides and safety standards for personnel and population are enumerated and characterized

Internal fire protection analysis for the United Kingdom EPR design

Energy Technology Data Exchange (ETDEWEB)

Laid, Abdallah [Nuclear New Build Generation Company Ltd. (NNB GenCo), Barnwood (United Kingdom). EDF Energy Plc.; Cesbron, Mickael [Service Etudes et Project Thermiques et Nucleaires (SEPTEN), Lyon (France). EDF-SA

2015-12-15

In the deterministic design basis analysis of the United Kingdom (UK) EPR based nuclear power plants all postulated initiating events are grouped into two different types, internal faults and internal/external hazards. ''Internal Fires'' is one of the internal hazards analysed at the design stage of the UK EPR. In effect, the main safety objective for fire protection is to ensure that all the required safety functions are performed in the event of an internal fire. To achieve this safety objective, provisions for protection against fire risks are taken to: (i) limit the spread of a fire, protect the safety functions of the facility; (ii) limit the propagation of smoke and dispersion of toxic, radioactive, inflammable, corrosive or explosive materials, and (iii) ensure the achievement of a safe shutdown state, personnel evacuation and all other necessary emergency actions. This paper presents the UK EPR approach on how the above provisions are applied. Such provisions involve implementing means of fire prevention, surveillance, firefighting and limiting fire consequences, appropriate to the risks inherent to the facility. Overall, the design of the UK EPR fire protection systems is based on three types of measures: prevention, containment and control.

Law of the Republic of Belarus about radiation protection of the population

International Nuclear Information System (INIS)

1998-01-01

Law of Republic of Belarus about radiation protection of the population determines bases of legal regulation in the field of guarantee of radiation protection of the population and is directed on creation of conditions for protection of life and health of the people from harmful influence of ionising radiation. The law contains the following mail articles: Legal regulation in the field of guarantee of radiation protection; Principles of guarantee of radiation protection; Measures for guarantee of radiation protection; Functions of the state in the field of guarantee of radiation protection; System of the executive authority bodies in the field of guarantee of radiation protection; The state programs in the field of guarantee of radiation protection; State standardisation in the field of guarantee of radiation protection; Licensing of activity in sphere of handling with ionising radiation sources; Industrial control for guarantee of radiation protection; Estimation of a condition of radiation protection; Duties of the user for guarantee of radiation protection at handling with ionising radiation sources; Guarantee of radiation protection at influence of radon and gamma - radiation of natural radioisotopes; Guarantee of radiation protection at production of foodstuff and usage of drinking water; Guarantee of radiation protection of the citizens (patients) at a medical irradiation; Control and account of individual irradiation dozes; Protection of the population and workers (personnel) from radiation accident; Duties of the user of ionising radiation sources for guarantee of radiation protection at radiation accident; Standardisation of irradiation of the citizens attracted for liquidation of consequences of radiation accidents; Right of the citizens of Republic of Belarus, foreign citizens and persons without citizenship for radiation protection; Right of the citizens and public associations on receiving of information; The public control for guarantee of radiation

Business as a component mechanism of social protection of population

Directory of Open Access Journals (Sweden)

Tsintsadze Asie

2014-01-01

Full Text Available The social protection of population is a main direction of activities of any government. In modern period social protection of population is proceeding with the help of social policy. Mainly social policy implementation is done by the government. Currently in Georgia the main mechanism for social protection is social insurance, which is carried out by the Ministry of Labor, Health and Social Affairs. In Georgia social subsidy agency is responsible for the health insurance and medical programs. Under condition of marketing economy the limitation of interference of government in economy decreased means of social protection. In the modern conditions social protection mechanism should be developed jointly by the government and private sector measures. It becomes necessary to increase the role of business in the social protection of population, which with the difference of charity requests more social responsibility. The most important goal of any government is the effective employment of its population. The research objective is to explore the role of business in the social protection; to set the problems and find the concrete proposals for solving these problems. It is clear that operation of social policy measures can be entirely imposed on the business. As well as the business can ensure effective functioning of the employment level and thus contribute to the development of their own businesses as well as the social policy of government. This paper formulates proposals is direction of the interaction of business and government, their activities for effective social protection of population.

Hearing in middle age: a population snapshot of 40–69 year olds in the UK

Science.gov (United States)

Dawes, Piers; Fortnum, Heather; Moore, David R.; Emsley, Richard; Norman, Paul; Cruickshanks, Karen; Davis, Adrian; Edmondson-Jones, Mark; McCormack, Abby; Lutman, Mark; Munro, Kevin

2014-01-01

Objective To report population-based prevalence of hearing impairment based on speech recognition in noise testing in a large and inclusive sample of UK adults aged 40 to 69 years. The present study is the first to report such data. Prevalence of tinnitus and use of hearing aids is also reported. Design The research was conducted using the UK Biobank resource. The better-ear unaided speech reception threshold was measured adaptively using the Digit Triplet Test (n = 164,770). Self-report data on tinnitus, hearing aid use, noise exposure as well as demographic variables were collected. Results Overall, 10.7% of adults (95%CI 10.5–10.9%) had significant hearing impairment. Prevalence of tinnitus was 16.9% (95%CI 16.6–17.1%) and hearing aid use was 2.0% (95%CI 1.9–2.1%). Odds of hearing impairment increased with age, with a history of work- and music-related noise exposure, for lower socioeconomic background and for ethnic minority backgrounds. Males were at no higher risk of hearing impairment than females. Conclusion Around 1 in 10 adults aged 40 to 69 years have substantial hearing impairment. The reasons for excess risk of hearing impairment particularly for those from low socioeconomic and ethnic minority backgrounds require identification, as this represents a serious health inequality. The underutilization of hearing aids has altered little since the 1980s, and is a major cause for concern. PMID:24518430

Estimation of the number and demographics of companion dogs in the UK

Directory of Open Access Journals (Sweden)

Asher Lucy

2011-11-01

Full Text Available Abstract Background Current estimates of the UK dog population vary, contain potential sources of bias and are based on expensive, large scale, public surveys. Here, we evaluate the potential of a variety of sources for estimation and monitoring of the companion dog population in the UK and associated demographic information. The sources considered were: a public survey; veterinary practices; pet insurance companies; micro-chip records; Kennel Club registrations; and the Pet Travel Scheme. The public survey and subpopulation estimates from veterinary practices, pet insurance companies and Kennel Club registrations, were combined to generate distinct estimates of the UK owned dog population using a Bayesian approach. Results We estimated there are 9.4 (95% CI: 8.1-11.5 million companion dogs in the UK according to the public survey alone, which is similar to other recent estimates. The population was judged to be over-estimated by combining the public and veterinary surveys (16.4, 95% CI: 12.5-21.5 million and under-estimated by combining the public survey and insured dog numbers (4.8, 95% CI: 3.6-6.9 million. An estimate based on combining the public survey and Kennel Club registered dogs was 7.1 (95% CI: 4.5-12.9 million. Based on Bayesian estimations, 77 (95% CI: 62-92% of the UK dog population were registered at a veterinary practice; 42 (95% CI: 29-55% of dogs were insured; and 29 (95% CI: 17-43% of dogs were Kennel Club registered. Breed demographics suggested the Labrador was consistently the most popular breed registered in micro-chip records, with the Kennel Club and with J. Sainsbury's PLC pet insurance. A comparison of the demographics between these sources suggested that popular working breeds were under-represented and certain toy, utility and miniature breeds were over- represented in the Kennel Club registrations. Density maps were produced from micro-chip records based on the geographical distribution of dogs. Conclusions A list

Principles of monitoring for the radiation protection of the population

International Nuclear Information System (INIS)

Sowby, F.D.

1984-01-01

In this report all exposures are considered except occupational exposure and exposure to patients from medical uses of radiation. The subject is dealt with under the following headings: explanation of terms and relevant recommendations of the I.C.R.P., interaction between modelling and monitoring, general objectives and requirements of monitoring programmes, monitoring of source, environment and individuals within the population, quality assurance. (U.K.)

The Distribution of and Relationship between Autistic Traits and Social Anxiety in a UK Student Population

Science.gov (United States)

Freeth, Megan; Bullock, Tom; Milne, Elizabeth

2013-01-01

Traits associated with autism and social anxiety were assessed in a UK student population (n = 1325) using the Autism-spectrum Quotient and the Liebowitz Social Anxiety Scale. Clinically relevant levels of autistic traits were observed in 3.3% of the cohort; 10.1% of the cohort reported clinically relevant levels of social anxiety; 1.8% of the…

Educational and emotional health outcomes in adolescence following maltreatment in early childhood: A population-based study of protective factors.

Science.gov (United States)

Khambati, Nisreen; Mahedy, Liam; Heron, Jon; Emond, Alan

2018-07-01

Although childhood maltreatment is associated with long-term impairment, some children function well despite this adversity. This study aimed to identify the key protective factors for good educational attainment and positive emotional health in adolescents who experienced maltreatment in early childhood. Data were analyzed from the Avon Longitudinal Study of Parents and Children, a large UK prospective cohort study. The sample was defined by maternally reported exposure to physical or emotional maltreatment by a parent prior to 5 years. 1118 (8.0%) children were emotionally maltreated and 375 (2.7%) were physically maltreated before the age of 5. There were too few cases of sexual abuse to be considered. Positive outcomes were operationalized as achieving 5 or more grade A*-C GCSE exam grades at 16 years and scores above the cohort median on the self-report Warwick-Edinburgh Mental Wellbeing Scale and Bachmann Self-Esteem Scale at 17.5 years. The associations of individual, family and community covariates with successful adaptation to the adversity of maltreatment were investigated using logistic regression. School related factors, including engagement in extracurricular activities, satisfaction with school and not being bullied were the most important in facilitating resilience in educational attainment, self-esteem and wellbeing. Good communication and social skills was the most protective individual trait. There was insufficient evidence to suggest that family factors were associated with resilience to maltreatment. School-based interventions are recommended to promote positive adaptation following parental maltreatment. Future research should evaluate outcomes across the life-course to understand whether the protective influences of school persist into adulthood. Copyright © 2018. Published by Elsevier Ltd.

Motivation Types and Mental Health of UK Hospitality Workers.

Science.gov (United States)

Kotera, Yasuhiro; Adhikari, Prateek; Van Gordon, William

2018-01-01

The primary purposes of this study were to (i) assess levels of different types of work motivation in a sample of UK hospitality workers and make a cross-cultural comparison with Chinese counterparts and (ii) identify how work motivation and shame-based attitudes towards mental health explain the variance in mental health problems in UK hospitality workers. One hundred three UK hospitality workers completed self-report measures, and correlation and multiple regression analyses were conducted to identify significant relationships. Findings demonstrate that internal and external motivation levels were higher in UK versus Chinese hospitality workers. Furthermore, external motivation was more significantly associated with shame and mental health problems compared to internal motivation. Motivation accounted for 34-50% of mental health problems. This is the first study to explore the relationship between motivation, shame, and mental health in UK hospitality workers. Findings suggest that augmenting internal motivation may be a novel means of addressing mental health problems in this worker population.

Sex differences in macronutrient intake and adherence to dietary recommendations: findings from the UK Biobank

OpenAIRE

Bennett, E; Peters, SAE; Woodward, M

2018-01-01

Objectives: To characterise sex differences in macronutrient intakes and adherence to dietary recommendations in the UK Biobank population. Design: Cross-sectional population-based study. Setting: UK Biobank Resource. Participants: 210 106 (52.5% women) individuals with data on dietary behaviour. Main outcome measures: Women-to-men mean differences in nutrient intake in grams and as a percentage of energy and women-to-men ORs in non-adherence, adjusting for age, socioeconomic ...

Biological bases for radiation protection standards and implications for policy

International Nuclear Information System (INIS)

Beninson, D.

1987-01-01

The author sums up the principles involved in radiation as being composed of three basic requirements: 1) the individual dose limitation 2) the justification of radiation sources or practices 3) the optimization of protection. This philosophy is more sophisticated than the old approach of threshold and safety factors, which, however, is still valid for protection against non-stochastic effects. Discussion following presentation of the paper ranged over cost benefit analysis and optimization of protection systems, uranium mining, and the varying reactions of different governments. (U.K.)

Evaluation of the radiation exposure. Recommendation of the radiation protection commission

International Nuclear Information System (INIS)

Baldauf, Daniela

2014-01-01

The recommendation of the Strahlenschutzkommission (radiation protection commission) deals with the realistic requirements for the radiation exposure assessment based on radio-ecological modeling. The recommendation is applicable for all exposure situations that can be derived from FEP (features, events processes) exposure scenarios. In this case the exposure scenario consists of natural and technical features and a set of processes and events that can influence the radiation exposure of the population. The report includes the scientific justification, the previous procedure in Germany and abroad (EURATOM, France, UK, Ukraine, USA).

Using computer-based training to facilitate radiation protection review

International Nuclear Information System (INIS)

Abercrombie, J.S.; Copenhaver, E.D.

1989-01-01

In a national laboratory setting, it is necessary to provide radiation protection overview and training to diverse parts of the laboratory population. This includes employees at research reactors, accelerators, waste facilities, radiochemical isotope processing, and analytical laboratories, among others. In addition, our own radiation protection and monitoring staffs must be trained. To assist in the implementation of this full range of training, ORNL has purchased prepackaged computer-based training in health physics and technical mathematics with training modules that can be selected from many topics. By selection of specific modules, appropriate radiation protection review packages can be determined to meet many individual program needs. Because our radiation protection personnel must have some previous radiation protection experience or the equivalent of an associate's degree in radiation protection for entry level, the computer-based training will serve primarily as review of major principles. Others may need very specific prior training to make the computer-based training effective in their work situations. 4 refs

Ethnicity and Occupational Pension Membership in the UK

Science.gov (United States)

2015-01-01

Abstract Reflecting a relatively low‐value Basic State Pension, occupational pensions have historically been a key aspect of pension protection within Britain. Existing research shows that minority ethnic groups are less likely to benefit from such pensions and are more likely to face poverty in later life, as a result of the interaction of their labour market participation and pension membership patterns. However, the lack of adequate data on ethnic minorities has so far prevented the direct comparison of different ethnic groups, as well as their comparison to the White British group. Using data from the UK Household Longitudinal Study, this article explores patterns of employment and the odds ratios of membership in an employer's pension scheme among working‐age individuals from minority ethnic groups and the White British population, taking into account factors not used by previous research, such as one's migration history and sector of employment (public/private). The analysis provides new empirical evidence confirming that ethnicity remains a strong determinant of one's pension protection prospects through being in paid work, being an employee and working for an employer who offers a pension scheme. However, once an individual is working for an employer offering a pension scheme, the effect of ethnicity on that person's odds of being a member of that scheme reduces, except among Pakistani and Bangladeshi individuals for whom the differentials remain. The article also provides evidence on the pension protection of Polish individuals, a relatively ‘new’ minority group in the UK. PMID:27563161

The development of regulatory expectations for computer-based safety systems for the UK nuclear programme

Energy Technology Data Exchange (ETDEWEB)

Hughes, P. J. [HM Nuclear Installations Inspectorate Marine Engineering Submarines Defence Nuclear Safety Regulator Serco Assurance Redgrave Court, Merton Road, Bootle L20 7HS (United Kingdom); Westwood, R.N; Mark, R. T. [FLEET HQ, Leach Building, Whale Island, Portsmouth, PO2 8BY (United Kingdom); Tapping, K. [Serco Assurance,Thomson House, Risley, Warrington, WA3 6GA (United Kingdom)

2006-07-01

The Nuclear Installations Inspectorate (NII) of the UK's Health and Safety Executive (HSE) has completed a review of their Safety Assessment Principles (SAPs) for Nuclear Installations recently. During the period of the SAPs review in 2004-2005 the designers of future UK naval reactor plant were optioneering the control and protection systems that might be implemented. Because there was insufficient regulatory guidance available in the naval sector to support this activity the Defence Nuclear Safety Regulator (DNSR) invited the NII to collaborate with the production of a guidance document that provides clarity of regulatory expectations for the production of safety cases for computer based safety systems. A key part of producing regulatory expectations was identifying the relevant extant standards and sector guidance that reflect good practice. The three principal sources of such good practice were: IAEA Safety Guide NS-G-1.1 (Software for Computer Based Systems Important to Safety in Nuclear Power Plants), European Commission consensus document (Common Position of European Nuclear Regulators for the Licensing of Safety Critical Software for Nuclear Reactors) and IEC nuclear sector standards such as IEC60880. A common understanding has been achieved between the NII and DNSR and regulatory guidance developed which will be used by both NII and DNSR in the assessment of computer-based safety systems and in the further development of more detailed joint technical assessment guidance for both regulatory organisations. (authors)

Fail-safe computer-based plant protection systems

International Nuclear Information System (INIS)

Keats, A.B.

1983-01-01

A fail-safe mode of operation for computers used in nuclear reactor protection systems was first evolved in the UK for application to a sodium cooled fast reactor. The fail-safe properties of both the hardware and the software were achieved by permanently connecting test signals to some of the multiplexed inputs. This results in an unambiguous data pattern, each time the inputs are sequentially scanned by the multiplexer. The ''test inputs'' simulate transient excursions beyond defined safe limits. The alternating response of the trip algorithms to the ''out-of-limits'' test signals and the normal plant measurements is recognised by hardwired pattern recognition logic external to the computer system. For more general application to plant protection systems, a ''Test Signal Generator'' (TSG) is used to compute and generate test signals derived from prevailing operational conditions. The TSG, from its knowledge of the sensitivity of the trip algorithm to each of the input variables, generates a ''test disturbance'' which is superimposed upon each variable in turn, to simulate a transient excursion beyond the safe limits. The ''tripped'' status yielded by the trip algorithm when using data from a ''disturbed'' input forms part of a pattern determined by the order in which the disturbances are applied to the multiplexer inputs. The data pattern formed by the interleaved test disturbances is again recognised by logic external to the protection system's computers. This fail-safe mode of operation of computer-based protection systems provides a powerful defence against common-mode failure. It also reduces the importance of software verification in the licensing procedure. (author)

Heat waves and cold spells: an analysis of policy response and perceptions of vulnerable populations in the UK

OpenAIRE

Johanna Wolf; W Neil Adger; Irene Lorenzoni

2010-01-01

Heat waves and cold spells pose ongoing seasonal risks to the health and well-being of vulnerable individuals. Current attempts to address these risks in the UK are implemented through fuel-poverty strategies and heat-wave planning. This paper examines evidence from the UK on whether heat waves and cold spells are addressed differently by public policy in the UK given that risks are mediated by similar perceptions that shape behavioural responses by vulnerable individuals. It is based on a re...

What's in a name? Nominative determinism in the UK dental workforce.

Science.gov (United States)

Sleigh, J

2016-12-16

Background Nominative determinism describes the theory that people are more likely to pursue careers that are connected to their names. Compelling research has been carried out across the medical professions that provides strong evidence for this phenomenon, but as yet its applicability to the UK dental workforce remains unknown.Aim The aim of this study was to establish the prevalence of dentally-related surnames in the UK dental workforce (dentists and dental care professionals) and compare this to the UK population.Results Dentistry may provide a surprising counter-example to prevailing theories of nominative determinism, as UK dentists are significantly less likely than the UK general population to have dentally-related surnames. This new phenomenon of 'nominative antideterminism' was not observed in the dental care professional (DCP) cohort, for whom the prevalence of dentally-related surnames was similar to that in the wider UK population.

UK resource base assessment of organisations and capabilities in the biomass sector

International Nuclear Information System (INIS)

1996-01-01

British Biogen is the trade association for the UK's emerging biomass industry. It has been recognised that the biomass industry has considerable export potential due to its immense scale potential overseas, and there is an accompanying need for an export development strategy for the industry. The report contains a detailed analysis of a selection of UK companies and organisations, with regard to their export capabilities, thus providing an essential pre-requisite to developing the export strategy. The fundamental aim of the study is to assess the nature, scale and current capabilities of the UK biomass industry resource base and, in turn, to determine its potential to service export markets. (author)

Demographic factors associated with knowledge of colorectal cancer symptoms in a UK population-based survey.

OpenAIRE

Yardley, C.; Glover, C.; Allen-Mersh, T. G.

2000-01-01

Greater public awareness of colorectal cancer symptoms might result in earlier presentation with improved cure by available treatments, but little is known about the extent of public knowledge of colorectal cancer symptoms. We asked a sample of the general population about knowledge of colorectal cancer symptoms and assessed demographic characteristics associated with differences in knowledge. A population-based telephone enquiry into knowledge of colorectal cancer-associated symptoms was con...

Disaggregation of collective dose-a worked example based on future discharges from the Sellafield nuclear fuel reprocessing site, UK

International Nuclear Information System (INIS)

Jones, S R; Lambers, B; Stevens, A

2004-01-01

Collective dose has long been advocated as an important measure of the detriment associated with practices that involve the use of radioactivity. Application of collective dose in the context of worker protection is relatively straightforward, whereas its application in the context of discharges to the environment can yield radically different conclusions depending upon the population groups and integration times that are considered. The computer program PC-CREAM98 has been used to provide an indicative disaggregation into individual dose bands of the collective dose due to potential future radioactive discharges from the nuclear fuel reprocessing site at Sellafield in the UK. Two alternative discharge scenarios are considered, which represent a 'stop reprocessing early, minimum discharge' scenario and a 'reprocessing beyond current contracts' scenario. For aerial discharges, collective dose at individual effective dose rates exceeding 0.015 μSv y -1 is only incurred within the UK, and at effective dose rates exceeding 1.5 μSv y -1 is only incurred within about 20 km of Sellafield. The geographical distribution of collective dose from liquid discharges is harder to assess, but it appears that collective dose incurred outside the UK is at levels of individual effective dose rate below 1.5 μSv y -1 , with the majority being incurred at rates of 0.002 μSv y -1 or less. In multi-attribute utility analyses, the view taken on the radiological detriment to be attributed to the two discharge scenarios will depend critically on the weight or monetary value ascribed to collective doses incurred within the differing bands of individual dose rate

59th Medical Wing Protection of Vulnerable Populations: Ombudsman Program

Science.gov (United States)

2018-04-20

REPORT TYPE 20/04/2018 poster 4. TITLE AND SUBTITLE 59th Medical Wing Protection of Vulnerable Populations: Ombudsman Program 6. AUTHOR(S...13. SUPPLEMENTARY NOTES 2018 Annual AAHRPP Conference April 20-22, 2018 Denver, CO 14. ABSTRACT 1S. SUBJECT TERMS 16. SECURITY CLASSIFICATION OF...59th Medical Wing Protection of Vulnerable Populations: Ombudsman Program Wayne DeutschDDS1, MPH, Michele Tavish LYN, PMP, CCRC 1 Brenda

Safety design features for current UK advanced gas-cooled reactors

Energy Technology Data Exchange (ETDEWEB)

Yellowlees, J. M.; Cobb, E. C. [Nuclear Power Co. (Risley) Ltd. (UK)

1981-01-15

The nuclear power stations planned for Heysham II and Torness will each have twin 660 MW(e) Advanced Gas-cooled Reactors (AGR) based on the design of those which have been operating at Hinkley Point 'B' and Hunterston 'B' since 1976. This paper has described the way in which the shutdown and cooling systems for the Heysham II and Torness AGRs have been selected in order to meet current UK safety requirements. Fault tree analyses have been used to identify the credible fault sequences, the probabilities of which have been calculated. By this means the relative importance of the various protective systems has been established and redundancy and reliability requirements identified. This systematic approach has led to a balanced design giving protection over the complete spectrum of fault sequences. Current safety requirements for thermal reactors in the UK and particular requirements in the design of the Heysham II and Torness reactors are discussed.

Safety design features for current UK advanced gas-cooled reactors

International Nuclear Information System (INIS)

Yellowlees, J.M.; Cobb, E.C.

1981-01-01

The nuclear power stations planned for Heysham II and Torness will each have twin 660 MW(e) Advanced Gas-cooled Reactors (AGR) based on the design of those which have been operating at Hinkley Point 'B' and Hunterston 'B' since 1976. This paper has described the way in which the shutdown and cooling systems for the Heysham II and Torness AGRs have been selected in order to meet current UK safety requirements. Fault tree analyses have been used to identify the credible fault sequences, the probabilities of which have been calculated. By this means the relative importance of the various protective systems has been established and redundancy and reliability requirements identified. This systematic approach has led to a balanced design giving protection over the complete spectrum of fault sequences. Current safety requirements for thermal reactors in the UK and particular requirements in the design of the Heysham II and Torness reactors are discussed

The cost of pressure ulcers in the UK.

Science.gov (United States)

Bennett, Gerry; Dealey, Carol; Posnett, John

2004-05-01

To estimate the annual cost of treating pressure ulcers in the UK. Costs were derived from a bottom-up methodology, based on the daily resources required to deliver protocols of care reflecting good clinical practice. Health and social care system in the UK. Patients developing a pressure ulcer. A bottom-up costing approach is used to estimate treatment cost per episode of care and per patient for ulcers of different grades and level of complications. Also, total treatment cost to the health and social care system in the UK. The cost of treating a pressure ulcer varies from pound 1,064 (Grade 1) to pound 10,551 (Grade 4). Costs increase with ulcer grade because the time to heal is longer and because the incidence of complications is higher in more severe cases. The total cost in the UK is pound 1.4- pound 2.1 billion annually (4% of total NHS expenditure). Most of this cost is nurse time. Pressure ulcers represent a very significant cost burden in the UK. Without concerted effort this cost is likely to increase in the future as the population ages. To the extent that pressure ulcers are avoidable, pressure damage may be indicative of clinical negligence and there is evidence that litigation could soon become a significant threat to healthcare providers in the UK, as it is in the USA.

Generic Modelling of Faecal Indicator Organism Concentrations in the UK

Directory of Open Access Journals (Sweden)

Carl M. Stapleton

2011-06-01

Full Text Available To meet European Water Framework Directive requirements, data are needed on faecal indicator organism (FIO concentrations in rivers to enable the more heavily polluted to be targeted for remedial action. Due to the paucity of FIO data for the UK, especially under high-flow hydrograph event conditions, there is an urgent need by the policy community for generic models that can accurately predict FIO concentrations, thus informing integrated catchment management programmes. This paper reports the development of regression models to predict base- and high-flow faecal coliform (FC and enterococci (EN concentrations for 153 monitoring points across 14 UK catchments, using land cover, population (human and livestock density and other variables that may affect FIO source strength, transport and die-off. Statistically significant models were developed for both FC and EN, with greater explained variance achieved in the high-flow models. Both land cover and, in particular, population variables are significant predictors of FIO concentrations, with r2 maxima for EN of 0.571 and 0.624, respectively. It is argued that the resulting models can be applied, with confidence, to other UK catchments, both to predict FIO concentrations in unmonitored watercourses and evaluate the likely impact of different land use/stocking level and human population change scenarios.

Benchmarking of venous thromboembolism prophylaxis practice with ENT.UK guidelines.

Science.gov (United States)

Al-Qahtani, Ali S

2017-05-01

The aim of this study was to benchmark our guidelines of prevention of venous thromboembolism (VTE) in ENT surgical population against ENT.UK guidelines, and also to encourage healthcare providers to utilize benchmarking as an effective method of improving performance. The study design is prospective descriptive analysis. The setting of this study is tertiary referral centre (Assir Central Hospital, Abha, Saudi Arabia). In this study, we are benchmarking our practice guidelines of the prevention of VTE in the ENT surgical population against that of ENT.UK guidelines to mitigate any gaps. ENT guidelines 2010 were downloaded from the ENT.UK Website. Our guidelines were compared with the possibilities that either our performance meets or fall short of ENT.UK guidelines. Immediate corrective actions will take place if there is quality chasm between the two guidelines. ENT.UK guidelines are evidence-based and updated which may serve as role-model for adoption and benchmarking. Our guidelines were accordingly amended to contain all factors required in providing a quality service to ENT surgical patients. While not given appropriate attention, benchmarking is a useful tool in improving quality of health care. It allows learning from others' practices and experiences, and works towards closing any quality gaps. In addition, benchmarking clinical outcomes is critical for quality improvement and informing decisions concerning service provision. It is recommended to be included on the list of quality improvement methods of healthcare services.

Where do counselling psychologists based in the UK disseminate their research? A systematic review

OpenAIRE

Hanley, Terry; Ruth, Gordon

2013-01-01

Aim: Research is frequently cited as core to counselling psychology. Yet we know little about where counselling psychologists publish their own findings. The present study aims to answer the following two research questions: (1) Where do UK-based counselling psychologists disseminate their research? (2) To what extent do counselling psychologists disseminate their research in British Psychological Society outlets? Method: A systematic review examining research by UK-based counselling psycholo...

The radiation exposure of the UK population from liquid effluents discharged from civil nuclear installations in the UK in 1978

International Nuclear Information System (INIS)

Camplin, W.C.; Clark, M.J.; Delow, C.E.

1982-04-01

The collective effective dose equivalent commitment to the UK population from routine liquid discharges by civil nuclear establishments during 1978 has been estimated at 134 man Sv. The major pathway considered in the assessment was the consumption of seafoods, because most discharges were made directly to sea. Over 90% of this collective dose commitment will be delivered within a few years of the discharges, and caesium-137 from the nuclear fuel reprocessing facility at Windscale (now known as Sellafield) will have made the main contribution to this commitment. These discharges were primarily due to corrosion of nuclear fuel during storage at the reprocessing plant, and there is no simple relationship between the level of collective dose commitment and the amount of energy generated by nuclear means during 1978. (author)

The Counseling Center Assessment of Psychological Symptoms (CCAPS-62): Acceptance, feasibility, and initial psychometric properties in a UK student population.

Science.gov (United States)

Broglia, Emma; Millings, Abigail; Barkham, Michael

2017-09-01

all contextual measures of student psychological distress. It is advantageous for university counselling services to administer a student-specific clinical measure over measures intended for the general clinical population. CCAPS-62 is an acceptable, feasible, and psychometrically valid measure of student psychological distress that can be used in the UK without revision. It is important for university counselling services to continue to provide support from therapists that are trained and experienced in the university context over services intended for the general clinical population. Copyright © 2017 John Wiley & Sons, Ltd.

Inclusion of persons with disabilities in systems of social protection: a population-based survey and case–control study in Peru

Science.gov (United States)

Bernabe-Ortiz, Antonio; Diez-Canseco, Francisco; Vasquez, Alberto; Kuper, Hannah; Walsham, Matthew; Blanchet, Karl

2016-01-01

Objective This study aims to assess the needs of people with disabilities and their level of inclusion in social protection programmes. Design Population based-survey with a nested case–control study. Setting Morropon, a semiurban district located in Piura, northern Peru. Participants For the population survey, a two-stage sampling method was undertaken using data from the most updated census available and information of each household member aged ≥5 years was collected. In the nested case–control study, only one participant, case or control, per household was included in the study. Primary and secondary outcome measures Disability was screened using the Washington Group short questionnaire. A case, defined as an individual aged ≥5 years with disabilities, was matched with one control without disabilities by sex and age (±5 years). Information was collected on socioeconomic status, education, health and rehabilitation and social protection participation. Results The survey included 3684 participants, 1848 (50.1%) females, mean age: 36.4 (SD: 21.7). A total of 290 participants (7.9%; 95% CI 7.0% to 8.7%) were classified as having disability. Adults with disabilities were more likely to be single (OR=3.40; 95% CI 1.54 to 7.51) and not to be working (OR=4.36; 95% CI 2.26 to 8.40), while those who did work were less likely to receive the national minimum wage (ie, 750 PEN or about US$265; p=0.007). People with disabilities were more likely to experience health problems. There was no difference between those enrolled in any social protection programme among participants with and without disabilities. Conclusions People with disabilities were found to have higher needs for social protection, but were not more likely to be enrolled in social protection programmes. The Peruvian social protection system should consider adding disability status to selection criteria in their cash transfer programmes as well as implementing disability-specific interventions

Inclusion of persons with disabilities in systems of social protection: a population-based survey and case-control study in Peru.

Science.gov (United States)

Bernabe-Ortiz, Antonio; Diez-Canseco, Francisco; Vasquez, Alberto; Kuper, Hannah; Walsham, Matthew; Blanchet, Karl

2016-08-26

This study aims to assess the needs of people with disabilities and their level of inclusion in social protection programmes. Population based-survey with a nested case-control study. Morropon, a semiurban district located in Piura, northern Peru. For the population survey, a two-stage sampling method was undertaken using data from the most updated census available and information of each household member aged ≥5 years was collected. In the nested case-control study, only one participant, case or control, per household was included in the study. Disability was screened using the Washington Group short questionnaire. A case, defined as an individual aged ≥5 years with disabilities, was matched with one control without disabilities by sex and age (±5 years). Information was collected on socioeconomic status, education, health and rehabilitation and social protection participation. The survey included 3684 participants, 1848 (50.1%) females, mean age: 36.4 (SD: 21.7). A total of 290 participants (7.9%; 95% CI 7.0% to 8.7%) were classified as having disability. Adults with disabilities were more likely to be single (OR=3.40; 95% CI 1.54 to 7.51) and not to be working (OR=4.36; 95% CI 2.26 to 8.40), while those who did work were less likely to receive the national minimum wage (ie, 750 PEN or about US$265; p=0.007). People with disabilities were more likely to experience health problems. There was no difference between those enrolled in any social protection programme among participants with and without disabilities. People with disabilities were found to have higher needs for social protection, but were not more likely to be enrolled in social protection programmes. The Peruvian social protection system should consider adding disability status to selection criteria in their cash transfer programmes as well as implementing disability-specific interventions. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a

The rich UK contribution to the field of EU data protection : Let’s not go for “third country” status after Brexit

NARCIS (Netherlands)

de Hert, Paul; Papakonstantinou, Vagelis

2017-01-01

The die is cast. At the time of drafting this paper the so-called Brexit, the exit of the UK from the EU, seems like a certainty after the poll results of 23 June 2016. Within such historic, indeed seismic, developments data protection seems but a minor issue, a footnote to a world-changing chapter

What is 'protective space'? Exploring the politics of niche development in sustainability transitions : the case of solar electricity in the UK and the Netherlands.

NARCIS (Netherlands)

Kern, F.; Raven, R.P.J.M.; Smith, A.G.; Veraart, F.C.A.; Verhees, B.

2011-01-01

Transitions theory emphasizes the important role of niches as sources of sustainable innovation. A defining niche characteristic is the provision of ‘protective space’. It is surprising that the concept of ‘niche protection’ has received little systematic attention to date. Drawing upon UK and

Radon exposures in the UK

International Nuclear Information System (INIS)

O'Riordan, M.C.

1992-01-01

Public and occupational health protection against radon is provided in the UK. Protection is advised where geological conditions cause high concentrations in domestic and commercial buildings. These circumstances are described and the resulting exposures reviewed. An account is given of the limitation scheme for radon in the home and the regulatory scheme for radon at work, the manner in which they are implemented, and the degree to which they are successful. (author)

Health protection of populations following an accident on a nuclear site

International Nuclear Information System (INIS)

Mehl-Auget, I.

2006-01-01

This article aims to specify the protective actions to the members of the public in emergency situations, likely to be put forward by ASN as adviser of the emergency operation director. The actions carried out aim to limit the exposure of the populations during the release and due to deposition onto the ground. The main protective actions to the members of the public are sheltering and listening, evacuation and ingestion of stable iodine tablets. Moreover, for limiting internal contamination by ingestion, the consumption of contaminated foodstuffs may be forbidden by anticipation during the emergency phase. Based on the projected doses assessed by IRSN, preset intervention levels are used to make the decision-making easier. (author)

Joint Genomic Prediction of Canine Hip Dysplasia in UK and US Labrador Retrievers

Directory of Open Access Journals (Sweden)

Stefan M. Edwards

2018-03-01

Full Text Available Canine hip dysplasia, a debilitating orthopedic disorder that leads to osteoarthritis and cartilage degeneration, is common in several large-sized dog breeds and shows moderate heritability suggesting that selection can reduce prevalence. Estimating genomic breeding values require large reference populations, which are expensive to genotype for development of genomic prediction tools. Combining datasets from different countries could be an option to help build larger reference datasets without incurring extra genotyping costs. Our objective was to evaluate genomic prediction based on a combination of UK and US datasets of genotyped dogs with records of Norberg angle scores, related to canine hip dysplasia. Prediction accuracies using a single population were 0.179 and 0.290 for 1,179 and 242 UK and US Labrador Retrievers, respectively. Prediction accuracies changed to 0.189 and 0.260, with an increased bias of genomic breeding values when using a joint training set (biased upwards for the US population and downwards for the UK population. Our results show that in this study of canine hip dysplasia, little or no benefit was gained from using a joint training set as compared to using a single population as training set. We attribute this to differences in the genetic background of the two populations as well as the small sample size of the US dataset.

The National Women's Health Study: assembly and description of a population-based reproductive cohort

Directory of Open Access Journals (Sweden)

Prior Susan

2004-08-01

Full Text Available Abstract Background Miscarriage is a common event but is remarkably difficult to measure in epidemiological studies. Few large-scale population-based studies have been conducted in the UK. Methods This was a population-based two-stage postal survey of reproductive histories of adult women living in the United Kingdom in 2001, sampled from the electronic electoral roll. In Stage 1 a short "screening" questionnaire was sent to over 60,000 randomly selected women in order to identify those aged 55 and under who had ever been pregnant or ever attempted to achieve a pregnancy, from whom a brief reproductive history was requested. Stage 2 involved a more lengthy questionnaire requesting detailed information on every pregnancy (and fertility problems, and questions relating to socio-demographic, behavioural and other factors for the most recent pregnancy in order to examine risk factors for miscarriage. Data on stillbirth, multiple birth and maternal age are compared to national data in order to assess response bias. Results The response rate was 49% for Stage 1 and 73% for the more targeted Stage 2. A total of 26,050 questionnaires were returned in Stage 1. Of the 17,748 women who were eligible on the grounds of age, 27% reported that they had never been pregnant and had never attempted to conceive a child. The remaining 13,035 women reported a total of 30,661 pregnancies. Comparison of key reproductive indicators (stillbirth and multiple birth rates and maternal age at first birth with national statistics showed that the data look remarkably similar to the general population. Conclusions This study has enabled the assembly of a large population-based dataset of women's reproductive histories which appears unbiased compared to the general UK population and which will enable investigation of hard-to-measure outcomes such as miscarriage and infertility.

Barriers and Facilitators to Healthy Lifestyle Changes in Minority Ethnic Populations in the UK: a Narrative Review.

Science.gov (United States)

Patel, Naina; Ferrer, Harriet Batista; Tyrer, Freya; Wray, Paula; Farooqi, Azhar; Davies, Melanie J; Khunti, Kamlesh

2017-12-01

Minority ethnic populations experience a disproportionate burden of health inequalities compared with the rest of the population, including an increased risk of type 2 diabetes (T2DM). The purpose of this narrative review was to explore knowledge and attitudes around diabetes, physical activity and diet and identify barriers and facilitators to healthy lifestyle changes in minority ethnic populations in the UK. The narrative review focused on three key research topics in relation to barriers and facilitators to healthy lifestyle changes in minority adult ethnic populations: (i) knowledge and attitudes about diabetes risk; (ii) current behaviours and knowledge about physical activity and diet; and (iii) barriers and facilitators to living a healthier lifestyle. Nearly all of the studies that we identified reported on South Asian minority ethnic populations; we found very few studies on other minority ethnic populations. Among South Asian communities, there was generally a good understanding of diabetes and its associated risk factors. However, knowledge about the levels of physical activity required to gain health benefits was relatively poor and eating patterns varied. Barriers to healthy lifestyle changes identified included language barriers, prioritising work over physical activity to provide for the family, cultural barriers with regard to serving and eating traditional food, different perceptions of a healthy body weight and fear of racial harassment or abuse when exercising. Additional barriers for South Asian women included expectations to remain in the home, fear for personal safety, lack of same gender venues and concerns over the acceptability of wearing 'western' exercise clothing. Facilitators included concern that weight gain might compromise family/carer responsibilities, desire to be healthy, T2DM diagnosis and exercise classes held in 'safe' environments such as places of worship. Our findings suggest that South Asian communities are less likely to

Bayes-Based Fault Discrimination in Wide Area Backup Protection

Directory of Open Access Journals (Sweden)

WANG, Z.

2012-02-01

Full Text Available Multivariate statistical analysis is an effective tool to finish the fault location for electric power system. In Bayesian discriminant analysis as a subbranch, by the research of several populations, one can calculate the conditional probability that some samples belong to these populations, and compare the corresponding probability. The sample will be classified as population with maximum probability. In this paper, based on Bayesian discriminant analysis principle, a great number of simulation examples have confirmed that the results of Bayesian fault discriminant in wide area backup protection are accurate and reliable.

Declining human population but increasing residential development around protected areas in Puerto Rico

Science.gov (United States)

J. Castro-Prieto; S. Martinuzzi; V.C. Radeloff; D.P. Helmers; M. Quiñones; W.A. Gould

2017-01-01

Increasing residential development around protected areas is a major threat for protected areas worldwide, and human population growth is often the most important cause. However, population is decreasing in many regions as a result of socio-economic changes, and it is unclear how residential development around protected areas is affected in these situations. We...

Enhancing condom use experiences among young men to improve correct and consistent condom use: feasibility of a home-based intervention strategy (HIS-UK).

Science.gov (United States)

Stone, Nicole; Graham, Cynthia; Anstee, Sydney; Brown, Katherine; Newby, Katie; Ingham, Roger

2018-01-01

Condoms remain the main protection against sexually transmitted infections (STIs) when used correctly and consistently. Yet, there are many reported barriers to their use such as negative attitudes, reduced sexual pleasure, fit-and-feel problems and erection difficulties. The UK home-based intervention strategy (HIS-UK) is a behaviour change condom promotion intervention for use among young men (aged 16-25 years) designed to increase condom use by enhancing enjoyment of condom-protected intercourse. The objective of this feasibility study was to test HIS-UK for viability, operability and acceptability. Along with an assessment of the recruitment strategy and adherence to the intervention protocol, the study tested the reliability and suitability of a series of behavioural and condom use outcome measures to assess condom use attitudes, motivations, self-efficacy, use experience, errors and problems and fit and feel. The HIS-UK intervention and associated assessment instruments were tested for feasibility using a single-arm, repeated measures design with baseline measurement and two follow-up measurements over 3 months. A 3-month target of 50 young men completing the baseline questionnaire was set. Twenty process and acceptability evaluation interviews with participants and health promotion professionals were conducted post trial. Of the 61 young men who registered for the study, 57 completed the baseline questionnaire and 33 met with the study researcher to receive the HIS-UK condom kit. Twenty-one young men remained for the duration of the study (64% retention). The Cronbach's alpha scores for the condom use outcome measures were 0.84 attitudes, 0.78 self-efficacy, 0.83 use experience, 0.69 errors and problems and 0.75 fit and feel. Participant and health professional feedback indicated strong acceptability of the intervention. The feasibility study demonstrated that our recruitment strategy was appropriate and the target sample size was achieved. Adherence was

Gender Patterns in Bird-related Recreation in the USA and UK

Directory of Open Access Journals (Sweden)

Caren B. Cooper

2010-12-01

Full Text Available Recent studies show inter-related trends in both adult and youth populations in developed nations: a shift away from nature-based recreation, an overall decline in physical activity, and increasing obesity. For this study we examined gender patterns in a nature-based activity, observing wild birds, popular in two developed nations, the USA and UK. We collated data from several organizations and categorized data sources as representing activities that involve varying degrees of competitiveness and acting authoritatively. Patterns were consistent with the hypotheses that gender differences in preferred types of bird-related recreation reflected well documented gender-specific differences in preferences for competition and propensity to act authoritatively. Observing birds encompassed both a recreational hobby, "bird watching," that was female biased in the USA, and a competitive sport, "birding," that was heavily male biased among adults, but not youth, in both the USA and UK. Because of differences in gender participation in bird-related activities, fostering both competitive and noncompetitive bird-related activities is necessary to increase the likelihood of bringing larger segments of the population into nature-based recreation.

Long-lived immunity to canine core vaccine antigens in UK dogs as assessed by an in-practice test kit.

Science.gov (United States)

Killey, R; Mynors, C; Pearce, R; Nell, A; Prentis, A; Day, M J

2018-01-01

To determine the utility of an in-practice test kit to detect protective serum antibody against canine distemper virus, canine adenovirus and canine parvovirus type 2 in a sample of the UK dog population. Serum samples from 486 dogs, last vaccinated between less than 1 month and 124 months previously, were tested with the VacciCheck™ test kit for protective antibodies against distemper, adenovirus and parvovirus type 2. A high proportion of the dogs tested (93·6%) had protective antibody against all three of the core vaccine antigens: 95·7% of the dogs were seropositive against canine distemper virus, 97·3% against canine adenovirus and 98·5% against canine parvovirus type 2. The small number of dogs that were seronegative for one or more of the antigens (n = 31) may have had waning of previous serum antibody or may have been rare genetic non-responders to that specific antigen. UK veterinarians can be reassured that triennial revaccination of adult dogs with core vaccines provides long-lived protective immunity. In-practice serological test kits are a valuable tool for informing decision-making about canine core revaccination. © 2017 British Small Animal Veterinary Association.

Association of volunteering with mental well-being: a lifecourse analysis of a national population-based longitudinal study in the UK.

Science.gov (United States)

Tabassum, Faiza; Mohan, John; Smith, Peter

2016-08-08

The association of volunteering with well-being has been found in previous research, but mostly among older people. The aim of this study was to examine the association of volunteering with mental well-being among the British population across the life course. British Household Panel Survey, a population-based longitudinal study. UK. 66 343 observations (person-years). Mental well-being was measured by using the General Health Questionnaire (GHQ-12 or GHQ); high values denote high mental disorder. Four groups of volunteering participation were created: frequent (once a week), infrequent (once a month/several times a year), rare (once or less a year) and never. Multilevel linear models were used to analyse variations in mental well-being over the life course by levels of volunteering. When not considering age, those who engaged in volunteering regularly appeared to experience higher levels of mental well-being than those who never volunteered. To explore the association of volunteering with the GHQ across the life course, interaction terms were fitted between age and volunteering. The interactions were significant, demonstrating that these associations vary by age. The association between volunteering and well-being did not emerge during early adulthood to mid-adulthood, instead becoming apparent above the age of 40 years and continuing up to old age. Moreover, in early adulthood, the absence of engagement in voluntary activity was not related to mental well-being, but GHQ scores for this group increased sharply with age, levelling off after the age of 40 and then increasing again above the age of 70 years. The study also indicates variation in GHQ scores (65%) within individuals across time, suggesting evidence of lifecourse effects. We conclude that volunteering may be more meaningful for mental well-being at some points of time in the life course. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence

Twenty-first-century medical microbiology services in the UK.

Science.gov (United States)

Duerden, Brian

2005-12-01

With infection once again a high priority for the UK National Health Service (NHS), the medical microbiology and infection-control services require increased technology resources and more multidisciplinary staff. Clinical care and health protection need a coordinated network of microbiology services working to consistent standards, provided locally by NHS Trusts and supported by the regional expertise and national reference laboratories of the new Health Protection Agency. Here, I outline my thoughts on the need for these new resources and the ways in which clinical microbiology services in the UK can best meet the demands of the twenty-first century.

Psychometric Validation of the Parental Bonding Instrument in a U.K. Population-Based Sample: Role of Gender and Association With Mental Health in Mid-Late Life.

Science.gov (United States)

Xu, Man K; Morin, Alexandre J S; Marsh, Herbert W; Richards, Marcus; Jones, Peter B

2016-08-01

The factorial structure of the Parental Bonding Instrument (PBI) has been frequently studied in diverse samples but no study has examined its psychometric properties from large, population-based samples. In particular, important questions have not been addressed such as the measurement invariance properties across parental and offspring gender. We evaluated the PBI based on responses from a large, representative population-based sample, using an exploratory structural equation modeling method appropriate for categorical data. Analysis revealed a three-factor structure representing "care," "overprotection," and "autonomy" parenting styles. In terms of psychometric measurement validity, our results supported the complete invariance of the PBI ratings across sons and daughters for their mothers and fathers. The PBI ratings were also robust in relation to personality and mental health status. In terms of predictive value, paternal care showed a protective effect on mental health at age 43 in sons. The PBI is a sound instrument for capturing perceived parenting styles, and is predictive of mental health in middle adulthood. © The Author(s) 2016.

Managing incidental findings in population based biobank research

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Berge Solberg

2012-04-01

Full Text Available With the introduction of whole genome sequencing in medical research, the debate on how to handle incidental findings is becoming omnipresent. Much of the literature on the topic so far, seems to defend the researcher’s duty to inform, the participant’s right to know combined with a thorough informed consent in order to protect and secure high ethical standards in research. In this paper, we argue that this ethical response to incidental findings and whole genome sequencing is appropriate in a clinical context, in what we call therapeutic research. However, we further argue, that it is rather inappropriate in basic research, like the research going on in public health oriented population based biobanks. Our argument is based on two premises: First, in population based biobank research the duties and rights involved are radically different from a clinical based setting. Second, to introduce the ethical framework from the clinical setting into population based basic research, is not only wrong, but it may lead to unethical consequences. A Norwegian population based biobank and the research-ethical debate in Norway on the regulation of whole genome sequencing is used as an illustrative case to demonstrate the pitfalls when approaching the debate on incidental findings in population based biobank research.

Radiological protection 1993 post-graduate course: 22 Feb -19 March and 10 May - 4 June

International Nuclear Information System (INIS)

1993-01-01

This pamphlet describes a post-graduate course organized by the NRPB and intended to meet the initial and early training requirements of full-time staff of graduate level or equivalent involved in radiological protection including health physics. The course contains sixty-five lectures covering topics such as nuclear physics, sources and uses of radiation, instrumentation, radiation biology, system of protection, occupational protection, dosimetry, population protection, legal, medical and administrative aspects and general hazards. The 1994 courses are being held from 28th February - 25th March and 18th April -13th May, 1993. (UK)

OA18 Population based end of life care - meeting the challenge of the ageing population.

Science.gov (United States)

Thomas, Keri

2015-04-01

The key challenge for most developed countries is meeting the needs of our ageing population, in particular, those nearing the end of their lives - population-based end-of-life care. Building on a public health approach to meet needs of an area-wide population, and a practical approach of enabling generalist frontline staff care for all people in a variety of settings using the GSF Quality Improvement Programmes, we describe progress in a few GSF Cross-Boundary Care Foundation Sites taking a population-based view to meet the challenges of the ageing population. Taking a whole-system view, we explore ways to ensure all people receive quality care towards the final stages of life in line with their needs and wishes in a way that is cost-effective, responsive and compassionate. Expanding concepts of palliative/end-of-life care to include care for people with long-term conditions, dementia, and frailty. We describe practical progress in a number of GSF XBC Sites, enabling generalist frontline staff including: Identifying and prioritising people earlier Reducing 'diagnostic apartheid' Enabling more to live well and die well in the place and manner of their choosing Encouraging integrated person-centred care, reducing inappropriate over-Hospitalisation and prevention of over - medicalising. Use of GSF in various settings to enable generalist frontline staff is described, with key outcome measures and evaluations in the UK, and internationally. As the population ages, population-based end of life care will be one of the most significant developments to meet the challenges for a fit-for-purpose health service of the future. © 2015, Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

Protecting the Investment: Guidance on the Storage of Packaged Wastes in the UK

International Nuclear Information System (INIS)

Naish, Chris; Skelton, Paul; Wisbey, Simon

2016-01-01

This presentation will cover: • Introduction to the UK guidance on interim storage; • Waste stores in the UK and the Store Operations Forum; • Example Approach 1 – Operational limits and conditions; • Example Approach 2 – Monitoring the evolution of package performance; • IAEA Independent peer review

Financing Corporate Rescues, Where Does the UK Stand?

Directory of Open Access Journals (Sweden)

Akpareva Aruoriwo

2014-05-01

Full Text Available In this paper Akpareva Aruoriwo aims to evaluate the adequacy of the framework available for the financing of corporate rescues in the UK. She examines the legal provision made for prioritising creditors who get involved after an insolvency has been declared, with reference to examples from America and Canada. Without post-insolvency funding, companies may find it very difficult to survive, and without protection for post-insolvency creditors, those creditors may not wish to provide this sort of funding. The author examines the arguments for and against this kind of creditor protection, looking at past calls for reforms to the law and the preparedness of the UK to adopt any reforms.

Real-world effects of medications for chronic obstructive pulmonary disease: protocol for a UK population-based non-interventional cohort study with validation against randomised trial results.

Science.gov (United States)

Wing, Kevin; Williamson, Elizabeth; Carpenter, James R; Wise, Lesley; Schneeweiss, Sebastian; Smeeth, Liam; Quint, Jennifer K; Douglas, Ian

2018-03-25

Chronic obstructive pulmonary disease (COPD) is a progressive disease affecting 3 million people in the UK, in which patients exhibit airflow obstruction that is not fully reversible. COPD treatment guidelines are largely informed by randomised controlled trial results, but it is unclear if these findings apply to large patient populations not studied in trials. Non-interventional studies could be used to study patient groups excluded from trials, but the use of these studies to estimate treatment effectiveness is in its infancy. In this study, we will use individual trial data to validate non-interventional methods for assessing COPD treatment effectiveness, before applying these methods to the analysis of treatment effectiveness within people excluded from, or under-represented in COPD trials. Using individual patient data from the landmark COPD Towards a Revolution in COPD Health (TORCH) trial and validated methods for detecting COPD and exacerbations in routinely collected primary care data, we will assemble a cohort in the UK Clinical Practice Research Datalink (selecting people between 1 January 2004 and 1 January 2017) with similar characteristics to TORCH participants and test whether non-interventional data can generate comparable results to trials, using cohort methodology with propensity score techniques to adjust for potential confounding. We will then use the methodological template we have developed to determine risks and benefits of COPD treatments in people excluded from TORCH. Outcomes are pneumonia, COPD exacerbation, mortality and time to treatment change. Groups to be studied include the elderly (>80 years), people with substantial comorbidity, people with and without underlying cardiovascular disease and people with mild COPD. Ethical approval has been granted by the London School of Hygiene & Tropical Medicine Ethics Committee (Ref: 11997). The study has been approved by the Independent Scientific Advisory Committee of the UK Medicines and

Failsafe design criteria for computer based reactor protection systems

International Nuclear Information System (INIS)

Keats, A.B.

1980-01-01

The design criteria proposed are an extrapolation of the failsafe mode of operation used in the UK in hardwired reactor protection systems. This is achieved by making the operational condition of the reactor dependent upon an energetic state of the protection system components. An important objective of the proposed design criteria is to eliminate, or at least to minimize, the need for a failure-mode-and-effect-analysis (FMEA) of the computer software. This demands some well defined but simple constraints upon the way in which data are stored in the computers, but the objective is achieved almost entirely by hardware properties of the system. The first of these is the systematic use of hardwired test inputs which cause transient excursions into the tripped state in a uniquely ordered but easily recognizable sequence. The second is the use of hardwired pattern recognition logic which generates a dynamic healthy stimulus for the shutdown actuators only in response to the unique sequence formed by the hardwired input signal pattern. It therefore detects abnormal states of any of the system inputs, software errors, wiring errors and hardware failures. This hardwired logic is conceptually simple, failsafe, and is amenable to simple FMEA. (U.K.)

Computer Based Radiation Protection- A New Cd-Rom

International Nuclear Information System (INIS)

Geringer, T.; Bammer, M.; Ablber, M.

2004-01-01

Within the next few years, there'll be a lot of new challenges required from radiation protection. According to EU regulation[1] and the new austrian radiation protection law [2] regular additional training are requested. Patients protection in diagnostic and therapeutic usage of ionising radiation gains also more and more importance.[3] Not really surprisingly, the general population is definitely highly aware of the risks coming with the usage of radionuclides and x-rays in medicine. Furthermore, the nuclear power plant in Temelin, near the austrian border initiated a lively discussion about risks, necessity and use of ionising radiation in medicine and industry. It turned out to be a really hard job handling these topics in public. A brilliant didactics based on independent information and viewpoints was required. ARC Seibersdorf Research GmbH, represented by the department of medical technical applications and the radiation protection academy, developed an interactive CD-ROM covering several applications: Basics on radiation protection for medical and technical personnel ; preparation for a radiation protection training. Repetition of the main topics for graduates of a radiation protection training. Basics on radiation protection and emergency management for medical staff as well as for the general public. (Author)

Preventing excessive radon exposure in U.K. housing

International Nuclear Information System (INIS)

Miles, J.C.H.; Cliff, K.D.; Green, B.M.R.; Dixon, D.W.

1992-01-01

In the United Kingdom (UK) it has been recognized for some years that some members of the population received excessive radiation exposure in their homes from radon and its decay products. To prevent such exposures, an Action Level of 400 Bq m -3 was adopted in 1987. In January, 1990, the National Radiological Protection Board (NRPB) advised that the Action Level should be reduced to 200 Bq m -3 , and this advice was accepted by the Government. It is estimated that exposures in up to 100,000 UK homes exceed this Action Level; this amounts to about 0.5% of the available housing. The UK authorities have developed a strategy for preventing such exposures: (1) Areas in which it is estimated that >1% of homes exceed the Action Level for radon are being designated as Affected Areas, and a program to map such areas is under way. Households in these areas are advised to have radon measurements made by NRPB under a open-quotes freeclose quotes (Government-funded) scheme. (2) Householders found to have whole-house, whole-year average radon concentrations >200 Bq m -3 are advised to take remedial action and are provided with information on how this can be done. Partial grants toward remedial work are available in cases of financial need. So far, around 3000 such households have been identified. (3) Within Affected Areas, localities are being defined where new homes must incorporate precautions against radon exposure. In addition to this strategy, a joint case-control study of the risks of radon in homes is being undertaken by the Imperial Cancer Research Fund and NRPB, supported by the UK Government and the Commission of the European Communities

Colonoscopy conversion after flexible sigmoidoscopy screening: results from the UK bowel scope screening programme.

Science.gov (United States)

Siau, Keith; Yew, Andrew; Ishaq, Sauid; Jewes, Sarah; Shetty, Sharan S; Brookes, Matthew; Veitch, Andrew; McKaig, Brian; Murugananthan, Aravinth

2017-12-05

In the UK Bowel Scope screening programme (BSSP), patients progress to colonoscopy based on high-risk features on flexible sigmoidoscopy (FS). To assess practice of colonoscopy conversion and predictors of additional adenoma detection on colonoscopy. The Bowel Cancer Screening database was interrogated and collated with endoscopic and histological findings from patients undergoing colonoscopy following FS between August 2013 and August 2016. Multivariate analysis was performed to identify predictors of new adenomas. Wolverhampton bowel cancer screening centre, covering Wolverhampton, Dudley, Cannock and Walsall, with a combined catchment population of 1 million. This is the first UK site to fully roll-out BSSP. FS was performed on 11,711 patients, with an adenoma detection rate (ADR) of 8.5%, and conversion to colonoscopy in 421 (3.6%). The additional ADR at colonoscopy was 35.2%, with one additional malignant diagnosis (0.26%). The adenoma miss rate was 3.6%. On multivariate analysis, a polyp ≥10mm was the only high-risk indication associated with additional ADR at colonoscopy (odds ratio [OR] 3.68, 95% confidence interval [CI]:1.51-3.65, p<0.001), in addition to male gender (OR 2.36, 95% CI:1.46-3.83, p<0.001). Predictors of detection of a new adenoma ≥10mm included: villous adenoma (p=0.002), polyp≥10mm (p=0.007) and male gender (p=0.039). Presence of any conversion criteria was associated with the detection of any proximal adenoma (p<0.001) and adenoma ≥10mm (p=0.031). Male gender, ≥10mm polyps and villous-preponderant histology at FS were predictors of <10mm and ≥10mm adenomas at colonoscopy. Further data are required to assess the role for gender-based stratification of conversion criteria. This article is protected by copyright. All rights reserved. This article is protected by copyright. All rights reserved.

Worker exposures: How much in the UK

International Nuclear Information System (INIS)

Shaw, K.B.

1985-01-01

Basically, four categories of workers are involved with transport operations: handlers, drivers, health physics monitoring staff, and supervisory staff. In 1984, the National Radiological Protection Board (NRPB) published results of a study covering all four of these worker categories, all types of radioactive material, and all modes of transport used in the United Kingdom. The study covered occupationally related exposure during all normal transport operations of radioactive materials, but did not cover potential consequences of accidents. Although mainly concerned with exposure of workers, the study included the exposure of the public from the transport of irradiated Magnox fuel from the first generation of nuclear power stations. The current evaluation - based on measurements as distinct from earlier assessments which were theoretical estimates - shows that the public exposure is much lower than the calculated maximum based on pessimistic assumptions. For workers, the study concluded that the annual collective dose from the transport of all radioactive materials in the UK is approximately 1 man-sievert. This compares with an annual collective dose estimated at 500 man-sievert from all occupational exposure to ionizing radiation in the UK

A Method to Estimate the Size and Characteristics of HIV-positive Populations Using an Individual-based Stochastic Simulation Model

DEFF Research Database (Denmark)

Nakagawa, Fumiyo; van Sighem, Ard; Thiebaut, Rodolphe

2016-01-01

% plausibility range: 39,900-45,560) men who have sex with men were estimated to be living with HIV in the UK, of whom 10,400 (6,160-17,350) were undiagnosed. There were an estimated 3,210 (1,730-5,350) infections per year on average between 2010 and 2013. Sixty-two percent of the total HIV-positive population......It is important not only to collect epidemiologic data on HIV but to also fully utilize such information to understand the epidemic over time and to help inform and monitor the impact of policies and interventions. We describe and apply a novel method to estimate the size and characteristics of HIV-positive...... populations. The method was applied to data on men who have sex with men living in the UK and to a pseudo dataset to assess performance for different data availability. The individual-based simulation model was calibrated using an approximate Bayesian computation-based approach. In 2013, 48,310 (90...

Accordance to the Dietary Approaches to Stop Hypertension diet pattern and cardiovascular disease in a British, population-based cohort.

Science.gov (United States)

Jones, Nicholas R V; Forouhi, Nita G; Khaw, Kay-Tee; Wareham, Nicholas J; Monsivais, Pablo

2018-02-01

The dietary approaches to stop hypertension (DASH) diet could be an important population-level strategy to reduce cardiovascular disease (CVD) in the UK, but there is little UK-based evidence on this diet pattern in relation to CVD risk. We tested whether dietary accordance with DASH was associated with risk of CVD in a population-based sample of 23,655 UK adults. This prospective analysis of the EPIC-Norfolk cohort study analysed dietary intake (assessed using a validated food frequency questionnaire) to measure accordance with DASH, based on intakes of eight food groups and nutrients, ranking the sample into quintiles. Cox proportional hazards regression models tested for association between DASH accordance and incident stroke, ischemic heart disease (IHD) and total incident CVD (stroke and IHD only), as well as CVD mortality, non-CVD mortality and total mortality. Hazard ratios (HR) and 95% confidence intervals (CI) were estimated adjusting for age, sex, behavioral and clinical risk factors and socioeconomic status. Over an average of 12.4 years follow-up, we ascertained 4129 incident CVD events, of which stroke accounted for 1011. Compared to participants with the least DASH-accordant diets, those with the most DASH-accordant diets had 20% lower risk of incident stroke (HR, 95% CI 0.80, 0.65-0.99) and 13% lower risk of total incident CVD (0.88, 0.79-0.99) but no lower risk of CHD (0.90, 0.79-1.02). CVD-related mortality also showed strong inverse associations with DASH accordance (0.72, 0.60-0.85). This study provides evidence for the cardioprotective effects of DASH diet in a UK context.

The interaction of human population, food production, and biodiversity protection.

Science.gov (United States)

Crist, Eileen; Mora, Camilo; Engelman, Robert

2017-04-21

Research suggests that the scale of human population and the current pace of its growth contribute substantially to the loss of biological diversity. Although technological change and unequal consumption inextricably mingle with demographic impacts on the environment, the needs of all human beings-especially for food-imply that projected population growth will undermine protection of the natural world. Numerous solutions have been proposed to boost food production while protecting biodiversity, but alone these proposals are unlikely to staunch biodiversity loss. An important approach to sustaining biodiversity and human well-being is through actions that can slow and eventually reverse population growth: investing in universal access to reproductive health services and contraceptive technologies, advancing women's education, and achieving gender equality. Copyright © 2017, American Association for the Advancement of Science.

Contribution of Water from Food and Fluids to Total Water Intake: Analysis of a French and UK Population Surveys.

Science.gov (United States)

Guelinckx, Isabelle; Tavoularis, Gabriel; König, Jürgen; Morin, Clémentine; Gharbi, Hakam; Gandy, Joan

2016-10-14

Little has been published on the contribution of food moisture (FM) to total water intake (TWI); therefore, the European Food Safety Authority assumed FM to contribute 20%-30% to TWI. The aim of the present analysis was to estimate and compare TWI, the percentage of water from FM and from fluids in population samples of France and UK. Data from 2 national nutrition surveys (Enquête Comportements et Consommations Alimentaires en France (CCAF) 2013 and the National Diet and Nutrition Survey (NDNS) 2008/2009-2011/2012) were analyzed for TWI and the contribution of water from FM and fluids. Children and adults TWI were significantly lower in France than in the UK. The contribution of water from foods was lower in the UK than in France (27% vs. 36%). As TWI increased, the proportion of water from fluids increased, suggesting that low drinkers did not compensate by increasing intake of water-rich foods. In addition, 80%-90% of the variance in TWI was explained by differences in water intake from fluids. More data on the contribution of FM to TWI is needed to develop more robust dietary recommendations on TWI and guidance on fluid intake for the general public.

UK medicines regulation: responding to current challenges.

Science.gov (United States)

Richards, Natalie; Hudson, Ian

2016-12-01

The medicines regulatory environment is evolving rapidly in response to the changing environment. Advances in science and technology have led to a vast field of increasingly complicated pharmaceutical and medical device products; increasing globalization of the pharmaceutical industry, advances in digital technology and the internet, changing patient populations, and shifts in society also affect the regulatory environment. In the UK, the Medicines and Healthcare products Regulatory Agency (MHRA) regulates medicines, medical devices and blood products to protect and improve public health, and supports innovation through scientific research and development. It works closely with other bodies in a single medicines network across Europe and takes forward UK health priorities. This paper discusses the range of initiatives in the UK and across Europe to support innovation in medicines regulation. The MHRA leads a number of initiatives, such as the Innovation Office, which helps innovators to navigate the regulatory processes to progress their products or technologies; and simplification of the Clinical Trials Regulations and the Early Access to Medicines Scheme, to bring innovative medicines to patients faster. The Accelerated Access Review will identify reforms to accelerate access for National Health Service patients to innovative medicines and medical technologies. PRIME and Adaptive Pathways initiatives are joint endeavours within the European regulatory community. The MHRA runs spontaneous reporting schemes and works with INTERPOL to tackle counterfeiting and substandard products sold via the internet. The role of the regulator is changing rapidly, with new risk-proportionate, flexible approaches being introduced. International collaboration is a key element of the work of regulators, and is set to expand. © 2016 The British Pharmacological Society.

U.K. policy responses to international influences - nuclear power

International Nuclear Information System (INIS)

Jones, P.M.S.

1978-01-01

An account is given of U.K. participation in international discussions directed towards the safe development and application of nuclear power. Particular attention is given to the International Fuel Cycle Evaluation (INFCE), which is stated to be looking at the whole question of proliferation and the merits and disadvantages of a range of alternative fuel cycles and nuclear power strategies. A summary is also given of U.K. participation in work on radiological protection (through the I.C.R.P.) and radioactive waste disposal. International cooperation in research and development is mentioned. Public involvement in policy making is also discussed briefly. (U.K.)

Assessment of creep-fatigue damage using the UK strain based procedure

International Nuclear Information System (INIS)

Bate, S.K.

1997-01-01

The UK strain based procedures have been developed for the evaluation of damage in structures, arising from fatigue cycles and creep processes. The fatigue damage is assessed on the basis of modelling crack growth from about one grain depth to an allowable limit which represents an engineering definition of crack formation. Creep damage is based up on the exhaustion of available ductility by creep strain accumulation. The procedures are applicable only when level A and B service conditions apply, as defined in RCC-MR or ASME Code Case N47. The procedures require the components of strain to be evaluated separately, thus they may be used with either full inelastic analysis or simplified methods. To support the development of the UK strain based creep-fatigue procedures an experimental program was undertaken by NNC to study creep-fatigue interaction of structures operating at high temperature. These tests, collectively known as the SALTBATH tests considered solid cylinder and tube-plate specimens, manufactured from Type 316 stainless steel. These specimens were subjected to thermal cycles between 250 deg. C and 600 deg. C. In all the cases the thermal cycle produces tensile residual stresses during dwells at 600 deg. C. One of the tube-plate specimens was used as a benchmark for validating the strain based creep fatigue procedures and subsequently as part of a CEC co-operative study. This benchmark work is described in this paper. A thermal and inelastic stress analysis was carried out using the finite element code ABAQUS. The inelastic behaviour of the material was described using the ORNL constitutive equations. A creep fatigue assessment using the strain based procedures has been compared with an assessment using the RCC-MR inelastic rules. The analyses indicated that both the UK strain based procedures and the RCC-MR rules were conservative, but the conservatism was greater for the RCC-MR rules. (author). 8 refs, 8 figs, 4 tabs

Implementation of the basic safety standards directive in the UK

International Nuclear Information System (INIS)

Bines, W.

2003-01-01

Implementation of the European Council BSS Directive 96/29/Euratom in the UK is not achieved through any one piece of legislation (though the majority of the provisions are implemented by the Ionising Radiations Regulations 1999) but by a mosaic of provisions, supported by codes of practice, non-statutory guidance and administrative arrangements. The paper describes some of the features of UK occupational radiation protection and the reason for the apparent differences between the UK and other EU Member States in their approach to agreeing the precise provisions of European legislation. (author)

UK-18,892: resistance to modification by aminoglycoside-inactivating enzymes.

Science.gov (United States)

Andrews, R J; Brammer, K W; Cheeseman, H E; Jevons, S

1978-12-01

UK-18,892, a new semisynthetic aminoglycoside, was active against bacteria possessing aminoglycoside-inactivating enzymes, with the exception of some known to possess AAC(6') or AAD(4') enzymes. This activity has been rationalized by using cell-free extracts of bacteria containing known inactivating enzymes, where it was shown that UK-18,892 was not a substrate for the APH(3'), AAD(2''), AAC(3), and AAC(2') enzymes. It was also demonstrated that UK-18,892 protected mice against lethal infections caused by organisms possessing aminoglycoside-inactivating enzymes.

Perceived peer drinking norms and responsible drinking in UK university settings.

Science.gov (United States)

Robinson, Eric; Jones, Andrew; Christiansen, Paul; Field, Matt

2014-09-01

Heavy drinking is common among students at UK universities. US students overestimate how much their peers drink and correcting this through the use of social norm messages may promote responsible drinking. We tested whether there is an association between perceived campus drinking norms and usual drinking behavior in UK university students and whether norm messages about responsible drinking correct normative misperceptions and increase students' intentions to drink responsibly. 1,020 UK university students took part in an online study. Participants were exposed to one of five message types: a descriptive norm, an injunctive norm, a descriptive and injunctive norm, or one of two control messages. Message credibility was assessed. Afterwards participants completed measures of intentions to drink responsibly and we measured usual drinking habits and perceptions of peer drinking. Perceptions of peer drinking were associated modestly with usual drinking behavior, whereby participants who believed other students drank responsibly also drank responsibly. Norm messages changed normative perceptions, but not in the target population of participants who underestimated responsible drinking in their peers at baseline. Norm messages did not increase intentions to drink responsibly and although based on accurate data, norm messages were not seen as credible. In this UK based study, although perceived social norms about peer drinking were associated with individual differences in drinking habits, campus wide norm messages about responsible drinking did not affect students' intentions to drink more responsibly. More research is required to determine if this approach can be applied to UK settings.

Organisational structure of liver transplantation in the UK.

Science.gov (United States)

Neuberger, James

2015-07-01

This review aims to outline the delivery of liver transplant services in the UK. Liver transplantation in the UK is based on seven designated transplant units serving a population of just over 60 million people. Nearly 900 liver transplants were done in 2013/2014. Potential deceased donors are identified and referred to centrally employed specialist nurses for obtaining family consent and for donor characterisation. Organs are retrieved by a National Organ Retrieval Service, based on seven abdominal and six cardiothoracic retrieval teams providing a 24/7 service which has shown to be capable of retrieving organs from up to ten donors a day. Donated organs are allocated first nationally to those who qualify for super-urgent listing. The next priority is for splitting livers, and if there is no suitable recipient or the liver is not suitable for splitting, then livers are offered first to the local centre; each centre has a designated donor zone, adjusted annually to ensure equity between the number of patients listed and the number of donors. The allocation scheme is being reviewed, and national schemes based on need, utility and benefit are being assessed. Outcomes are monitored by National Health Service Blood and Transplant (NHSBT), and if there is a possibility of adverse deviation, then further inquiries are made. Outcomes, both from listing and from transplantation, are published by the centre on the NHSBT website ( www.odt.nhs.uk ). NHSBT works closely with stakeholders primarily through the advisory groups with clinicians, patients, lay members and professional societies and aims to provide openness and transparency. The system for organ donation and delivery of liver transplant in the UK has developed and is now providing an effective and efficient service, but there remains room for improvement.

LGBT refugee protection in the UK: from discretion to belief?

Directory of Open Access Journals (Sweden)

Amanda Gray

2013-04-01

Full Text Available The UK government used to have no specific guidance or trainingfor decision-makers for claims brought on the grounds of sexualorientation. It was only in 2010 following a combination of judicial,civil society and political pressures that specific policy guidance wasspeedily issued and significant progress was seen.

Addressing long-term physical healthcare needs in a forensic mental health inpatient population using the UK primary care Quality and Outcomes Framework (QOF): an audit

OpenAIRE

Ivbijaro, GO; Kolkiewicz, LA; McGee, LSF; Gikunoo, M

2008-01-01

Objectives This audit aims to evaluate the effectiveness of delivering an equivalent primary care service to a long-term forensic psychiatric inpatient population, using the UK primary care national Quality and Outcomes Framework (QOF).

21 century perspective in radiation protection of humans and human population

International Nuclear Information System (INIS)

Vassilev, G.

2003-01-01

In 21 century ionizing radiation is applied in all field of human activities. In parallel, the radiobiology and radiation medicine are developing as separate branches for the purposes of the radiation protection: for risk estimation and regulation of the human irradiation. Main features of radiation protection at the beginning of the century are: 1.Well developed conservative theoretical background, based on the linear non-threshold concept 'dose-effect' towards the carcinogenesis and genetic effects; 2. Developed international and national structures, including organizations as ICRP, UNSCEAR, ICRU, IAEA, WHO, FAO, BEIR, OECD/NEA, ILO, NCRP, NRPB etc. 3. Detailed regulative legislation for all cases of human irradiation, combines with effective control structures. Ionizing radiation is the most strictly regulated factor affecting humans among the all adverse impacts of the living environment. The expectations for the radiation protection in 21 century are: 1. A radical reassessment of the concept for low doses and the linear non-threshold concept since data for existing of a threshold on the human population level. 2. Taking into consideration of the the adaptation to the irradiation, comparable with the natural radiation background. 3. Taking into consideration of the radiation hormesis, which are now ignored by the risk theory. 4. Clarification of the questions of the genetic effects, which are not yet determined for the human population. 5. Radical solutions of the radioactive waste problem, which will be crucial for the future of the nuclear energy production. 6. Gradual overcoming of the fear from ionizing radiation, which is an important social factor

Smoking prevalence and the changing risk profiles in the UK ethnic and migrant minority populations: implications for stop smoking services.

Science.gov (United States)

Aspinall, P J; Mitton, L

2014-03-01

Smoking is the leading risk factor for disability-adjusted life-years, yet evidence with which to establish the smoking rates of people with different ethnic backgrounds and how they are changing in relation to recent migration is lacking. The objective is to provide current information on the changing risk profiles of the UK population. Observational study using cross-sectional surveys. Data from the Integrated Household Survey (pooled for the years 2009/10-2011/12), obtained under Special Licence, and the GP Patient Survey (2012) have been used to establish smoking prevalence in a wider range of ethnic groups in England and Wales, including the 'mixed' groups and amongst East European migrants, and how such prevalence differs across socio-economic classes. Smoking prevalence is substantially higher amongst migrants from East European countries (that for males exceeding 50% from three such countries and for females over 33% from four countries) and from Turkey and Greece, compared with most other non-UK born groups, and amongst ethnic groups is elevated in the 'mixed' groups. Rates are highest in the Gypsy or Irish Traveller group, 49% (of 162) and 46% (of 155) for males and females respectively. Across ethnic groups, rates are almost always higher in the UK born than non-UK born population with the notable exception of the 'White Other' group, with Prevalence Ratios (PRs) indicating a larger migrant-non-migrant differential amongst females (e.g. Indians 2.95 (2.33-3.73); Black Caribbeans 3.28 (2.73-3.94). Age-adjusted rates show the persistence of these differentials in females across age groups, though young males (18-29) in seven minority ethnic groups show lower rates in the UK-born groups. The 'White' and 'Chinese' groups show a strong socio-economic gradient in smoking which is absent in the South Asian groups and diminished in the 'mixed' and black groups. Given the evidence that smoking behaviour is significantly different in some of the new groups

Monocular and binocular visual impairment in the UK Biobank study: prevalence, associations and diagnoses.

Science.gov (United States)

McKibbin, Martin; Farragher, Tracey M; Shickle, Darren

2018-01-01

To determine the prevalence of, associations with and diagnoses leading to mild visual impairment or worse (logMAR >0.3) in middle-aged adults in the UK Biobank study. Prevalence estimates for monocular and binocular visual impairment were determined for the UK Biobank participants with fundus photographs and spectral domain optical coherence tomography images. Associations with socioeconomic, biometric, lifestyle and medical variables were investigated for cases with visual impairment and matched controls, using multinomial logistic regression models. Self-reported eye history and image grading results were used to identify the primary diagnoses leading to visual impairment for a sample of 25% of cases. For the 65 033 UK Biobank participants, aged 40-69 years and with fundus images, 6682 (10.3%) and 1677 (2.6%) had mild visual impairment or worse in one or both eyes, respectively. Increasing deprivation, age and ethnicity were independently associated with both monocular and binocular visual impairment. No primary diagnosis for the recorded level of visual impairment could be identified for 49.8% of eyes. The most common identifiable diagnoses leading to visual impairment were cataract, amblyopia, uncorrected refractive error and vitreoretinal interface abnormalities. The prevalence of visual impairment in the UK Biobank study cohort is lower than for population-based studies from other industrialised countries. Monocular and binocular visual impairment are associated with increasing deprivation, age and ethnicity. The UK Biobank dataset does not allow confident identification of the causes of visual impairment, and the results may not be applicable to the wider UK population.

Monocular and binocular visual impairment in the UK Biobank study: prevalence, associations and diagnoses

Science.gov (United States)

Farragher, Tracey M; Shickle, Darren

2018-01-01

Objective To determine the prevalence of, associations with and diagnoses leading to mild visual impairment or worse (logMAR >0.3) in middle-aged adults in the UK Biobank study. Methods and analysis Prevalence estimates for monocular and binocular visual impairment were determined for the UK Biobank participants with fundus photographs and spectral domain optical coherence tomography images. Associations with socioeconomic, biometric, lifestyle and medical variables were investigated for cases with visual impairment and matched controls, using multinomial logistic regression models. Self-reported eye history and image grading results were used to identify the primary diagnoses leading to visual impairment for a sample of 25% of cases. Results For the 65 033 UK Biobank participants, aged 40–69 years and with fundus images, 6682 (10.3%) and 1677 (2.6%) had mild visual impairment or worse in one or both eyes, respectively. Increasing deprivation, age and ethnicity were independently associated with both monocular and binocular visual impairment. No primary diagnosis for the recorded level of visual impairment could be identified for 49.8% of eyes. The most common identifiable diagnoses leading to visual impairment were cataract, amblyopia, uncorrected refractive error and vitreoretinal interface abnormalities. Conclusions The prevalence of visual impairment in the UK Biobank study cohort is lower than for population-based studies from other industrialised countries. Monocular and binocular visual impairment are associated with increasing deprivation, age and ethnicity. The UK Biobank dataset does not allow confident identification of the causes of visual impairment, and the results may not be applicable to the wider UK population. PMID:29657974

The UK sugar tax - a healthy start?

Science.gov (United States)

Jones, C M

2016-07-22

The unexpected announcement by the UK Chancellor of the Exchequer of a levy on sugar sweetened beverages (SSBs) on the 16 March 2016, should be welcomed by all health professionals. This population based, structural intervention sends a strong message that there is no place for carbonated drinks, neither sugared nor sugar-free, in a healthy diet and the proposed levy has the potential to contribute to both general and dental health. The sugar content of drinks exempt from the proposed sugar levy will still cause tooth decay. Improving the proposed tax could involve a change to a scaled volumetric tax of added sugar with a lower exemption threshold. External influences such as the Common Agricultural Policy and the Transatlantic Trade and Investment Partnership may negate the benefits of the sugar levy unless it is improved. However, the proposed UK sugar tax should be considered as a start in improving the nation's diet.

FPGA-Based Plant Protection System

Energy Technology Data Exchange (ETDEWEB)

Lee, Yoon Hee; Ha, Jae Hong; Kim, Hang Bae [KEPCO E and C, Daejeon (Korea, Republic of)

2011-08-15

This paper relates to a plant protection system which detects non-permissible conditions and determines initiation of protective actions for nuclear power plants (NPPs). Conventional plant protection systems were designed based on analog technologies. It is well known that existing protection systems for NPPs contain many components which are becoming obsolete at an increasing rate. Nowadays maintenance and repair for analog-based plant protection systems may be difficult as analog parts become obsolete or difficult to obtain. Accordingly, as an alternative to the analog technology, the digitalisation of the plant protection system was required. Recently digital plant protection systems which include programmable logic controllers (PLCs) and/or computers have been introduced. However PLC or computer-based plant protection systems use an operating system and application software, and so they may result in a common mode failure when a problem occurs in the operating system or application software. Field Programmable Gate Arrays (FPGAs) are highlighted as an alternative to conventional protection or control systems. The paper presents the design of a four-channel plant protection system whose protection functions are implemented in FPGAs without any central processing unit or operating system.

FPGA-Based Plant Protection System

International Nuclear Information System (INIS)

Lee, Yoon Hee; Ha, Jae Hong; Kim, Hang Bae

2011-01-01

This paper relates to a plant protection system which detects non-permissible conditions and determines initiation of protective actions for nuclear power plants (NPPs). Conventional plant protection systems were designed based on analog technologies. It is well known that existing protection systems for NPPs contain many components which are becoming obsolete at an increasing rate. Nowadays maintenance and repair for analog-based plant protection systems may be difficult as analog parts become obsolete or difficult to obtain. Accordingly, as an alternative to the analog technology, the digitalisation of the plant protection system was required. Recently digital plant protection systems which include programmable logic controllers (PLCs) and/or computers have been introduced. However PLC or computer-based plant protection systems use an operating system and application software, and so they may result in a common mode failure when a problem occurs in the operating system or application software. Field Programmable Gate Arrays (FPGAs) are highlighted as an alternative to conventional protection or control systems. The paper presents the design of a four-channel plant protection system whose protection functions are implemented in FPGAs without any central processing unit or operating system

Strategies for Implementing Activity-Based Costing in the UK Manufacturing Industry

OpenAIRE

Cheung, Wai Ming; Tan, Kian; Tan, Swee; Sutton, Caroline

2013-01-01

The purpose of this paper is to report the findings with a case study on why activity based costing lacks impact in the UK manufacturing industry. Activity based costing was performed on selected MT range subsystems of an electrical power generator to compare with the current UNN UK’s conven-tional costing system. The results have found that the current costing system works well for the MT products and thus change of costing system is not necessary for these products. The activity based costi...

Mapping heat wave risk in the UK: Proactive planning for the 2050s

Science.gov (United States)

Oven, Katie; Reaney, Sim; Ohlemüller, Ralf; Nodwell, Sarah; Curtis, Sarah; Riva, Mylène; Dunn, Christine; Val, Dimitri; Burkhard, Roland

2010-05-01

Climate change projections suggest an increased frequency of heat waves in the UK over the coming decades. Such extreme events pose a serious threat to human health and are likely to impact upon health and social care systems and the infrastructures supporting them. This stress will result from both increased demands upon healthcare services and the ability of the infrastructure to cope, such as sufficient climate control in hospitals. Certain sectors of the population, such as older people, have an increased susceptibility to heat waves and hence are the focus of this research. There is no universal definition of a heat wave, reflecting the acclimatisation of a population. Based on a review of the literature, this research therefore sets out a series of working definitions of a heat wave in the UK context from a human health perspective. Drawing on these definitions, the UK heat wave hazard was mapped for the 2050s (2040-2069) using daily minimum and maximum temperature data derived from the UKCP09 Weather Generator at 50 km resolution. The analysis was undertaken for the three different greenhouse gas emissions scenarios within UKCP09 (low, medium and high). Hot spots of increased heat wave risk were identified and comparisons made between the various model outputs. These data were then combined with demographic forecasts for the 2050s enabling the identification of areas with an ageing population. Results are presented showing the scale of the projected change in heat wave risk across the UK and the location of older people. These results will be used in proactive planning to help policymakers and practitioners respond more appropriately to the needs of vulnerable populations in the coming decades. Key words: climate change; heat wave; risk mapping; vulnerability; risk reduction.

"Legal highs" on the net-Evaluation of UK-based Websites, products and product information.

Science.gov (United States)

Schmidt, Martin M; Sharma, Akhilesh; Schifano, Fabrizio; Feinmann, Charlotte

2011-03-20

A vast array of substances are marketed as "legal highs" in the UK. These products are mainly marketed online and are packaged and produced to mimic illicit drugs. Little is known about the full range of products available at present and no studies have evaluated the product information provided to consumers. AIMS & HYPOTHESIS: To describe the available legal high products marketed by UK-based Internet retailers and evaluate the product information provided to consumers. Websites were identified using the terms "buy legal highs+UK" and two search engines. The first 100 hits and a random sample of 5% of the remaining results were screened. Websites based in the UK were included and all products were entered on a database. Information on product name, list price, claimed effects, side effects, contraindications and interactions was extracted. A descriptive analysis was conducted using SPSS v14. 115 Websites met the inclusion criteria but due to duplicate listings this was reduced to 39 unique Websites. 1308 products were found and evaluated. The average product price was 9.69 British pounds. Products took the form of pills (46.6%), smoking material (29.7%) and single plant material/extract (18.1%). Most products claimed to be stimulants (41.7%), sedatives (32.3%), or hallucinogens (12.9%). 40.1% of products failed to list ingredients, 91.9% failed to list side effects, 81.9% failed to list contraindications and 86.3% failed to list drug interactions. Top 5 products (with active ingredients in brackets) by frequency were Salvia divinorum (Salivinorin A), Kratom (Mitragynine), Hawaiian Baby Woodrose Seeds (Lysergic Acid Amide), Fly Agaric (Ibotenic Acid, Muscimol) and Genie (JWH018, CP47497). Products marketed as "legal highs" are easily available from UK-based Internet retailers and are reasonably affordable. Safety information provided to consumers is poor. Uninformed users risk serious adverse effects. Copyright © 2010 Elsevier Ireland Ltd. All rights reserved.

Radiation protection for population in case of nuclear weapon terrorism

International Nuclear Information System (INIS)

Takada, Jun

2004-01-01

A radiation disaster was predicted in case of 1 kt nuclear weapon terrorism on the surface. Despite small size, serious radiation exposure became clear in a range more than 10 km that can't be by an aerial explosion. This kind of exposure comes from radioactive fallout of fission products, not from direct nuclear radiation. This spreads to a lee area. More than 1,000,000 population receive a serious dose including fatal dose if the nuclear disaster occurs in Tokyo is expected. If adequate radiation protection applies to the population, 70% of victim may be saved. A method to be effective as this kind of protection is escape from a danger zone by the subway after more than one hour sheltering in a concrete building. (author)

Determinants of personal protective equipment (PPE) use in UK motorcyclists: exploratory research applying an extended theory of planned behaviour.

Science.gov (United States)

Norris, Emma; Myers, Lynn

2013-11-01

Despite evident protective value of motorcycle personal protective equipment (PPE), no research has assessed considerations behind its uptake in UK riders. A cross-sectional online questionnaire design was employed, with riders (n=268) recruited from online motorcycle forums. Principal component analysis found four PPE behavioural outcomes. Theoretical factors of intentions, attitudes, injunctive and descriptive subjective norms, risk perceptions, anticipated regret, benefits and habit were also identified for further analysis. High motorcycle jacket, trousers and boots wear, middling high-visibility wear and low non-Personal Protective Equipment wear were found. Greater intentions, anticipated regret and perceived benefits were significantly associated with increased motorcycle jacket, trousers and boots wear, with habit presence and scooter use significantly associated with increased high-visibility wear. Lower intentions, anticipated regret and risk perceptions, being female, not holding a car licence and urban riding were significantly associated with increased non-PPE wear. A need for freedom of choice and mixed attitudes towards PPE use were evident in additional comments. PPE determinants in this sample provide a preliminary basis for future uptake interventions. Larger scale and qualitative research is needed to further investigate relevant constructs. Copyright © 2013 Elsevier Ltd. All rights reserved.

Level of Immunological Protection against Diphtheria in the Population of Dnipropetrovsk Region

Directory of Open Access Journals (Sweden)

G.O. Revenko

2016-11-01

Full Text Available Background. Diphtheria — an infectious disease, the spread of which is limited by population post-vaccination immunity. In the system of epidemiological surveillance of diphtheria, for objective assessment and prediction of epidemic situation in low intensity of epidemic process of this infection, the serological control of immunity is crucial. The objective: prognosis of epidemic situation in terms of the risk of diphtheria outbreaks in Ukraine by the detection of population post-vaccination immunity against diphtheria in Dnipropetrovsk region and evaluation of the effectiveness of widespread vaccination. Materials and methods. 483 people aged 0 to 78 years were examined in total in 2015 (children — 234, adults — 249 persons. Evaluation of specific immunity against diphtheria was carried on with the following criteria: those with levels of antibodies 0.015–0.06 IU/mL should be considered as relatively protected; 0.1–0.5 IU/ml — with average level of protection; > 1.0 IU/ml — with high level of protection. Protective antibody titer should be considered the concentration of not less than 0.1 IU/ml. Results. It was established that the level of protective immunity against diphtheria was 69.5 %. Reliable level of immunological protection of children was 70.9 %, among adults — 68.3 %. None age group had sufficient threshold level of antitoxic immunity required to stop the transmission of diphtheria pathogen. Percentage of protected persons decreased with increasing age of people (both in children and adults. This situation may create conditions for outbreaks of diphtheria in Dnipropetrovsk region. Conclusions. The presented results indicate the importance of maintaining protective antibody levels through widespread immunization of children, as well as booster vaccination among adolescents and adults that will exclude the category of susceptible layer of the population.

The effect of metal pollution on the population genetic structure of brown trout (Salmo trutta L.) residing in the River Hayle, Cornwall, UK

Energy Technology Data Exchange (ETDEWEB)

Durrant, Christopher J. [King' s College London, Metals Metabolism Group, Division of Diabetes and Nutritional Sciences, Franklin Wilkins Building, 150 Stamford Street, London SE1 9NH (United Kingdom); Stevens, Jamie R. [University of Exeter, Biosciences, College of Life and Environmental Sciences, Geoffrey Pope Building, Stocker Road, Exeter EX4 4QD (United Kingdom); Hogstrand, Christer [King' s College London, Metals Metabolism Group, Division of Diabetes and Nutritional Sciences, Franklin Wilkins Building, 150 Stamford Street, London SE1 9NH (United Kingdom); Bury, Nicolas R., E-mail: nic.bury@kcl.ac.uk [King' s College London, Metals Metabolism Group, Division of Diabetes and Nutritional Sciences, Franklin Wilkins Building, 150 Stamford Street, London SE1 9NH (United Kingdom)

2011-12-15

The River Hayle in south-west England is impacted with metals and can be divided into three regions depending on the copper and zinc concentrations: a low-metal upper section; a highly-contaminated middle section and a moderately contaminated lower section. Hayle river water is toxic to metal-naive brown trout, but brown trout are found in the upper and lower regions. The study aimed to evaluate the population genetic structure of River Hayle brown trout and to determine if the highly-contaminated section acts as a chemical barrier to migration. Population genetic analysis indicated that metals were not a barrier to gene flow within the river, but there was a high level of differentiation observed between fish sampled at two sites in the upper region, despite being separated by only 1 km. The metal tolerance trait exhibited by this brown trout population may represent an important component of the species genetic diversity in this region. - Highlights: > River Hayle, Cornwall, UK, water is toxic to metal-naive brown trout. > Some brown trout populations resident in the River Hayle are tolerant of elevated metals (e.g. copper and zinc). > Elevated metals do not affect the gene flow between sites on the river. > The population genetic structure of the brown trout in the River Hayle appears unaffected by elevated metals. - Aquatic metal pollution does not affect the gene flow between brown trout resident below and above a metal mining waste discharge point in the River Hayle, Cornwall, UK.

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

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

Awareness of Risk Factors for Breast, Lung and Cervical Cancer in a UK Student Population.

Science.gov (United States)

Sherman, Susan M; Lane, Emily L

2015-12-01

The objective of this study is to identify levels of risk awareness for breast, lung and cervical cancer, in a UK student population. A sample of male (N=62) and female (N=58) university students, mean age 21.62 years completed a questionnaire identifying which risk factors they knew for each cancer. Analysis of variance was used to compare differences in risk awareness across gender and cancer types. Risk factor awareness was highest for lung cancer (0.78), mid-range for breast cancer (0.61) and lowest for cervical cancer (0.47). Women had greater risk factor awareness (0.67) than males (0.57) across all three cancers. There is also significant belief in mythic risk factors such as stress (from 14 to 40% across the three cancers). Previous research has demonstrated that risk factor awareness increases with educational status, yet even in a university student population, in which the majority of females would have been offered the HPV vaccination, risk factor awareness for cancers is variable. More health education is needed particularly around the risk factors for cervical cancer.

New reference values for body composition by bioelectrical impedance analysis in the general population: results from the UK Biobank.

Science.gov (United States)

Franssen, Frits M E; Rutten, Erica P A; Groenen, Miriam T J; Vanfleteren, Lowie E; Wouters, Emiel F M; Spruit, Martijn A

2014-06-01

Low fat-free mass (FFM) is a risk factor for morbidity and mortality in elderly and patient populations. Therefore, measurement of FFM is important in nutritional assessment. Bioelectrical impedance analysis (BIA) is a convenient method to assess FFM and FFM index (FFMI; FFM/height(2)). Although reference values have been established for individuals with normal body weight, no specific cutoff values are available for overweight and obese populations. Also, limited studies accounted for the age-related decline in FFM. To determine BMI- and age-specific reference values for abnormal low FFM(I) in white-ethnic men and women free of self-reported disease from the general population. The UK Biobank is a prospective epidemiological study of the general population from the United Kingdom. Individuals in the age category 45 to 69 years were analyzed. In addition to body weight, FFM and FFMI were measured using a Tanita BC-418MA. Also, self-reported chronic conditions and ethnic background were registered, and lung function was assessed using spirometry. After exclusion of all individuals with missing data, nonwhite ethnicity, self-reported disease, body mass index (BMI) less than 14 or 36 kg/m(2) or higher, and/or an obstructive lung function, reference values for FFM and FFMI were derived from 186,975 individuals (45.9% men; age: 56.9 ± 6.8 years; BMI: 26.5 ± 3.6 kg/m(2); FFMI 18.3 ± 2.4 kg/m(2)). FFM and FFMI were significantly associated with BMI and decreased with age. Percentiles 5, 10, 25, 50, 75, 90, and 95 were calculated for FFM, FFMI, and fat mass (index), after stratification for gender, age, and BMI. Using the UK Biobank dataset, new reference values for body composition assessed with BIA were determined in white-ethnic men and women aged 45 to 69 years. Because these reference values are BMI specific, they are of broad interest for overweight and obese populations. Copyright © 2014 American Medical Directors Association, Inc. Published by Elsevier Inc. All

Myeloid malignancies in the real-world: Occurrence, progression and survival in the UK's population-based Haematological Malignancy Research Network 2004-15.

Science.gov (United States)

Roman, Eve; Smith, Alex; Appleton, Simon; Crouch, Simon; Kelly, Richard; Kinsey, Sally; Cargo, Catherine; Patmore, Russell

2016-06-01

Population-based information on cancer incidence, prevalence and outcome are required to inform clinical practice and research; but contemporary data are lacking for many myeloid malignancy subtypes. Set within a socio-demographically representative UK population of ∼4 million, myeloid malignancy data (N=5231 diagnoses) are from an established patient cohort. Information on incidence, survival (relative & overall), transformation/progression, and prevalence is presented for >20 subtypes. The median diagnostic age was 72.4years (InterQuartile Range 61.6-80.2), but there was considerable subtype heterogeneity, particularly among the acute myeloid leukaemias (AML) where medians ranged from 20.3 (IQR 13.9-43.8) for AML 11q23 through to 73.7 (IQR 57.3-79.1) for AML with no recurrent genetic changes. Five-year Relative Survival (RS) estimates varied hugely; from 85% for indolent/treatable conditions like chronic myeloid leukaemia (89.8%, 95% CI 84.0-93.6). With a couple of notable exceptions, males experienced higher rates and worse survival than females: the age-standardized incidence rates of several conditions was 2-4 higher in males than females, and the 5-year RS for all subtypes combined was 48.8% (95% CI 46.5-51.2) and 60.4% (95% CI 57.7-62.9) for males and females respectively. During follow-up (potential minimum 2 years and maximum 11years) myelodysplastic syndrome (MDS) progression to AML ranged from 25% for refractory anaemia with excess blasts through to 5% for refractory anaemia with ring sideroblasts: the median interval between MDS and AML diagnosis was 9.0 months (IQR 4.8-17.4months). The marked incidence and outcome variations seen by subtype, sex and age, confirm the requirement for "real-world" longitudinal data to inform aetiological hypotheses, healthcare planning, and future monitoring of therapeutic change. Several challenges for routine cancer registration were identified, including the need to link more effectively to diagnostic and clinical

Concept of radiological, medical and social protection of the population of Russia affected by accidental exposure

International Nuclear Information System (INIS)

Osechinski, I.V.; Ivanov, E.V.; Ramzaev, P.V.; Balonov, M.I.; Tsyb, A.F.

1997-01-01

Main principles of population radiation protection from various accidental exposure, including the Chernobyl accident, have been implemented in officially approved Concept ''On radiological, medical, social protection and rehabilitation of the Russian Federation population affected by accidental radiation exposure''. The concept includes basic principles of radiation protection, designation of regional radionuclide contaminated territories, records and registers of exposed persons, health protection and rehabilitation, socio-economic and legal aspects

The challenge to UK energy policy: An ageing population perspective on energy saving measures and consumption

International Nuclear Information System (INIS)

Hamza, Neveen; Gilroy, Rose

2011-01-01

With a focus on the residential sector, this paper explores the likelihood of the UK government meeting its energy targets. The paper contends that energy policy needs to take into account the interplay of four major factors: an ageing population of increasing diversity; a cultural inclination for older housing much of which is thermally inefficient; levels of fuel poverty; and the inexorable rise of consumer spending on leisure related services and goods. Decisions made by older households (both the poorer and the better off) may be critical to the success of energy policy. Among the better off the changing expectations of the baby boomers, with their predilection for consumption and travel, may have particular impact. The paper concludes that much of the reduction in carbon footprint made by older people's choices in heating and insulation may be offset, not only by increasing domestic thermal comfort, but also potentially by increasing consumables in the home and other consumer lifestyle choices. What could be achieved at best, may be a shift in energy mix. - Research highlights: → An aging society in the UK will not lead to reduction in energy consumption. → Physical ability, housing condition, cultural habits and energy poverty undermine policy. → Rise of home entertainment and consumerism 'Afluenza' increase energy consumption.

Antiepileptic drugs during pregnancy in primary care: a UK population based study.

Directory of Open Access Journals (Sweden)

Shuk-Li Man

Full Text Available Antiepileptic drugs (AEDs are commonly prescribed for epilepsy and bipolar disorder but little is known about their use in pregnancy. We examined secular trends in AED prescribing in pregnancy and pregnancy as a determinant for stopping AED prescribing.We identified 174,055 pregnancies from The Health Improvement Network UK primary care database. Secular trends in AED prescribing during pregnancy were examined between 1994 and 2009. We used Cox's regression analyses to compare time to discontinuation of AED prescriptions between pregnant and non-pregnant women and to identify predictors of discontinuation of AEDs in pregnancy.Prescribing of carbamazepine and sodium valproate have declined since 1994 despite being the most commonly prescribed AEDs in pregnancy up to 2004. Prescribing of lamotrigine in pregnancy has steadily increased and has been the most popular AED prescribed in pregnancy since 2004. Pregnant women with epilepsy were twice as likely to stop receiving AEDs (Hazard Ratio (HR 2.00, 95% Confidence Interval (CI 1.62-2.47 when compared to non-pregnant women and for women with bipolar disorder this was even higher (HR 3.07, 95% CI 2.04-4.62. For pregnant women with epilepsy, those receiving AEDs less regularly before pregnancy were more likely to stop receiving AEDs in pregnancy.Lamotrigine has been increasingly prescribed in pregnancy over older AEDs namely carbamazepine and sodium valproate. Pregnancy is a strong determinant for the discontinuation of AED prescribing particularly for women with bipolar disorder.

A Cu tolerant population of the earthworm Dendrodrilus rubidus (Savigny, 1862) at Coniston Copper Mines, Cumbria, UK

International Nuclear Information System (INIS)

Arnold, R.E.; Hodson, M.E.; Langdon, C.J.

2008-01-01

Dendrodrilus rubidus were sampled from a mine spoil soil at Coniston Copper Mine, an abandoned Cu mine in Cumbria, UK and a Cu-free control site. Earthworms were maintained for 14 d in both Kettering loam and a Moorland soil amended with Cu nitrate. Mortality, condition index, weight change and tissue concentration were determined. In both soils D. rubidus native to the mine site were able to tolerate significantly higher soil Cu concentrations (MWRT, p ≤ 0.001), and exhibited significantly less change in weight (t-test, p ≤ 0.001) and a lower loss in condition (t-test, p ≤ 0.001) than control earthworms. For a given soil Cu concentration tissue Cu concentrations were greater in the mine site earthworms. Low cocoon production and viability from the mine site population prevented the determination of toxicity parameters on the F1 generation and may be an indicator of the cost of tolerance to the population. - Dendrodrilus rubidus at an abandoned Cu mine tolerates high Cu concentrations by accumulating more Cu before toxic effects occur compared to non-native populations

Travel medicine advice to UK based international motor sport teams.

Science.gov (United States)

Walters, A

2000-01-01

International motor sport teams travel extensively. Over the years, the design and build of racing cars has improved so that morbidity and mortality in motor sport has been lessened. Those team members supporting the competitors need to be physically and mentally fit to perform complicated tasks, despite having traveled. This group of travelers has not been studied to any extent previously. An anonymous questionnaire asking some basic travel medicine related questions was distributed to the support team members of a Rally team, and Formula One Grand Prix team. Both teams were based in the UK, and competed in all the rounds of their respective world championships. Ten Rally team members and 18 Formula One team members responded to the questionnaire. The results showed moderate coverage of commonly used vaccinations; appropriate use of antimalarials and insect repellents, but by no means by all team members; little or no problems with traveler's diarrhea; some tendencies to problems related to jet lag, but no real attempt to prevent the problem; and finally some attempt at skin protection against solar damage. Support teams are reasonably well prepared for the combination of, the rigors of frequent travel, and a demanding job. There is a deficit in vaccine coverage, especially of both hepatitis A and B, some education is needed in preventing skin problems later in life due to sun exposure, and further study of jet lag and its implications might be appropriate.

Implications of shale gas exploitation for UK climate change targets under a production-based accounting system.

Science.gov (United States)

Turk, J.; Reay, D.; Haszeldine, S.

2017-12-01

The shale gas boom in the USA has seemingly decreased the greenhouse gas intensity of electricity generation in the USA over the last decade. The United Kingdom is supporting its own shale gas industry to increase its own domestic energy supply. The UK's climate change policy is underpinned by defined national carbon budgets periods. The UK has met Carbon Budget 1 (2008 - 2012) and is likely to meet the second and third carbon budgets (2013 - 2022). There is a projected shortcoming in the fourth carbon budget (2023 - 2027). This shortfall may be increased as the UK pursues a domestic shale gas industry. Under the current production-based GHG accounting system, the UK is incentivized to import natural gas rather than produce it domestically. If the projected gas supply were to be met by UK shale gas, we project additional greenhouse gas emissions which would need to be accommodated during Carbon Budget periods 3 - 6. Additionally, natural gas electricity generation will contribute to sustaining grid electricity emissions during the same time period within the traded European Union emissions cap.

The Anatomy of International Students' Acculturation in UK Universities

Science.gov (United States)

Gbadamosi, Ayantunji

2018-01-01

The diversity of the student population in the United Kingdom's higher education sector evokes a vision of the world as a global village. The effect of this diversity on the UK economy has been considerable. Nevertheless, the research attention given to how overseas students can become integrated into UK culture remains inadequate. This…

On the development of the system of risk-based supervision in the field of sanitary and epidemiological welfare of the population and consumer protection

Directory of Open Access Journals (Sweden)

A.Y. Popova

2015-12-01

Full Text Available In order to fulfill the legal requirements for the transition to the new risk-based model of the state control (supervision in the Federal Service for Consumer Rights Protection and Human Welfare, the methodical approaches to the classification of economic entities and activities of potential risk of injury have been developed. The risk assessment takes into account the frequency of violations of sanitary legislation, the severity of the consequences of these violations for the health and extent of negative effects, which is estimated in terms of population under the influence of the economic entity. Algorithms and methods for calculating the exposed population: workers, consumers, including consumer food products, non-food products and services; residents of settlements under the negative impact of air pollution, water and soil, have been developed. Regional and federal registries of objects for sanitary and epidemiological supervision are formed. Testing of the risk-based approaches in the regions allowed excluding the low risk harm objects when forming the audit plans for 2016, due to what the number of planned inspections all over country was reduces by more than 20 %. The basic directions of further improvement of the risk-based model of sanitary and epidemiological surveillance: its extension to the system of technical regulation and consumer protection; scientific substantiation of its volume, content and laboratory support of the scheduled inspections of objects belonging to different classes of health risk; improving procedures and methods for evaluating the effectiveness and efficiency of risk-based supervisory activities; creation of an effective system of risk communication between the sanitary and epidemiological surveillance, economic entities, public organizations and associations and civil society.

Climate change effects on human health: projections of temperature-related mortality for the UK during the 2020s, 2050s and 2080s.

Science.gov (United States)

Hajat, Shakoor; Vardoulakis, Sotiris; Heaviside, Clare; Eggen, Bernd

2014-07-01

The most direct way in which climate change is expected to affect public health relates to changes in mortality rates associated with exposure to ambient temperature. Many countries worldwide experience annual heat-related and cold-related deaths associated with current weather patterns. Future changes in climate may alter such risks. Estimates of the likely future health impacts of such changes are needed to inform public health policy on climate change in the UK and elsewhere. Time-series regression analysis was used to characterise current temperature-mortality relationships by region and age group. These were then applied to the local climate and population projections to estimate temperature-related deaths for the UK by the 2020s, 2050s and 2080s. Greater variability in future temperatures as well as changes in mean levels was modelled. A significantly raised risk of heat-related and cold-related mortality was observed in all regions. The elderly were most at risk. In the absence of any adaptation of the population, heat-related deaths would be expected to rise by around 257% by the 2050s from a current annual baseline of around 2000 deaths, and cold-related mortality would decline by 2% from a baseline of around 41 000 deaths. The cold burden remained higher than the heat burden in all periods. The increased number of future temperature-related deaths was partly driven by projected population growth and ageing. Health protection from hot weather will become increasingly necessary, and measures to reduce cold impacts will also remain important in the UK. The demographic changes expected this century mean that the health protection of the elderly will be vital. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

UK energy policy ambition and UK energy modelling-fit for purpose?

International Nuclear Information System (INIS)

Strachan, Neil

2011-01-01

Aiming to lead amongst other G20 countries, the UK government has classified the twin energy policy priorities of decarbonisation and security of supply as a 'centennial challenge'. This viewpoint discusses the UK's capacity for energy modelling and scenario building as a critical underpinning of iterative decision making to meet these policy ambitions. From a nadir, over the last decade UK modelling expertise has been steadily built up. However extreme challenges remain in the level and consistency of funding of core model teams - critical to ensure a full scope of energy model types and hence insights, and in developing new state-of-the-art models to address evolving uncertainties. Meeting this challenge will facilitate a broad scope of types and geographical scale of UK's analytical tools to responsively deliver the evidence base for a range of public and private sector decision makers, and ensure that the UK contributes to global efforts to advance the field of energy-economic modelling. - Research highlights: → Energy modelling capacity is a critical underpinning for iterative energy policy making. → Full scope of energy models and analytical approaches is required. → Extreme challenges remain in consistent and sustainable funding of energy modelling teams. → National governments that lead in global energy policy also need to invest in modelling capacity.

Customer privacy on UK healthcare websites.

Science.gov (United States)

Mundy, Darren P

2006-09-01

Privacy has been and continues to be one of the key challenges of an age devoted to the accumulation, processing, and mining of electronic information. In particular, privacy of healthcare-related information is seen as a key issue as health organizations move towards the electronic provision of services. The aim of the research detailed in this paper has been to analyse privacy policies on popular UK healthcare-related websites to determine the extent to which consumer privacy is protected. The author has combined approaches (such as approaches focused on usability, policy content, and policy quality) used in studies by other researchers on e-commerce and US healthcare websites to provide a comprehensive analysis of UK healthcare privacy policies. The author identifies a wide range of issues related to the protection of consumer privacy through his research analysis using quantitative results. The main outcomes from the author's research are that only 61% of healthcare-related websites in their sample group posted privacy policies. In addition, most of the posted privacy policies had poor readability standards and included a variety of privacy vulnerability statements. Overall, the author's findings represent significant current issues in relation to healthcare information protection on the Internet. The hope is that raising awareness of these results will drive forward changes in the industry, similar to those experienced with information quality.

Flexibility in radiation protection legislation

International Nuclear Information System (INIS)

Beaver, P.F.; Gill, J.R.

1980-01-01

The UK approach to radiation protection legislation is described in detail. The advantages are outlined of a flexible approach whereby the objectives of the legislation are clearly identified but the means of achieving these are left open or qualified by terms such as 'where reasonably practicable'. The roles and viewpoints of management and unions in such an approach are discussed especially with respect to legislation such as the Health and Safety at Work Act. Specific topics include requirements for notification of use, criteria for controlled areas and the tasks of the radiation protection adviser. (UK)

The Prevalence of Intellectual Disability in a Major UK Prison

Science.gov (United States)

Hayes, Susan; Shackell, Phil; Mottram, Pat; Lancaster, Rachel

2007-01-01

Over-representation of people with learning disability in prisons has been demonstrated in many Western jurisdictions. This was the first comprehensive research in a UK prison. The research used a random 10% sample of a prison population (n = 140). A semi-structured interview, the Wechsler Adult Intelligence Scale-III (UK version) and the Vineland…

A qualitative systematic review of published work on disclosure and help-seeking for domestic violence and abuse among women from ethnic minority populations in the UK.

Science.gov (United States)

Femi-Ajao, Omolade; Kendal, Sarah; Lovell, Karina

2018-03-07

Domestic violence and abuse has been recognised as an international public health problem. However, the pervasiveness of the problem is unknown due in part to underreporting, especially among women from ethnic minority populations. In relation to this group, this review seeks to explore: (1) the barriers to disclosure; (2) the facilitators of help-seeking; and (3) self-perceived impacts of domestic violence. We systematically identified published qualitative studies conducted among women from ethnic minority populations in the UK. Data analysis was completed using thematic analysis approach. 562 papers were identified and eight papers from four studies conducted among women from ethnic minority populations in the UK met the inclusion criteria and were reviewed. Barriers to disclosure include: Immigration status, community influences, problems with language and interpretation, and unsupportive attitudes of staff within mainstream services. Facilitators of help-seeking were: escalation of abuse and safety of children. Self-perceived impact of abuse includes: shame, denial, loss of identity and lack of choice. There is an on-going need for staff from domestic violence services to be aware of the complexities within which women from ethnic minority populations experience domestic violence and abuse.

Projection of radiation-induced cancer risks across time and populations

International Nuclear Information System (INIS)

Muirhead, C.R.

1991-01-01

Various methods can be used to project the risks of radiation-induced cancer estimated in cohort studies beyond the period of follow-up and to other populations. The choice of risk projection model is reviewed based on data from studies such as those of the Japanese atomic bomb survivors and UK ankylosing spondylitis patients given X ray therapy. Risk estimates applicable to a UK population are calculated on the basis of various models, including those developed by the BEIR V Committee. It is emphasised that the continued follow-up of populations such as the Japanese atomic bomb survivors is of great importance in estimating lifetime risks. (author)

Health protection: communicable disease, public health and infection control educational programmes--a case study from the UK.

Science.gov (United States)

El-Ansari, W; Privett, S

2005-04-01

The health protection (HP) landscape is changing. Issues related to infectious diseases in the context of global health are receiving the attention of world leaders and policy makers. In the UK, the national health policies resonate with such transformations, presenting a range of opportunities and challenges. The opportunities include the formation of a new national organisation dedicated to protecting the people's health and reducing the impact of infectious disease, the Health Protection Agency. The opportunities also include the opening of non-medical specialists's pathways in public health. The challenges represent the limited number of centres offering infection control education; the hospital focus and bias of the courses; new, resurgent and emerging infections; globalisation and travel; bacterial resistance; vaccine safety and coverage; bioterrorism; global response capacity; and visa restrictions. Within this context, this paper presents a case study of a HP educational programme at a British university in the south of England. It outlines the course design and philosophy, participants, recruitment, aims, descriptions and learning outcomes. A range of teething problems associated with the initiation and running of such programmes is considered. These include aspects related to the university, features associated with the modules, characteristics of the students, and other interconnected larger scale international issues. Some suggestions for the way forward are presented. Collectively, attention to the suggested measures can ensure that the processes that teaching programmes embrace to refine their content and delivery will equip tomorrow's professionals with the requisite HP knowledge and skills.

The effect of metal pollution on the population genetic structure of brown trout (Salmo trutta L.) residing in the River Hayle, Cornwall, UK

International Nuclear Information System (INIS)

Durrant, Christopher J.; Stevens, Jamie R.; Hogstrand, Christer; Bury, Nicolas R.

2011-01-01

The River Hayle in south-west England is impacted with metals and can be divided into three regions depending on the copper and zinc concentrations: a low-metal upper section; a highly-contaminated middle section and a moderately contaminated lower section. Hayle river water is toxic to metal-naive brown trout, but brown trout are found in the upper and lower regions. The study aimed to evaluate the population genetic structure of River Hayle brown trout and to determine if the highly-contaminated section acts as a chemical barrier to migration. Population genetic analysis indicated that metals were not a barrier to gene flow within the river, but there was a high level of differentiation observed between fish sampled at two sites in the upper region, despite being separated by only 1 km. The metal tolerance trait exhibited by this brown trout population may represent an important component of the species genetic diversity in this region. - Highlights: → River Hayle, Cornwall, UK, water is toxic to metal-naive brown trout. → Some brown trout populations resident in the River Hayle are tolerant of elevated metals (e.g. copper and zinc). → Elevated metals do not affect the gene flow between sites on the river. → The population genetic structure of the brown trout in the River Hayle appears unaffected by elevated metals. - Aquatic metal pollution does not affect the gene flow between brown trout resident below and above a metal mining waste discharge point in the River Hayle, Cornwall, UK.

Estrogen use and early onset Alzheimer's disease: a population-based study

NARCIS (Netherlands)

A.J.C. Slooter (Arjen); J.B. Bronzova (Juliana); J.C.M. Witteman (Jacqueline); C.M. van Duijn (Cornelia); C. van Broeckhoven (Christine); A. Hofman (Albert)

1999-01-01

textabstractEstrogen use may be protective for Alzheimer's disease with late onset. However, the effects on early onset Alzheimer's disease are unclear. This issue was studied in a population based setting. For each female patient, a female control was matched on age (within 5

RADIATION PROTECTION OF BELARUS POPULATION OF AFTER THE CHERNOBYL DISASTER

Directory of Open Access Journals (Sweden)

Ja. E. Kenigsberg

2014-01-01

Full Text Available The  article  describes  the  evolution  of  the  formation  of  the  conceptual  approaches  and  regulation documents for the population radiation protection the after the Chernobyl disaster in Belarus. Zoning scheme showing Belarus contamination is given as well as the dynamics of the quantity of settlements located in the contaminated areas, and population living in them. The methodology of regulation of radionuclides content in the foodstuffs is stated. The data on the population effective exposure doses changing is given for the post-accident period.

Cost-effectiveness of vedolizumab compared with conventional therapy for ulcerative colitis patients in the UK

Directory of Open Access Journals (Sweden)

Wilson MR

2017-10-01

Full Text Available Michele R Wilson,1 Ismail Azzabi Zouraq,2 Helene Chevrou-Severac,2 Ross Selby,3 Matthew C Kerrigan4 1RTI Health Solutions, Research Triangle Park, NC, USA; 2Takeda Pharmaceuticals International AG, Zurich, Switzerland; 3Takeda UK Ltd., Bucks, UK; 4PHMR Limited, London, UK Objective: To examine the clinical and economic impact of vedolizumab compared with conventional therapy in the treatment of moderately-to-severely active ulcerative colitis (UC in the UK based on results of the GEMINI I trial. Methods: A decision-analytic model in Microsoft Excel was used to compare vedolizumab with conventional therapy (aminosalicylates, corticosteroids, immunomodulators for the treatment of patients with UC in the UK. We considered the following three populations: the overall intent-to-treat population from the GEMINI I trial, patients naïve to anti-TNF therapy, and those who had failed anti-TNF-therapy. Population characteristics and efficacy data were obtained from the GEMINI I trial. Other inputs (eg, unit costs, probability of surgery, mortality were obtained from published literature. Time horizon was a lifetime horizon, with costs and outcomes discounted by 3.5% per year. One-way and probabilistic sensitivity analyses were conducted to measure the impact of parameter uncertainty. Results: Vedolizumab had incremental cost-effectiveness ratios of £4,095/quality-adjusted life-year (QALY, £4,423/QALY, and £5,972/QALY compared with conventional therapy in the intent-to-treat, anti-TNF-naïve, and anti-TNF-failure populations, respectively. Patients on vedolizumab accrued more QALYs while incurring more costs than patients on conventional therapy. The sensitivity analyses showed that the results were most sensitive to induction response and transition probabilities for each treatment. Conclusion: The results suggest that vedolizumab results in more QALYs and may be a cost-effective treatment option compared with conventional therapy for both anti

The impact of radioactive discharges on native British wild-life and the implications for environmental protection

International Nuclear Information System (INIS)

Woodhead, D.

1998-01-01

In the context of managing and regulating radioactive waste disposal in the UK, the aim has been to limit the radiation exposure of humans within nationally accepted dose rate limits and to constrain exposures to be as low as reasonably achievable (ALARA). In practice, a system of radiological control has been applied to protect more restricted 'critical groups' within the human population who, through their habits, are likely to receive the highest radiation exposures. This has had the effect of ensuring that the overall average radiation exposure of an individual member of the UK general public from radioactive waste disposal to the environment is a small fraction of the relevant dose rate limit. The radiological protection of the environment per se has received little explicit regulatory attention. Indeed, there are no criteria currently defined specifically for the protection of the environment. The aims of this report are to: determine how far currently available environmental information provides support for the current UK regulatory approach to radioactive discharges and disposal; identify significant gaps or key uncertainties in information and define research required in order for the Environment Agency to meet the requirements of the current legislation; and, provide guidance on the Environment Agency's regulatory approach to protecting the environment in the context of the current legislation and international developments. To meet these objectives, the terms of reference have been re-interpreted as to: determine the current regulatory position in respect of the protection of the environment from the effects of incremental radiation exposure arising from any aspect of the UK radioactive waste management programme; provide a critical review of the available assessments of the radiation exposure of native wild organisms from both the natural background and the radionuclide contamination of the environment arising from human activities; review available

The UK National DNA Database: Implementation of the Protection of Freedoms Act 2012.

Science.gov (United States)

Amankwaa, Aaron Opoku; McCartney, Carole

2018-03-01

In 2008, the European Court of Human Rights, in S and Marper v the United Kingdom, ruled that a retention regime that permits the indefinite retention of DNA records of both convicted and non-convicted ("innocent") individuals is disproportionate. The court noted that there was inadequate evidence to justify the retention of DNA records of the innocent. Since the Marper ruling, the laws governing the taking, use, and retention of forensic DNA in England and Wales have changed with the enactment of the Protection of Freedoms Act 2012 (PoFA). This Act, put briefly, permits the indefinite retention of DNA profiles of most convicted individuals and temporal retention for some first-time convicted minors and innocent individuals on the National DNA Database (NDNAD). The PoFA regime was implemented in October 2013. This paper examines ten post-implementation reports of the NDNAD Strategy Board (3), the NDNAD Ethics Group (3) and the Office of the Biometrics Commissioner (OBC) (4). Overall, the reports highlight a considerable improvement in the performance of the database, with a current match rate of 63.3%. Further, the new regime has strengthened the genetic privacy protection of UK citizens. The OBC reports detail implementation challenges ranging from technical, legal and procedural issues to sufficient understanding of the requirements of PoFA by police forces. Risks highlighted in these reports include the deletion of some "retainable" profiles, which could potentially lead to future crimes going undetected. A further risk is the illegal retention of some profiles from innocent individuals, which may lead to privacy issues and legal challenges. In conclusion, the PoFA regime appears to be working well, however, critical research is still needed to evaluate its overall efficacy compared to other retention regimes. Copyright © 2018 Elsevier B.V. All rights reserved.

Long Term Large Scale river nutrient changes across the UK

Science.gov (United States)

Bell, Victoria; Naden, Pam; Tipping, Ed; Davies, Helen; Davies, Jessica; Dragosits, Ulli; Muhammed, Shibu; Quinton, John; Stuart, Marianne; Whitmore, Andy; Wu, Lianhai

2017-04-01

During recent decades and centuries, pools and fluxes of Carbon, Nitrogen and Phosphorus (C, N and P) in UK rivers and ecosystems have been transformed by the spread and fertiliser-based intensification of agriculture (necessary to sustain human populations), by atmospheric pollution, by human waste (rising in line with population growth), and now by climate change. The principal objective of the UK's NERC-funded Macronutrients LTLS research project has been to account for observable terrestrial and aquatic pools, concentrations and fluxes of C, N and P on the basis of past inputs, biotic and abiotic interactions, and transport processes. More specifically, over the last 200 years, what have been the temporal responses of plant and soil nutrient pools in different UK catchments to nutrient enrichment, and what have been the consequent effects on nutrient transfers from land to the atmosphere, freshwaters and estuaries? The work described here addresses the second question by providing an integrated quantitative description of the interlinked land and water pools and annual fluxes of C, N and P for UK catchments over time. A national-scale modelling environment has been developed, combining simple physically-based gridded models that can be parameterised using recent observations before application to long timescales. The LTLS Integrated Model (LTLS-IM) uses readily-available driving data (climate, land-use, nutrient inputs, topography), and model estimates of both terrestrial and freshwater nutrient loads have been compared with measurements from sites across the UK. Here, the focus is on the freshwater nutrient component of the LTLS-IM, but the terrestrial nutrient inputs required for this are provided by models of nutrient processes in semi-natural and agricultural systems, and from simple models of nutrients arising from human waste. In the freshwater model, lateral routing of dissolved and particulate nutrients and within-river processing such as

Radiation protection standards: a summary of the biological effects of ionising radiation and principles of radiation protection

International Nuclear Information System (INIS)

1994-01-01

This leaflet in the NRPB At-a-Glance-Series briefly summarises the biological effects of radiation, harm and sensitivity to radiation, radiation protection principles, acceptability of risk and the control of doses to workers, the public and in medical procedures in the UK. (UK)

Prospects for UK fuel cells component suppliers

Energy Technology Data Exchange (ETDEWEB)

Wilcox, C.; Tunnicliffe, M.

2002-07-01

This report examines the capabilities of the UK fuel cell industry in meeting the expected increase in demand, and aims to identify all UK suppliers of fuel cell components, evaluate their products and match them to fuel cell markets, and identify components where the UK is in a competitive position. Component areas are addressed along with the need to reduce costs and ensure efficient production. The well established supplier base in the UK is noted, and the car engine manufacturing base and fuel supply companies are considered. The different strengths of UK suppliers of the various types of fuel cells are listed. The future industry structure, the opportunities and dangers for business posed by fuel cells, the investment in cleaner technologies by the large fuel companies, opportunities for catalyst suppliers, and the residential combined heat and power and portable electronics battery markets are discussed.

Building a recruitment database for asthma trials: a conceptual framework for the creation of the UK Database of Asthma Research Volunteers.

Science.gov (United States)

Nwaru, Bright I; Soyiri, Ireneous N; Simpson, Colin R; Griffiths, Chris; Sheikh, Aziz

2016-05-26

Randomised clinical trials are the 'gold standard' for evaluating the effectiveness of healthcare interventions. However, successful recruitment of participants remains a key challenge for many trialists. In this paper, we present a conceptual framework for creating a digital, population-based database for the recruitment of asthma patients into future asthma trials in the UK. Having set up the database, the goal is to then make it available to support investigators planning asthma clinical trials. The UK Database of Asthma Research Volunteers will comprise a web-based front-end that interactively allows participant registration, and a back-end that houses the database containing participants' key relevant data. The database will be hosted and maintained at a secure server at the Asthma UK Centre for Applied Research based at The University of Edinburgh. Using a range of invitation strategies, key demographic and clinical data will be collected from those pre-consenting to consider participation in clinical trials. These data will, with consent, in due course, be linkable to other healthcare, social, economic, and genetic datasets. To use the database, asthma investigators will send their eligibility criteria for participant recruitment; eligible participants will then be informed about the new trial and asked if they wish to participate. A steering committee will oversee the running of the database, including approval of usage access. Novel communication strategies will be utilised to engage participants who are recruited into the database in order to avoid attrition as a result of waiting time to participation in a suitable trial, and to minimise the risk of their being approached when already enrolled in a trial. The value of this database will be whether it proves useful and usable to researchers in facilitating recruitment into clinical trials on asthma and whether patient privacy and data security are protected in meeting this aim. Successful recruitment is

Determinants of self-rated health in elderly populations in urban areas in Slovenia, Lithuania and UK: findings of the EURO-URHIS 2 survey.

Science.gov (United States)

Stanojevic Jerkovic, Olivera; Sauliune, Skirmante; Šumskas, Linas; Birt, Christopher A; Kersnik, Janko

2017-05-01

Ageing imposes extra financial burdens on social and health services in developed countries. Self-rated health (SRH) is considered to be both a reliable measurement of overall health status including morbidity and mortality and an important predictor of hospitalization, functional impairment and greater demand for health-care services in the elderly. Our aim was to identify factors associated with poor SRH in elderly populations and investigate possible differences between urban areas in Slovenia, Lithuania and UK. Data were obtained from population-based surveys from the European Urban Health Indicator System Part 2 project. The stratified representative sample (41% men and 59% women) consisted of a total of 2547 respondents aged ≥65 from the urban areas in the three countries. The prevalence of poor SRH was highest in Lithuanian urban areas. The strongest factors associated with poor SRH were low education [OR (odds ratio) 4.3, 95% CI (confidence interval) 2.5-7.3, P Slovenia) (OR 2.0, 95% CI 1.1-3.7, P = 0,023), female sex (Lithuania) (OR 2.0, 95% CI 1.0-4.2, P = 0.058) and inadequate physical activity (UK) (OR 2.2, 95% CI 1.3-3.6, P = 0,003). Despite different levels of poor SRH, the factors associated with poor SRH were similar for the urban areas of the three countries. Factors associated with poor SRH in the urban areas could also reflect either cultural differences or specific situations for elderly in that country, which need further research. © The Author 2015. Published by Oxford University Press on behalf of the European Public Health Association. All rights reserved.

Modelling of marine base cation emissions, concentrations and deposition in the UK

Directory of Open Access Journals (Sweden)

M. Werner

2011-02-01

Full Text Available Base cations exert a large impact on various geochemical and geophysical processes both in the atmosphere and at the Earth surface. One of the essential roles of these compounds is impact on surface pH causing an increase in alkalinity and neutralizing the effects of acidity generated by sulphur and nitrogen deposition. During recent years anthropogenic emissions of base cations in the UK have decreased substantially, by about 70%, 78%, 75% and 48% for Na⁺, Mg²⁺, Ca²⁺ and K⁺, respectively, over the period 1990–2006. For the island regions, such as the UK, the main source of base cation particles is the aerosol produced from the sea surface. Here, the sea salt aerosol (SSA emissions are calculated with parameterisations proposed by Mårtensson et al. (2003 for ultra fine particles, Monahan et al. (1986 for fine particles and Smith and Harisson (1998 for coarse particles continuously with a 0.1 μm size step using WRF-modelled wind speed data at a 5 km × 5 km grid square resolution with a 3 h time step for two selected years 2003 and 2006. SSA production has been converted into base cation emissions, with the assumption that the chemical composition of the particle emitted from the sea surface is equal to the chemical composition of sea water, and used as input data in the Fine Resolution Atmospheric Multi-pollutant Exchange Model (FRAME. FRAME model annual mean concentrations and total wet deposition at a 5 km × 5 km grid resolution, are compared with concentrations in air and wet deposition from the National Monitoring Network and measurements based estimates of UK deposition budget. The correlation coefficient for wet deposition achieves high values (R = 0.8 for Na⁺ and Mg²⁺, whereas for Ca²⁺ the correlation is poor (R < 0.3. Base cation concentrations are also represented well, with some overestimations on the west coast and underestimations in the

The challenge to UK energy policy: An ageing population perspective on energy saving measures and consumption

Energy Technology Data Exchange (ETDEWEB)

Hamza, Neveen, E-mail: n.hamza@ncl.ac.u [School of Architecture, Planning and Landscape Newcastle University, NE1 7RU (United Kingdom); Gilroy, Rose [School of Architecture, Planning and Landscape Newcastle University, NE1 7RU (United Kingdom)

2011-02-15

With a focus on the residential sector, this paper explores the likelihood of the UK government meeting its energy targets. The paper contends that energy policy needs to take into account the interplay of four major factors: an ageing population of increasing diversity; a cultural inclination for older housing much of which is thermally inefficient; levels of fuel poverty; and the inexorable rise of consumer spending on leisure related services and goods. Decisions made by older households (both the poorer and the better off) may be critical to the success of energy policy. Among the better off the changing expectations of the baby boomers, with their predilection for consumption and travel, may have particular impact. The paper concludes that much of the reduction in carbon footprint made by older people's choices in heating and insulation may be offset, not only by increasing domestic thermal comfort, but also potentially by increasing consumables in the home and other consumer lifestyle choices. What could be achieved at best, may be a shift in energy mix. - Research highlights: {yields} An aging society in the UK will not lead to reduction in energy consumption. {yields} Physical ability, housing condition, cultural habits and energy poverty undermine policy. {yields} Rise of home entertainment and consumerism 'Afluenza' increase energy consumption.

Psychosocial well-being and health-related quality of life in a UK population with Usher syndrome.

Science.gov (United States)

Dean, Gavin; Orford, Amy; Staines, Roy; McGee, Anna; Smith, Kimberley J

2017-01-12

To determine whether psychosocial well-being is associated with the health-related quality of life (HRQOL) of people with Usher syndrome. The survey was advertised online and through deafblind-related charities, support groups and social groups throughout the UK. 90 people with Usher syndrome took part in the survey. Inclusion criteria are having a diagnosis of Usher syndrome, being 18 or older and being a UK resident. All participants took part in a survey that measured depressive symptoms, loneliness and social support (predictors) and their physical and mental HRQOL (outcomes). Measured confounders included age-related, sex-related and health-related characteristics. Hierarchical multiple linear regression analyses examined the association of each psychosocial well-being predictor with the physical and mental HRQOL outcomes while controlling for confounders in a stepwise manner. After adjusting for all confounders, psychosocial well-being was shown to predict physical and mental HRQOL in our population with Usher syndrome. Increasing depressive symptoms were predictive of poorer physical (β=-0.36, pUsher syndrome. Our results add to the growing body of evidence that psychosocial well-being is an important factor to consider in people with Usher syndrome alongside functional and physical impairment within research and clinical practice. 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/.

Food hygiene, deprivation, types of premises and rates of gastrointestinal illnesses in the UK.

Science.gov (United States)

Collins, Brendan

2015-01-01

To understand more about the relationship between economic deprivation, types of premises, food hygiene scores and rates of gastrointestinal illness in the UK. Data were extracted from the UK Food Standards Agency for about 300 000 UK premises which had hygiene scores based on visits from local authority food safety officers. These scores were analysed by type of premises, deprivation and local authority. Local authority-level average scores were mapped and compared with rates of laboratory-detected gastrointestinal illness from the Health Protection Agency. UK. UK premises (n 311 458) from 341 local authority areas that sell or produce food. There was a modest but statistically significant relationship between average food hygiene score and deprivation, which was caused by deprived areas having more of the categories of premises with significantly lower hygiene scores; these were pub/club (n 40 525), restaurant/café/canteen (n 73 052), small retailer (n 42 932) and takeaway (n 36 708). No relationship was established between local authority average food hygiene scores and rates of laboratory-detected gastrointestinal illness; however, this result does not preclude a relationship between food hygiene and rates of gastrointestinal illnesses, as laboratory-detected illness rates make up only a small proportion of actual rates of illness in the community. Certain types of UK premises are more likely to have low hygiene scores, which means that they should be targeted more for enforcement. These types of premises are more prevalent in the most economically deprived areas.

Patterns of hospital admission with epistaxis for 26,725 patients over an 18-year period in Wales, UK

Science.gov (United States)

Fishpool, SJC; Tomkinson, A

2012-01-01

INTRODUCTION Epistaxis is the one of the most common otorhinolaryngology emergencies. This study examined the age and sex distribution of all patients admitted with epistaxis to National Health Service (NHS) hospitals in Wales, UK, over a period of 18 years and 9 months. METHODS The Patient Episode Database for Wales was examined for all patient admissions with a diagnosis of epistaxis between April 1991 and December 2009. The age and sex of these patients was recorded and the proportion of the underlying population affected was calculated by comparing admission rates to the population data derived from the 1991 and 2001 national population censuses for Wales. RESULTS A total of 26,725 patients were admitted to NHS hospitals in Wales with epistaxis over the period studied. The proportion of the population admitted with epistaxis increased from the age of 40 onwards. For all ages except patients in the 10–14 years group, a higher proportion of the male population was admitted with epistaxis than the comparable female population. This discrepancy was most pronounced between the ages of 15 and 49 years, with the female-to-male ratio of hospital admissions with epistaxis being 0.55. These ages (15 and 49 years) approximate the average age of menarche and menopause respectively in the UK. CONCLUSIONS Women of menstrual age have fewer hospital admissions with epistaxis. This may be due to oestrogens providing protection to the nasal vasculature (as they do to other areas of the vascular tree). PMID:23131225

The potential impact of ozone on materials in the U.K.

Science.gov (United States)

Lee, David S.; Holland, Michael R.; Falla, Norman

Recent reports have highlighted the potential damage caused to a range of media, including materials, by ozone (O 3). The limited data available indicate significant damage to rubber products and surface coatings but either insignificant or unquantifiable damage to textiles and other polymeric materials at the range of atmospheric concentrations encountered in the U.K. Materials in the indoor environment have been excluded from economic analyses. Legislation was put in place in 1993 in the U.K. in order to reduce NO x (NO x = NO + NO 2) and VOC (volatile organic compounds) emissions from motor vehicles which is likely to result in reduced peak O 3 episodes but increased average levels of O 3 in urban areas which may result in increased damage to materials. A detailed assessment of the costs of O 3 damage to materials is not currently possible because of insufficient information on relevant dose-response functions and the stock at risk. Alternative methods were thus adopted to determine the potential scale of the problem. Scaling of U.S. estimates made in the late 1960s provides a range for the U.K. of £170 million-£345 million yr -1 in current terms. This includes damage to surface coatings and elastomers, and the cost of antiozonant protection applied to rubber goods. Independent estimates were made of the costs of protecting rubber goods in the U.K. These were based on the size of the antiozonant market, and provide cost ranges of £25 million-£63 million yr -1 to manufacturers and £25 million-£189 million yr -1 to consumers. The only rubber goods for which a damage estimate (not including protection costs) could be made were tyres, using data from the U.S.A. and information on annual tyre sales in the U.K. A range of £0-£4 million yr -1 was estimated. The cost of damage to other rubber goods could not be quantified because of a lack of data on both the stock at risk and exposure-response functions. The effect of O 3 on the costs of repainting were

U.S.-UK Relations And Transatlantic Trade And Investment Partnership Negotiations (2013-2016

Directory of Open Access Journals (Sweden)

A. O. Mamedova

2017-01-01

Full Text Available The article compares U.S. and UK approaches to concluding the Transatlantic Trade and Investment Partnership, given the special relationship between Washington and London. The article is based on official statements and reports as well as the debate in the media. Concluding TTIP was a priority for both U.S. President B. Obama and British Prime Minister D. Cameron. The trade agreement is both economic and political in nature. Geopolitically, the agreement may strengthen the role of the West in setting standards in global trade. U.S. and UK approaches were close when it came to the elimination of tariffs and further liberalization of non-tariff barriers. The U.S. was interested in accessing the EU procurement market; nevertheless, the British were more cautious in estimating the possibility of gaining access to U.S. procurement. Initially, the countries diverged on financial services regulation, with the U.S. being against its inclusion in TTIP. Officially, both countries supported including the ISDS mechanism in TTIP. The Brexit victory in the UK and Donald Trump’s election in the U.S. have made the prospects of TTIP even more uncertain. Thus, it is necessary to continue exploring the U.S.-UK approaches to a Transatlantic FTA. If concluded, a future bilateral agreement between the UK and the U.S. might inherit some features of TTIP regarding trade liberalization, eliminating non-tariff barriers and the investment protection mechanism, as the interests of the U.S. and the UK elites converge on many of these issues.

Radiation protection of population under normal operation conditions of nuclear power plants

International Nuclear Information System (INIS)

Kunz, Eh.; Shvets, I.

1976-01-01

Evolution of shielding is defined in short; approaches suggested for applying in radiation protection or being used are evaluated and classified. Modern views analysis of a risk of biological irradiation consequences in public approaches to health protection in connection with the technical progress side by side with provision of separate persons protection requires attentin to the nuclear power plants protection optimization. Protection optimization suggests the analysis of separate components of technology and protection systems, used materials and constructive solutions, maintenance rules and operating load with respect to environmental discharge of radioactive products. It is expedient to carry out similtaneously the similar analysis with respect to the nuclear power plant personnel irradiation, as separate measures can affect both personnel and population irradiation [ru

Public Health England survey of eye lens doses in the UK medical sector

International Nuclear Information System (INIS)

Ainsbury, E A; Bouffler, S; Gilvin, P; Peters, S; Slack, K; Cocker, M; Holt, E; Williamson, A

2014-01-01

The ICRP has recently recommended that the occupational exposure limit for the lens of the eye be reduced to 20 mSv in a year, averaged over defined periods of 5 years, with no single year exceeding 50 mSv. There has been concern amongst some groups of individuals, particularly interventional cardiologists and radiologists as well as relevant professional bodies, that implementation of these recommendations into UK law will adversely affect working patterns. However, despite a number of informative European studies, there is currently little UK dosimetry data available upon which judgements can effectively be based. In order to address this knowledge gap, Public Health England has carried out a small, targeted survey of UK lens doses to medical staff undertaking procedures likely to involve the highest levels of radiation exposure. Two out of a total of 61 individuals surveyed had projected annual doses which could be close to 20 mSv, measured outside lead glasses. Use of protective equipment was generally good; however, lead glasses were only used by 9 participants. The results of this survey suggest that compliance with the ICRP recommendations is likely to be possible for most individuals in the UK medical sector. (paper)

Radiation safety in the nuclear medicine department: impact of the UK Ionising Radiations Regulations

International Nuclear Information System (INIS)

Harding, L.K.

1987-01-01

The new 1985 regulations and guidance on radiation protection in the U.K. are discussed in relation to the needs for controlled areas in the nuclear medicine department and patient wards, admittance to hospital to comply with legislation, classification of workers, patient waiting rooms, handling flood sources, pregnancy and breast feeding. (U.K.)

From a regulatory to a cultural approach in the field of radiological protection

International Nuclear Information System (INIS)

Boehler, M.-C.

1995-01-01

A radiological protection culture, which is seen to be a 'management' approach to individual and collective doses, based on the principle of optimisation is described with particular reference to the nuclear industry. The article discusses the fundamental role of the principle of optimisation, the legal nature of the principle of optimisation and the implementation of a radiological protection culture. (UK)

Associations Between Diabetes and Both Cardiovascular Disease and All-Cause Mortality Are Modified by Grip Strength: Evidence From UK Biobank, a Prospective Population-Based Cohort Study.

Science.gov (United States)

Celis-Morales, Carlos A; Petermann, Fanny; Hui, Li; Lyall, Donald M; Iliodromiti, Stamatina; McLaren, James; Anderson, Jana; Welsh, Paul; Mackay, Daniel F; Pell, Jill P; Sattar, Naveed; Gill, Jason M R; Gray, Stuart R

2017-12-01

Grip strength and diabetes are predictors of mortality and cardiovascular disease (CVD), but whether these risk factors interact to predispose to adverse health outcomes is unknown. This study determined the interactions between diabetes and grip strength and their association with health outcomes. We undertook a prospective, general population cohort study by using UK Biobank. Cox proportional hazards models were used to explore the associations between both grip strength and diabetes and the outcomes of all-cause mortality and CVD incidence/mortality as well as to test for interactions between diabetes and grip strength. A total of 347,130 UK Biobank participants with full data available (mean age 55.9 years, BMI 27.2 kg/m 2 , 54.2% women) were included in the analysis, of which 13,373 (4.0%) had diabetes. Over a median follow-up of 4.9 years (range 3.3-7.8 years), 6,209 died (594 as a result of CVD), and 4,301 developed CVD. Participants with diabetes were at higher risk of all-cause and CVD mortality and CVD incidence. Significant interactions ( P strength. Similar results were observed for all-cause mortality and CVD incidence. Risk of adverse health outcomes among people with diabetes is lower in those with high grip strength. Low grip strength may be useful to identify a higher-risk subgroup of patients with diabetes. Intervention studies are required to determine whether resistance exercise can reduce risk. © 2017 by the American Diabetes Association.

Building partnership capacity for the collaborative management of marine protected areas in the UK: a preliminary analysis.

Science.gov (United States)

Jones, Peter J S; Burgess, Jacquelin

2005-11-01

This paper reports the findings of a preliminary analysis of 15 case studies of inshore marine protected areas in the UK. It draws on the common-pool resource (CPR) literature and is premised on the thesis that building partnership capacity amongst relevant authorities and resource users provides a critical basis for overcoming collective action problems (CAPs), through the development of incentive structures and social capital, in order to achieve strategic objectives. Particular attention is paid to the influence of statutory marine biodiversity conservation obligations to the European Commission for marine special areas of conservation (MSACs), as these are an important external contextual factor. The risks of imposition and parochialism are outlined and the challenges of taking a balanced approach are discussed. The challenges posed by the attributes of the marine environment are considered, as are those posed by the policy framework for MSACs. The findings are discussed in relation to three questions: (i) which partnership models appear to have the potential to overcome the CAPs posed by inshore MSACs? (ii) what CAPs had to be addressed during the early phase of development of the MSAC co-management regimes? (iii) what are the likely future CAPs for the collaborative management of MSACs that each partnership will need to address? These preliminary findings will form the basis for future studies to analyse the outcomes of these 15 initiatives, in order to assess the strengths, in various contexts, of different approaches for building resilient and balanced, thereby effective, institutions for the co-management of MSACs in the UK.

Multiple-camera tracking: UK government requirements

Science.gov (United States)

Hosmer, Paul

2007-10-01

The Imagery Library for Intelligent Detection Systems (i-LIDS) is the UK government's new standard for Video Based Detection Systems (VBDS). The standard was launched in November 2006 and evaluations against it began in July 2007. With the first four i-LIDS scenarios completed, the Home Office Scientific development Branch (HOSDB) are looking toward the future of intelligent vision in the security surveillance market by adding a fifth scenario to the standard. The fifth i-LIDS scenario will concentrate on the development, testing and evaluation of systems for the tracking of people across multiple cameras. HOSDB and the Centre for the Protection of National Infrastructure (CPNI) identified a requirement to track targets across a network of CCTV cameras using both live and post event imagery. The Detection and Vision Systems group at HOSDB were asked to determine the current state of the market and develop an in-depth Operational Requirement (OR) based on government end user requirements. Using this OR the i-LIDS team will develop a full i-LIDS scenario to aid the machine vision community in its development of multi-camera tracking systems. By defining a requirement for multi-camera tracking and building this into the i-LIDS standard the UK government will provide a widely available tool that developers can use to help them turn theory and conceptual demonstrators into front line application. This paper will briefly describe the i-LIDS project and then detail the work conducted in building the new tracking aspect of the standard.

A diffusion model of protected population on bilocal habitat with generalized resource

Science.gov (United States)

Vasilyev, Maxim D.; Trofimtsev, Yuri I.; Vasilyeva, Natalya V.

2017-11-01

A model of population distribution in a two-dimensional area divided by an ecological barrier, i.e. the boundaries of natural reserve, is considered. Distribution of the population is defined by diffusion, directed migrations and areal resource. The exchange of specimens occurs between two parts of the habitat. The mathematical model is presented in the form of a boundary value problem for a system of non-linear parabolic equations with variable parameters of diffusion and growth function. The splitting space variables, sweep method and simple iteration methods were used for the numerical solution of a system. A set of programs was coded in Python. Numerical simulation results for the two-dimensional unsteady non-linear problem are analyzed in detail. The influence of migration flow coefficients and functions of natural birth/death ratio on the distributions of population densities is investigated. The results of the research would allow to describe the conditions of the stable and sustainable existence of populations in bilocal habitat containing the protected and non-protected zones.

Is the UK triple-A?

OpenAIRE

Polito, Vito; Wickens, Michael R.

2013-01-01

The immediate background to this paper is the downgrade of the U.K.'s credit rating in February 2013, the market's view that this should have occurred earlier and the emphasis in fiscal policy on reducing debt rather than recovery from recession. We propose a measure of the U.K. sovereign credit rating based on an open economy macroeconomic model that is simple to compute and easily automated. Whether based on an ad hoc debt-GDP limit or a DSGE model of an open economy, our measure downgrades...

The potential impact on farmer health of enhanced export horticultural trade between the U.K. and Uganda.

Science.gov (United States)

Cross, Paul; Edwards, Rhiannon T; Nyeko, Philip; Edwards-Jones, Gareth

2009-05-01

The export of vegetables from African countries to European markets presents consumers with an ethical dilemma: should they support local, but relatively well-off farmers, or poorer farmers from distant countries? This paper considers the issue of farm worker health in the U.K. and Uganda, and considers the dilemma facing U.K. consumers if Uganda achieves their aim of exporting more vegetables to the U.K. Self-reported health scores of 1,200 farm workers in the U.K. and Uganda were measured with the internationally recognised SF-36 questionnaire and compared to an international population norm. The age-corrected health status of U.K. farm workers was significantly lower than the population norm, whereas Ugandans scored significantly higher (indicating good health) for physical health and lower for mental health. If Ugandan produce enters U.K. markets, then consumers may wish to consider both the potential benefits that enhanced trade could offer Ugandan farmers compared with its impacts on U.K. workers.

What is the prognosis of nitrogen losses from UK soils?

Science.gov (United States)

Burt, T. P.; Worrall, F.; Whelan, M.; Howden, N. J.

2009-12-01

The UK’s high population density, intensive agriculture and relative short, unimpeded rivers mean that the UK is a known “hotspot” of fluvial nitrogen flux. Furthermore, it is known that the fluvial flux of nitrogen from the UK is increasing. This study estimates the release of nitrate from the UK terrestrial biosphere to understand this rising fluvial flux and i to assess the in-stream losses of nitrate, thusgiving an assessment of the fluvial component of the total nitrogen budget of UK. The approach taken by the study is to use an export coefficient model coupled with a description of mineralisation and immobilisation of nitrogen within soil reserves. The study applies the modelling approach to the whole of the UK from 1925 to 2007 using long term records of: land use (including - agricultural, forestry and urban uses); livestock; human population and atmospheric deposition. The study shows that: i) The flux of nitrate from the UK soils varied from 420 to 1463 Ktonnes N/yr with two peaks in the period since 1925, one in 1944 and one in 1967, the first is caused by mineralisation of soil organic matter following large-scale land use change in the Second World War, and the second is a multifactorial response to land use change and intensification. ii) The current trend in the release from soils is downward whilst the current fluvial flux at the tidal limit is upwards. With the current trends fluvial flux at the tidal limit will be greater than release from the soils of the UK, i.e. there will be net gain across the fluvial network. This apparent gain can be explained by the breakthrough of high nitrate groundwater into surface waters.

Recent perspectives on optimisation of radiological protection

International Nuclear Information System (INIS)

Robb, J.D.; Croft, J.R.

1992-01-01

The ALARA principle as a requirement in radiological protection has evolved from its theoretical roots. Based on several years work, this paper provides a backdrop to practical approaches to ALARA for the 1990s. The key step, developing ALARA thinking so that it becomes an integral part of radiological protection programmes, is discussed using examples from the UK and France, as is the role of tools to help standardise judgements for decision-making. In its latest recommendations, ICRP have suggested that the optimisation of protection should be constrained by restrictions on the doses to individuals. This paper also considers the function of such restrictions for occupational, public and medical exposure, and in the design process. (author)

Sexual orientation and symptoms of common mental disorder or low wellbeing: combined meta-analysis of 12 UK population health surveys.

Science.gov (United States)

Semlyen, Joanna; King, Michael; Varney, Justin; Hagger-Johnson, Gareth

2016-03-24

Previous studies have indicated increased risk of mental disorder symptoms, suicide and substance misuse in lesbian, gay and bisexual (LGB) adults, compared to heterosexual adults. Our aims were to determine an estimate of the association between sexual orientation identity and poor mental health and wellbeing among adults from 12 population surveys in the UK, and to consider whether effects differed for specific subgroups of the population. Individual data were pooled from the British Cohort Study 2012, Health Survey for England 2011, 2012 and 2013, Scottish Health Survey 2008 to 2013, Longitudinal Study of Young People in England 2009/10 and Understanding Society 2011/12. Individual participant meta-analysis was used to pool estimates from each study, allowing for between-study variation. Of 94,818 participants, 1.1 % identified as lesbian/gay, 0.9 % as bisexual, 0.8 % as 'other' and 97.2 % as heterosexual. Adjusting for a range of covariates, adults who identified as lesbian/gay had higher prevalence of common mental disorder when compared to heterosexuals, but the association was different in different age groups: apparent for those under 35 (OR = 1.78, 95 % CI 1.40, 2.26), weaker at age 35-54.9 (OR = 1.42, 95 % CI 1.10, 1.84), but strongest at age 55+ (OR = 2.06, 95 % CI 1.29, 3.31). These effects were stronger for bisexual adults, similar for those identifying as 'other', and similar for 'low wellbeing'. In the UK, LGB adults have higher prevalence of poor mental health and low wellbeing when compared to heterosexuals, particularly younger and older LGB adults. Sexual orientation identity should be measured routinely in all health studies and in administrative data in the UK in order to influence national and local policy development and service delivery. These results reiterate the need for local government, NHS providers and public health policy makers to consider how to address inequalities in mental health among these minority groups.

Contributions of vital rates to growth of a protected population of American black bears

Science.gov (United States)

Mitchell, M.S.; Pacifici, L.B.; Grand, J.B.; Powell, R.A.

2009-01-01

Analyses of large, long-lived animals suggest that adult survival generally has the potential to contribute more than reproduction to population growth rate (??), but because survival varies little, high variability in reproduction can have a greater influence. This pattern has been documented for several species of large mammals, but few studies have evaluated such contributions of vital rates to ?? for American black bears (Ursus americanus). We used variance-based perturbation analyses (life table response experiments, LTRE) and analytical sensitivity and elasticity analyses to examine the actual and potential contributions of variation of vital rates to variation in growth rate (??) of a population of black bears inhabiting the Pisgah Bear Sanctuary in the southern Appalachian Mountains of North Carolina, using a 22-year dataset. We found that recruitment varied more than other vital rates; LTRE analyses conducted over several time intervals thus indicated that recruitment generally contributed at least as much as juvenile and adult survival to observed variation in ??, even though the latter 2 vital rates had the greater potential to affect ??. Our findings are consistent with predictions from studies on polar bears (U. maritimus) and grizzly bears (U. arctos), but contrast with the few existing studies on black bears in ways that suggest levels of protection from human-caused mortality might explain whether adult survival or recruitment contribute most to variation in ?? for this species. We hypothesize that ?? is most strongly influenced by recruitment in protected populations where adult survival is relatively high and constant, whereas adult survival will most influence ?? for unprotected populations. ?? 2009 International Association for Bear Research and Management.

Factors associated with quality of life in active childhood epilepsy: a population-based study.

Science.gov (United States)

Reilly, Colin; Atkinson, Patricia; Das, Krishna B; Chin, Richard F M; Aylett, Sarah E; Burch, Victoria; Gillberg, Christopher; Scott, Rod C; Neville, Brian G R

2015-05-01

Improving health-related quality of life (HRQOL), rather than just reducing seizures, should be the principal goal in comprehensive management of childhood epilepsy. There is a lack of population-based data on predictors of HRQOL in childhood epilepsy. The Children with Epilepsy in Sussex Schools (CHESS) study is a prospective, population-based study involving school-aged children (5-15 years) with active epilepsy (on one or more AED and/or had a seizure in the last year) in a defined geographical area in the UK. Eighty-five of 115 (74% of eligible population) children underwent comprehensive psychological assessment including measures of cognition, behaviour, and motor functioning. Parents of the children completed the Quality of Life in Childhood Epilepsy (QOLCE).Clinical data on eligible children was extracted using a standardised pro forma. Linear regression analysis was undertaken to identify factors significantly associated with total Quality of Life in this population. Factors independently significantly associated (p QOLCE scores were seizures before 24 months, cognitive impairment (IQ QOLCE when children with IQ < 50 were excluded from analysis. The majority of factors associated with parent reported HRQOL in active childhood epilepsy are related to neurobehavioural and/or psychosocial aspects of the condition. Copyright © 2015 European Paediatric Neurology Society. Published by Elsevier Ltd. All rights reserved.

Providing Access to Census-based Interaction Data in the UK: That's WICID!

Directory of Open Access Journals (Sweden)

John Stillwell

2006-08-01

Full Text Available The Census Interaction Data Service (CIDS is funded by the Economic and Social Research Council in the UK to provide access for social science researchers and students to the detailed migration and journey-to-work statistics that are collected by the national statistical agencies. These interaction data sets are known collectively as the Special Migration Statistics (SMS and the Special Workplace Statistics (SWS. This paper outlines how problems of user access to these data have been tackled through the development of a web-based system known as WICID (Web-based Interface to Census Interaction Data. The paper illustrates various interface features including some of the query building facilities that enable users to extract counts of flows of particular groups of individuals between selected origin and destination areas. New tools are outlined for assisting area selection using digital maps of census geographies, for planning output and for adding value to the data through analysis. Mapping of flows of migrants between London boroughs and the rest of the UK demonstrates the value of the data. The paper begins with a summary of the data sets that are contained within the system and an outline of the system architecture.

Supporting UK adaptation: building services for the next set of UK climate projections

Science.gov (United States)

Fung, Fai; Lowe, Jason

2016-04-01

As part of the Climate Change Act 2008, the UK Government sets out a national adaptation programme to address the risks and opportunities identified in a national climate change risk assessment (CCRA) every five years. The last risk assessment in 2012 was based on the probabilistic projections for the UK published in 2009 (UKCP09). The second risk assessment will also use information from UKCP09 alongside other evidence on climate projections. However, developments in the science of climate projeciton, and evolving user needs (based partly on what has been learnt about the diverse user requirements of the UK adaptation community from the seven years of delivering and managing UKCP09 products, market research and the peer-reviewed literature) suggest now is an appropriate time to update the projections and how they are delivered. A new set of UK climate projections are now being produced to upgrade UKCP09 to reflect the latest developments in climate science, the first phase of which will be delivered in 2018 to support the third CCRA. A major component of the work is the building of a tailored service to support users of the new projections during their development and to involve users in key decisions so that the projections are of most use. We will set out the plan for the new climate projections that seek to address the evolving user need. We will also present a framework which aims to (i) facilitate the dialogue between users, boundary organisations and producers, reflecting their different decision-making roles (ii) produce scientifically robust, user-relevant climate information (iii) provide the building blocks for developing further climate services to support adaptation activities in the UK.

National Radiological Protection Board accounts 1986-87

International Nuclear Information System (INIS)

1987-05-01

The 1986-87 accounts of the Radiological Protection Board are presented in accordance with the Radiological Protection Act 1970. The report of the Comptroller and Auditor General is also given. (U.K.)

National Radiological Protection Board accounts 1986-87

Energy Technology Data Exchange (ETDEWEB)

1987-01-01

The 1986-87 accounts of the Radiological Protection Board are presented in accordance with the Radiological Protection Act 1970. The report of the Comptroller and Auditor General is also given. (U.K.).

UK medical selection: lottery or meritocracy?

Science.gov (United States)

Harris, Benjamin H L; Walsh, Jason L; Lammy, Simon

2015-02-01

From senior school through to consultancy, a plethora of assessments shape medical careers. Multiple methods of assessment are used to discriminate between applicants. Medical selection in the UK appears to be moving increasingly towards non-knowledge-based testing at all career stages. We review the evidence for non-knowledge-based tests and discuss their perceived benefits. We raise the question: is the current use of non-knowledge-based tests within the UK at risk of undermining more robust measures of medical school and postgraduate performance? © 2015 Royal College of Physicians.

Estimating the risk of cardio vascular diseases among pakistani diabetics using uk pds risk engine

International Nuclear Information System (INIS)

Moazzam, A.; Amer, J.

2015-01-01

The concept of risk estimation of Coronary Heart Disease (CHD) is helpful for clinician to identifying high risk populations for their effective treatment. Latest studies recommended only initiating cardio-protective treatment in diabetic patients based on personalized CHD risk estimates so as to reduce undue harm from overly aggressive risk factor modification. The United Kingdom Prospective Diabetes Study (UK PDS) Risk Engine is a widely used tool to assess the risk of Cardio Vascular diseases (CVD) in diabetics. The literature search so far did not reveal any study of risk assessment among Pakistani Diabetics. Methods: This descriptive study is based on the data of 470 type-2 diabetics seen in Department of Endocrinology and Metabolism, Services Institute of Medical Sciences, Lahore during 2011. The data of these 470 patients was analyzed through UKPDS Risk Engine. CHD risk was calculated. Results: The 10 years risk of CHD, fatal CHD, stroke and fatal stroke was 9.4%, 4.4%, 1.7% and 0.2% respectively. Conclusions: The present study show a lower risk of CVD occurring among Pakistani diabetics as compared to studies from western countries. (author)

Proposed UK legislation to provide radiological protection for workers, with emphasis on its application to the transport of radioactive materials

International Nuclear Information System (INIS)

Holyoak, B.; Shaw, K.B.

1983-01-01

In terms of the standards for packaging and labelling the proposed Regulations are consistent with IAEA SS No. 6 and continue the existing UK statutory requirements; they will provide statutory controls for those modes of transport presently subject to non-statutory conventions and by-laws. There are new requirements in the administrative arrangements for the provision of radiological protection. These requirements reflect the procedures presently used by responsible organizations and are compatible with IAEA SS No. 9(10). Thus our proposals will be compatible with the various International Transport Conventions when these are brought into line with IAEA SS No. 6 (1984). The proposals should secure a system of working which is sufficiently flexible that it will not impede legitimate carriage but will ensure that everyone involved, either directly or indirectly, is provided with a satisfactory and uniform standard of radiological protection. As a consequence of the extensive consulation during the preparation of the proposals it is anticipated that the transport industry will be well disposed towards compliance; however should there be deviations from accepted standards enforcement action can be applied. 10 references

The risk of hydraulic fracturing on public health in the UK and the UK's fracking legislation.

Science.gov (United States)

Reap, Elisabeth

2015-01-01

Hydraulic fracturing to extract natural gas from shale rock is a new, rapidly expanding industry in the United States (US). However, there is concern that these operations could be having large negative impacts such as groundwater contamination, increased air pollution and seismic events. The United Kingdom (UK) is looking at the potential for emulating the success of 'shale gas' in the US. Differences in population density and geological conditions mean that the public health impacts recorded in the US cannot be directly extrapolated to the UK. There is limited academic literature available but findings suggest that the UK government is not fully recognising the inherent risks of hydraulic fracturing exposed by this literature. Government reports suggest a reliance on engineering solutions and better practice to overcome problems found in the US when evidence suggests that there are inherent risks and impacts that cannot be eliminated. This study applies US results to approximate the impact of one exposure pathway, inhalation of hydrocarbons by the public from operational air emissions over the 30 year lifetime of a well and finds that 7.2 extra cancer cases from exposure to air contamination would be expected in the UK if all test sites, approved test sites and test sites awaiting approval as of January 2015 went on to extract gas. In conclusion, limited assessment of the public health implications of hydraulic fracturing operations is available but the UK government appears to not be applying the precautionary principle to potentially significant legislation.

Development of Population-Based Resilience Measures in the Primary School Setting

Science.gov (United States)

Sun, Jing; Stewart, Donald

2007-01-01

Purpose: The purpose of the population-based study in the paper is to report on progress in formulating instruments to measure children's resilience and associated protective factors in family, primary school and community contexts. Design/methodology/approach: In this paper a total of 2,794 students, 1,558 parents/caregivers, and 465 staff were…

Recruiting Teachers Online: Marketing Strategies and Information Dissemination Practices of UK-Based Agencies

Science.gov (United States)

de Villiers, Rian; Books, Sue

2009-01-01

A review of the websites of 43 UK-based agencies that are recruiting teachers in South Africa and other countries finds that important information about what to expect often is missing. An analysis of the marketing strategies shows that agencies overall are promising schools thorough vetting of candidates and low fees, are promising prospective…

An Economic Analysis of the UK Pet Dog Market and Animal Welfare: The case of the UK pet dog overpopulation problem

OpenAIRE

Siettou, Christina

2015-01-01

Pets are an important part of our society as they have become ‘part of the family’. However, one of the most important problems regarding the pet dog population is the great number of strays and their management. The annual stray survey conducted on behalf of Dogs Trust, one of the leading dog welfare organizations in the UK, has revealed that each year there are more than 100,000 stray dogs in the UK. To date, their management remains a problem only addressed by Local Authorities. \\ud \\ud Th...

The system of radiological protection revisited. Are dose limits for the population really necessary?

International Nuclear Information System (INIS)

Hedemann Jensen, Per

1999-01-01

The distinction between practices and interventions in the System of Radiation Protection has created a lot of confusion in the population and amongst decision-makers, especially with regards to the concepts of dose limits and intervention levels. The experience gained after the Chernobyl accident indicated that many actions taken led to an unnecessarily large expenditure of national resources, and many instances occurred of contradictory national responses. A major reason was the mixture of dose limits for the population, which apply only to exposures from practices, and intervention levels, which apply only to protective measures in de-facto exposure situations. The existing System of Radiation Protection is revisited and it is suggested that the System can be revised with no dose limits for the public without causing a lower degree of protection of the population. With the widespread use of source-related dose constraints and practical restrictions on the sources of public exposure from practices, generally applicable dose limits are rarely limiting in any practical situation, even if dose constraints might, at least in principle, fail to take adequate account of the exposures from other practices. Constraints can be expressed as operational protection quantities, e.g. nuclide-specific release rates, dose rate at the fence of a facility or nuclide-specific surface contamination density in the environment. A revised System of Radiation Protection without public dose limits would not cause any reduced protection of the public compared to the existing System, and it has a potential for removing much of the confusion with regards to application of intervention/action levels. It would also have the potential for improving public perception of radiation protection and radiation risks as well as for saving vast resources in intervention situations for better application in general health care of the public. (au)

Managing Food Allergens in the U.K. Retail Supply Chain.

Science.gov (United States)

Walker, Michael J; Gowland, M Hazel; Points, John

2018-01-01

The U.K. food and grocery market is highly significant financially and dominated by 10 retailers within a regulated and extremely economically competitive environment. We summarize the approach of U.K. retailers to allergen risk assessment (RA) and risk management (RM) within the U.K. legal framework and explore public visibility of retailers' allergen policies. RA and RM of allergens appear effective in curtailing retail-triggered severe food allergy reactions. However, allergen recalls remain high, precautionary allergen labeling (PAL) remains an area of confusion, and there is no consistent Web-based provision of information for consumers who have allergies. Resolution of PAL awaits an agreed-on threshold framework, but a key challenge is to engage with patients and gain their trust rather than thrust education at them. It would be helpful for retailers to publish their allergen RA and RM policies. A target should be agreed on between government and retailers for a reduction in the proliferation of PAL wording variants by a given date within the next 3 years. A further hurdle is potentially flawed allergen analysis-development of reference methods and reference materials are acknowledged needs. Laboratories should report allergen results in an informative manner, communicating uncertainty and caveats. Ideally a laboratory representative would be included on any incident control team. Efforts must continue to standardize preparedness for protecting and defending food and drink from deliberate attack.

UK energy policy – Stuck in ideological limbo?

International Nuclear Information System (INIS)

Keay, Malcolm

2016-01-01

Energy policy in the UK has undergone a paradigm change over recent decades – from the free market stance of the 1990s to the more interventionist measures of the 21st century. However, the two approaches have not been reconciled – even as the Government intervenes, it reaffirms its goal of creating more competitive markets. The contradictions are most apparent with electricity, which has been the main focus of intervention to date, in line with decarbonisation strategy. Investment is dependent on Government support, which changes in response to circumstances, creating uncertainty and undermining the basis of market operation – so leading to the need for more intervention. The future for other sources – natural gas, nuclear power and carbon capture and storage in particular – remains unclear. The Government risks getting the worst of both worlds – without the coordination and direction which could come from a centralised approach or the efficiencies and innovation which might emerge from a more consistent market based policy. Unless a fuller policy statement, expected later this year, can clarify matters, UK energy policy will not be fit for purpose and will fail to meet its key goals, of economic effectiveness, environmental protection and energy security. - Highlights: •UK energy policy has undergone a partial paradigm change. •Electricity has been the main focus of intervention to date, leading to distortions. •The way forward in other sectors is uncertain. •Key energy policy goals are at risk. •The Government needs to develop a clearer strategy.

Establishing the characteristics for patients with chronic Complex Regional Pain Syndrome: the value of the CRPS-UK Registry.

Science.gov (United States)

Shenker, Nicholas; Goebel, Andreas; Rockett, Mark; Batchelor, James; Jones, Gareth T; Parker, Richard; de C Williams, Amanda C; McCabe, Candida

2015-05-01

The long-term prognosis of patients with Complex Regional Pain Syndrome (CRPS) is unknown with no reported prospective studies from the United Kingdom longer than 18 months. The CRPS-UK Network aims to study this by use of a Registry. The aims of this article are, to outline the CRPS-UK Registry, assess the validity of the data and to describe the characteristics of a sample of the UK CRPS population. A web-based CRPS-UK Registry was developed and made accessible to centres experienced in diagnosing and managing patients with CRPS. Pragmatic annual follow-up questions were agreed. Up until July 2013, the Registry has recruited 240 patients. A blinded, validation study of 20 consecutive patients from two centres (10 each) demonstrated 95.6% completion and 99.4% accuracy of a random sample of the recorded data. These patients had chronic disease (median duration: 29 months); 72.5% were female (2.6:1), with a mean age at symptoms onset of 43 years, and were left-handed more than expected (21.8% versus 10% in the general population). Patients reported a delayed diagnosis, with the median time between symptom onset and diagnosis of 6 months. In all, 30 patients (12.5%) had multiple limb involvement and (83.3%) had a contiguous spread of CRPS. CRPS-UK Registry is a validated method for actively recruiting well-characterised patients with CRPS to provide further information on the long-term outcome.

Equity in healthcare for coronary heart disease, Wales (UK 2004-2010: A population-based electronic cohort study.

Directory of Open Access Journals (Sweden)

William King

Full Text Available Despite substantial falls in coronary heart disease (CHD mortality in the United Kingdom (UK, marked socioeconomic inequalities in CHD risk factors and CHD mortality persist. We investigated whether inequity in CHD healthcare in Wales (UK could contribute to the observed social gradient in CHD mortality.Linking data from primary and secondary care we constructed an electronic cohort of individuals (n = 1199342 with six year follow-up, 2004-2010. We identified indications for recommended CHD interventions, measured time to their delivery, and estimated risk of receiving the interventions for each of five ordered deprivation groups using a time-to-event approach with Cox regression frailty models. Interventions in primary and secondary prevention included risk-factor measurement, smoking management, statins and antihypertensive therapy, and in established CHD included medication and revascularization. For primary prevention, five of the 11 models favoured the more deprived and one favoured the less deprived. For medication in secondary prevention and established CHD, one of the 15 models favoured the more deprived and one the less deprived. In relation to revascularization, six of the 12 models favoured the less deprived and none favoured the more deprived-this evidence of inequity exemplified by a hazard ratio for revascularization in stable angina of 0.79 (95% confidence interval 0.68, 0.92. The main study limitation is the possibility of under-ascertainment or misclassification of clinical indications and treatment from variability in coding.Primary care components of CHD healthcare were equitably delivered. Evidence of inequity was found for revascularization procedures, although this inequity is likely to have only a modest effect on social gradients in CHD mortality. Policymakers should focus on reducing inequalities in CHD risk factors, particularly smoking, as these, rather than inequity in healthcare, are likely to be key drivers of

A questionnaire based assessment of numbers, motivation and medical care of UK patients undergoing liver transplant abroad.

Science.gov (United States)

Kerr Winter, Ben; Odedra, Anand; Green, Steve

Medical tourism, where patients travel abroad intentionally to access medical treatment, is a growing trend. Some of these patients travel to undergo organ transplantation. This study aims to quantify the number of UK patients who undergo liver transplantation abroad, assessing their motivations and management. Questionnaires were sent to all seven UK liver transplant units enquiring about liver patients receiving transplant abroad. Included were questions on destination, motivation, and pre and post-transplant care. Responses were received from six of the seven transplant centres (86%). A total of 12 patients were identified as having undergone liver transplantation overseas. The top destinations were India, China and Egypt. Four units responded to questions regarding pre-transplant screening. One unit reported Hepatitis B and C screening not taking place. Four units responded to questions regarding post-transplant antimicrobial therapy. This revealed examples of patients inappropriately not receiving valganciclovir, co-trimoxazole, anti-fungal treatment and Hepatitis B immunoglobulins. UK patients are undergoing liver transplant abroad, albeit in small numbers. Pre and post-transplant management of these patients is of a lower standard than that provided to those undergoing transplantation in the UK. Information transfer between overseas and UK based transplant teams is poor. Copyright © 2016 Elsevier Ltd. All rights reserved.

Population connectivity and the effectiveness of marine protected areas to protect vulnerable, exploited and endemic coral reef fishes at an endemic hotspot

Science.gov (United States)

van der Meer, M. H.; Berumen, M. L.; Hobbs, J.-P. A.; van Herwerden, L.

2015-06-01

Marine protected areas (MPAs) aim to mitigate anthropogenic impacts by conserving biodiversity and preventing overfishing. The effectiveness of MPAs depends on population connectivity patterns between protected and non-protected areas. Remote islands are endemism hotspots for coral reef fishes and provide rare examples of coral reefs with limited fishing pressure. This study explored population genetic connectivity across a network of protected and non-protected areas for the endemic wrasse, Coris bulbifrons, which is listed as "vulnerable" by the IUCN due to its small, decreasing geographic range and declining abundance. Mitochondrial DNA (mtDNA) and microsatellite DNA (msatDNA) markers were used to estimate historic and contemporary gene flow to determine the level of population self-replenishment and to measure genetic and genotypic diversity among all four locations in the species range (south-west Pacific Ocean)—Middleton Reef (MR), Elizabeth Reef (ER), Lord Howe Island (LHI) and Norfolk Island (NI). MPAs exist at MR and LHI and are limited or non-existent at ER and NI, respectively. There was no obvious differentiation in mtDNA among locations, however, msatDNA revealed differentiation between the most peripheral (NI) and all remaining locations (MR, ER and LHI). Despite high mtDNA connectivity ( M = 259-1,144), msatDNA connectivity was limited ( M = 3-9) with high self-replenishment (68-93 %) at all locations. NI is the least connected and heavily reliant on self-replenishment, and the absence of MPAs at NI needs to be rectified to ensure the persistence of endemic species at this location. Other endemic fishes exhibit similar patterns of high self-replenishment across the four locations, indicating that a single spatial management approach consisting of a MPA network protecting part of each location could provide reasonable protection for these species. Thus, the existing network of MPAs at this endemic hotspot appears adequate at some locations, but not

Scoring the Icecap-a capability instrument. Estimation of a UK general population tariff.

Science.gov (United States)

Flynn, Terry N; Huynh, Elisabeth; Peters, Tim J; Al-Janabi, Hareth; Clemens, Sam; Moody, Alison; Coast, Joanna

2015-03-01

This paper reports the results of a best-worst scaling (BWS) study to value the Investigating Choice Experiments Capability Measure for Adults (ICECAP-A), a new capability measure among adults, in a UK setting. A main effects plan plus its foldover was used to estimate weights for each of the four levels of all five attributes. The BWS study was administered to 413 randomly sampled individuals, together with sociodemographic and other questions. Scale-adjusted latent class analyses identified two preference and two (variance) scale classes. Ability to characterize preference and scale heterogeneity was limited, but data quality was good, and the final model exhibited a high pseudo-r-squared. After adjusting for heterogeneity, a population tariff was estimated. This showed that 'attachment' and 'stability' each account for around 22% of the space, and 'autonomy', 'achievement' and 'enjoyment' account for around 18% each. Across all attributes, greater value was placed on the difference between the lowest levels of capability than between the highest. This tariff will enable ICECAP-A to be used in economic evaluation both within the field of health and across public policy generally. © 2013 The Authors. Health Economics published by John Wiley & Sons Ltd.

Demographic Differences in Sun Protection Beliefs and Behavior: A Community-Based Study in Shanghai, China

Science.gov (United States)

Yan, Shuxian; Xu, Feng; Yang, Chunxue; Li, Fei; Fan, Jing; Wang, Linggao; Cai, Minqiang; Zhu, Jianfeng; Kan, Haidong; Xu, Jinhua

2015-01-01

Objective: We want to know the attitudes and behaviors towards UV protection and we want to analyze the difference between different Chinese demographic groups in this study. Methods: A community-based study was undertaken in Shanghai from October 2009 to January 2010. The participants, ages 20–60 years old, were screened by cluster sampling and were investigated through interviews at their own homes. Personal basic information and questions pertaining to their knowledge and attitudes towards sunlight and sun protective activities were included in the questionnaire. Results: We completed 5964 questionnaires (2794 men and 3170 women). Eighty-six percent of the respondents belonged to Fitzpatrick skin type IV. Knowledge about UV-induced risks was known by more than half of the participants. However, only one-third of the participants thought they needed sun protection in winter and indoors or in vehicles, and 27% of the participants acknowledged tanning was not favorable. The attitudes towards sun exposure varied greatly, showing significant differences based on gender, age, socioeconomic groups and skin type groups (p sun-protective behaviors than males and those of an older age and lower education level (p sun protection existing in our surveyed Chinese population, especially in males and lower socioeconomic population, which could allow for planning prevention campaigns and exploring sun-preventive products. PMID:25794187

Arthropod Pest Control for UK Oilseed Rape - Comparing Insecticide Efficacies, Side Effects and Alternatives.

Directory of Open Access Journals (Sweden)

Han Zhang

Full Text Available Oilseed rape (Brassica napus is an important combinable break crop in the UK, which is largely protected from arthropod pests by insecticidal chemicals. Despite ongoing debate regarding the use of neonicotinoids, the dominant seed treatment ingredients used for this crop, there is little publicly available data comparing the efficacy of insecticides in controlling key arthropod pests or comparing the impacts on non-target species and the wider environment. To provide an insight into these matters, a UK-wide expert survey targeting agronomists and entomologists was conducted from March to June 2015. Based on the opinions of 90 respondents, an average of 20% yield loss caused by the key arthropod pests was expected to have occurred in the absence of insecticide treatments. Relatively older chemical groups were perceived to have lower efficacy for target pests than newer ones, partly due to the development of insecticide resistance. Without neonicotinoid seed treatments, a lack of good control for cabbage stem flea beetle was perceived. Wide spectrum foliar insecticide sprays were perceived to have significantly greater negative impacts than seed treatments on users' health, natural enemies, pollinators, soil and water, and many foliar active ingredients have had potential risks for non-target arthropod species in UK oilseed rape fields for the past 25 years. Overall, 72% of respondents opposed the neonicotinoid restriction, while 10% supported it. Opposition and support of the restriction were largely based on concerns for pollinators and the wider environment, highlighting the uncertainty over the side effects of neonicotinoid use. More people from the government and research institutes leaned towards neutrality over the issue, compared to those directly involved in growing the crop. Neonicotinoid restriction was expected to result in greater effort and expenditure on pest control and lower production (0-1 t/ha less. Alternatives for future

Development of a customer experience-based brand strategy for the Lenovo Group to explore the UK market

OpenAIRE

Yin, Yuanyuan; Holland, Ray; Qin, Shengfeng; Wu, Weicheng

2006-01-01

This paper presented a development of a customer experience-based brand strategy for Lenovo Group which is one of the biggest and most powerful PC producers in the world. After acquiring the IBM’s Personal Computing division, Lenovo focus on exploring the UK market. Due to differences in culture, user behaviour, market environment and so on, Lenovo have to develop a new product development brand strategy to transfer their successful brand strategy from China to the UK. The key question in thi...

Changing trends in reproductive/lifestyle factors in UK women

DEFF Research Database (Denmark)

Gentry-Maharaj, Aleksandra; Glazer, Clara; Burnell, Matthew

2017-01-01

of the UK Collaborative Trial of Ovarian Cancer Screening (UKCTOCS). DESIGN: Prospective birth cohort analysis. SETTING: Population cohort invited between 2001 and 2005 from age-sex registers of 27 Primary Care Trusts in England, Wales and Northern Ireland and recruited through 13 National Health Service......-reported data on reproductive factors provided at recruitment were explored using tabular and graphical summaries to examine for differences between the birth cohorts. OUTCOME MEASURES: Trends in mean age at menarche and menopause, use of oral contraceptives, change in family size, infertility treatments, tubal...... to reflect the reproductive history of the UK female postmenopausal population of similar age. Since these are risk factors for hormone-related cancers, these trends are important in understanding the changing incidence of these cancers. TRIAL REGISTRATION NUMBER: International Standard Randomised Controlled...

Malnutrition in the UK: policies to address the problem.

Science.gov (United States)

Elia, M; Russell, C A; Stratton, R J

2010-11-01

In 2007, the estimated cost of disease-related malnutrition in the UK was in excess of £13×109. At any point in time, only about 2% of over 3 million individuals at risk of malnutrition were in hospital, 5% in care homes and the remainder in the community (2-3% in sheltered housing). Some government statistics (England) grossly underestimated the prevalence of malnutrition on admission and discharge from hospital (1000-3000 annually between 1998 and 2008), which is less than 1% of the prevalence (about 3 million in 2007-2008) established by national surveys using criteria based on the 'Malnutrition Universal Screening Tool' ('MUST'). The incidence of malnutrition-related deaths in hospitals, according to government statistics (242 deaths in England in 2007), was also policies have reduced the number of hospital and care home beds and encouraged care closer to home. Such policies have raised issues about education and training of the homecare workforce, including 6 million insufficiently supported informal carers (10% of the population), the commissioning process, and difficulties in implementing nutritional policies in a widely distributed population. The four devolved nations in the UK (England, Scotland, Northern Ireland and Wales) have developed their own healthcare polices to deal with malnutrition. These generally aim to span across all care settings and various government departments in a co-ordinated manner, but their effectiveness remains to be properly evaluated.

The future of flood insurance in the UK

Science.gov (United States)

Horn, Diane

2013-04-01

Approximately one in seven properties in the UK (3.6 million homes and businesses) are at risk of flooding. The Adaptation Sub-Committee of the UK Committee on Climate Change reported in 2012 that development on the floodplain grew at a faster rate than elsewhere in England over the past ten years, with one in five properties in the floodplain in areas of significant risk. They concluded that current levels of investment will not keep pace with the increasing risk, noting that without additional action, climate change could almost double the number of properties at significant risk by 2035. Flood insurance can contribute to risk reduction by using pricing or restrictions on availability of cover to discourage new development in flood risk areas, or to encourage the uptake of flood resilience measures. The UK insurance market currently offers flood cover as a standard feature of domestic and small business policies, with central government providing physical protection backed up by financial protection provided by the insurance industry. This approach is unusual in not passing all or part of the flood risk to government schemes. At present, flood insurance in the UK is conducted under a series of informal agreements established between the insurance industry and the Government known as the Statement of Principles. Members of the Association of British Insurers (ABI) currently agree to cover homes at risk of flooding in return for government commitment to manage flood risk. However, this arrangement is now under threat, as the insurance industry is increasingly reluctant to bear the financial burden of flooding alone. The current Statement of Principles ends on 30 June 2013 and will not be renewed. High-risk properties may be unable to obtain insurance after the Statement of Principles expires. Unusually, insurers are arguing against a free market solution, arguing that no country in the world provides universal flood cover without some form of government-led support

Register of legislative and regulatory dispositions relative to the radiation protection of the population and workers against the dangers of ionizing radiations; Recueil des dispositions legislatives et reglementaires concernant la protection de la population et des travailleurs contre les dangers des rayonnements ionisants

Energy Technology Data Exchange (ETDEWEB)

NONE

2003-12-15

This collection of legislative arrangements concerns the protection of population and workers against the risks of ionizing radiations. Each chapter is divided in two parts: a legislative part and a statutory or regulation part. We find the different chapters in relation with protection of populations, protection of workers, public health and labour laws. (N.C.)

A replicating cytomegalovirus-based vaccine encoding a single Ebola virus nucleoprotein CTL epitope confers protection against Ebola virus.

Directory of Open Access Journals (Sweden)

Yoshimi Tsuda

2011-08-01

Full Text Available Human outbreaks of Ebola virus (EBOV are a serious human health concern in Central Africa. Great apes (gorillas/chimpanzees are an important source of EBOV transmission to humans due to increased hunting of wildlife including the 'bush-meat' trade. Cytomegalovirus (CMV is an highly immunogenic virus that has shown recent utility as a vaccine platform. CMV-based vaccines also have the unique potential to re-infect and disseminate through target populations regardless of prior CMV immunity, which may be ideal for achieving high vaccine coverage in inaccessible populations such as great apes.We hypothesize that a vaccine strategy using CMV-based vectors expressing EBOV antigens may be ideally suited for use in inaccessible wildlife populations. To establish a 'proof-of-concept' for CMV-based vaccines against EBOV, we constructed a mouse CMV (MCMV vector expressing a CD8+ T cell epitope from the nucleoprotein (NP of Zaire ebolavirus (ZEBOV (MCMV/ZEBOV-NP(CTL. MCMV/ZEBOV-NP(CTL induced high levels of long-lasting (>8 months CD8+ T cells against ZEBOV NP in mice. Importantly, all vaccinated animals were protected against lethal ZEBOV challenge. Low levels of anti-ZEBOV antibodies were only sporadically detected in vaccinated animals prior to ZEBOV challenge suggesting a role, at least in part, for T cells in protection.This study demonstrates the ability of a CMV-based vaccine approach to protect against an highly virulent human pathogen, and supports the potential for 'disseminating' CMV-based EBOV vaccines to prevent EBOV transmission in wildlife populations.

Cancer survival in Australia, Canada, Denmark, Norway, Sweden, and the UK, 1995–2007 (the International Cancer Benchmarking Partnership): an analysis of population-based cancer registry data

Science.gov (United States)

Coleman, MP; Forman, D; Bryant, H; Butler, J; Rachet, B; Maringe, C; Nur, U; Tracey, E; Coory, M; Hatcher, J; McGahan, CE; Turner, D; Marrett, L; Gjerstorff, ML; Johannesen, TB; Adolfsson, J; Lambe, M; Lawrence, G; Meechan, D; Morris, EJ; Middleton, R; Steward, J; Richards, MA

2011-01-01

Summary Background Cancer survival is a key measure of the effectiveness of health-care systems. Persistent regional and international differences in survival represent many avoidable deaths. Differences in survival have prompted or guided cancer control strategies. This is the first study in a programme to investigate international survival disparities, with the aim of informing health policy to raise standards and reduce inequalities in survival. Methods Data from population-based cancer registries in 12 jurisdictions in six countries were provided for 2·4 million adults diagnosed with primary colorectal, lung, breast (women), or ovarian cancer during 1995–2007, with follow-up to Dec 31, 2007. Data quality control and analyses were done centrally with a common protocol, overseen by external experts. We estimated 1-year and 5-year relative survival, constructing 252 complete life tables to control for background mortality by age, sex, and calendar year. We report age-specific and age-standardised relative survival at 1 and 5 years, and 5-year survival conditional on survival to the first anniversary of diagnosis. We also examined incidence and mortality trends during 1985–2005. Findings Relative survival improved during 1995–2007 for all four cancers in all jurisdictions. Survival was persistently higher in Australia, Canada, and Sweden, intermediate in Norway, and lower in Denmark, England, Northern Ireland, and Wales, particularly in the first year after diagnosis and for patients aged 65 years and older. International differences narrowed at all ages for breast cancer, from about 9% to 5% at 1 year and from about 14% to 8% at 5 years, but less or not at all for the other cancers. For colorectal cancer, the international range narrowed only for patients aged 65 years and older, by 2–6% at 1 year and by 2–3% at 5 years. Interpretation Up-to-date survival trends show increases but persistent differences between countries. Trends in cancer incidence and

Lowering the UK domestic radon Action Level to prevent more lung cancers-is it cost-effective?

International Nuclear Information System (INIS)

Denman, A R; Groves-Kirkby, C J; Coskeran, T; Phillips, P S; Crockett, R G M; Tornberg, R

2008-01-01

Case studies have shown that radon gas can accumulate within domestic properties at sufficiently high levels that it can cause lung cancer, and recent studies have suggested that this risk remains significant below the UK domestic Action Level of 200 Bq m -3 . Raised radon levels can be reduced by engineering measures, and it has been shown that domestic radon remediation programmes in UK Affected Areas can result in reduced risks to the population and can be cost-effective. We consider here the benefits and costs of the domestic radon remediation programme in Northamptonshire, UK, and consider the implications for that programme of reducing the UK Action Level below its present value. A radon remediation programme based on an Action Level above 200 Bq m -3 will cost less and will target those most at risk, but will be less cost-effective and will lead to higher residual dose and greater risk of cancer in the remaining population. Reducing the Action Level below 200 Bq m -3 will prevent more cancers, but at significantly higher cost. It will also be less cost-effective, because remediation of a significant number of houses with moderate radon levels will provide only a modest health benefit to occupants. Overall, a completed radon remediation programme of the type implemented in Northamptonshire is most cost-effective for an Action Level between 200 and 300 Bq m -3 . The implications for future health policy are discussed

Germany (Federal Republic). Ministry of the Interior. Order on protection against damage due to ionising radiation. Radiation Protectin Order. StrlSchV 20 Oct. 1976

International Nuclear Information System (INIS)

1977-02-01

The order is arranged in parts, entitled: introductory provisions; control provisions (handling radioactive matter, the carriage of radioactive matter, the import and export of radioactive matter, the construction and operation of installation for generating ionising radiation, employees and other persons working under supervision, design approval); safety regulations (general regulations, protection of the population and the environment against the hazards of ionising radiation, occupational exposure to radiation, radiation protection areas, physical protection and control, medical supervision, instruments for measuring radiation, other safety regulations); fines; and final provisions. (U.K.)

Double income tax between UK and US, 1914-1945 – Impact on UK multinationals

OpenAIRE

Izawa, Ryo

2015-01-01

Tax rates on business income in many countries increased enormously during World War I and stayed at a much higher level than before the war. Particularly, the UK multinationals with subsidiaries based elsewhere other than the Empire suffered from the situation because the UK did not provide a foreign tax relief until 1945, when a tax treaty with US was signed. The aim of this paper is to clarify the historical premises of establishment of the tax treaty in 1945. The major premise of this pap...

Cyberfraud and the implications for effective risk-based responses: themes from UK research

OpenAIRE

Levi, Michael; Doig, Alan; Gundur, Rajeev; Wall, David; Williams, Matthew

2017-01-01

The nature of the risk or threat posed by ‘cyberfraud’ - fraud with a cyber dimension – is examined empirically based on data reported by the public and business to Action Fraud. These are used to examine the implications for a more effective risk-based response, both by category of fraud and also responding to cyberfraud generally, not just in the UK. A key characteristics of cyberfraud is that it can be globalised, unless there are major national differences in attractiveness of targets or ...

Do variations in blood pressures of South Asian, African and Chinese descent children reflect those of the adult populations in the UK? A review of cross-sectional data

NARCIS (Netherlands)

Agyemang, C.; Bhopal, R.; Bruijnzeels, M.

2004-01-01

The objective of this study was to assess whether variations in BP in children of UK ethnic minority populations correspond to those seen in adults. A systematic literature review was carried out using MEDLINE 1966-2003 and EMBASE 1980-2003, supplemented by correspondence with expert informants, and

Providing Radiation Protection Experts in the United Kingdom

International Nuclear Information System (INIS)

Partington, C.; Owen, D.

2004-01-01

The EEC Directive on Qualified Experts in Radiation Protection has been implemented in the United Kingdom by the Ionising Radiations Regulations 1999 (IRR99). These Regulations require Radiation Employers to appoint suitable Radiation Protection Advisers (RPA) who must be consulted in certain circumstances when starting work with, or using ionising radiations. Radiation Protection Advisers have to have a current certificate of competence and, to gain one of these, must have demonstrated their competence in one of two ways either by achieving a National Vocational Qualification in Radiation Protection Practice or by being Certificated by an Assessing Body. Assessing Bodies have to be recognised by the Health and Safety Executive, who undertake a rigorous assessment process to determine whether the proposed Assessing Body is fit to undertake RPA Assessments. By July 2003, only two such Assessing Bodies had been approved in the UK. These two Assessing Bodies are ? RPA 2000 a company established by the four leading Radiation Protection Professional Societies in the UK for assessing anyone in the UK as Radiation Protection Advisers, And ? BNFL established by BNFL to assess the competence of BNFL's own Radiation Protection Advisers. This paper will describe the standards against which Radiation Protection Advisers are assessed, the manner in which each of these two Assessing Bodies carry out the assessment process and their experience to date. The way in which Radiation Employers carry out the appointment process will also be described. Potential future developments of the Assessment Process and standards will also be discussed. (Author)

Rising burden of gout in the UK but continuing suboptimal management: a nationwide population study

Science.gov (United States)

Kuo, Chang-Fu; Grainge, Matthew J; Mallen, Christian; Zhang, Weiya; Doherty, Michael

2015-01-01

Objectives To describe trends in the epidemiology of gout and patterns of urate-lowering treatment (ULT) in the UK general population from 1997 to 2012. Methods We used the Clinical Practice Research Datalink to estimate the prevalence and incidence of gout for each calendar year from 1997 to 2012. We also investigated the pattern of gout management for both prevalent and incident gout patients. Results In 2012, the prevalence of gout was 2.49% (95% CI 2.48% to 2.51%) and the incidence was 1.77 (95% CI 1.73 to 1.81) per 1000 person-years. Prevalence and incidence both were significantly higher in 2012 than in 1997, with a 63.9% increase in prevalence and 29.6% increase in incidence over this period. Regions with highest prevalence and incidence were the North East and Wales. Among prevalent gout patients in 2012, only 48.48% (95% CI 48.08% to 48.89%) were being consulted specifically for gout or treated with ULT and of these 37.63% (95% CI 37.28% to 38.99%) received ULT. In addition, only 18.6% (95% CI 17.6% to 19.6%) of incident gout patients received ULT within 6 months and 27.3% (95% CI 26.1% to 28.5%) within 12 months of diagnosis. The management of prevalent and incident gout patients remained essentially the same during the study period, although the percentage of adherent patients improved from 28.28% (95% CI 27.33% to 29.26%) in 1997 to 39.66% (95% CI 39.11% to 40.22%) in 2012. Conclusions In recent years, both the prevalence and incidence of gout have increased significantly in the UK. Suboptimal use of ULT has not changed between 1997 and 2012. Patient adherence has improved during the study period, but it remains poor. PMID:24431399

EU protected area network did not prevent a country wide population decline in a threatened grassland bird

Directory of Open Access Journals (Sweden)

João P. Silva

2018-01-01

Full Text Available Background Few studies have assessed the effectiveness of the Protected Area networks on the conservation status of target species. Here, we assess the effectiveness of the Portuguese Natura 2000 (the European Union network of protected areas in maintaining a species included in the Annex I of the Bird Directive, namely the population of a priority farmland bird, the little bustard Tetrax tetrax. Methods We measured the effectiveness of the Natura 2000 by comparing population trends across time (2003–2006 and 2016 in 51 areas, 21 of which within 12 Special Protection Areas (SPA that were mostly designated for farmland bird conservation and another 30 areas without EU protection. Results Overall, the national population is estimated to have declined 49% over the last 10–14 years. This loss was found to be proportionally larger outside SPA (64% decline compared to losses within SPA (25% decline. However, the absolute male density decline was significantly larger within SPA . Discussion In spite of holding higher population densities and having prevented habitat loss, we conclude that Natura 2000 was not effective in buffering against the overall bustard population decline. Results show that the mere designation of SPA in farmland is not enough to secure species populations and has to be combined with agricultural policies and investment to maintain not only habitat availability but also habitat quality.

EU protected area network did not prevent a country wide population decline in a threatened grassland bird.

Science.gov (United States)

Silva, João P; Correia, Ricardo; Alonso, Hany; Martins, Ricardo C; D'Amico, Marcello; Delgado, Ana; Sampaio, Hugo; Godinho, Carlos; Moreira, Francisco

2018-01-01

Few studies have assessed the effectiveness of the Protected Area networks on the conservation status of target species. Here, we assess the effectiveness of the Portuguese Natura 2000 (the European Union network of protected areas) in maintaining a species included in the Annex I of the Bird Directive, namely the population of a priority farmland bird, the little bustard Tetrax tetrax . We measured the effectiveness of the Natura 2000 by comparing population trends across time (2003-2006 and 2016) in 51 areas, 21 of which within 12 Special Protection Areas (SPA) that were mostly designated for farmland bird conservation and another 30 areas without EU protection. Overall, the national population is estimated to have declined 49% over the last 10-14 years. This loss was found to be proportionally larger outside SPA (64% decline) compared to losses within SPA (25% decline). However, the absolute male density decline was significantly larger within SPA . In spite of holding higher population densities and having prevented habitat loss, we conclude that Natura 2000 was not effective in buffering against the overall bustard population decline. Results show that the mere designation of SPA in farmland is not enough to secure species populations and has to be combined with agricultural policies and investment to maintain not only habitat availability but also habitat quality.

Is EU/EEA population protected from polio?

Science.gov (United States)

Nijsten, Dre; Carrillo-Santisteve, P; Miglietta, A; Ruitenberg, J; Lopalco, P L

2015-01-01

The WHO European Region has been declared polio-free since 2002. By 2010, inactivated polio vaccine (IPV) was the only polio vaccine in use in the EU/EEA for the primary vaccination of children. A systematic review of the literature on polio seroprevalence studies, complemented by the analysis of available vaccine coverage data, has been carried out with the aim of assessing the level of protection against polio in the European population. A total of 52 studies, with data from 14 out of the 31 EU/EEA countries, were included in the analysis. This systematic review shows that, overall, seroprevalence for PV1 and PV3 is high in most countries, although seroimmunity gaps have been detected in several birth cohorts. In particular, relatively low immunity status was found in some countries for individuals born in the 60's and 70's. Discrepancies between reported vaccination coverage and immunity levels have been also highlighted. Countries should make sure that their population is being vaccinated for polio to reduce the risk of local poliovirus transmission in case of importation. Moreover, assessing immunity status should be priority for those traveling to areas where wild polioviruses are still circulating.

Organisation and tasks concerning population protection in nuclear accident

Energy Technology Data Exchange (ETDEWEB)

Nikolov, N [Civil Defence Administration, Sofia (Bulgaria)

1996-12-31

The structure and the scope of activities of Civil Defense Administration of Bulgaria are briefly outlined. Protection of general public in the case of nuclear accident will be provided according to a special off-site emergency plan. The plan is based on results of research and development approved by the permanent commission for public protection. 3 refs.

Organisation and tasks concerning population protection in nuclear accident

International Nuclear Information System (INIS)

Nikolov, N.

1995-01-01

The structure and the scope of activities of Civil Defense Administration of Bulgaria are briefly outlined. Protection of general public in the case of nuclear accident will be provided according to a special off-site emergency plan. The plan is based on results of research and development approved by the permanent commission for public protection. 3 refs

Primary care: choices and opportunities for racial/ethnic minority populations in the USA and UK--a comparative analysis.

Science.gov (United States)

Smith, M B

1999-08-01

This paper examines and compares the choices made and the opportunities provided by the United States and the United Kingdom in delivering primary care services to their racial/ethnic minority populations. While both nations agree that the most effective strategy for health service delivery to a diverse population lies in primary care, their approaches to obtaining this goal have been quite different. Sociological theories of functionalism and conflict perspective provide the analytical and organizing framework of the paper. Within this theoretical context, the health systems in place in each country are examined as an outgrowth of the larger socio-political, economic and cultural structures of the US and UK. Analysis of the advance of managed care in the US and the recent NHS reforms are also discussed in terms of lessons learned and the difficulties that lay ahead in order to ensure that these new developments contribute significantly to eliminating the disproportionately worse health status of racial ethnic minorities. Towards that goal the paper identifies opportunities for collaboration and specific recommendations for future action by both countries.

Who thinks what about e-cigarette regulation? A content analysis of UK newspapers.

Science.gov (United States)

Patterson, Chris; Hilton, Shona; Weishaar, Heide

2016-07-01

To establish how frequently different types of stakeholders were cited in the UK media debate about e-cigarette regulation, their stances towards different forms of e-cigarette regulation, and what rationales they employed in justifying those stances. Quantitative and qualitative content analyses of 104 articles about e-cigarette regulation published in eight UK and three Scottish national newspapers between 1 January 2013 and 31 December 2014. Reporting on e-cigarette regulation grew significantly (P e-cigarette regulation greatly outnumbered arguments against regulation. Regulating purchasing age, restricting marketing and regulating e-cigarettes as medicine were broadly supported, while stakeholders disagreed about prohibiting e-cigarette use in enclosed public spaces. In rationalizing their stances, supporters of regulation cited child protection and concerns about the safety of e-cigarette products, while opponents highlighted the potential of e-cigarettes in tobacco cessation and questioned the evidence base associating e-cigarette use with health harms. In the UK between 2013 and 2014, governments and tobacco control advocates frequently commented on e-cigarettes in UK-wide and Scottish national newspapers. Almost all commentators supported e-cigarette regulation, but there was disagreement about whether e-cigarette use should be allowed in enclosed public spaces. This appeared to be linked to whether commentators emphasized the harms of vapour and concerns about renormalizing smoking or emphasized the role of e-cigarettes as a smoking cessation aid. © 2016 The Authors. Addiction published by John Wiley & Sons Ltd on behalf of Society for the Study of Addiction.

The environmental management of oil tanker routes in UK waters

Energy Technology Data Exchange (ETDEWEB)

Owen, J. [University of Wales, Cardiff (United Kingdom). Dept. of Maritime Studies and International Transport

1999-09-01

The recent Haven, Aegean Sea and Sea Empress incidents have highlighted the need for protective measures against the risks posed by the shipping industry to the UK coast. This is particularly the case in the vicinity of environmentally sensitive areas. The principal objectives of this paper are to investigate the state of environmental management of tanker traffic in the UK by putting the geography of shipping into its environmental context. Regional traffic levels, accident rates, oil spills, and their potential consequences upon the environment have been summarised via a risk assessment which also considers coastal sensitivity. An assessment of measures available at international level then sets the scene for a review of marine traffic management schemes in operation around the UK. The state of management and its approaches are also discussed and a number of recommendations put forward during marine conferences in the last twelve months are considered.

The environmental management of oil tanker routes in UK waters

International Nuclear Information System (INIS)

Owen, J.

1999-01-01

The recent Haven, Aegean Sea and Sea Empress incidents have highlighted the need for protective measures against the risks posed by the shipping industry to the UK coast. This is particularly the case in the vicinity of environmentally sensitive areas. The principal objectives of this paper are to investigate the state of environmental management of tanker traffic in the UK by putting the geography of shipping into its environmental context. Regional traffic levels, accident rates, oil spills, and their potential consequences upon the environment have been summarised via a risk assessment which also considers coastal sensitivity. An assessment of measures available at international level then sets the scene for a review of marine traffic management schemes in operation around the UK. The state of management and its approaches are also discussed and a number of recommendations put forward during marine conferences in the last twelve months are considered

Revisiting the symptom iceberg in today's primary care: results from a UK population survey

Directory of Open Access Journals (Sweden)

Hannaford Philip C

2011-04-01

Full Text Available Abstract Background Recent changes in UK primary care have increased the range of services and healthcare professionals available for advice. Furthermore, the UK government has promoted greater use of both self-care and the wider primary care team for managing symptoms indicative of self-limiting illness. We do not know how the public has been responding to these strategies. The aim of this study was to describe the current use of different management strategies in the UK for a range of symptoms and identify the demographic, socio-economic and symptom characteristics associated with these different approaches. Methods An age and sex stratified random sample of 8,000 adults (aged 18-60, drawn from twenty general practices across the UK, were sent a postal questionnaire. The questionnaire collected detailed information on 25 physical and psychological symptoms ranging from those usually indicative of minor illness to those which could be indicative of serious conditions. Information on symptom characteristics, actions taken to manage the symptoms and demographic/socio-economic details were also collected. Results Just under half of all symptoms reported resulted in respondents doing nothing at all. Lay-care was used for 35% of symptoms and primary care health professionals were consulted for 12% of symptoms. OTC medicine use was the most common lay-care strategy (used for 25% of all symptom episodes. The GP was the most common health professional consulted (consulted for 8% of all symptom episodes while use of other primary care health professionals was very small (each consulted for less than 2% of symptom episodes. The actions taken for individual symptoms varied substantially although some broad patterns emerged. Symptom characteristics (in particular severity, duration and interference with daily life were more commonly associated with actions taken than demographic or socio-economic characteristics. Conclusion While the use of lay-care was

UK Renal Registry 15th annual report: Chapter 5 survival and causes of death of UK adult patients on renal replacement therapy in 2011: national and centre-specific analyses.

Science.gov (United States)

Steenkamp, Retha; Shaw, Catriona; Feest, Terry

2013-01-01

These analyses examine a) survival from the start of renal replacement therapy (RRT) based on the total incident UK RRT population reported to the UK Renal Registry, b) survival of prevalent patients. Changes in survival between 1997 and 2011 are also reported. Survival was calculated for both incident and prevalent patients on RRT and compared between the UK countries after adjustment for age. Survival of incident patients (starting RRT during 2010) was calculated both from the start of RRT and from 90 days after starting RRT, both with and without censoring at transplantation. Prevalent dialysis patients were censored at transplantation; this means that the patient is considered alive up to the point of transplantation, but the patient's status post-transplant is not considered. Both Kaplan-Meier and Cox adjusted models were used to calculate survival. Causes of death were analysed for both groups. The relative risk of death was calculated compared with the general UK population. The unadjusted 1 year after 90 day survival for patients starting RRT in 2010 was 87.3%, representing an increase from the previous year (86.6%). In incident patients aged 18-64 years, the unadjusted 1 year survival had risen from 86.0% in patients starting RRT in 1997 to 92.6% in patients starting RRT in 2010 and for those aged ≥65 it had increased from 63.9% to 77.0% over the same period. The age-adjusted one year survival (adjusted to age 60) of prevalent dialysis patients increased from 88.1% in the 2001 cohort to 89.8% in the 2010 cohort. Prevalent diabetic patient one year survival rose from 82.1% in the 2002 cohort to 84.7% in the 2010 cohort. The age-standardised mortality ratio for prevalent RRT patients compared with the general population was 18 for age group 30-34 and 2.5 at age 85+ years. In the prevalent RRT dialysis population, cardiovascular disease accounted for 22% of deaths, infection and treatment withdrawal 18% each and 25% were recorded as other causes of death

Population connectivity and the effectiveness of marine protected areas to protect vulnerable, exploited and endemic coral reef fishes at an endemic hotspot

KAUST Repository

Van Der Meer, Martin H.

2014-12-23

Marine protected areas (MPAs) aim to mitigate anthropogenic impacts by conserving biodiversity and preventing overfishing. The effectiveness of MPAs depends on population connectivity patterns between protected and non-protected areas. Remote islands are endemism hotspots for coral reef fishes and provide rare examples of coral reefs with limited fishing pressure. This study explored population genetic connectivity across a network of protected and non-protected areas for the endemic wrasse, Coris bulbifrons, which is listed as “vulnerable” by the IUCN due to its small, decreasing geographic range and declining abundance. Mitochondrial DNA (mtDNA) and microsatellite DNA (msatDNA) markers were used to estimate historic and contemporary gene flow to determine the level of population self-replenishment and to measure genetic and genotypic diversity among all four locations in the species range (south-west Pacific Ocean)—Middleton Reef (MR), Elizabeth Reef (ER), Lord Howe Island (LHI) and Norfolk Island (NI). MPAs exist at MR and LHI and are limited or non-existent at ER and NI, respectively. There was no obvious differentiation in mtDNA among locations, however, msatDNA revealed differentiation between the most peripheral (NI) and all remaining locations (MR, ER and LHI). Despite high mtDNA connectivity (M = 259–1,144), msatDNA connectivity was limited (M = 3–9) with high self-replenishment (68–93 %) at all locations. NI is the least connected and heavily reliant on self-replenishment, and the absence of MPAs at NI needs to be rectified to ensure the persistence of endemic species at this location. Other endemic fishes exhibit similar patterns of high self-replenishment across the four locations, indicating that a single spatial management approach consisting of a MPA network protecting part of each location could provide reasonable protection for these species. Thus, the existing network of MPAs at this endemic hotspot appears adequate at some locations

Phosphorus-32: practical radiation protection

International Nuclear Information System (INIS)

Ballance, P.E.; Morgan, J.

1987-01-01

This monograph offers practical advice to Radiation Protection Advisors, Radiation Protection Supervisors and Research Supervisors, together with research workers, particularly those in the field of molecular biological research. The subject is dealt with under the following headings: physical properties, radiation and measurement methods, radiation units, phosphorus metabolism and health risks, protection standards and practical radiation protection, administrative arrangements, accidents, decontamination, emergency procedures, a basic written system for radiochemical work, with specialised recommendations for 32 P, and guidance notes of accident situations involving 32 P. (U.K.)

Scoring the Icecap-A Capability Instrument. Estimation of a UK General Population Tariff†

Science.gov (United States)

Flynn, Terry N; Huynh, Elisabeth; Peters, Tim J; Al-Janabi, Hareth; Clemens, Sam; Moody, Alison; Coast, Joanna

2015-01-01

This paper reports the results of a best–worst scaling (BWS) study to value the Investigating Choice Experiments Capability Measure for Adults (ICECAP-A), a new capability measure among adults, in a UK setting. A main effects plan plus its foldover was used to estimate weights for each of the four levels of all five attributes. The BWS study was administered to 413 randomly sampled individuals, together with sociodemographic and other questions. Scale-adjusted latent class analyses identified two preference and two (variance) scale classes. Ability to characterize preference and scale heterogeneity was limited, but data quality was good, and the final model exhibited a high pseudo-r-squared. After adjusting for heterogeneity, a population tariff was estimated. This showed that ‘attachment’ and ‘stability’ each account for around 22% of the space, and ‘autonomy’, ‘achievement’ and ‘enjoyment’ account for around 18% each. Across all attributes, greater value was placed on the difference between the lowest levels of capability than between the highest. This tariff will enable ICECAP-A to be used in economic evaluation both within the field of health and across public policy generally. © 2013 The Authors. Health Economics published by John Wiley & Sons Ltd. PMID:24254584

Ethical, legal and professional issues arising from social media coverage by UK Helicopter Emergency Medical Services.

Science.gov (United States)

Steele, Sarah; Adcock, Christopher; Steel, Alistair

2016-01-01

Social media (SoMe) are gaining increasing acceptance among, and use by, healthcare service deliverers and workers. UK Helicopter Emergency Medical Services (HEMS) use SoMe to deliver service information and to fundraise, among other purposes. This article examines UK HEMS use of SoMe between January and February 2014 to determine the extent of adoption and to highlight trends in use. The database of the Association of Air Ambulances, crosschecked with UK Emergency Aviation, was used to identify flying, charitable UK HEMS. This search identified 28 UK HEMS, of which 24 services met the criteria for selection for review. Using information harvested from the public domain, we then systematically documented SoMe use by the services. SoMe use by UK HEMS is extensive but not uniform. All selected UK HEMS maintained websites with blogs, as well as Facebook, Twitter, Wikipedia and JustGiving profiles, with the majority of services using Ebay for Charity, LinkedIn and YouTube. Some HEMS also held a presence on Pinterest, Google+, Instagram and Flickr, with a minority of services maintaining their own Rich Site Summary (RSS) feed. The SoMe adopted, while varied, allowed for increased, and different forms of, information delivery by HEMS to the public, often in real time. Such use, though, risks breaching patient confidentiality and data protection requirements, especially when information is viewed cumulatively across platforms. There is an urgent need for the continued development of guidance in this unique setting to protect patients while UK HEMS promote and fundraise for their charitable activities. 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/

Implementation of the CEC Directive on patient protection

International Nuclear Information System (INIS)

Harris, M.A.

1986-01-01

A report on a lecture given on the implementation in the UK of the CEC Directive on patient protection is given. After outlining the history of legislation on the medical uses of ionizing radiations, the current Directive and the Department of Health and Social Security's specific proposals to meet its requirements are presented. (UK)

Second study of UK nuclear test participants

International Nuclear Information System (INIS)

Darby, S.; Doll, R.; Kendall, G.

1994-01-01

A second epidemiological analysis of mortality and cancer incidence in UK participants in the UK atmospheric nuclear tests and associated experimental programmes has provided broadly reassuring results. Overall death rates in test participants are lower than those in the general population and similar to those in a closely matched control group. Observations in the extended period of follow-up suggest that the excess of multiple myeloma seen in the first analysis was a chance finding. The extended follow-up does not provide any new evidence to support the finding of apparent excess of leukaemia found in the first analysis. However, the possibility that test participation may have caused a small risk of leukaemia in the early years after the tests cannot be ruled out. (author)

Evolving trauma and orthopedics training in the UK.

Science.gov (United States)

Inaparthy, Praveen K; Sayana, Murali K; Maffulli, Nicola

2013-01-01

The ever-growing population of the UK has resulted in increasing demands on its healthcare service. Changes have been introduced in the UK medical training system to avoid loss of training time and make it more focused and productive. Modernizing medical careers (MMC) was introduced in 2005. This promised to reduce the training period for a safe trauma specialist, in trauma and orthopedics, to 10 years. At around the same time, the European Working Time Directive (EWTD) was introduced to reduce the working hours for junior doctors in training, to improve patient safety and also work-life balance of junior doctors. Introduction of the assessment tools from Orthopedic Competency assessment project (OCAP) will help tailor the training according to the needs of the trainee. The aim of this article is to review the changes in the UK orthopedic surgical training over the past two decades. Copyright © 2012 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.

Simulation to aid in interpreting biological relevance and setting of population-level protection goals for risk assessment of pesticides.

Science.gov (United States)

Topping, Christopher John; Luttik, Robert

2017-10-01

Specific protection goals (SPGs) comprise an explicit expression of the environmental components that need protection and the maximum impacts that can be tolerated. SPGs are set by risk managers and are typically based on protecting populations or functions. However, the measurable endpoints available to risk managers, at least for vertebrates, are typically laboratory tests. We demonstrate, using the example of eggshell thinning in skylarks, how simulation can be used to place laboratory endpoints in context of population-level effects as an aid to setting the SPGs. We develop explanatory scenarios investigating the impact of different assumptions of eggshell thinning on skylark population size, density and distribution in 10 Danish landscapes, chosen to represent the range of typical Danish agricultural conditions. Landscape and timing of application of the pesticide were found to be the most critical factors to consider in the impact assessment. Consequently, a regulatory scenario of monoculture spring barley with an early spray treatment eliciting the eggshell thinning effect was applied using concentrations eliciting effects of zero to 100% in steps of 5%. Setting the SPGs requires balancing scientific, social and political realities. However, the provision of clear and detailed options such as those from comprehensive simulation results can inform the decision process by improving transparency and by putting the more abstract testing data into the context of real-world impacts. Copyright © 2017 Elsevier Inc. All rights reserved.

Goal setting practice in services delivering community-based stroke rehabilitation: a United Kingdom (UK) wide survey.

Science.gov (United States)

Scobbie, Lesley; Duncan, Edward A; Brady, Marian C; Wyke, Sally

2015-01-01

We investigated the nature of services providing community-based stroke rehabilitation across the UK, and goal setting practice used within them, to inform evaluation of a goal setting and action planning (G-AP) framework. We designed, piloted and electronically distributed a survey to health professionals working in community-based stroke rehabilitation settings across the UK. We optimised recruitment using a multi-faceted strategy. Responses were analysed from 437 services. Services size, composition and input was highly variable; however, most were multi-disciplinary (82%; n = 335/407) and provided input to a mixed diagnostic group of patients (71%; n = 312/437). Ninety one percent of services (n = 358/395) reported setting goals with "all" or "most" stroke survivors. Seventeen percent (n = 65/380) reported that no methods were used to guide goal setting practice; 47% (n = 148/315) reported use of informal methods only. Goal setting practice varied, e.g. 98% of services (n = 362/369) reported routinely asking patients about goal priorities; 39% (n = 141/360) reported routinely providing patients with a copy of their goals. Goal setting is embedded within community-based stroke rehabilitation; however, practice varies and is potentially sub-optimal. Further evaluation of the G-AP framework is warranted to inform optimal practice. Evaluation design will take account of the diverse service models that exist. Implications for Rehabilitation Community-based stroke rehabilitation services across the UK are diverse and tend to see a mixed diagnostic group of patients. Goal setting is implemented routinely within community-based stroke rehabilitation services; however, practice is variable and potentially sub-optimal. Further evaluation of the G-AP framework is warranted to assess its effectiveness in practice.

Sun-protective behaviors in populations at high risk for skin cancer

Science.gov (United States)

Diao, Diana Y; Lee, Tim K

2014-01-01

Over 3 million new cases of skin cancer are diagnosed in the US annually. Melanoma, a subtype of skin cancer that can be fatal if the disease is not detected and treated at an early stage, is the most common cancer for those aged 25–29 years and the second most common cancer in adolescents and young adults aged 15–29 years. The primary carcinogen for the genesis of skin cancers is ultraviolet light from solar radiation and tanning beds. In spite of massive health campaigns to raise public awareness on ultraviolet radiation, sun-protective practices still fall behind. A plausible explanation is the lack of behavioral change in the populations at risk; in this review article, we examine sun-protective behavior in the four high-risk skin cancer groups: skin cancer survivors, individuals with a family history of melanoma, individuals with physical characteristics associated with skin cancer risk, and organ transplantation patients. Findings in the literature demonstrate that increased knowledge and awareness does not consequently translate into behavioral changes in practice. Behavior can differ as a result of different attitudes and beliefs, depending on the population at risk. Thus, intervention should be tailored to the population targeted. A multidisciplinary health team providing consultation and education is required to influence these much needed changes. PMID:24379732

UK standards for exposure to radon daughters in dwellings

International Nuclear Information System (INIS)

Webb, G.A.M.; O'Riordan, M.C.

1988-01-01

The National Radiological Protection Board has issued formal advice on the standards to be adopted in the UK for control of exposures to radon daughters in existing dwellings and for changes in building procedures for future dwellings. The standards are based on those recommended by the International Commission on Radiological Protection but adapted to circumstances in the United Kingdom. The matters taken into account by the Board when formulating its advice include the conversion from measured concentrations of radon to effective dose equivalent and the implied levels of risk, the comparison of these levels with risks from other causes, the numbers of dwellings in which various annual doses are likely to be exceeded, the geographical distribution of these dwellings, the likely costs and effectiveness of various remedial measures and the degree of domestic disruption. The action level for existing dwellings selected by the Board was the same, 20 mSv per annum, as that recommended by the ICRP, but the upper bound for new dwellings of 5 mSv per annum was lower than that suggested by the ICRP

Fuelling expectations: A policy-promise lock-in of UK biofuel policy

International Nuclear Information System (INIS)

Berti, Pietro; Levidow, Les

2014-01-01

Controversy over EU-wide biofuel policy resonated within the UK, fuelling policy disagreements among UK public authorities. They disagreed over how to protect a space for future second-generation biofuels, which were expected to overcome harm from first-generation biofuels. The UK government defended rising targets for available biofuels as a necessary stimulus for industry to help fulfil the UK's EU obligations and eventually develop second-generation biofuels. By contrast, Parliamentary Select Committees opposed biofuel targets on grounds that these would instead lock-in first-generation biofuels, thus delaying or pre-empting second-generation biofuels. Those disagreements can be explained by different institutional responsibilities and reputational stakes towards ‘promise-requirement cycles’, whereby techno-optimistic promises generate future requirements for the actors involved. The UK government's stance illustrates a ‘policy-promise lock-in’, a dilemma whereby promised support is a requirement for credibility towards technology innovators and thus technoscientific development – but may delay the redirection of support from incumbent to preferable emerging technologies. Thus the sociology of expectations – previously applied to technological expectations from technology innovators – can be extended to analyse public authorities. - Highlights: • Controversy over EU-wide biofuel policy resonated within the UK. • At issue was how to stimulate future 2nd-generation biofuels. • The government defended targets for 1st-generation as necessary to stimulate industry. • Parliamentary Committees opposed biofuel targets as locking in 1st-generation. • The UK government′s stance illustrates a ‘policy-promise lock-in’

Census 2012 Core Based Statistical Area (CBSAs) Polygons with Population Estimates, US EPA Region 9, 2014, USCB

Data.gov (United States)

U.S. Environmental Protection Agency — Core Based Statistical Areas (CBSAs) from the US Census Bureau's TIGER files download website, joined with 2014 population estimate data downloaded from the US...

EUROCOURSE recipe for cancer surveillance by visible population-based cancer RegisTrees in Europe: From roots to fruits.

Science.gov (United States)

Coebergh, Jan Willem; van den Hurk, Corina; Louwman, Marieke; Comber, Harry; Rosso, Stefano; Zanetti, Roberto; Sacchetto, Lidia; Storm, Hans; van Veen, Evert-Ben; Siesling, Sabine; van den Eijnden-van Raaij, Janny

2015-06-01

Currently about 160 population-based cancer registries (CRs) in Europe have extensive experience in generating valid information on variation in cancer risk and survival with time and place. Most CRs cover all cancers, but some are confined to specific cancers or to children. They cover 15-55% of the populations in all of the larger member states of the European Union (EU), except the United Kingdom (UK), and 100% coverage in 80% of those with populations below 20 million. The EU FP 7 EUROCOURSE project, which operated in 2009-2013, explored the essential role of CRs in cancer research and public health, and also focused attention on their programme owners (POs) and stakeholders (e.g. cancer societies, oncological professionals, cancer patient groups, and planners, providers and evaluators of cancer care and mass screening). Generally, all CRs depended on their regional and/or national oncological context and were increasingly involved in population-based studies of quality of cancer care, long-term prognosis and quality of life, one third being very active. Within the public health domain, CRs, in addition to describing the variety of environmental and lifestyle-related cancer epidemics, have also contributed actively to aetiologic research by a European databases that showed wide discrepancies in cancer risk and survival across the EU, and in more depth by follow-up of cohorts and recruitment for case-control studies. CRs were also actively contributing to independent evaluation of mass screening as an intervention which affects quality of care and cancer mortality. The potential of CRs for clinical evaluation has grown substantially through interaction with clinical stakeholders and more incidentally biobanks, also with greater involvement of patient groups - with a special focus on elderly patients who generally do not take part in clinical trials. Whereas 25-35% of CRs are active in a range of cancer research areas, the rest have a low profile and usually

Collective doses from airborne discharges by the UK nuclear industry

International Nuclear Information System (INIS)

Kelly, G.N.

1981-01-01

Small quantities of radionuclides are discharged in airborne effluents during the normal operation of nuclear installations. The dispersion of these nuclides in the atmosphere and their subsequent transfer through various sectors of the environment leads to the irradiation of the population. The collective dose to the UK population from airborne discharges in one particular year, 1978, from UK nuclear installations is estimated. The discharges in that year are typical of those in the recent past. Consideration is given to the contribution made by each type of establishment (eg, nuclear power stations, reprocessing plants) and the nuclides which contribute significantly to the collective dose are identified. The distributions of the collective dose in time and among individuals in the exposed population are important features in determining the significance attached to it and both aspects are discussed. The collective dose can be used as a measure of the health detriment associated with the discharge practices considered and is one of several quantities to be taken into account in assessing them. The collective doses from airborne discharges are finally contrasted with those from other sources of exposure of the population. (author)

Anemia Offers Stronger Protection Than Sickle Cell Trait Against the Erythrocytic Stage of Falciparum Malaria and This Protection Is Reversed by Iron Supplementation.

Science.gov (United States)

Goheen, M M; Wegmüller, R; Bah, A; Darboe, B; Danso, E; Affara, M; Gardner, D; Patel, J C; Prentice, A M; Cerami, C

2016-12-01

Iron deficiency causes long-term adverse consequences for children and is the most common nutritional deficiency worldwide. Observational studies suggest that iron deficiency anemia protects against Plasmodium falciparum malaria and several intervention trials have indicated that iron supplementation increases malaria risk through unknown mechanism(s). This poses a major challenge for health policy. We investigated how anemia inhibits blood stage malaria infection and how iron supplementation abrogates this protection. This observational cohort study occurred in a malaria-endemic region where sickle-cell trait is also common. We studied fresh RBCs from anemic children (135 children; age 6-24months; hemoglobin Anemia substantially reduced the invasion and growth of both laboratory and field strains of P. falciparum in vitro (~10% growth reduction per standard deviation shift in hemoglobin). The population level impact against erythrocytic stage malaria was 15.9% from anemia compared to 3.5% for sickle-cell trait. Parasite growth was 2.4 fold higher after 49days of iron supplementation relative to baseline (panemia protects African children against falciparum malaria, an effect that is substantially greater than the protection offered by sickle-cell trait. Iron supplementation completely reversed the observed protection and hence should be accompanied by malaria prophylaxis. Lower hemoglobin levels typically seen in populations of African descent may reflect past genetic selection by malaria. National Institute of Child Health and Development, Bill and Melinda Gates Foundation, UK Medical Research Council (MRC) and Department for International Development (DFID) under the MRC/DFID Concordat. Crown Copyright © 2016. Published by Elsevier B.V. All rights reserved.

Radiobiological input to radiation protection standards

International Nuclear Information System (INIS)

Bond, V.P.

1981-01-01

A brief review of the radiobiological data relevant to radiation protection standards is given. In particular the nature of the dose-response relationships for mutagenesis and carcinogenesis in animals and man is discussed with reference to the BEIR 1 1972, the NRC75, the UNSCEAR 77 and the NCRP80 Reports. It was concluded that the linear-no-threshold relationship for mutagenesis and carcinogenesis is too simple and that the relationship is best described by curves of varying slopes depending on the dose rate. By examining the data on the incidence of actual tumour systems in animals and man in relation to radiation dose, it was shown that the relationships developed in the simple Tradescantia single-cell system appear to hold widely throughout radiobiology. In developing radiation protection standards, first animal and human radiobiological data were used in determining an appropriate risk coefficient for late and genetic effects for the human being, and second an appropriate comparison of radiation and other more common risks was used as a basis for setting limits of incidence in the exposed population/individual. (U.K.)

Is Communications a Strategic Activity in UK Education?

Science.gov (United States)

Chapleo, Chris

2006-01-01

This qualitative exploratory paper investigates whether communications/public relations is regarded by opinion formers in UK education as a strategic business activity or a tactical marketing tool. It is based upon depth interviews with 16 senior managers with strategic roles in UK higher or further education, or Government bodies, conducted…

Nuclear power and public acceptance in the UK

International Nuclear Information System (INIS)

Baker, J.W.

1985-01-01

The subject is covered in sections: introduction; UK nuclear experience (experience of the Central Electricity Generating Board; impartial assessment); Sizewell inquiry (into proposal to construct a PWR based plant as Sizewell B; inquiry process; ground covered; economics and safety; project management); public acceptance (sociological studies); long-term programme. (U.K.)

Measuring of physical activity of UK FTVS and Palestra students using IPAQ

OpenAIRE

Hronková, Ilona

2011-01-01

Title: Measuring of physical activity of UK FTVS and Palestra students using IPAQ Aims: - find out the range of physical activity of students from schools mentioned above - compare the results with each other and also with other researches - confirm or disconfirm hypotheses - set down conclusions Methods: questionnaire Results: - students of both schools are highly physically active (in comparison with ordinary population) - UK FTVS students are more active in all kinds of physical activity p...

Ocelot Population Status in Protected Brazilian Atlantic Forest.

Science.gov (United States)

Massara, Rodrigo Lima; Paschoal, Ana Maria de Oliveira; Doherty, Paul Francis; Hirsch, André; Chiarello, Adriano Garcia

2015-01-01

Forest fragmentation and habitat loss are detrimental to top carnivores, such as jaguars (Panthera onca) and pumas (Puma concolor), but effects on mesocarnivores, such as ocelots (Leopardus pardalis), are less clear. Ocelots need native forests, but also might benefit from the local extirpation of larger cats such as pumas and jaguars through mesopredator release. We used a standardized camera trap protocol to assess ocelot populations in six protected areas of the Atlantic forest in southeastern Brazil where over 80% of forest remnants are forest cover, number of free-ranging domestic dogs and presence of top predators. Ocelot abundance was positively correlated with reserve size and the presence of top predators (jaguar and pumas) and negatively correlated with the number of dogs. We also found higher detection probabilities in less forested areas as compared to larger, intact forests. We suspect that smaller home ranges and higher movement rates in smaller, more degraded areas increased detection. Our data do not support the hypothesis of mesopredator release. Rather, our findings indicate that ocelots respond negatively to habitat loss, and thrive in large protected areas inhabited by top predators.

Trends in skin cancer knowledge, sun protection practices and behaviours in the Northern Ireland population.

Science.gov (United States)

Gavin, Anna; Boyle, Rhonda; Donnelly, David; Donnelly, Conan; Gordon, Sandra; McElwee, Gerry; O'Hagan, Art

2012-06-01

Sun exposure increases risk of skin cancer, especially melanoma, incidence of which continues to rise. Reported skin cancer knowledge and trends in sun care behaviours are documented in a UK region where there has been 20 years of sun-related health promotion campaigns. In 2000, 2004 and 2008, a 'care in the sun' module was included in the Northern Ireland (NI) Omnibus survey. Randomly selected subjects were asked to complete a sun-related questionnaire and proportions of respondents analysed by demographic and socio-economic factors, with differences tested using z-tests and the chi-squared test. Around 3623 persons responded. Skin cancer knowledge was high (97%). Sun avoidance decreased with time and was lowest among younger age groups and males. Sunscreen use was high (70%), unchanged over 8 years, and more likely among younger age groups, females, those in paid employment, and those with tertiary level education. Use of sunscreen with minimum Sun Protection Factor (SPF) 15 (a campaign message) increased from 45% to 70% (P < 0.01). Skin self-examination was infrequent (8%), less common among those aged ≥65 years, males and those with only primary or secondary level education. Messages on sunscreen use have penetrated the population well, but lower use among the unemployed suggests cost as an issue. Lack of sun avoidance in young people, especially men, poses a risk for further skin cancer increases. Low levels of reported skin self-examination in older people, men and those with lower educational attainment identify areas for further action.

The UK Functional Assessment Measure (UK FIM+FAM: Psychometric Evaluation in Patients Undergoing Specialist Rehabilitation following a Stroke from the National UK Clinical Dataset.

Directory of Open Access Journals (Sweden)

Meenakshi Nayar

Full Text Available The UK Functional Assessment Measure (UKFIM+FAM is the principal outcome measure for the UK Rehabilitation Outcomes Collaborative (UKROC national database for specialist rehabilitation. Previously validated in a mixed neurorehabilitation cohort, this study is the first to explore its psychometric properties in a stroke population, and compare left and right hemispheric strokes (LHS vs RHS. We analysed in-patient episode data from 62 specialist rehabilitation units collated through the UKROC database 2010-2013. Complete data were analysed for 1,539 stroke patients (LHS: 588, RHS: 566 with clear localisation. For factor analysis, admission and discharge data were pooled and randomised into two equivalent samples; the first for exploratory factor analysis (EFA using principal components analysis, and the second for confirmatory factor analysis (CFA. Responsiveness for each subject (change from admission to discharge was examined using paired t-tests and differences between LHS and RHS for the entire group were examined using non-paired t-tests. EFA showed a strong general factor accounting for >48% of the total variance. A three-factor solution comprising motor, communication and psychosocial subscales, accounting for >69% total variance, provided acceptable fit statistics on CFA (Root Mean Square Error of Approximation was 0.08 and Comparative Fit Index/ Tucker Lewis Index 0.922/0.907. All three subscales showed significant improvement between admission and discharge (p0.5. Total scores between LHS and RHS were not significantly different. However, LHS showed significantly higher motor scores (Mean 5.7, 95%CI 2.7, 8.6 p<0.001, while LHS had significantly lower cognitive scores, primarily in the communication domain (-6.8 95%CI -7.7, -5.8 p<0.001. To conclude, the UK FIM+FAM has a three-factor structure in stroke, similar to the general neurorehabilitation population. It is responsive to change during in-patient rehabilitation, and distinguishes

Understanding Risk and Protective Factors for Child Maltreatment: The Value of Integrated, Population-Based Data

Science.gov (United States)

Putnam-Hornstein, Emily; Needell, Barbara; Rhodes, Anne E.

2013-01-01

In this article, we argue for expanded efforts to integrate administrative data systems as a "practical strategy" for developing a richer understanding of child abuse and neglect. Although the study of child maltreatment is often critiqued for being atheoretical, we believe that a more pressing concern is the absence of population-based and…

Connecting Palau's marine protected areas: a population genetic approach to conservation

Science.gov (United States)

Cros, Annick; Toonen, Robert J.; Donahue, Megan J.; Karl, Stephen A.

2017-09-01

Bleaching events are becoming more frequent and are projected to become annual in Micronesia by 2040. To prepare for this threat, the Government of Palau is reviewing its marine protected area network to increase the resilience of the reefs by integrating connectivity into the network design. To support their effort, we used high-throughput sequencing of microsatellites to create genotypes of colonies of the coral Acropora hyacinthus to characterize population genetic structure and dispersal patterns that led to the recovery of Palau's reefs from a 1998 bleaching event. We found no evidence of a founder effect or refugium where colonies may have survived to recolonize the reef. Instead, we found significant pairwise F' st values, indicating population structure and low connectivity among most of the 25 sites around Palau. We used kinship to measure genetic differences at the individual level among sites and found that differences were best explained by the degree of exposure to the ocean [ F 1,20 = 3.015, Pr(> F) = 0.01], but with little of the total variation explained. A permutation test of the pairwise kinship coefficients revealed that there was self-seeding within sites. Overall, the data point to the population of A. hyacinthus in Palau recovering from a handful of surviving colonies with population growth primarily from self-seeding and little exchange among sites. This finding has significant implications for the management strategies for the reefs of Palau, and we recommend increasing the number and distribution of management areas around Palau to capture the genetic architecture and increase the chances of protecting potential refuges in the future.

Radiation protection in radionuclide investigations

International Nuclear Information System (INIS)

Taylor, D.M.

1985-01-01

The subject is covered in sections: introduction; radiation and radioactivity; alpha particles; beta particles; neutrons; electromagnetic radiation; units of radioactivity and radiation; biological effects of radiation; the philosophy of radiation protection (ALARA principle); practical aspects of radiation protection; work with unsealed radiation sources; radionuclide studies in experimental animals; radiation safety during clinical investigations; legislative control of radiation work; radioactive waste disposal; emergency procedures; conclusion. (U.K.)

The UK nuclear programme: The Sizewell experience

International Nuclear Information System (INIS)

Salter, W.B.

1990-01-01

The current status of the Sizewell 'B' PWR programme and the effect on it of the proposed privatisation of U.K electricity generation is reviewed. Departures from and additions to the Standard Nuclear Unit Power Plant System (SNUPPS) reference plant design are given. These include Reactor Coolant System overpressure protection and the addition of an Emergency Charging System and an Emergency Boration System. Improvements in monitoring Reactor Coolant System water level during refuelling and maintenance shutdown operations are presented. (author)

Utilization of information communication technology (ICT) - Based training / learning for capacity building in radiation protection framework

International Nuclear Information System (INIS)

Oluyemi, I.O.D.

2008-01-01

Full text: Radiation protection is the science of protecting people and the environment from the harmful effects of ionizing radiation, which includes both particle radiation and high energy electromagnetic radiation. It includes occupational radiation protection, which is the protection of workers; medical radiation protection, which is the protection of patients; and public radiation protection, which is about protection of individual members of the public, and of the population as a whole. ICT has made possible the development of e-learning and several Virtual Learning Environments (VLEs) which can support a wide range of capacity building requirements, ranging from under-graduate and post-graduate programmes, continuing professional development courses, right through to short subject specific and research courses, thereby eliminating the problems of conventional forms of training / learning, some of which are: limited access, cost effectiveness and language / cultural barriers. This paper focuses on the utilization of these ICT-based training / learning for capacity building in radiation protection framework and concludes with suggestions on implementation strategies. (author)

Addressing the knowledge gap: sexual violence and harassment in the UK Armed Forces

OpenAIRE

Godier, Lauren; Fossey, Matt

2017-01-01

Despite media interest in alleged sexual violence and harassment in the UK military, there remains a paucity of UK-based peer-reviewed research in this area. Ministry of Defence and service-specific reports support the suggestion that UK service personnel may be at risk of experiencing sexual harassment. These reports however highlight a reluctance by service personnel to report sexual harassment through official channels. In this article, we discuss the paucity of UK-based research pertainin...

Trends in occupational exposure within the UK civil nuclear industry

International Nuclear Information System (INIS)

Hughes, J.S.

1996-01-01

The UK civil nuclear industry was established in the 1950s and workers in the industry have received occupational radiation exposures since that time. Data on occupational exposures over this period show a reduction in annual doses. This trend was initiated by more restrictive statutory dose limitation requirements, and was achieved by greater emphasis on radiation protection methods. (Author)

Radiological protection criteria for waste management

International Nuclear Information System (INIS)

Hill, M.D.; Webb, G.A.M.

1985-01-01

In this paper the progress being made by international organisations towards the development of a consensus on the radiological protection criteria to be applied to waste management, and in particular waste disposal, is reviewed. Against this background, work on the development of criteria for use in the UK is described. It is concluded that an international consensus is emerging and that the criteria being recommended for use in the UK are consistent with current international views. (author)

Radiological protection criteria for waste management

International Nuclear Information System (INIS)

Hill, M.D.; Webb, G.A.M.

1985-01-01

In this Paper the progress being made by international organizations towards the development of a consensus on the radiological protection criteria to be applied to waste management, and in particular waste disposal, is reviewed. Against this background, work on the development of criteria for use in the UK is described. It is concluded that an international consensus is emerging and that the criteria being recommended for use in the UK are consistent with current international views. (author)

Radiation protection - the employer

International Nuclear Information System (INIS)

Goldfinch, E.

1983-01-01

A brief report is given of a paper presented at the symposium on 'Radiation and the Worker - where do we go from here' in London 1983. The paper concerned the employers' viewpoint on the draft of the proposed Ionising Radiations Regulations in the Health and Safety Commission Consultative Document. It was concluded that there was already a very good standard of radiological protection in the UK and that any improvements could therefore only be fringe improvements, although the cost to the employer of introducing and implementing the new proposed Regulations was bound to be high. (U.K.)

Nuclear and renewable energies, master cards of UK

International Nuclear Information System (INIS)

Anon.

2007-01-01

UK's greenhouse gas emissions have increased in 2004 and 2005 and the country is no longer self-sufficient with respect to energy supplies. In front of global warming and energy security threats, UK is reconsidering its energy policy. Based on low carbon solutions, the UK energy economy tries to valorize renewable energies: recovery of methane, combined combustion of biomass and fossil fuels, development of offshore wind and wave power, etc. One reason is also for UK to locally recover part of its lost autonomy thanks to energy decentralization. Since 2006, public hearings have been launched to consider a renewal of the present nuclear park, a development of offshore gas storage and LNG terminal facilities and a promotion of cogeneration systems. (J.S.)

Radiation protection training in Switzerland

International Nuclear Information System (INIS)

Pfeiffer, H.J.

1999-01-01

An increasing number of radiation protection experts and of professionally exposed workers is temporarily or permanently working in a country other than the one where they received their radiation protection education or training. They all face the problem and the difficulties of recognition of radiation protection training programs by other countries. For this reason the German-Swiss Radiation Protection Association (Fachverband fuer Strahlenschutz; FS) made a proposal to IRPA for an action on the mutual recognition of radiation protection education in Europe. In a first step contacts were made with two other European Associations of France and UK in order to establish a joint working group. (orig.) [de

A preliminary assessment of the consequences for inhabitants of the UK of the Chernobyl accident

International Nuclear Information System (INIS)

Baverstock, K.F.

1986-01-01

The Chernobyl accident resulted in the release of substantial quantities of radioactive material and subsequent increases in environmental radioactivity in many countries. This paper considers the U.K. situation, and from preliminary monitoring measurements, major routes of population exposure are identified and quantified. U.K. exposures are mostly within variations in natural background radiation levels to be found in Europe, except for the thyroid dose likely to have been received by young people in the north of the U.K. From reported measurements of 131 I in milk, it is predicted that thyroid doses up to 10-20 times the annual doses received from 'normal' natural background radiation might have affected young children drinking fresh cows' milk. Ways in which this exposure component could have been reduced and criteria governing decisions as to whether or not to implement counter-measures are discussed. The importance of 131 I in milk as a population exposure route is a common feature with Chernobyl and the 1957 Windscale accident and underlines the importance of milk-producing regions in relation to reactor-siting policy. (UK)

Guideline concerning specialist knowledge of radiological protection

International Nuclear Information System (INIS)

1991-09-01

The regulation is to be applied to licenses according to paragraphs 3, 15, 16, 20, 20a of the Radiation Protection Law, paragraphs 6, 7, 9 of the Atomic Law, to notices according to paragraphs 4, 17 of the Radiation Protection Law as well as in the prospecting, mining and processing of radioactive minerals. It regulates the extent and evidence of the special knowledge required for radiation protection of radiological safety officers and personnel responsible for radiation protection. (UK)

Cost viability of 3D printed house in UK

Science.gov (United States)

Tobi, A. L. Mohd; Omar, S. A.; Yehia, Z.; Al-Ojaili, S.; Hashim, A.; Orhan, O.

2018-03-01

UK has been facing housing crisis due to the rising price of the property on sale. This paper will look into the viability of 3D printing technology as an alternative way for house construction on UK. The analysis will be carried out based on the data until the year of 2014 due to limited resources availability. Details cost breakdown on average size house construction cost in UK were analysed and relate to the cost viability of 3D printing technology in reducing the house price in UK. It is found that the 3D printing generates saving of up to around 35% out of total house price in UK. This cost saving comes from the 3D printed construction of walls and foundations for material and labour cost.

Trait-based analysis of decline in plant species ranges during the 20th century: a regional comparison between the UK and Estonia.

Science.gov (United States)

Laanisto, Lauri; Sammul, Marek; Kull, Tiiu; Macek, Petr; Hutchings, Michael J

2015-02-02

Although the distribution ranges and abundance of many plant species have declined dramatically in recent decades, detailed analysis of these changes and their cause have only become possible following the publication of second- and third-generation national distribution atlases. Decline can now be compared both between species and in different parts of species' ranges. We extracted data from distribution atlases to compare range persistence of 736 plant species common to both the UK and Estonia between survey periods encompassing almost the same years (1969 and 1999 in the UK and 1970 and 2004 in Estonia). We determined which traits were most closely associated with variation in species persistence, whether these were the same in each country, and the extent to which they explained differences in persistence between the countries. Mean range size declined less in Estonia than in the UK (24.3% vs. 30.3%). One-third of species in Estonia (239) maintained >90% of their distribution range compared with one-fifth (141) in the UK. In Estonia, 99 species lost >50% of their range compared with 127 species in the UK. Persistence was very positively related to original range in both countries. Major differences in species persistence between the studied countries were primarily determined by biogeographic (affiliation to floristic element) and ecoevolutionary (plant strategy) factors. In contrast, within-country persistence was most strongly determined by tolerance of anthropogenic activities. Decline of species in the families Orchidaceae and Potamogetonaceae was significantly greater in the UK than in Estonia. Almost all of the 736 common and native European plant species in our study are currently declining in their range due to pressure from anthropogenic activities. Those species with low tolerance of human activity, with biotic pollination vectors and in the families referred to above are the most vulnerable, especially where human population density is high. © 2015

Globalisation and Transnational Teachers: South African Teacher Migration to the UK

Directory of Open Access Journals (Sweden)

Sadhana Manik

2006-06-01

Full Text Available The globalisation of the world markets has paved the way for the movement of people with scarce skills such as teachers across national boundaries with relative ease. This paper focuses on the migration of teachers from South Africa to the UK using a qualitative, ethnographic approach. It argues that there are socio-cultural complexities in the transnational migration of SA teachers. It begins by identifying the reasons for teachers exiting the SA teaching fraternity to work in schools in London in the UK. Teachers’ experiences in the UK schools are then explored. The study revealed that teachers leaving SA had multiple reasons for going abroad. The migration of teachers from SA to the UK was influenced by the declining economic status of teaching as a profession in SA, and global labour market conditions. The majority of the migrant teachers who were interviewed had an existing social network in the UK, either friends or relatives. However, the gravity of teaching in a foreign country without next of kin took its toll and teachers spoke at length of the loneliness of being apart from immediate family. An overwhelming majority of migrant teachers experienced a culture shock in UK classrooms, especially discipline problems. Migrant teachers felt powerless, as UK policies tend to protect children, even if they misbehaved in the classroom. The paper concludes by highlighting the commodification of teachers; those who are able to trade their skills in a global market in return for socio-economic and career gains. The arrival of this breed of teacher is also facilitated by what D. Harvey terms the “time-space compression” of global society.

A survey of UK optometry trainees' smoking cessation training.

Science.gov (United States)

Lorencatto, Fabiana; Harper, Alice M; Francis, Jill J; Lawrenson, John G

2016-07-01

Smoking is a risk factor for a number of eye conditions, including age-related macular degeneration, cataracts and thyroid eye disease. Smoking cessation interventions have been shown to be highly cost-effective when delivered by a range of healthcare professionals. Optometrists are well placed to deliver smoking cessation advice to a wide population of otherwise healthy smokers. Yet optometrists remain a relatively neglected healthcare professional group in smoking cessation research and policy. Surveys of UK medical/nursing schools and of optometrists' training internationally demonstrate significant deficits in current curricular coverage regarding smoking cessation. This study aimed to identify the extent of smoking cessation training in UK optometry trainees' undergraduate and pre-registration training. All undergraduate optometry schools in the UK (n = 9) were invited to participate in a web-based survey of their curricular coverage and assessment related to smoking cessation, and of perceived barriers to delivering smoking cessation training. A content analysis of the College of Optometrists Scheme for Registration Trainee Handbook 2014 was conducted to identify competence indicators related to smoking cessation. Nine undergraduate optometry schools (100%) responded to the survey. The majority reported dedicating limited hours (0-3) to teaching smoking cessation, and predominantly focused on teaching the harmful effects of smoking (89%). Only one school provides practical skills training for delivering evidence-based smoking cessation interventions, including very brief advice. The majority of schools (78%) reported that they did not formally examine students on their knowledge or skills for supporting smoking cessation, and rated confidence in their graduates' abilities to deliver smoking cessation interventions as 'poor' (78%). Lack of knowledge amongst staff was identified as the key barrier to teaching about smoking cessation support. The pre

Grip Strength Is Associated With Cognitive Performance in Schizophrenia and the General Population: A UK Biobank Study of 476559 Participants.

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Firth, Joseph; Stubbs, Brendon; Vancampfort, Davy; Firth, Josh A; Large, Matthew; Rosenbaum, Simon; Hallgren, Mats; Ward, Philip B; Sarris, Jerome; Yung, Alison R

2018-04-19

Handgrip strength may provide an easily-administered marker of cognitive functional status. However, further population-scale research examining relationships between grip strength and cognitive performance across multiple domains is needed. Additionally, relationships between grip strength and cognitive functioning in people with schizophrenia, who frequently experience cognitive deficits, has yet to be explored. Baseline data from the UK Biobank (2007-2010) was analyzed; including 475397 individuals from the general population, and 1162 individuals with schizophrenia. Linear mixed models and generalized linear mixed models were used to assess the relationship between grip strength and 5 cognitive domains (visual memory, reaction time, reasoning, prospective memory, and number memory), controlling for age, gender, bodyweight, education, and geographical region. In the general population, maximal grip strength was positively and significantly related to visual memory (coefficient [coeff] = -0.1601, standard error [SE] = 0.003), reaction time (coeff = -0.0346, SE = 0.0004), reasoning (coeff = 0.2304, SE = 0.0079), number memory (coeff = 0.1616, SE = 0.0092), and prospective memory (coeff = 0.3486, SE = 0.0092: all P reasoning (P > .1). Grip strength is significantly associated with cognitive functioning in the general population and individuals with schizophrenia, particularly for working memory and processing speed. Future research should establish directionality, examine if grip strength also predicts functional and physical health outcomes in schizophrenia, and determine whether interventions which improve muscular strength impact on cognitive and real-world functioning.

The accuracy of surface-contamination measurements; survey of UK hospitals, 1986

International Nuclear Information System (INIS)

Woods, M.J.

1987-01-01

In response to a number of concerns expressed at both national and international levels, the National Physical Laboratory (NPL) conducted a survey of UK hospitals and associated Regional Radiation Protection Services. Sources of surface contamination were distributed and participants were requested to measure these and interpret the relevant responses in terms of emission and activity per unit area. The analysis of the returns demonstrates that the vast majority of results was significantly in error and that the quality of radiation protection may be impaired. (author)

Protection motivation theory and physical activity: a longitudinal test among a representative population sample of Canadian adults.

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Plotnikoff, Ronald C; Rhodes, Ryan E; Trinh, Linda

2009-11-01

The purpose of this study was to examine the Protection Motivation Theory (PMT) to predict physical activity (PA) behaviour in a large, population-based sample of adults. One thousand six hundred and two randomly selected individuals completed two telephone interviews over two consecutive six-month periods assessing PMT constructs. PMT explained 35 per cent and 20 per cent of the variance in intention and behaviour respectively. Coping cognitions as moderators of threat explained 1 per cent of the variance in intention and behaviour. Age and gender as moderators of threat did not provide additional variance in the models. We conclude that salient PMT predictors (e.g. self-efficacy) may guide the development of effective PA interventions in the general population.

Radiation protection for veterinary practices

International Nuclear Information System (INIS)

Wheelton, R.; McCaffery, A.

1993-01-01

This brief article discusses radiation protection for diagnostic radiography in veterinary practices. It includes aspects such as a radiation protection adviser, personal dosimetry but in particular a Veterinary Monitoring Service, developed by the NRPB, which offers veterinary practitioners the convenience of making simple but essential measurements for themselves using photographic films contained in a 'vet pack' to determine the operating condition of their X-ray machine. (U.K.)

Demographic Differences in Sun Protection Beliefs and Behavior: A Community-Based Study in Shanghai, China

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Shuxian Yan

2015-03-01

Full Text Available Objective: We want to know the attitudes and behaviors towards UV protection and we want to analyze the difference between different Chinese demographic groups in this study. Methods: A community-based study was undertaken in Shanghai from October 2009 to January 2010. The participants, ages 20–60 years old, were screened by cluster sampling and were investigated through interviews at their own homes. Personal basic information and questions pertaining to their knowledge and attitudes towards sunlight and sun protective activities were included in the questionnaire. Results: We completed 5964 questionnaires (2794 men and 3170 women. Eighty-six percent of the respondents belonged to Fitzpatrick skin type IV. Knowledge about UV-induced risks was known by more than half of the participants. However, only one-third of the participants thought they needed sun protection in winter and indoors or in vehicles, and 27% of the participants acknowledged tanning was not favorable. The attitudes towards sun exposure varied greatly, showing significant differences based on gender, age, socioeconomic groups and skin type groups (p < 0.05. Fifty-five percent of the participants never use an umbrella under sunlight, only 26.5% of the respondents wear hats, and 21.3% of the participants applied sunscreen. Females and individuals of a younger age and higher education level were more likely to perform sun-protective behaviors than males and those of an older age and lower education level (p < 0.001. Conclusion: There is a deficit in the use of sun protection existing in our surveyed Chinese population, especially in males and lower socioeconomic population, which could allow for planning prevention campaigns and exploring sun-preventive products.

Establishing a National Maternal Morbidity Outcome Indicator in England: A Population-Based Study Using Routine Hospital Data.

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Manisha Nair

Full Text Available As maternal deaths become rarer, monitoring near-miss or severe maternal morbidity becomes important as a tool to measure changes in care quality. Many calls have been made to use routinely available hospital administration data to monitor the quality of maternity care. We investigated 1 the feasibility of developing an English Maternal Morbidity Outcome Indicator (EMMOI by reproducing an Australian indicator using routinely available hospital data, 2 the impact of modifications to the indicator to address potential data quality issues, 3 the reliability of the indicator.We used data from 6,389,066 women giving birth in England from April 2003 to March 2013 available in the Hospital Episode Statistics (HES database of the Health and Social care Information centre (HSCIC. A composite indicator, EMMOI, was generated from the diagnoses and procedure codes. Rates of individual morbid events included in the EMMOI were compared with the rates in the UK reported by population-based studies.EMMOI included 26 morbid events (17 diagnosis and 9 procedures. Selection of the individual morbid events was guided by the Australian indicator and published literature for conditions associated with maternal morbidity and mortality in the UK, but was mainly driven by the quality of the routine hospital data. Comparing the rates of individual morbid events of the indicator with figures from population-based studies showed that the possibility of false positive and false negative cases cannot be ruled out.While routine English hospital data can be used to generate a composite indicator to monitor trends in maternal morbidity during childbirth, the quality and reliability of this monitoring indicator depends on the quality of the hospital data, which is currently inadequate.

A Descriptive Analysis of the Use of Workplace-Based Assessments in UK Surgical Training.

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Shalhoub, Joseph; Santos, Cristel; Bussey, Maria; Eardley, Ian; Allum, William

2015-01-01

Workplace-based assessments (WBAs) were introduced formally in the UK in 2007. The aim of the study was to describe the use of WBAs by UK surgical trainees and examine variations by training region, specialty, and level of training. The database of the Intercollegiate Surgical Curriculum Programme was examined for WBAs between August 2007 and July 2013, with in-depth analysis of 2 periods: August 2011 to July 2012 and August 2012 to July 2013. The numbers of validated WBAs per trainee per year increased more than 7-fold, from median 6 per trainee in 2007 to 2008, to 39 in 2011 to 2012, and 44 in 2012 to 2013. In the period 2011 to 2012, 58.4% of core trainees completed the recommended 40 WBAs, with only 38.1% of specialty trainees achieving 40 validated WBAs. In the period 2012 to 2013, these proportions increased to 67.7% and 57.0% for core and specialty trainees, respectively. Core trainees completed more WBAs per year than specialty trainees in the same training region. London core trainees completed the highest numbers of WBAs in both the periods 2011 to 2012 (median 67) and 2012 to 2013 (median 74). There was a peak in WBAs completed by London specialty trainees in the period 2012 to 2013 (median 63). The most validated WBAs were completed by ST1/CT1 (specialty surgical training year, core surgical training year), with a gradual decrease in median WBAs to ST4, followed by a plateau; in the period 2012 to 2013, there was an increase in WBAs at ST8. Core surgical trainees complete ~50% "operative" (procedure-based assessment/direct observation of procedural skills) and ~50% "nonoperative" assessments (case-based discussion/clinical evaluation exercise). During specialty training, procedure-based assessments represented ~46% of WBAs, direct observation of procedural skills 11.2%, case-based discussion ~23%, and clinical evaluation exercise ~15%. UK surgical trainees are, on an average, undertaking 1 WBA per week. Variation exists in use of WBAs between training

Radiation protection measures to support the life of population at contaminated territories

International Nuclear Information System (INIS)

Rolevich, I.V.

1993-01-01

At the contaminated territories from the first days after the accident at Chernobyl NPP protection measures are conducted with the aim to decrease the total dose of radiation to a limited level and to decrease the risk of cancer deceases and genetic consequences for living and next generations. Radiation protection measures at these territories are the following: radiation control of food and environment; measures on lowering the content of radionuclides in the air, water and soils; measures to supply people with clean food and products of agriculture; lowering the dose loading during X-ray diagnostics; control of radon influence, resettlement of population to the clear territories. Apart from that measures on development of medical service, supply with fool-bodied food, lowering the sociopsychological tension, education in the field of radiation protection and legal knowledge are conducted. The results of activity are shown

Ocelot Population Status in Protected Brazilian Atlantic Forest.

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Rodrigo Lima Massara

Full Text Available Forest fragmentation and habitat loss are detrimental to top carnivores, such as jaguars (Panthera onca and pumas (Puma concolor, but effects on mesocarnivores, such as ocelots (Leopardus pardalis, are less clear. Ocelots need native forests, but also might benefit from the local extirpation of larger cats such as pumas and jaguars through mesopredator release. We used a standardized camera trap protocol to assess ocelot populations in six protected areas of the Atlantic forest in southeastern Brazil where over 80% of forest remnants are < 50 ha. We tested whether variation in ocelot abundance could be explained by reserve size, forest cover, number of free-ranging domestic dogs and presence of top predators. Ocelot abundance was positively correlated with reserve size and the presence of top predators (jaguar and pumas and negatively correlated with the number of dogs. We also found higher detection probabilities in less forested areas as compared to larger, intact forests. We suspect that smaller home ranges and higher movement rates in smaller, more degraded areas increased detection. Our data do not support the hypothesis of mesopredator release. Rather, our findings indicate that ocelots respond negatively to habitat loss, and thrive in large protected areas inhabited by top predators.

Cancer through black eyes - The views of UK based black men towards cancer: A constructivist grounded theory study.

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Mulugeta, Betselot; Williamson, Susan; Monks, Rob; Hack, Thomas; Beaver, Kinta

2017-08-01

Little is known about black African (BA) and black African-Caribbean (BAC) men's views towards cancer; yet culture and acculturation can contribute to the way in which people understand, explain and develop their attitudes towards cancer. Hence, cancer prevention and early detection strategies may not be sensitive to United Kingdom (UK)-based black men's views, affecting their awareness of risk factors and early detection services. This study explored the views of UK-based BA and BAC men towards cancer. In collaboration with black community organisations based in four major cities in the UK, 25 participants were recruited using convenience and theoretical sampling methods. Data were collected using 33 semi-structured interviews, and analysed using grounded theory analytic procedures. One core category (cancer through black eyes) and seven sub-categories emerged; 'cultural views', 'religious beliefs', 'avoiding Babylon', 'alienation', 'suspicious mind', 'advertisements and information influence very little', and 'gap in service provision (bridging the gap)'. Participants' views towards cancer were linked to socially constructed perspectives, linked with cultural and religious beliefs, and shaped by what being a black male means in society. Risk factors such as smoking and obesity had different meanings and symbolisation through black eyes. There were macro- and micro-level similarities and differences between BA and BAC men. Cancer services and related public-health campaigns aimed at black men need to understand cancer through black eyes. Public health campaigns based solely on the clinical meaning of cancer are incongruent with black men's understandings of cancer, and therefore ineffective at reducing health inequality. Copyright © 2017 Elsevier Ltd. All rights reserved.

The current provision of community-based teaching in UK medical schools: an online survey and systematic review.

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Lee, Sandra W W; Clement, Naomi; Tang, Natalie; Atiomo, William

2014-12-01

To evaluate the current provision and outcome of community-based education (CBE) in UK medical schools. An online survey of UK medical school websites and course prospectuses and a systematic review of articles from PubMed and Web of Science were conducted. Articles in the systematic review were assessed using Rossi, Lipsey and Freeman's approach to programme evaluation. Publications from November 1998 to 2013 containing information related to community teaching in undergraduate medical courses were included. Out of the 32 undergraduate UK medical schools, one was excluded due to the lack of course specifications available online. Analysis of the remaining 31 medical schools showed that a variety of CBE models are utilised in medical schools across the UK. Twenty-eight medical schools (90.3%) provide CBE in some form by the end of the first year of undergraduate training, and 29 medical schools (93.5%) by the end of the second year. From the 1378 references identified, 29 papers met the inclusion criteria for assessment. It was found that CBE mostly provided advantages to students as well as other participants, including GP tutors and patients. However, there were a few concerns regarding the lack of GP tutors' knowledge in specialty areas, the negative impact that CBE may have on the delivery of health service in education settings and the cost of CBE. Despite the wide variations in implementation, community teaching was found to be mostly beneficial. To ensure the relevance of CBE for 'Tomorrow's Doctors', a national framework should be established, and solutions sought to reduce the impact of the challenges within CBE. This is the first study to review how community-based education is currently provided throughout Medical Schools in the UK. The use of Rossi, Lipsey and Freeman's method of programme evaluation means that the literature was analysed in a consistent and comprehensive way. However, a weakness is that data from the online survey was obtained from

The current provision of community-based teaching in UK medical schools: an online survey and systematic review

Science.gov (United States)

Lee, Sandra W W; Clement, Naomi; Tang, Natalie; Atiomo, William

2014-01-01

Objective To evaluate the current provision and outcome of community-based education (CBE) in UK medical schools. Design and data sources An online survey of UK medical school websites and course prospectuses and a systematic review of articles from PubMed and Web of Science were conducted. Articles in the systematic review were assessed using Rossi, Lipsey and Freeman's approach to programme evaluation. Study selection Publications from November 1998 to 2013 containing information related to community teaching in undergraduate medical courses were included. Results Out of the 32 undergraduate UK medical schools, one was excluded due to the lack of course specifications available online. Analysis of the remaining 31 medical schools showed that a variety of CBE models are utilised in medical schools across the UK. Twenty-eight medical schools (90.3%) provide CBE in some form by the end of the first year of undergraduate training, and 29 medical schools (93.5%) by the end of the second year. From the 1378 references identified, 29 papers met the inclusion criteria for assessment. It was found that CBE mostly provided advantages to students as well as other participants, including GP tutors and patients. However, there were a few concerns regarding the lack of GP tutors’ knowledge in specialty areas, the negative impact that CBE may have on the delivery of health service in education settings and the cost of CBE. Conclusions Despite the wide variations in implementation, community teaching was found to be mostly beneficial. To ensure the relevance of CBE for ‘Tomorrow's Doctors’, a national framework should be established, and solutions sought to reduce the impact of the challenges within CBE. Strengths and limitations of this study This is the first study to review how community-based education is currently provided throughout Medical Schools in the UK. The use of Rossi, Lipsey and Freeman's method of programme evaluation means that the literature was analysed

Sun-protective behaviors in populations at high risk for skin cancer

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Diao DY

2013-12-01

Full Text Available Diana Y Diao,1 Tim K Lee1,21Department of Dermatology and Skin Science, University of British Columbia, Vancouver, British Columbia, Canada; 2Cancer Control Research Program, BC Cancer Agency, Vancouver, British Columbia, CanadaAbstract: Over 3 million new cases of skin cancer are diagnosed in the US annually. Melanoma, a subtype of skin cancer that can be fatal if the disease is not detected and treated at an early stage, is the most common cancer for those aged 25–29 years and the second most common cancer in adolescents and young adults aged 15–29 years. The primary carcinogen for the genesis of skin cancers is ultraviolet light from solar radiation and tanning beds. In spite of massive health campaigns to raise public awareness on ultraviolet radiation, sun-protective practices still fall behind. A plausible explanation is the lack of behavioral change in the populations at risk; in this review article, we examine sun-protective behavior in the four high-risk skin cancer groups: skin cancer survivors, individuals with a family history of melanoma, individuals with physical characteristics associated with skin cancer risk, and organ transplantation patients. Findings in the literature demonstrate that increased knowledge and awareness does not consequently translate into behavioral changes in practice. Behavior can differ as a result of different attitudes and beliefs, depending on the population at risk. Thus, intervention should be tailored to the population targeted. A multidisciplinary health team providing consultation and education is required to influence these much needed changes.Keywords: skin cancer, melanoma, risk, prevention, behaviour

Is the Relationship between Common Mental Disorder and Adiposity Bidirectional? Prospective Analyses of a UK General Population-Based Study.

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Fezeu, Léopold K; Batty, G David; Batty, David G; Gale, Catharine R; Kivimaki, Mika; Hercberg, Serge; Czernichow, Sebastien

2015-01-01

The direction of the association between mental health and adiposity is poorly understood. Our objective was to empirically examine this link in a UK study. This is a prospective cohort study of 3 388 people (men) aged ≥ 18 years at study induction who participated in both the UK Health and Lifestyle Survey at baseline (HALS-1, 1984/1985) and the re-survey (HALS-2, 1991/1992). At both survey examinations, body mass index, waist circumference and self-reported common mental disorder (the 30-item General Health Questionnaire, GHQ) were measured. Logistic regression models were used to compute odds ratios (OR) and accompanying 95% confidence intervals (CI) for the associations between (1) baseline common mental disorder (QHQ score > 4) and subsequent general and abdominal obesity and (2) baseline general and abdominal obesity and re-survey common mental disorders. After controlling for a range of covariates, participants with common mental disorder at baseline experienced greater odds of subsequently becoming overweight (women, OR: 1.30, 1.03 - 1.64; men, 1.05, 0.81 - 1.38) and obese (women, 1.26, 0.82 - 1.94; men, OR: 2.10, 1.23 - 3.55) than those who were free of common mental disorder. Similarly, having baseline common mental health disorder was also related to a greater risk of developing moderate (1.57, 1.21 - 2.04) and severe (1.48, 1.09 - 2.01) abdominal obesity (women only). Baseline general or abdominal obesity was not associated with the risk of future common mental disorder. These findings of the present study suggest that the direction of association between common mental disorders and adiposity is from common mental disorder to increased future risk of adiposity as opposed to the converse.

Blood group AB is protective factor for gestational diabetes mellitus: a prospective population-based study in Tianjin, China.

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Zhang, Cuiping; Li, Yi; Wang, Leishen; Sun, Shurong; Liu, Gongshu; Leng, Junhong; Guo, Jia; Lv, Li; Li, Weidong; Zhang, Cuilin; Hu, Gang; Yu, Zhijie; Yang, Xilin

2015-09-01

The ABO blood types are associated with cancers, cardiovascular diseases and type 2 diabetes mellitus but whether they are also associated with gestational diabetes mellitus (GDM) is unknown. We examined the relationship between the ABO blood types and the risk of GDM in a prospective population-based Chinese cohort. From 2010 to 2012, we recruited 14,198 pregnant women within the first 12 weeks of gestation in Tianjin, China. All women had a glucose challenge test (GCT) at 24-28 gestational weeks, followed by a 75-g 2-h oral glucose tolerance test if the results from GCT were ≥7.8 mmol/L. GDM was diagnosed based on the glucose cut-points of the International Association of Diabetes and Pregnancy Study Group criteria. Logistic regression was used to obtain odds ratios (ORs) and 95% confidence intervals (CIs) adjusted for traditional risk factors. Stratified analysis was performed by family history of diabetes (yes versus no). Sensitivity analyses were also performed by using the World Health Organization (WHO) criteria for GDM. Women with blood groups A, B or O (i.e. non-AB) were associated with increased risk of GDM as compared with those with blood group AB (adjusted OR: 1.44, 95% CI: 1.13-1.83). Sensitivity analyses showed that the result was consistent using WHO criteria. The adjusted OR of blood group non-AB versus AB for GDM was enhanced among women with a family history of diabetes (2.69, 1.21-5.96) and attenuated among those without (1.33, 1.03-1.71). Blood group AB was a protective factor against GDM in pregnant Chinese women. Copyright © 2015 John Wiley & Sons, Ltd.

Evaluation of Sun Protection Habits and Melanocytic Nevi of Population Screened in a Shopping Mall in Ankara

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Banu Öztürk

2009-12-01

Full Text Available Background and Design: The evaluation of sun protection habits, numbers and types of nevi in our community. Material and Method: A stand was built in a big mall in Ankara where 764 patients were screened for the presence of nevi in three working day periods during the month of May of 2005 and 2006. Lesions were evaluated with the help of digital dermatoscopy. In the study, sun protective practices, sunscreen using habits, dermatoscopic diagnosis of the lesions, numbers and the localization of the lesions were also recorded. Results: The study population consisted of 764 patients (438 female, 326 male with age ranging from 1 to 80 (33.7±13.7 years. 55.6% of them had skin type III, 47.3% had sunburn history. Most of the patients (44.1% were not using sunscreens. Hats and umbrellas (40.3% were the most common accessories used for protection. 904 lesions of 764 patients examined by dermatoscopy revealed that the most common diagnosis was nevi. Two patients were diagnosed with having cutaneous melanoma or basal cell carcinoma. Conclusion: Our findings have shown that the general population is not aware of the risks of sun exposure or the appropriate ways for sun protection and that there is a necessity for educational programmes or campaigns about sun protection and nevi in our general population.

Criterion for adoption of urgent decision on population protection measures in case of NPP accident

International Nuclear Information System (INIS)

Konstantinov, Yu.O.

1985-01-01

The main table of a criterion for making decision about population protection measures in case of NPP accident is reconsidered. In comparison with the previous data the table doesn't contain contact irradiation and food-stuff contamination with 90 Sr and 137 Cs because of their insignificance relatively to external irradiation as a result of inert radioactive gaseous and halogen release and internal irradiation by iodine radioisotopes. Defining more exactly the criterion one should pay more attention to the discussion of numerical values of internal irradiation dose of thyroid gland. The choice of hazard-levels giving the foundation for making decision concerning protection measures should be determined both by biological radiation risk and scale of hazard relative protection urgebcy the degree of accuracy of potential irradiation or contamination evaluation by possibilities of measures carried out in time, difficulties, unfavourable psychologic effect and risk for population health. The criterion should permit flexibility in decision making according to concrete conditions

PDO as a Mechanism for Reterritorialisation and Agri-Food Governance: A Comparative Analysis of Cheese Products in the UK and Switzerland

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Damian Maye

2016-10-01

Full Text Available The protection of geographical indications (European regulation 1151/2012 is arguably the most significant initiative, certainly within Europe, that promotes foods with territorial associations and reorganises agri-food chain governance through a strategy of reterritorialisation. Research on Protected Designation of Origins (PDOs and Protected Geographical Indications (PGIs suggests that they generate significant economic value at an EU-level, especially in certain countries. They can also help to deliver territorial rural development policy and develop new food markets. In this paper we examine the way the PDO scheme has been developed and applied in one commodity sector (cheese in two countries (Switzerland and the UK, where the uptake of PDOs is variable. We adopt a food chain approach and examine specific cheese product case studies (at micro and meso levels in both countries to better understand how the PDO scheme (as a territorialisation and respacing strategy is implemented. L’Etivaz and Le Gruyère are examined in Switzerland. Single Gloucester and West Country cheddar are examined in the UK. The PDO scheme is an important governance strategy and regulatory system, but despite strict guidelines regarding implementation and geographical infrastructure there are notable differences between the UK and Switzerland in terms of how the label is used to organise and respatialise food chains: it is framed as a strategy to protect the rural economy in Switzerland but is promoted more as a mechanism to communicate and reconnect with consumers in the UK.

UK standards for exposure to radon daughters in dwellings

International Nuclear Information System (INIS)

Webb, G.A.M.; O'Riordan, M.C.

1988-01-01

The National Radiological Protection Board has issued formal advice on the standards to be adopted in the UK for control of exposures to radon daughters in existing dwellings and for changes in building procedures for future dwellings. The standards are based on those recommended by the international commission on radiological protection but adapted to circumstances in the United Kingdom. The matters taken into account by the Board when formulating its advice, and which are discussed in the paper, include the conversion from measured concentrations of radon to effective dose equivalent and the implied levels of risk, the comparison of these levels with risks from other causes, the numbers of dwellings in which various annual doses are likely to be exceeded, the geographical distribution of these dwellings, the likely costs and effectiveness of various remedial measures and the degree of domestic disruption. The action level for existing dwellings selected by the Board was the same, 20 mSv per annum, as that recommended by the ICRP, but the upper bound for new dwellings of 5 mSv per annum was lower than that suggested by the ICRP [fr

Does marriage protect against hospitalization with pneumonia? A population-based case-control study

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Mor A

2013-10-01

Full Text Available Anil Mor, Sinna P Ulrichsen, Elisabeth Svensson, Klara Berencsi, Reimar W Thomsen Department of Clinical Epidemiology, Institute of Clinical Medicine, Aarhus University Hospital, Aarhus, Denmark Background: To reduce the increasing burden of pneumonia hospitalizations, we need to understand their determinants. Being married may decrease the risk of severe infections, due to better social support and healthier lifestyle. Patients and methods: In this population-based case-control study, we identified all adult patients with a first-time pneumonia-related hospitalization between 1994 and 2008 in Northern Denmark. For each case, ten sex- and age-matched population controls were selected from Denmark's Civil Registration System. We performed conditional logistic regression analysis to estimate the odds ratios (ORs for pneumonia hospitalization among persons who were divorced, widowed, or never married, as compared with married persons, adjusting for age, sex, 19 different comorbidities, alcoholism-related conditions, immunosuppressant use, urbanization, and living with small children. Results: The study included 67,162 patients with a pneumonia-related hospitalization and 671,620 matched population controls. Compared with controls, the pneumonia patients were more likely to be divorced (10% versus 7% or never married (13% versus 11%. Divorced and never-married patients were much more likely to have previous diagnoses of alcoholism-related conditions (18% and 11%, respectively compared with married (3% and widowed (6% patients. The adjusted OR for pneumonia-related hospitalization was increased, at 1.29 (95% confidence interval [CI]: 1.25-1.33 among divorced; 1.15 (95% CI: 1.12-1.17 among widowed; and 1.33 (95% CI: 1.29-1.37 among never-married individuals as compared with those who were married. Conclusion: Married individuals have a decreased risk of being hospitalized with pneumonia compared with never-married, divorced, and widowed patients

Sun Protection and Skin Examination Practices in a Setting of High Ambient Solar Radiation: A Population-Based Cohort Study.

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Olsen, Catherine M; Thompson, Bridie S; Green, Adèle C; Neale, Rachel E; Whiteman, David C

2015-09-01

Primary prevention and early detection are integral strategies to reduce the burden of skin cancer. To describe the prevalence of sun protection and skin examination practices in a population exposed to high levels of ambient solar radiation and to identify associated factors. Cross-sectional analyses of baseline data from a prospective cohort of 40,172 adults aged 40 through 69 years from Queensland, Australia, recruited in 2011. We obtained data on all melanoma diagnoses through 2009 via record linkage with the Queensland Cancer Registry (notifications have been mandatory since 1982). We calculated prevalence proportion ratios to compare prevalence of sun protection and skin examination practices in 3 separate groups: those with a history of melanoma (group 1), those with a self-reported history of treated actinic lesions (group 2), and those without either (group 3). We used multivariate generalized linear models to identify factors associated with each practice. Participants with a previously confirmed melanoma (group 1; n = 1433) and/or treated actinic lesions (group 2; n = 24,006) were more likely than those without (group 3; n = 14,733) to report sun protection practices, including regular use of sunscreen (53.3%, 45.1%, and 38.1%, respectively) and wearing hats (74.7%, 68.2%, and 58.2%, respectively). They were also more likely to have had a whole-body skin examination by a physician in the past 3 years (93.7%, 83.4%, and 52.1%, respectively). Within all 3 groups, the strongest association with sun protection practices was with sun-sensitive skin type. Within group 3 (no history of treated skin lesions), the strongest factor associated with clinical skin examinations was self-reported nevus density at 21 years of age, whereas a family history of melanoma was a significant factor in groups 2 and 3. In this large sample exposed to high levels of ambient solar radiation, sun protection and skin examination practices were most frequent among those

Characteristics and practices of Traditional Chinese Medicine retail shops in London, UK: A cross-sectional study using an observational approach.

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Teng, Lida; Shaw, Debbie; Barnes, Joanne

2015-09-15

Traditional Chinese Medicine (TCM) is a popular form of ethnomedicine in the UK, and is accessed by Western, Chinese and other ethnic groups. The current regulatory regime does not effectively protect the public against poor-quality and unsafe TCMs. Understanding ethnopharmacological information on how TCM is promoted and practiced may help to inform initiatives aimed at ensuring the safe use of TCMs in the UK, and put laboratory-based ethnopharmacological investigations of TCMs in a broader context. This study aimed to examine the characteristics and practices of TCM retail outlets in London, UK, and to identify factors relevant to the safe use of TCM in the UK. TCM retail outlets ('shops') in London, UK, were identified using a systematic approach. A structured questionnaire including questions on shop business type was used to recruit participant shops. Shops consenting to participate were visited within six weeks of providing consent. A piloted semi-structured questionnaire on shop characteristics was used for data collection following observation. The British National Formulary 53 was used to classify medical conditions/uses for TCMs promoted in the shops. Data were stored and analysed using MS Access 2003, MS Excel 2003 and SPSS 13. In total, 54 TCM shops in London were identified, of which 94% offered TCM consultations with a TCM practitioner. Detailed characteristics were described within 35/50 shops that gave consent to observing their premises. Most shops labelled and displayed over 150 Chinese Materia Medica (CMMs; crude materials, particularly herbs) for dispensing after consultations with a TCM practitioner. Medical conditions/uses and Patent Chinese Medicines (PCMs) were commonly promoted. In total, 794 occurrences of 205 different medical conditions/uses (median=32, QL=19, QU=48) were identified. These conditions/uses most commonly related to the following therapeutic systems: central nervous system (160/794, 20.2%); musculoskeletal and joint disease

Self-monitoring blood pressure in patients with hypertension: an internet-based survey of UK GPs.

Science.gov (United States)

Fletcher, Benjamin R; Hinton, Lisa; Bray, Emma P; Hayen, Andrew; Hobbs, Fd Richard; Mant, Jonathan; Potter, John F; McManus, Richard J

2016-11-01

Previous research suggests that most GPs in the UK use self-monitoring of blood pressure (SMBP) to monitor the control of hypertension rather than for diagnosis. This study sought to assess current practice in the use of self-monitoring and any changes in practice following more recent guideline recommendations. To survey the views and practice of UK GPs in 2015 with regard to SMBP and compare them with a previous survey carried out in 2011. Web-based survey of a regionally representative sample of 300 UK GPs. GPs completed an online questionnaire concerning the use of SMBP in the management of hypertension. Analyses comprised descriptive statistics, tests for between-group differences (z, Wilcoxon signed-rank, and χ 2 tests), and multivariate logistic regression. Results were available for 300 GPs (94% of those who started the survey). GPs reported using self-monitoring to diagnose hypertension (169/291; 58%; 95% confidence interval (CI) = 52 to 64) and to monitor control (245/291; 84%; 95% CI = 80 to 88), the former having significantly increased since 2011 (from 37%; 95% CI = 33 to 41; Pmonitoring for control. More than half of GPs used higher systolic thresholds for diagnosis (118/169; 70%; 95% CI = 63 to 77) and treatment (168/225; 75%; 95% CI = 69 to 80) than recommended in guidelines, and under half (120/289; 42%; 95% CI = 36 to 47) adjusted the SMBP results to guide treatment decisions. Since new UK national guidance in 2011, GPs are more likely to use SMBP to diagnose hypertension. However, significant proportions of GPs continue to use non-standard diagnostic and monitoring thresholds. The use of out-of-office methods to improve the accuracy of diagnosis is unlikely to be beneficial if suboptimal thresholds are used. © British Journal of General Practice 2016.

Rights-based approaches to addressing food poverty and food insecurity in Ireland and UK.

Science.gov (United States)

Dowler, Elizabeth A; O'Connor, Deirdre

2012-01-01

Food poverty is an important contributing factor to health inequalities in industrialised countries; it refers to the inability to acquire or eat an adequate quality or sufficient quantity of food in socially acceptable ways (or the uncertainty of being able to do so). Synonymous with household food insecurity, the issue needs to be located within a social justice framework. Recognising the clear interdependence between the right to food and the right to health, this paper explores how international human rights obligations could inform approaches to addressing food poverty and insecurity with specific reference to Ireland and the UK. Little attention has been paid to how countries should meet their obligations to respect, protect and fulfil the right to food in developed countries. The paper contributes by examining the social and policy circumstances which inhibit poor households from obtaining sufficient food to eat healthily, along with strategies and interventions from State and civil society actors in the two countries. In practice, problems and potential solutions have largely been directed towards the individual rather than at social determinants, particularly as research on environmental factors such as distance to shops has produced equivocal results. Other key structural aspects such as income sufficiency for food are broadly ignored by the State, and anti-poverty strategies are often implemented without monitoring for effects on food outcomes. Thus scant evidence exists for either Ireland or the UK meeting its rights to food obligations to date, in terms of roles and responsibilities in ensuring access to affordable, available and appropriate food for all. Copyright © 2011 Elsevier Ltd. All rights reserved.

Register of legislative and regulatory dispositions relative to the radiation protection of the population and workers against the dangers of ionizing radiations

International Nuclear Information System (INIS)

2003-12-01

This collection of legislative arrangements concerns the protection of population and workers against the risks of ionizing radiations. Each chapter is divided in two parts: a legislative part and a statutory or regulation part. We find the different chapters in relation with protection of populations, protection of workers, public health and labour laws. (N.C.)

Betel Nut Composition and Diabetes Mellitus in U.K. Asian Populations

International Nuclear Information System (INIS)

Spyrou, N.M.; Ridge, C.; Boucher, B.J.

1999-01-01

We have instigated a pilot study to investigate the trace element status of selected type 2 Diabetes Mellitus (DM) populations of Caucasians and South Asians living in southeast England and matched controls. As part of this program, betel nut-based chewing substances, some with and others without tobacco leaves incorporated, have been analyzed using instrumental neutron activation analysis

PLAB and UK graduates’ performance on MRCP(UK) and MRCGP examinations: data linkage study

Science.gov (United States)

Wakeford, Richard

2014-01-01

Objectives To assess whether international medical graduates passing the two examinations set by the Professional and Linguistic Assessments Board (PLAB1 and PLAB2) of the General Medical Council (GMC) are equivalent to UK graduates at the end of the first foundation year of medical training (F1), as the GMC requires, and if not, to assess what changes in the PLAB pass marks might produce equivalence. Design Data linkage of GMC PLAB performance data with data from the Royal Colleges of Physicians and the Royal College of General Practitioners on performance of PLAB graduates and UK graduates at the MRCP(UK) and MRCGP examinations. Setting Doctors in training for internal medicine or general practice in the United Kingdom. Participants 7829, 5135, and 4387 PLAB graduates on their first attempt at MRCP(UK) Part 1, Part 2, and PACES assessments from 2001 to 2012 compared with 18 532, 14 094, and 14 376 UK graduates taking the same assessments; 3160 PLAB1 graduates making their first attempt at the MRCGP AKT during 2007-12 compared with 14 235 UK graduates; and 1411 PLAB2 graduates making their first attempt at the MRCGP CSA during 2010-12 compared with 6935 UK graduates. Main outcome measures Performance at MRCP(UK) Part 1, Part 2, and PACES assessments, and MRCGP AKT and CSA assessments in relation to performance on PLAB1 and PLAB2 assessments, as well as to International English Language Testing System (IELTS) scores. MRCP(UK), MRCGP, and PLAB results were analysed as marks relative to the pass mark at the first attempt. Results PLAB1 marks were a valid predictor of MRCP(UK) Part 1, MRCP(UK) Part 2, and MRCGP AKT (r=0.521, 0.390, and 0.490; all PIELTS scores correlated significantly with later performance, multiple regression showing that the effect of PLAB1 (β=0.496) was much stronger than the effect of IELTS (β=0.086). Changes to PLAB pass marks that would result in international medical graduate and UK medical graduate equivalence were assessed in two

PLAB and UK graduates' performance on MRCP(UK) and MRCGP examinations: data linkage study.

Science.gov (United States)

McManus, I C; Wakeford, Richard

2014-04-17

To assess whether international medical graduates passing the two examinations set by the Professional and Linguistic Assessments Board (PLAB1 and PLAB2) of the General Medical Council (GMC) are equivalent to UK graduates at the end of the first foundation year of medical training (F1), as the GMC requires, and if not, to assess what changes in the PLAB pass marks might produce equivalence. Data linkage of GMC PLAB performance data with data from the Royal Colleges of Physicians and the Royal College of General Practitioners on performance of PLAB graduates and UK graduates at the MRCP(UK) and MRCGP examinations. Doctors in training for internal medicine or general practice in the United Kingdom. 7829, 5135, and 4387 PLAB graduates on their first attempt at MRCP(UK) Part 1, Part 2, and PACES assessments from 2001 to 2012 compared with 18,532, 14,094, and 14,376 UK graduates taking the same assessments; 3160 PLAB1 graduates making their first attempt at the MRCGP AKT during 2007-12 compared with 14,235 UK graduates; and 1411 PLAB2 graduates making their first attempt at the MRCGP CSA during 2010-12 compared with 6935 UK graduates. Performance at MRCP(UK) Part 1, Part 2, and PACES assessments, and MRCGP AKT and CSA assessments in relation to performance on PLAB1 and PLAB2 assessments, as well as to International English Language Testing System (IELTS) scores. MRCP(UK), MRCGP, and PLAB results were analysed as marks relative to the pass mark at the first attempt. PLAB1 marks were a valid predictor of MRCP(UK) Part 1, MRCP(UK) Part 2, and MRCGP AKT (r=0.521, 0.390, and 0.490; all PIELTS scores correlated significantly with later performance, multiple regression showing that the effect of PLAB1 (β=0.496) was much stronger than the effect of IELTS (β=0.086). Changes to PLAB pass marks that would result in international medical graduate and UK medical graduate equivalence were assessed in two ways. Method 1 adjusted PLAB pass marks to equate median performance of PLAB

Physical health indicators in major mental illness: data from the Quality and Outcome Framework in the UK.

Science.gov (United States)

Martin, Julie Langan; Lowrie, Richard; McConnachie, Alex; McLean, Gary; Mair, Frances; Mercer, Stewart; Smith, Daniel

2015-02-26

In the UK, the Quality and Outcome Framework (QOF) has specific targets for general practictioners to record body-mass index (BMI) and blood pressure (BP) in major mental illness, diabetes, and chronic kidney disease. Although incentives are given for aspects of major mental illness (schizophrenia, bipolar disorder, and related psychoses), barriers to care can occur. Our aim was to compare recording of specific targets for BP and BMI in individuals with major mental illness relative to diabetes and chronic kidney disease across the UK. Using 2012 and 2013 QOF data from 9731 general practices across all four countries in the UK, we calculated median payment, population achievement, and exception rates for BP indicators in major mental illness and chronic kidney disease and BMI indicators in major mental illness and diabetes. Differences in unweighted rates between practices in the same UK country were tested with a sign test. Differences in population achievement rate between practices in different countries were compared with those in England by use of a quantile regression analysis. UK payment and population achievement rates for BMI recording in major mental illness were significantly lower than were those in diabetes (payment 92·7% vs 95·5% and population achievement 84·0% vs 92·5%, pmental illness than for chronic kidney disease (94·1% vs 97·8% and 87·0% vs 97·1%, pmental illness were significantly lower in Scotland than in England (for BMI -1·5%, 99% CI -2·7 to -0·3, and for BP -1·8%, -2·7 to -0·9; pmental illness than in diabetes and chronic kidney disease throughout the UK. We also found variation in these rates between countries. This finding is probably multifactorial, reflecting a combination of patient, clinician, and wider organisational factors; however, it might also suggest inequality in access to certain aspects of health care for people with major mental illness. None. Copyright © 2015 Elsevier Ltd. All rights reserved.

Population-based contracting (population health): part II.

Science.gov (United States)

Jacofsky, D J

2017-11-01

Modern healthcare contracting is shifting the responsibility for improving quality, enhancing community health and controlling the total cost of care for patient populations from payers to providers. Population-based contracting involves capitated risk taken across an entire population, such that any included services within the contract are paid for by the risk-bearing entity throughout the term of the agreement. Under such contracts, a risk-bearing entity, which may be a provider group, a hospital or another payer, administers the contract and assumes risk for contractually defined services. These contracts can be structured in various ways, from professional fee capitation to full global per member per month diagnosis-based risk. The entity contracting with the payer must have downstream network contracts to provide the care and facilities that it has agreed to provide. Population health is a very powerful model to reduce waste and costs. It requires a deep understanding of the nuances of such contracting and the appropriate infrastructure to manage both networks and risk. Cite this article: Bone Joint J 2017;99-B:1431-4. ©2017 The British Editorial Society of Bone & Joint Surgery.

UK Announces Intention to Join ESO

Science.gov (United States)

2000-11-01

Summary The Particle Physics and Astronomy Research Council (PPARC) , the UK's strategic science investment agency, today announced that the government of the United Kingdom is making funds available that provide a baseline for this country to join the European Southern Observatory (ESO) . The ESO Director General, Dr. Catherine Cesarsky , and the ESO Community warmly welcome this move towards fuller integration in European astronomy. "With the UK as a potential member country of ESO, our joint opportunities for front-line research and technology will grow significantly", she said. "This announcement is a clear sign of confidence in ESO's abilities, most recently demonstrated with the construction and operation of the unique Very Large Telescope (VLT) on Paranal. Together we will look forward with confidence towards new, exciting projects in ground-based astronomy." It was decided earlier this year to place the 4-m UK Visible and Infrared Survey Telescope (VISTA) at Paranal, cf. ESO Press Release 03/00. Following negotiations between ESO and PPARC, a detailed proposal for the associated UK/ESO Agreement with the various entry modalities will now be presented to the ESO Council for approval. Before this Agreement can enter into force, the ESO Convention and associated protocols must also be ratified by the UK Parliament. Research and key technologies According to the PPARC press release, increased funding for science, announced by the UK government today, will enable UK astronomers to prepare for the next generation of telescopes and expand their current telescope portfolio through membership of the European Southern Observatory (ESO). The uplift to its baseline budget will enable PPARC to enter into final negotiations for UK membership of the ESO. This will ensure that UK astronomers, together with their colleagues in the ESO member states, are actively involved in global scale preparations for the next generation of astronomy facilities. among these are ALMA

UK-trained junior doctors' intentions to work in UK medicine: questionnaire surveys, three years after graduation.

Science.gov (United States)

Surman, Geraldine; Goldacre, Michael J; Lambert, Trevor W

2017-12-01

Objective To report on the career intentions, three years after qualification, of 12 national cohorts of UK-trained doctors who qualified between 1974 and 2012, and, specifically, to compare recent UK medical graduates' intentions to work in medicine in the UK with earlier graduates. Design Questionnaire surveys of cohorts of UK medical graduates defined by year of graduation. Setting UK. Participants 30,272 UK medical graduates. Main outcome measures Stated level of intention to pursue a long-term career in medicine in the UK. Results The response rate was 62% (30,272/48,927). We examined responses to the question ' Apart from temporary visits abroad, do you intend to practise medicine in the United Kingdom for the foreseeable future?' Of doctors from UK homes, 90% had specified that they would 'definitely or probably' practise medicine in the UK in the surveys of 1977-1986, 81% in 1996-2011 and 64% in 2015. Those who said that they would probably or definitely not practise medicine in the UK comprised 5% in 1977-1986, 8% in 1996-2011 and 15% in 2015. Most who were not definite about a future career in UK medicine indicated that they would wish to practise medicine outside the UK rather than to leave medicine. Conclusions The wish to remain in UK medical practice in the 2015 survey was unprecedentedly low in this unique series of 40 years of surveys.

Fraying at the Edges: UK Surrogacy Law in 2015.

Science.gov (United States)

Horsey, Kirsty

2016-11-01

This commentary examines a series of high-profile surrogacy cases decided in 2015. Taken singly or together, these cases serve to illustrate how the UK's law on surrogacy—in particular its provisions regarding eligibility for parental orders—is not only out of date but also becoming nonsensical. These problems culminate in an evident inability of the law to protect the best interests of children born through surrogacy and indicate strongly a need for reform.

Modelling UK energy demand to 2000

International Nuclear Information System (INIS)

Thomas, S.D.

1980-01-01

A recent long-term demand forecast for the UK was made by Cheshire and Surrey. (SPRU Occasional Paper Series No.5, Science Policy Research Unit, Univ. Of Sussex, 1978.) Although they adopted a sectoral approach their study leaves some questions unanswered. Do they succeed in their aim of making all their assumptions fully explicit. How sensitive are their estimates to changes in assumptions and policies. Are important problems and 'turning points' fully identified in the period up to and immediately beyond their time horizon of 2000. The author addresses these questions by using a computer model based on the study by Cheshire and Surrey. This article is a shortened version of the report, S.D. Thomas, 'Modelling UK Energy Demand to 2000', Operational Research, Univ. of Sussex, Brighton, UK, 1979, in which full details of the author's model are given. Copies are available from the author. (author)

Modelling UK energy demand to 2000

Energy Technology Data Exchange (ETDEWEB)

Thomas, S D [Sussex Univ., Brighton (UK)

1980-03-01

A recent long-term demand forecast for the UK was made by Cheshire and Surrey. (SPRU Occasional Paper Series No.5, Science Policy Research Unit, Univ. Of Sussex, 1978.) Although they adopted a sectoral approach their study leaves some questions unanswered. Do they succeed in their aim of making all their assumptions fully explicit. How sensitive are their estimates to changes in assumptions and policies. Are important problems and 'turning points' fully identified in the period up to and immediately beyond their time horizon of 2000. The author addresses these questions by using a computer model based on the study by Cheshire and Surrey. This article is a shortened version of the report, S.D. Thomas, 'Modelling UK Energy Demand to 2000', Operational Research, Univ. of Sussex, Brighton, UK, 1979, in which full details of the author's model are given. Copies are available from the author.

MotivATE: A Pretreatment Web-Based Program to Improve Attendance at UK Outpatient Services Among Adults With Eating Disorders.

Science.gov (United States)

Muir, Sarah; Newell, Ciarán; Griffiths, Jess; Walker, Kathy; Hooper, Holly; Thomas, Sarah; Thomas, Peter W; Arcelus, Jon; Day, James; Appleton, Katherine M

2017-07-26

In the UK, eating disorders affect upward of 725,000 people per year, and early assessment and treatment are important for patient outcomes. Around a third of adult outpatients in the UK who are referred to specialist eating disorder services do not attend, which could be related to patient factors related to ambivalence, fear, and a lack of confidence about change. This lack of engagement has a negative impact on the quality of life of patients and has implications for service costs. To describe the development of a Web-based program ("MotivATE") designed for delivery at the point of referral to an eating disorder service, with the aim of increasing service attendance. We used intervention mapping and a person-based approach to design the MotivATE program and conducted a needs assessment to determine the current impact of service nonattendance on patients (via a review of the qualitative evidence) and services (through a service provision survey to understand current issues in UK services). Following the needs assessment, we followed the five steps of program development outlined by Bartholomew et al (1998): (1) creating a matrix of proximal program objectives; (2) selecting theory-based intervention methods and strategies; (3) designing and organizing the program; (4) specifying adoption and implementation plans; and (5) generating program evaluation plans. The needs assessment identified current nonattendance rates of 10%-32%. We defined the objective of MotivATE as increasing attendance rates at an eating disorder service and considered four key determinants of poor attendance: patient ambivalence about change, low patient self-efficacy, recognition of the need to change, and expectations about assessment. We chose aspects of motivational interviewing, self-determination theory, and the use of patient stories as the most appropriate ways to enable change. Think-aloud piloting with people with lived experience of an eating disorder resulted in positive feedback

Strategy for energy policy in the UK

International Nuclear Information System (INIS)

Stone, T.

2012-01-01

UK Energy Policy is leading the world in showing how governments can effectively respond to the now widely accepted challenges of security of supply, low-carbon generation and pragmatic implementation. Confidence in the UK as place to invest in new nuclear is very high-there are already 3 developers who have between them already invested over 1 billion, 5 sites are planned to be developed and between 10 and 12 new reactors are planned to be built. To be clear, this is by far the largest commitment to new nuclear in the Western World and swamps in other countries. This achievement is a combination of vision, continuity, political consensus and a group of ministers and officials who are clear in the goals for the long-term sustain ability of an energy policy that will dramatically affect the lives of many generations to come. Recognising the multi-generational obligations and consequences of government policy's key to ensuring that this investment continues, together with the maintenance of the trust that investors have developed in the management of energy policy by the UK government. There is no doubt in the commitment of the UK government to delivering the safe, secure and low-carbon energy future of the UK. The opportunities for businesses and high-quality job creation are undoubted-all that now has to happen is for developers, reactor vendors, construction companies and communities to show how they can together deliver the cheapest form of low-carbon base load to time and to cost and to the benefit of local communities and the UK economy. the world is watching for the UK to show how it can be done. (Author)

Update on dialysis economics in the UK.

Science.gov (United States)

Sharif, Adnan; Baboolal, Keshwar

2011-03-01

The burgeoning population of patients requiring renal replacement therapy contributes a disproportionate strain on National Health Service resources. Although renal transplantation is the preferred treatment modality for patients with established renal failure, achieving both clinical and financial advantages, limitations to organ donation and clinical comorbidities will leave a significant proportion of patients with established renal failure requiring expensive dialysis therapy in the form of either hemodialysis or peritoneal dialysis. An understanding of dialysis economics is essential for both healthcare providers and clinical leaders to establish clinically efficient and cost-effective treatment modalities that maximize service provision. In light of changes to the provision of healthcare funds in the form of "Payment by Results," it is imperative for UK renal units to adopt clinically effective and financially accountable dialysis programs. This article explores the role of dialysis economics and implications for UK renal replacement therapy programs.

The UK national response plan: An 'all-risk' approach

International Nuclear Information System (INIS)

Englefield, C.

2001-01-01

Full text: The UK has been using and regulating radioactive materials for many years. The law, and the regulatory systems to implement it have developed over time, to meet the perceived need. More recently, the threat of inadvertent movements of, and illicit trafficking in radioactive materials has become apparent. This relatively new challenge cannot be met by a single U.K. law enforcement body. There will be Police and security services interest in any cases that arise of deliberate trafficking in fissile materials, and there will be statutory concerns for Customs and Excise. At the operational level, they do not have radioanalytical services and radiation protection support immediately available, as the frequency of occurrence of such incidents is extremely low. However, the typical case is an inadvertent movement. These usually involve orphaned sources, where none of the above law enforcement bodies have a statutory locus. In such cases, it is the UK environment agencies that take the lead (as regulators of radioactive substances), together with Health and Safety Executive as regulators of radiation safety. However they do not have all the statutory powers needed to intervene. This is in contrast to the position in some other countries. The UK paper at the International Conference of Regulators in Buenos Aires in December 2000 described the UK's co-ordination work to create synergies between law enforcement bodies and potentially affected industry groups. This was described as an 'All Risk Approach'. This is seen as the best way to manage an effective response to the challenge, given that the legislation cannot at present provide all the necessary powers. This new paper will describe the UK Response Plan and how it is designed to cover all risk: radiological and socio-economic. It will also describe how the Plan is being tested and validated as a project. The plan draws on UK Emergency Planning policy, as well as IAEA guidance on the Prevention, Detection and

The feasibility of collecting information from people with Multiple Sclerosis for the UK MS Register via a web portal: characterising a cohort of people with MS

Directory of Open Access Journals (Sweden)

Ford David V

2012-07-01

Full Text Available Abstract Background A UK Register of people with Multiple Sclerosis has been developed to address the need for an increased knowledge-base about MS. The Register is being populated via: a web-based portal; NHS neurology clinical systems; and administrative data sources. The data are de-identified and linked at the individual level. At the outset, it was not known whether people with MS would wish to participate in the UK MS Register by personally contributing their data to the Register via a web-based system. Therefore, the research aim of this work was to build an internet-mounted recruitment and consenting technology for people with Multiple Sclerosis, and to assess its feasibility as a questionnaire delivery platform to contribute data to the UK MS Register, by determining whether the information provided could be used to describe a cohort of people with MS. Methods The web portal was developed using VB.net and JQuery with a Microsoft SQL 2008 database. UK adults with MS can self-register and enter data about themselves by completing validated questionnaires. Descriptive statistics were used to characterise the respondents. Results The web portal was launched in May 2011, and in first three months 7,279 individuals registered on the portal. The ratio of men to women was 1:2.4 (n = 5,899, the mean self-reported age at first symptoms was 33.8 (SD 10.5 years, and at diagnosis 39.6 (SD 10.3 years (n = 4,401. The reported types of MS were: 15% primary progressive, 63% relapsing-remitting, 8% secondary progressive, and 14% unknown (n = 5,400. These characteristics are similar to those of the prevalent MS population. Employment rates, sickness/disability rates, ethnicity and educational qualifications were compared with the general UK population. Information about the respondents’ experience of early symptoms and the process of diagnosis, plus living arrangements are also reported. Conclusions These initial findings from the MS

Characteristics of service users and provider organisations associated with experience of out of hours general practitioner care in England: population based cross sectional postal questionnaire survey

OpenAIRE

Warren, Fiona C; Abel, Gary; Lyratzopoulos, Georgios; Elliott, Marc N; Richards, Suzanne; Barry, Heather E; Roland, Martin; Campbell, John L

2015-01-01

Objective: To investigate the experience of users of out of hours general practitioner services in England, UK. Design: Population based cross sectional postal questionnaire survey. Setting: General Practice Patient Survey 2012-13. Main outcome measures: Potential associations between sociodemographic factors (including ethnicity and ability to take time away from work during working hours to attend a healthcare consultation) and provider organisation type (not for profit, NHS, or commercial)...

Association between adiposity outcomes and residential density: a full-data, cross-sectional analysis of 419 562 UK Biobank adult participants.

Science.gov (United States)

Sarkar, Chinmoy; Webster, Chris; Gallacher, John

2017-10-01

with higher BMI (β 0·19 kg/m 2 , 95% CI 0·14 to 0·24), waist circumference (β 0·41 cm, 0·28 to 0·54), and whole body fat (β 0·40 kg, 0·30 to 0·50), and with increased odds of obesity (odds ratio [OR] 1·10, 1·07 to 1·14). Beyond 1800 units per km 2 , residential density had a protective effect on adiposity and was associated with lower BMI (β -0·22 kg/m 2 , -0·25 to -0·20), waist circumference (β -0·54 cm, -0·61 to -0·48), and whole body fat (β -0·38 kg, -0·43 to -0·33), and with decreased odds of obesity (OR 0·91, 0·90 to 0·93). Subgroup analyses identified more pronounced protective effects of residential density among individuals who were younger, female, in employment, and accumulating higher levels of physical activity, except in the case of whole body fat, for which the protective effects were stronger in men. Housing-level policy related to the optimisation of healthy density in cities might be a potential upstream-level public health intervention towards the minimisation and offsetting of obesity; however, further research based on accumulated prospective data is necessary for evidencing specific pathways. The findings might mean that governments, such as the UK Government, who are attempting to prevent suburban densification by, for example, prohibiting the subdivision of single lot housing and the conversion of domestic gardens to housing lots, will potentially have the effect of inhibiting the conversion of suburbs into more healthy places to live. University of Hong Kong, UK Biobank, and UK Economic & Social Research Council. Copyright © 2017 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY-NC-ND 4.0 license. Published by Elsevier Ltd.. All rights reserved.

DETERMINANTS AND OPTIMAL LEVEL OF CORPORATE CASH HOLDINGS: EVIDENCE FROM US, UK AND JAPAN

OpenAIRE

Zhang, Shan Shan

2013-01-01

This paper firstly investigates the empirical determinants of corporate cash holdings for a sample of listed US, UK and Japanese firms during the 2000-2012 period. Through applying the pooled time-series cross-sectional estimations, cross-sectional estimations and GMM two-step method of estimations, the results reveal that firms’ cash flow, cash flow variability, bank debt and degree of shareholders protection and creditor protection all have inverse relationship with cash holdings. Contraril...

Gonad protection for the paediatric patient

International Nuclear Information System (INIS)

Gyll, C.

1988-01-01

A brief article gives examples of hip radiographs of paediatric patients showing misplacement of shields for gonad protection. Shields cut out of lead-PVC sheeting or the fenestration method of shielding are proposed as more successful methods of gonad shielding. (UK)

The physics of radiation protection

International Nuclear Information System (INIS)

Doerschel, B.; Schuricht, V.; Steuer, J.

1996-01-01

The book is aimed at both practising specialists and scientists wishing to learn about the fundamental science of radiation protection. The first part of the book, 'Physical Fundamentals of Radiation Protection', presents a concise description of radiation sources and radiation fields, interaction of radiation with matter, radiation effects and radiation damage, basic concept of radiation protection, radiation exposure of man, radiation protection measuring techniques and physical fundamentals for limiting radiation exposure. The second part, 'Calculational Exercises for Radiation Protection' is intended to supplement the first part by carrying out relevant calculations, amending and adding special aspects and to give guidance in solving practical problems. The book is written for scientists as well as for students and staff working in nuclear facilities, hospitals and institutions responsible for radiation and environmental protection. (UK)

ISAT promises fail-safe computer-based reactor protection

International Nuclear Information System (INIS)

Anon.

1989-01-01

AEA Technology's ISAT system is a multiplexed microprocessor-based reactor protection system which has very extensive self-monitoring capabilities and is inherently fail safe. It provides a way of addressing software reliability problems that have tended to hamper widespread introduction of computer-based reactor protection. (author)

Frequency of medical and dental x-ray examinations in the UK. 1997/98

International Nuclear Information System (INIS)

Tanner, R.; Wall, B.; Shrimpton, P.

2000-12-01

A survey has been performed to assess the numbers of all types of radiological x-ray examination conducted in the UK during the period from April 1997 to March 1998. The survey covers all diagnostic and interventional procedures using x-rays for medical and dental purposes, both within and outside the National Health Service (NHS), but excludes a detailed analysis of magnetic resonance imaging (MRI), ultrasound and nuclear medicine. This is the first such national survey conducted by NRPB since 1983. The results provide a current picture of the pattern of medical x-ray imaging practice in the UK and will allow revised estimates to be made of the collective dose to the population from these procedures. The survey has utilised detailed information available from radiology management systems at a selected sample of 38 English NHS trusts. The different classifications of x-ray procedure have been re-arranged into 62 standardised categories based on anatomical location and whether they were conventional, computed tomography (CT) or interventional procedures. Extrapolation of the sample data to the whole of England was carried out using broad NHS radiology statistics (KH12 returns) for the period of the survey from the Department of Health. Additional data have been obtained covering NHS radiology practice in Wales and Northern Ireland and also for x-ray imaging practice outside NHS hospitals such as that performed in independent hospitals and by dentists and chiropractors. Results are presented giving the annual numbers and relative frequencies of x-ray examinations in the 62 categories and the contributions from radiology practice outside NHS hospitals and from the whole of the UK. Altogether, about 41.5 million medical and dental x-ray examinations were conducted in the UK in 1997/98, corresponding to 704 examinations per 1000 inhabitants. The increase since 1983 for medical examinations conducted in NHS hospitals has just kept pace with the increase in population

Use of on-site refugia to protect unionid populations from zebra mussel-induced mortality

Science.gov (United States)

Nichols, S. Jerrine; Black, M. Glen; Allen, Jeffrey D.

2000-01-01

Protecting unionid populations as zebra mussels spread into inland waterways has relied mainly on relocating at-risk animals into aquaculture facilities. While such relocations are the only viable management technique for some populations, facility availability is limited, leaving many unionids facing extirpation. Another management strategy is in-situ protection either by enhancing natural refugia or by creating managed refugia. We have reviewed all reports of natural refugia and found that refugia for unionids can be found in many areas. There are many habitats where zebra mussel colonization has been limited, or of a temporary nature. Within zebra mussel infested areas, unionid communities continue to survive in some shallow water sites such as estuaries, deltas, and lake-connected wetlands. Managed refugia can be created in areas where natural refugia do not exist. We present a case study on recent efforts to create refugia in an area with rapidly expanding zebra mussel populations. Preliminary analysis of unionid body condition indicates that removal of encrusted zebra mussels only once a year can improve unionid condition factors and decrease mortality. Natural and managed refugia can provide an additional conservation management option in some areas.

Room Temperature Stable PspA-Based Nanovaccine Induces Protective Immunity

Directory of Open Access Journals (Sweden)

Danielle A. Wagner-Muñiz

2018-03-01

Full Text Available Streptococcus pneumoniae is a major causative agent of pneumonia, a debilitating disease particularly in young and elderly populations, and is the leading worldwide cause of death in children under the age of five. While there are existing vaccines against S. pneumoniae, none are protective across all serotypes. Pneumococcal surface protein A (PspA, a key virulence factor of S. pneumoniae, is an antigen that may be incorporated into future vaccines to address the immunological challenges presented by the diversity of capsular antigens. PspA has been shown to be immunogenic and capable of initiating a humoral immune response that is reactive across approximately 94% of pneumococcal strains. Biodegradable polyanhydrides have been studied as a nanoparticle-based vaccine (i.e., nanovaccine platform to stabilize labile proteins, to provide adjuvanticity, and enhance patient compliance by providing protective immunity in a single dose. In this study, we designed a room temperature stable PspA-based polyanhydride nanovaccine that eliminated the need for a free protein component (i.e., 100% encapsulated within the nanoparticles. Mice were immunized once with the lead nanovaccine and upon challenge, presented significantly higher survival rates than animals immunized with soluble protein alone, even with a 25-fold reduction in protein dose. This lead nanovaccine formulation performed similarly to protein adjuvanted with Alum, however, with much less tissue reactogenicity at the site of immunization. By eliminating the free PspA from the nanovaccine formulation, the lead nanovaccine was efficacious after being stored dry for 60 days at room temperature, breaking the need for maintaining the cold chain. Altogether, this study demonstrated that a single dose PspA-based nanovaccine against S. pneumoniae induced protective immunity and provided thermal stability when stored at room temperature for at least 60 days.

Ammonia emission factors for UK agriculture

Science.gov (United States)

Misselbrook, T. H.; Van Der Weerden, T. J.; Pain, B. F.; Jarvis, S. C.; Chambers, B. J.; Smith, K. A.; Phillips, V. R.; Demmers, T. G. M.

Ammonia (NH 3) emission inventories are required for modelling atmospheric NH 3 transport and estimating downwind deposition. A recent inventory for UK agriculture, estimating emission as 197 kt NH 3-N yr -1, was constructed using 1993 statistical and census data for the UK. This paper describes the derivation of the UK-based emission factors used in the calculation of that emission for a range of livestock classes, farm practices and fertiliser applications to agricultural land. Some emission factors have been updated where more recent information has become available. Some of the largest emission factors derived for each farming practice include 16.9 g NH 3-N dairy cow -1 d -1 for grazing, 148.8 g NH 3-N liveweight unit -1 yr -1 for housed broilers and 4.8 g NH 3-N m -2 d -1 for storage of solid pig and poultry waste as manure heaps. Emissions for land spreading of all livestock waste were 59% of the total ammoniacal nitrogen (TAN) applied as a high dry matter content slurry and 76% of TAN applied as farm yard manure. An updated estimate of emission from UK agriculture, using updated emission factors together with 1997 statistical and census data, is presented, giving a total of 226 kt NH 3-N per year.

UK Hazard Assessment for a Laki-type Volcanic Eruption

Science.gov (United States)

Witham, Claire; Felton, Chris; Daud, Sophie; Aspinall, Willy; Braban, Christine; Loughlin, Sue; Hort, Matthew; Schmidt, Anja; Vieno, Massimo

2014-05-01

Following the impacts of the Eyjafjallajokull eruption in 2010, two types of volcanic eruption have been added to the UK Government's National Risk Register for Civil Emergencies. One of these, a large gas-rich volcanic eruption, was identified as a high impact natural hazard, one of the three highest priority natural hazards faced by the UK. This eruption scenario is typified by the Laki eruption in Iceland in 1783-1784. The Civil Contingency Secretariat (CCS) of the UK's Cabinet Office, responsible for Civil Protection in the UK, has since been working on quantifying the risk and better understanding its potential impacts. This involves cross-cutting work across UK Government departments and the wider scientific community in order to identify the capabilities needed to respond to an effusive eruption, to exercise the response and develop increased resilience where possible. As part of its current work, CCS has been working closely with the UK Met Office and other UK agencies and academics (represented by the co-authors and others) to generate and assess the impacts of a 'reasonable worst case scenario', which can be used for decision making and preparation in advance of an eruption. Information from the literature and the findings of an expert elicitation have been synthesised to determine appropriate eruption source term parameters and associated uncertainties. This scenario is then being used to create a limited ensemble of model simulations of the dispersion and chemical conversion of the emissions of volcanic gases during such an eruption. The UK Met Office's NAME Lagrangian dispersion model and the Centre for Ecology and Hydrology's EMEP4UK Eulerian model are both being used. Modelling outputs will address the likelihood of near-surface concentrations of sulphur and halogen species being above specified health thresholds. Concentrations at aviation relevant altitudes will also be evaluated, as well as the effects of acid deposition of volcanic species on

Population-based screening versus case detection.

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Thomas Ravi

2002-01-01

Full Text Available India has a large burden of blindness and population-based screening is a strategy commonly employed to detect disease and prevent morbidity. However, not all diseases are amenable to screening. This communication examines the issue of "population-based screening" versus "case detection" in the Indian scenario. Using the example of glaucoma, it demonstrates that given the poor infrastructure, for a "rare" disease, case detection is more effective than population-based screening.

An example of population-level risk assessments for small mammals using individual-based population models.

Science.gov (United States)

Schmitt, Walter; Auteri, Domenica; Bastiansen, Finn; Ebeling, Markus; Liu, Chun; Luttik, Robert; Mastitsky, Sergey; Nacci, Diane; Topping, Chris; Wang, Magnus

2016-01-01

This article presents a case study demonstrating the application of 3 individual-based, spatially explicit population models (IBMs, also known as agent-based models) in ecological risk assessments to predict long-term effects of a pesticide to populations of small mammals. The 3 IBMs each used a hypothetical fungicide (FungicideX) in different scenarios: spraying in cereals (common vole, Microtus arvalis), spraying in orchards (field vole, Microtus agrestis), and cereal seed treatment (wood mouse, Apodemus sylvaticus). Each scenario used existing model landscapes, which differed greatly in size and structural complexity. The toxicological profile of FungicideX was defined so that the deterministic long-term first tier risk assessment would result in high risk to small mammals, thus providing the opportunity to use the IBMs for risk assessment refinement (i.e., higher tier risk assessment). Despite differing internal model design and scenarios, results indicated in all 3 cases low population sensitivity unless FungicideX was applied at very high (×10) rates. Recovery from local population impacts was generally fast. Only when patch extinctions occured in simulations of intentionally high acute toxic effects, recovery periods, then determined by recolonization, were of any concern. Conclusions include recommendations for the most important input considerations, including the selection of exposure levels, duration of simulations, statistically robust number of replicates, and endpoints to report. However, further investigation and agreement are needed to develop recommendations for landscape attributes such as size, structure, and crop rotation to define appropriate regulatory risk assessment scenarios. Overall, the application of IBMs provides multiple advantages to higher tier ecological risk assessments for small mammals, including consistent and transparent direct links to specific protection goals, and the consideration of more realistic scenarios. © 2015 SETAC.

Fossil resource trade balances. Emerging trends for the UK

International Nuclear Information System (INIS)

Papathanasopoulou, Eleni; Jackson, Tim

2008-01-01

The aim of this paper is to examine the extent to which the UK can be classified as a net importer of fossil resources and a creator of pollution havens abroad between 1968 and 2000. Using input-output techniques and a derived Resource Flow Classification System, both the physical trade balance (PTB) and pollution trade balance (UTB) associated with fossil resource use are computed. The PTB shows that between 1968 and the early 1980's the UK is presented as a net importer of direct fossil resource flows. Between 1984 and 2000, the UK is identified as a net exporter of direct fossil resources. These trends are primarily explained by the UK's discovery and commercial production of North Sea oil and gas fields in the late 1970s. On the other hand, the UTB shows that over the whole period the indirect used flows attributable to the UK's exports are higher than those attributable to its imports. These findings suggest that the UK did not create pollution havens abroad from the use of fossil resources between 1968 and 2000. However, it is noticeable in both cases that from 1995 the UK's position as a net exporter has been decreasing considerably. Maturing North Sea oil and gas fields set against increasing demands for fossil fuels and imported goods is signalling a return to the UK's pre-1984 dependence on direct imported fossil resources and the possible creation of pollution havens abroad. Knowledge of these trends contributes to the evidence base for the UK's changing import and export structure and the potential environmental repercussions at home and abroad. (author)

Fossil resource trade balances. Emerging trends for the UK

Energy Technology Data Exchange (ETDEWEB)

Papathanasopoulou, Eleni; Jackson, Tim [Centre for Environmental Strategy, University of Surrey, Guildford, Surrey, GU2 7TH (United Kingdom)

2008-06-15

The aim of this paper is to examine the extent to which the UK can be classified as a net importer of fossil resources and a creator of pollution havens abroad between 1968 and 2000. Using input-output techniques and a derived Resource Flow Classification System, both the physical trade balance (PTB) and pollution trade balance (UTB) associated with fossil resource use are computed. The PTB shows that between 1968 and the early 1980's the UK is presented as a net importer of direct fossil resource flows. Between 1984 and 2000, the UK is identified as a net exporter of direct fossil resources. These trends are primarily explained by the UK's discovery and commercial production of North Sea oil and gas fields in the late 1970s. On the other hand, the UTB shows that over the whole period the indirect used flows attributable to the UK's exports are higher than those attributable to its imports. These findings suggest that the UK did not create pollution havens abroad from the use of fossil resources between 1968 and 2000. However, it is noticeable in both cases that from 1995 the UK's position as a net exporter has been decreasing considerably. Maturing North Sea oil and gas fields set against increasing demands for fossil fuels and imported goods is signalling a return to the UK's pre-1984 dependence on direct imported fossil resources and the possible creation of pollution havens abroad. Knowledge of these trends contributes to the evidence base for the UK's changing import and export structure and the potential environmental repercussions at home and abroad. (author)

The Mayo Portland Adaptability Inventory-4 outcome measure is superior to UK FIM+FAM in a British military population.

Science.gov (United States)

McGilloway, Emer; Mitchell, James; Dharm-Datta, Shreshth; Roberts, Andrew; Tilley, Haydn; Etherington, John

2016-01-01

The aim of this study was to identify the most appropriate rehabilitation outcome measure for use in a young adult population with acquired brain injury. A 2-year prospective study of patients admitted to a UK military neuro-rehabilitation unit with acquired brain injury to compare the appropriateness of the Functional Independence Measure/Functional Assessment Measure (FIM+FAM) vs the Mayo-Portland Adaptability Inventory Version 4 (MPAI-4) in assessing outcomes. Patients were assessed at admission, discharge and at 4-month follow-up using FIM+FAM and MPAI-4. The FIM+FAM total motor score showed a marked ceiling affect, 42% of patients scored the maximum on admission rising to 80% at discharge. The MPAI-4 did not show significant ceiling effects. The other sub-scales of FIM+FAM and MPAI-4 were generally comparable, no more than 17% achieved ceiling at follow-up. This is the first comparative study of FIM+FAM and MPAI-4 in a young adult military population following acquired brain injury. All patients showed improvements in both outcome measures following intensive inpatient rehabilitation. However, the MPAI-4 did not show ceiling effects in motor scores. This measure was, therefore, found to be more appropriate in the cohort.

An Improved Artificial Bee Colony-Based Approach for Zoning Protected Ecological Areas.

Directory of Open Access Journals (Sweden)

Jing Shao

Full Text Available China is facing ecological and environmental challenges as its urban growth rate continues to rise, and zoning protected ecological areas is recognized as an effective response measure. Zoning inherently involves both site attributes and aggregation attributes, and the combination of mathematical models and heuristic algorithms have proven advantageous. In this article, an improved artificial bee colony (IABC-based approach is proposed for zoning protected ecological areas at a regional scale. Three main improvements were made: the first is the use of multiple strategies to generate the initial bee population of a specific quality and diversity, the second is an exploitation search procedure to generate neighbor solutions combining "replace" and "alter" operations, and the third is a "swap" strategy to enable a local search for the iterative optimal solution. The IABC algorithm was verified using simulated data. Then it was applied to define an optimum scheme of protected ecological areas of Sanya (in the Hainan province of China, and a reasonable solution was obtained. Finally, a comparison experiment with other methods (agent-based land allocation model, ant colony optimization, and density slicing was conducted and demonstrated that the IABC algorithm was more effective and efficient than the other methods. Through this study, we aimed to provide a scientifically sound, practical approach for zoning procedures.

Integration and dispersal in the UK

Directory of Open Access Journals (Sweden)

David Griffiths

2005-05-01

Full Text Available It is often suggested that Refugee Community-based Organisations (RCOs play a key role in assisting refugee adaptation and integration in the UK. But what happens when the reception policy for asylum seekers and refugees is fundamentally changed?

Effectiveness of Protected Areas for Representing Species and Populations of Terrestrial Mammals in Costa Rica

Science.gov (United States)

González-Maya, José F.; Víquez-R, Luis R.; Belant, Jerrold L.; Ceballos, Gerardo

2015-01-01

Costa Rica has one of the greatest percentages (26%) of protected land in the world. The National Protected Areas System (NPAS) of Costa Rica was established in 1976 and currently includes >190 protected areas within seven different protection categories. The effectiveness of the NPAS to represent species, populations, and areas with high species richness has not been properly evaluated. Such evaluations are fundamental to understand what is necessary to strengthen the NPAS and better protect biodiversity. We present a novel assessment of NPAS effectiveness in protecting mammal species. We compiled the geographical ranges of all terrestrial Costa Rican mammals then determined species lists for all protected areas and the estimated proportion of each species’ geographic range protected. We also classified mammal species according to their conservation status using the IUCN Red List of Threatened Species. We found almost complete representation of mammal species (98.5%) in protected areas, but low relative coverage (28.3% on average) of their geographic ranges in Costa Rica and 25% of the species were classified as underprotected according to a priori representation targets. Interestingly, many species-rich areas are not protected, and at least 43% of cells covering the entire country are not included in protected areas. Though protected areas in Costa Rica represent species richness well, strategic planning for future protected areas to improve species complementarity and range protection is necessary. Our results can help to define sites where new protected areas can have a greater impact on mammal conservation, both in terms of species richness and range protection. PMID:25970293

Effectiveness of protected areas for representing species and populations of terrestrial mammals in Costa Rica.

Directory of Open Access Journals (Sweden)

José F González-Maya

Full Text Available Costa Rica has one of the greatest percentages (26% of protected land in the world. The National Protected Areas System (NPAS of Costa Rica was established in 1976 and currently includes >190 protected areas within seven different protection categories. The effectiveness of the NPAS to represent species, populations, and areas with high species richness has not been properly evaluated. Such evaluations are fundamental to understand what is necessary to strengthen the NPAS and better protect biodiversity. We present a novel assessment of NPAS effectiveness in protecting mammal species. We compiled the geographical ranges of all terrestrial Costa Rican mammals then determined species lists for all protected areas and the estimated proportion of each species' geographic range protected. We also classified mammal species according to their conservation status using the IUCN Red List of Threatened Species. We found almost complete representation of mammal species (98.5% in protected areas, but low relative coverage (28.3% on average of their geographic ranges in Costa Rica and 25% of the species were classified as underprotected according to a priori representation targets. Interestingly, many species-rich areas are not protected, and at least 43% of cells covering the entire country are not included in protected areas. Though protected areas in Costa Rica represent species richness well, strategic planning for future protected areas to improve species complementarity and range protection is necessary. Our results can help to define sites where new protected areas can have a greater impact on mammal conservation, both in terms of species richness and range protection.

Radiation protection optimization using a knowledge based methodology

International Nuclear Information System (INIS)

Reyes-Jimenez, J.; Tsoukalas, L.H.

1991-01-01

This paper presents a knowledge based methodology for radiological planning and radiation protection optimization. The cost-benefit methodology described on International Commission of Radiation Protection Report No. 37 is employed within a knowledge based framework for the purpose of optimizing radiation protection and plan maintenance activities while optimizing radiation protection. 1, 2 The methodology is demonstrated through an application to a heating ventilation and air conditioning (HVAC) system. HVAC is used to reduce radioactivity concentration levels in selected contaminated multi-compartment models at nuclear power plants when higher than normal radiation levels are detected. The overall objective is to reduce personnel exposure resulting from airborne radioactivity, when routine or maintenance access is required in contaminated areas. 2 figs, 15 refs

Spatially Explicit Analysis of Water Footprints in the UK

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John Barrett

2010-12-01

Full Text Available The Water Footprint, as an indicator of water consumption has become increasingly popular for analyzing environmental issues associated with the use of water resources in the global supply chain of consumer goods. This is particularly relevant for countries like the UK, which increasingly rely on products produced elsewhere in the world and thus impose pressures on foreign water resources. Existing studies calculating water footprints are mostly based on process analysis, and results are mainly available at the national level. The current paper assesses the domestic and foreign water requirements for UK final consumption by applying an environmentally extended multi-regional input-output model in combination with geo-demographic consumer segmentation data. This approach allows us to calculate water footprints (both direct and indirect for different products as well as different geographies within the UK. We distinguished between production and consumption footprints where the former is the total water consumed from the UK domestic water resources by the production activities in the UK and the latter is the total water consumed from both domestic and global water resources to satisfy the UK domestic final consumption. The results show that the production water footprint is 439 m3/cap/year, 85% of which is for the final consumption in the UK itself. The average consumption water footprint of the UK is more than three times bigger than the UK production water footprint in 2006. About half of the UK consumption water footprints were associated with imports from Non-OECD countries (many of which are water-scarce, while around 19% were from EU-OECD countries, and only 3% from Non-EU-OECD countries. We find that the water footprint differs considerably across sub-national geographies in the UK, and the differences are as big as 273 m3/cap/year for the internal water footprint and 802 m3/cap/year for the external water footprint. Our results suggest

Population based epidemiology of ankle sprains attending accident and emergency units in the West Midlands of England, and a survey of UK practice for severe ankle sprains.

Science.gov (United States)

Bridgman, S A; Clement, D; Downing, A; Walley, G; Phair, I; Maffulli, N

2003-11-01

To estimate the incidence of ankle sprains and severe ankle sprains attending accident and emergency (A&E) units; to describe current practice for severe ankle sprains in A&E units in the United Kingdom. Crude age and sex specific incidence rates were calculated for four health districts from cases ascertained from data on seven A&E clinical information systems. Case records of patients with ankle sprains at an A&E unit in another health district were audited and the proportion of severe ankle sprains calculated. UK A&E units were surveyed about their usual treatment of patients with severe ankle sprains. The estimate of the crude incidence rate of ankle sprains was a minimum of 52.7 per 10 000, rising to 60.9 (95% CI 59.4 to 62.4) when figures were adjusted for the proportion of patients without a diagnostic code (13.7%). There were important age-sex differences with unadjusted rates observed from 127.8 per 10 000 (CI 115.5 to 140.0) in girls aged 10-14 years to 8.2 (CI 4.2 to 12.3) in men aged 70-74 years. As 14% of ankle sprains attending A&E were classed as severe, this would equate to 42 000 severe ankle sprains per year in the UK. In the UK wide survey, there was a response rate of 79% (211 of 266). Among the responders, Tubigrip was used routinely in 55%, below knee casts in 3%, and braces in 2%. Boots were not used routinely in any unit. While there is considerable variation in severe ankle sprain management in UK A&E units, most are treated with the minimal mechanical support of Tubigrip.

Doses to Terrestrial Biota in the Vicinity of BNFL Sellafield, Cumbria, UK (invited paper)

Energy Technology Data Exchange (ETDEWEB)

Copplestone, D.; Johnson, M.S.; Jackson, D.; Jones, S.R

2000-07-01

Source terms and corresponding radionuclide activity concentrations in biota for {sup 134}Cs, {sup 137}Cs, {sup 238}Pu, {sup 239+240}Pu and {sup 241}Am have been assessed for three semi-natural ecosystems in the vicinity of BNFL Sellafield, Cumbria, UK. Estimates of absorbed doses (mGy.d{sup -1}) have been calculated. Doses to key indicator species, Oniscus asellus (detritivorous invertebrate), Carabus violaceous (predatory invertebrate) and Apodemus sylvaticus (granivorous wood mouse) are discussed with reference to the 1 mGy.d{sup -1} level, below which it is postulated that no observable effects on populations in a terrestrial ecosystem occur. Implications for the 'critical group' and 'reference model' approaches for a framework of radiological environmental protection are discussed. The need to assess the most highly exposed species is advanced. New research focused on the application of biomarker techniques as a mechanism for determining the interactions and effects of environmental contaminants on ecosystem structure and functioning is presented. (author)

Solar energy: a UK assessment

Energy Technology Data Exchange (ETDEWEB)

1976-01-01

A panel convened by UK-ISES to analyze all aspects of solar energy systems and to assess the potential for solar energy utilization and research and development needs in the UK and for export is reported. Topics covered include: solar energy in relation to other energy sources; international solar energy research and development program; the physical nature of solar energy and its availability in the UK and other countries; thermal collection, storage, and low-temperature applications; solar energy and architecture; solar thermal power systems; solar cells; agricultural and biological systems; photochemical systems; social, legal, and political considerations with particular reference to the UK; and future policy on solar research and development for the UK. (WDM)

Biomass and air quality the UK experience

International Nuclear Information System (INIS)

Dearnley, E.

2009-01-01

Policies to encourage the use of biomass in the UK can perhaps be held up as an example of how not to develop integrated environmental policy. The UK has considered the air quality effects of biomass burning only after putting in place policies that will hugely increase the amount of biomass burning plant that will be installed. Whilst these issues are now being addressed, it will be some time before a satisfactory framework will be in place. The current situation is not a positive one for all involved - air quality practitioners, climate change policy makers and the wider biomass industry. For clean air organisations such as Environmental Protection UK and our European counterparts there are essentially two lessons to take away. The first is that we have to raise our sights to look for potential threats to air quality from wider policy measures, and flag up potential concerns at the earliest opportunity. It is easy to focus on the job in hand (for example emissions from vehicles) and miss developments further afield. Secondly, and most importantly, we have to offer our own solutions to wider environmental challenges. Climate change is likely to remain the dominant global environmental issue for decades to come; clean air agencies need to understand this and put forward low carbon solutions that offer strong synergies with air quality. The alternative is for policy makers to see air i quality standards and clean air agencies as a barrier t to progress towards a low carbon economy, rather than a positive source of solutions. (N.C.)

Cost-effectiveness and budget impact of Empirical vitamin D therapy on unintentional falls in older adults in the UK.

Science.gov (United States)

Poole, C D; Smith, J; Davies, J S

2015-09-29

To evaluate the health outcomes and economics associated with the current guidance relating to the prevention of falls in the elderly through vitamin D supplementation. UK. UK population aged 60 years and above. A Markov health state transition model simulated patient transitions between key fall-related outcomes using a 5-year horizon and annual cycles to assess the costs and benefits of empirical treatment with colecalciferol 800 iu daily. Costs and health outcomes attributable to fall prevention following vitamin D supplementation. Our model shows that treating the UK population aged 60 years and above with 800 iu colecalciferol would, over a 5-year period: (1) prevent in excess of 430,000 minor falls; (2) avoid 190,000 major falls; (3) prevent 1579 acute deaths; (4) avoid 84,000 person-years of long-term care and (5) prevent 8300 deaths associated with increased mortality in long-term care. The greatest gains are seen among those 75 years and older. Based on reduction in falls alone, the intervention in all adults aged 65+ is cost-saving and leads to increased quality adjusted life years. Treating all adults aged 60+ incurs an intervention cost of £2.70bn over 5 years, yet produces a -£3.12bn reduction in fall-related costs; a net saving of £420M. Increasing the lower bound age limit by 5-year increments increases budget impact to -£1.17bn, -£1.75bn, and -£2.06bn for adults 65+, 70+ and 75+, respectively. This study shows that treatment of the elderly UK population with colecalciferol 800 iu daily would be associated with reductions in mortality and substantial cost-savings through fall prevention. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

Exploring public perceptions of solutions to tree diseases in the UK: Implications for policy-makers.

Science.gov (United States)

Jepson, Paul; Arakelyan, Irina

2017-10-01

Tree diseases are on the increase in many countries and the implications of their appearance can be political, as well as ecological and economic. Preventative policy approaches to tree diseases are difficult to formulate because dispersal pathways for pest and pathogens are numerous, poorly known and likely to be beyond human management control. Genomic techniques could offer the quickest and most predictable approach to developing a disease tolerant native ash. The population of European Ash ( Fraxinus Excelsi or) has suffered major losses in the last decade, due to the onset of Hymenoscyphus fraxineus (previously called Chalara Fraxinea ) commonly known in the UK as ash dieback. This study presents evidence on the public acceptability of tree-breed solutions to the spread of Chalara , with the main aim to provide science and policy with an up-stream 'steer' on the likely public acceptability of different tree breeding solutions. The findings showed that whilst there was a firm anti-GM and ' we shouldn't tamper with nature ' attitude among UK publics, there was an equally firm and perhaps slightly larger pragmatic attitude that GM (science and technology) should be used if there is a good reason to do so, for example if it can help protect trees from disease and help feed the world. The latter view was significantly stronger among younger age groups (Millennials), those living in urban areas and when the (GM)modified trees were destined for urban and plantation, rather than countryside settings. Overall, our findings suggest that the UK government could consider genomic solutions to tree breeding with more confidence in the future, as large and influential publics appear to be relaxed about the use of genomic techniques to increase tolerance of trees to disease.

Radiation protection in hospitals

International Nuclear Information System (INIS)

MOuld, R.F.

1985-01-01

A book on radiation protection in hospitals has been written to cater for readers with different backgrounds, training and needs by providing an elementary radiation physics text in Part I and an advanced, comprehensive Part II relating to specific medical applications of X-rays and of radioactivity. Part I includes information on basic radiation physics, radiation risk, radiation absorption and attenuation, radiation measurement, radiation shielding and classification of radiation workers. Part II includes information on radiation protection in external beam radiotherapy, interstitial source radiotherapy, intracavitary radiotherapy, radioactive iodine-131 radiotherapy, nuclear medicine diagnostics and diagnostic radiology. (U.K.)

A view from the UK III: radiation protection in Europe - medical issues

Energy Technology Data Exchange (ETDEWEB)

Corbett, R.H.; Faulkner, K. [Freeman Hospital, Newcastle-upon-Tyne (United Kingdom). Dept. of Medical Physics

1997-12-31

Perhaps the major problem in the medical world is one of communication. While there is a clear chain of information dissemination in management circles, radiation protection is a Cinderella subject by comparison. There will be an important role for Radiation Protection Advisors (RPAs) and Radiation Protection Supervisors (RPSs) to interpret and review the new standards and apply them within their departments. (orig.)

Survey of the incidence of pectinate ligament dysplasia and glaucoma in the UK Leonberger population.

Science.gov (United States)

Fricker, Georgina V; Smith, Kerry; Gould, David J

2016-09-01

To determine the prevalence of pectinate ligament dysplasia (PLD) in UK Leonbergers and identify cases affected by glaucoma. Also, to define the spectrum of pectinate ligament (PL) appearance in this breed and determine whether gonioscopic monitoring should be recommended. Data were compiled from 78 prospective gonioscopy examinations performed by one author (GF) and retrospective analysis of 233 UK eye scheme certificates (2009-2014). Clinical cases of glaucoma in Leonbergers diagnosed by UK veterinary ophthalmologists, where gonioscopy of the fellow eyes or histology of affected eyes had been performed, were also reviewed. In the prospective study, intraocular pressure was recorded prior to gonioscopy using a rebound tonometer. Gonioscopy was performed using a slit-lamp biomicroscope with a Koeppe goniolens. PLD was categorized according to the percentage of the iridocorneal drainage angle affected (grade 0 = 75% affected), and the degree of narrowing of the angle was noted. Of 78 dogs examined prospectively, 64/78 (82%) were grade 0, 7/78 (9%) were grade 1, 3/78 (4%) were grade 2, and 4/78 (5%) were grade 3. A large phenotypic variation was observed. Spearman's rank correlation showed a positive correlation between age and severity of PLD (P gonioscopy had been performed and one where histology was performed. All individuals had grade 3 PLD with gonioscopy of the contralateral eye or severe goniodysgenesis with histological sections of the affected eye. This survey suggests the prevalence of PLD is sufficient to justify ongoing screening of Leonbergers. © 2015 American College of Veterinary Ophthalmologists.

Marketing of new Technologies: The case of Renewable Energies in the UK

DEFF Research Database (Denmark)

Brem, Alexander; Muehlmann, F.; Sarmiento, T.

2011-01-01

The market in the UK for renewable energy is arguably at a very critical phase in its development. Key drivers for current policy include energy security, climate change and energy prices, added to which the UK has agreed specific targets with other EU countries to help meet these challenges....... The paper includes a general overview of worldwide energy demand and a comprehensive overview of renewable energy alternatives. Based on that, it describes the development of the UK renewables marketplace with a market overview including a summary of selected key organisations currently operating. Finally......, this paper recapitulates the key findings of our quantitative research, based on a survey of 65 organisations operating in the market, into the state of the UK market, including a view on the trends and outlook for the future. Finally, the paper offers some concluding remarks which state, among others...

Protection of Bulgarian population in medical radiation diagnostic science after 1950. Some basic problems

International Nuclear Information System (INIS)

Ingilizova, Kr.

2000-01-01

The report presents summarized data on frequency and structure of X-ray and nuclear medical examinations carried out in Bulgaria during the period 1950-1995. The effective and the collective effective dose are calculated. Some on the basic problems concerning the protection of Bulgarian population during medical exposure are outlined

UK position paper on sodium fires

Energy Technology Data Exchange (ETDEWEB)

Vaughan, G J [National Nuclear Corporation Ltd., Risley, Warrington, Cheshire (United Kingdom); Glass, D [United Kingdom Atomic Energy Authority, Dounreay Nuclear Power Development Establishment, Thurso, Caithness (United Kingdom); Newman, R N [Central Electricity Generating Board, Berekely Nuclear Laboratory, Berkeley, Gloucestershire (United Kingdom); Ramsdale, S A [United Kingdom Atomic Energy Authority, Safety and Reliability Directorate, Culcheth, Cheshire (United Kingdom); Snelling, K W [United Kingdom Atomic Energy Authority, Atomic Energy Establishment, Winfrith, Dorchester, Dorset (United Kingdom)

1989-07-01

The UK has over several years developed a philosophy for the prevention, mitigation and extinguishment of sodium fires. The systems which were developed for PFR have been continuously revised and modified and from these considerations systems were proposed for CDFR. The latest phases of this development are described with reference to the CDFR plant. The current analytical and experimental work on fires, aerosols and sodium concrete reactions is also discussed. The UK are developing codes to analyse the effects of a sodium fire in a building and to model aerosol behaviour following a fire. Experimental work on small scale fires, aerosol behaviour, filtration devices and sodium concrete reaction is being carried out on a laboratory scale. Techniques for aerosol measurement and characterisation have also been developed and used both In the laboratory and large scale tests. Larger scale tests of sodium fire extinguishment techniques have also been performed. Currently a programme of tests (SOFA) of large scale fires in the open to investigate the chemical and physical changes in the aerosol and its dispersion in the atmosphere are just beginning. The UK studies are intended to both assist in the development of prevention and mitigation systems for design base and beyond design base accidents in any building which contains sodium (or sodium potassium alloy) and also to provide methods for assessing the risks from such accidents. (author)

UK position paper on sodium fires

International Nuclear Information System (INIS)

Vaughan, G.J.; Glass, D.; Newman, R.N.; Ramsdale, S.A.; Snelling, K.W.

1989-01-01

The UK has over several years developed a philosophy for the prevention, mitigation and extinguishment of sodium fires. The systems which were developed for PFR have been continuously revised and modified and from these considerations systems were proposed for CDFR. The latest phases of this development are described with reference to the CDFR plant. The current analytical and experimental work on fires, aerosols and sodium concrete reactions is also discussed. The UK are developing codes to analyse the effects of a sodium fire in a building and to model aerosol behaviour following a fire. Experimental work on small scale fires, aerosol behaviour, filtration devices and sodium concrete reaction is being carried out on a laboratory scale. Techniques for aerosol measurement and characterisation have also been developed and used both In the laboratory and large scale tests. Larger scale tests of sodium fire extinguishment techniques have also been performed. Currently a programme of tests (SOFA) of large scale fires in the open to investigate the chemical and physical changes in the aerosol and its dispersion in the atmosphere are just beginning. The UK studies are intended to both assist in the development of prevention and mitigation systems for design base and beyond design base accidents in any building which contains sodium (or sodium potassium alloy) and also to provide methods for assessing the risks from such accidents. (author)

Learning from history, predicting the future: the UK Dutch elm disease outbreak in relation to contemporary tree disease threats

Science.gov (United States)

Potter, Clive; Harwood, Tom; Knight, Jon; Tomlinson, Isobel

2011-01-01

Expanding international trade and increased transportation are heavily implicated in the growing threat posed by invasive pathogens to biodiversity and landscapes. With trees and woodland in the UK now facing threats from a number of disease systems, this paper looks to historical experience with the Dutch elm disease (DED) epidemic of the 1970s to see what can be learned about an outbreak and attempts to prevent, manage and control it. The paper draws on an interdisciplinary investigation into the history, biology and policy of the epidemic. It presents a reconstruction based on a spatial modelling exercise underpinned by archival research and interviews with individuals involved in the attempted management of the epidemic at the time. The paper explores what, if anything, might have been done to contain the outbreak and discusses the wider lessons for plant protection. Reading across to present-day biosecurity concerns, the paper looks at the current outbreak of ramorum blight in the UK and presents an analysis of the unfolding epidemiology and policy of this more recent, and potentially very serious, disease outbreak. The paper concludes by reflecting on the continuing contemporary relevance of the DED experience at an important juncture in the evolution of plant protection policy. PMID:21624917

Health and economic impact of PHiD-CV in Canada and the UK: a Markov modelling exercise.

Science.gov (United States)

Knerer, Gerhart; Ismaila, Afisi; Pearce, David

2012-01-01

The spectrum of diseases caused by Streptococcus pneumoniae and non-typeable Haemophilus influenzae (NTHi) represents a large burden on healthcare systems around the world. Meningitis, bacteraemia, community-acquired pneumonia (CAP), and acute otitis media (AOM) are vaccine-preventable infectious diseases that can have severe consequences. The health economic model presented here is intended to estimate the clinical and economic impact of vaccinating birth cohorts in Canada and the UK with the 10-valent, pneumococcal non-typeable Haemophilus influenzae protein D conjugate vaccine (PHiD-CV) compared with the newly licensed 13-valent pneumococcal conjugate vaccine (PCV-13). The model described herein is a Markov cohort model built to simulate the epidemiological burden of pneumococcal- and NTHi-related diseases within birth cohorts in the UK and Canada. Base-case assumptions include estimates of vaccine efficacy and NTHi infection rates that are based on published literature. The model predicts that the two vaccines will provide a broadly similar impact on all-cause invasive disease and CAP under base-case assumptions. However, PHiD-CV is expected to provide a substantially greater reduction in AOM compared with PCV-13, offering additional savings of Canadian $9.0 million and £4.9 million in discounted direct medical costs in Canada and the UK, respectively. The main limitations of the study are the difficulties in modelling indirect vaccine effects (herd effect and serotype replacement), the absence of PHiD-CV- and PCV-13-specific efficacy data and a lack of comprehensive NTHi surveillance data. Additional limitations relate to the fact that the transmission dynamics of pneumococcal serotypes have not been modelled, nor has antibiotic resistance been accounted for in this paper. This cost-effectiveness analysis suggests that, in Canada and the UK, PHiD-CV's potential to protect against NTHi infections could provide a greater impact on overall disease burden than

The construction of under-representation in UK and Swedish higher education:Implications for disabled students

OpenAIRE

Weedon, Elisabet

2017-01-01

This article examines the inclusion of disabled students in the UK and Swedish higher education systems. In the UK, performance indicators focus on the participation rate of disabled students in comparison with those of non-disabled students, while in Sweden there are no specific performance indicators relating to disabled students. The paper notes that in both countries there is a dearth of inter-sectional data, recognising the heterogeneity of the disabled student population. It is argued t...

Health effects of adopting low greenhouse gas emission diets in the UK

Science.gov (United States)

Milner, James; Green, Rosemary; Dangour, Alan D; Haines, Andy; Chalabi, Zaid; Spadaro, Joseph; Markandya, Anil; Wilkinson, Paul

2015-01-01

Objective Dietary changes which improve health are also likely to be beneficial for the environment by reducing emissions of greenhouse gases (GHG). However, previous analyses have not accounted for the potential acceptability of low GHG diets to the general public. This study attempted to quantify the health effects associated with adopting low GHG emission diets in the UK. Design Epidemiological modelling study. Setting UK. Participants UK population. Intervention Adoption of diets optimised to achieve the WHO nutritional recommendations and reduce GHG emissions while remaining as close as possible to existing dietary patterns. Main outcome Changes in years of life lost due to coronary heart disease, stroke, several cancers and type II diabetes, quantified using life tables. Results If the average UK dietary intake were optimised to comply with the WHO recommendations, we estimate an incidental reduction of 17% in GHG emissions. Such a dietary pattern would be broadly similar to the current UK average. Our model suggests that it would save almost 7 million years of life lost prematurely in the UK over the next 30 years and increase average life expectancy by over 8 months. Diets that result in additional GHG emission reductions could achieve further net health benefits. For emission reductions greater than 40%, improvements in some health outcomes may decrease and acceptability will diminish. Conclusions There are large potential benefits to health from adopting diets with lower associated GHG emissions in the UK. Most of these benefits can be achieved without drastic changes to existing dietary patterns. However, to reduce emissions by more than 40%, major dietary changes that limit both acceptability and the benefits to health are required. PMID:25929258

Computer-based systems for nuclear power stations

International Nuclear Information System (INIS)

Humble, P.J.; Welbourne, D.; Belcher, G.

1995-01-01

The published intentions of vendors are for extensive touch-screen control and computer-based protection. The software features needed for acceptance in the UK are indicated. The defence in depth needed is analyzed. Current practice in aircraft flight control systems and the software methods available are discussed. Software partitioning and mathematically formal methods are appropriate for the structures and simple logic needed for nuclear power applications. The potential for claims of diversity and independence between two computer-based subsystems of a protection system is discussed. Features needed to meet a single failure criterion applied to software are discussed. Conclusions are given on the main factors which a design should allow for. The work reported was done for the Health and Safety Executive of the UK (HSE), and acknowledgement is given to them, to NNC Ltd and to GEC-Marconi Avionics Ltd for permission to publish. The opinions and recommendations expressed are those of the authors and do not necessarily reflect those of HSE. (Author)

Rare variants in MYD88, IRAK4 and IKBKG and susceptibility to invasive pneumococcal disease: a population-based case-control study.

Directory of Open Access Journals (Sweden)

Magda K Ellis

Full Text Available Although rare variants within the Toll-like receptor signalling pathway genes have been found to underlie human primary immunodeficiencies associated with selective predisposition to invasive pneumococcal disease (IPD, the contribution of variants in these genes to IPD susceptibility at the population level remains unknown. Complete re-sequencing of IRAK4, MYD88 and IKBKG genes was undertaken in 164 IPD cases from the UK and 164 geographically-matched population-based controls. 233 single-nucleotide variants (SNVs were identified, of which ten were in coding regions. Four rare coding variants were predicted to be deleterious, two variants in MYD88 and two in IRAK4. The predicted deleterious variants in MYD88 were observed as two heterozygote cases but not seen in controls. Frequencies of predicted deleterious IRAK4 SNVs were the same in cases and controls. Our findings suggest that rare, functional variants in MYD88, IRAK4 or IKBKG do not significantly contribute to IPD susceptibility in adults at the population level.

44 CFR 65.14 - Remapping of areas for which local flood protection systems no longer provide base flood protection.

Science.gov (United States)

2010-10-01

... local flood protection systems no longer provide base flood protection. 65.14 Section 65.14 Emergency... § 65.14 Remapping of areas for which local flood protection systems no longer provide base flood... process of restoring a flood protection system that was: (i) Constructed using Federal funds; (ii...

Radioactive waste management policy in the UK of best practicable environmental options for waste disposal and storage

International Nuclear Information System (INIS)

Johnson, P.D.; Feates, F.S.

1986-01-01

The organisations which produce radioactive waste carry the direct responsibility for safe and effective management of the wastes and for meeting the costs. UK Nirex Ltd., the Nuclear Industry Radioactive Waste Executive, has been set up to develop and operate new disposal facilities. Individual producers of radioactive waste undertake research related to the treatment of their own wastes, and UK Nirex Ltd. commissions research related to the disposal facilities it wishes to develop. Whatever new disposal facilities are developed and used, UK Nirex Ltd. will have to show that any proposed facilities comply with the principles for assessment of proposals for the protection of the human environment issued by the Government Authorising Departments in 1984, and which incorporate basic radiological safety requirements

Angle Control-Based Multi-Terminal Out-of-Step Protection System

Directory of Open Access Journals (Sweden)

Antans Sauhats

2017-03-01

Full Text Available From time to time a sequence of unexpected and overlapping contingencies may lead to power system angular instability and even blackouts if not addressed adequately by means of an out-of-step (OOS protection system. The motivation of the paper is an attempt to develop a workable prototype of the OOS protection system. The deficiencies of the protection currently used in the Latvian Power System network are highlighted and a new protection structure is proposed. The protection system comprises of several strategically located terminals, exchanging information in real time by means of a communication network. The OOS condition detection method is based on system-wide generation sources, electromotive forces, vectors, and angle control. The network splitting decision is based on generator coherence evaluation. Protection terminals determine online the groups of coherent generators and choose the splitting boundary from a predefined transmission lines (TLs cut sets list. The protection system structure, algorithm of operation, and possible IEC 61850 communication standard-based implementation are described.

Applied radiation biology and protection

International Nuclear Information System (INIS)

Granier, R.; Gambini, D.-J.

1990-01-01

This book grew out of a series of courses in radiobiology and radiation protection which were given to students in schools for radiology technicians, radiation safety officers and to medical students. Topics covered include the sources of ionizing radiation and their interactions with matter; the detection and measurement of ionizing radiation; dosimetry; the biological effects of ionizing radiation; the effects of ionizing radiation on the human body; natural radioexposure; medical radio-exposure; industrial radioexposure of electronuclear origin; radioexposure due to experimental nuclear explosions; radiation protection; and accidents with external and/or internal radio-exposure. (UK)

New quantities in radiation protection and conversion coefficients

International Nuclear Information System (INIS)

1986-01-01

Four new quantities have been proposed by the ICRP for use in radiation protection from external sources, i.e. the ambient dose equivalent, the directional dose equivalent, the individual dose equivalent (penetrating), and the individual dose equivalent (superficial). These quantities are briefly described together with two new concepts of expanded and aligned fields. The BCRU recommends that these quantities should be adopted for use in the UK together with conversion coefficients when re-calibrating existing instruments, reporting the results of measurements and designing instruments. (UK)

Predictors of suicide, accidental death, and premature natural death in a general-population birth cohort

NARCIS (Netherlands)

Neeleman, J; Wessely, S; Wadsworth, M

1998-01-01

Background Whether putative suicide risk factors, such as conduct and emotional disorders, are specific to suicide or are general associations of a continuum between subintentional and intentional self-destruction is not clear. We undertook an investigation of this issue in a UK population-based

What do preservice teachers from the USA and the UK know about dyslexia?

Science.gov (United States)

Washburn, Erin K; Binks-Cantrell, Emily S; Joshi, R Malatesha

2014-02-01

The purpose of the study was to examine the knowledge base of preservice teachers from the USA and the UK of dyslexia as a language-based learning disability. A survey (both US and UK versions) was constructed using current research-based understandings of dyslexia as a language-based learning disability. One hundred and one preservice teachers from the USA and 70 preservice teachers from the UK were administered the survey. Results indicated that participants in the two groups demonstrated some similar accurate knowledge about dyslexia as well as displaying some common misunderstandings about dyslexia. Recommendations concerning preservice teacher preparation and professional development for in-service teachers about dyslexia as well as future research directions are discussed. Copyright © 2013 John Wiley & Sons, Ltd.

From laggard to leader: Explaining offshore wind developments in the UK

International Nuclear Information System (INIS)

Kern, Florian; Smith, Adrian; Shaw, Chris; Raven, Rob; Verhees, Bram

2014-01-01

Offshore wind technology has recently undergone rapid deployment in the UK. And yet, up until recently, the UK was considered a laggard in terms of deploying renewable energy. How can this burst of offshore wind activity be explained? An economic analysis would seek signs for newfound competitiveness for offshore wind in energy markets. A policy analysis would highlight renewable energy policy developments and assess their contribution to economic prospects of offshore wind. However, neither perspective sheds sufficient light on the advocacy of the actors involved in the development and deployment of the technology. Without an account of technology politics it is hard to explain continuing policy support despite rising costs. By analysing the actor networks and narratives underpinning policy support for offshore wind, we explain how a fairly effective protective space was constructed through the enroling of key political and economic interests. - Highlights: • UK is world leader in offshore wind deployment. • Article explains boom in deployment by looking at the politics of renewable energy policy. • Offshore wind is supported by a variety of actors with aligned political and economic interests. • Analysis highlights the importance of a system builder

A model-based evaluation of Marine Protected Areas: the example of eastern Baltic cod (Gadus morhua callarias L.)

DEFF Research Database (Denmark)

Kraus, Gerd; Pelletier, Dominique; Dubreuil, Julien

2009-01-01

The eastern Baltic cod stock collapsed as a consequence of climate-driven adverse hydrographic conditions and over fishing and has remained at historically low levels. Spatio-temporal fishing closures [Marine Protected Areas (MPAs)] have been implemented since 1995, to protect and restore......, combining an age-structured population module with a multifleet exploitation module and a management module in a single model environment. The model is parameterized based on (i) the large amount of biological knowledge available for cod and (ii) an analysis of existing spatially disaggregated fishery data...

IAEA Mission Concludes Peer Review of UK's Nuclear Regulatory Framework

International Nuclear Information System (INIS)

2013-01-01

Full text: Senior international nuclear safety and radiation protection experts today concluded a ten-day International Atomic Energy Agency (IAEA) mission to review the regulatory framework for nuclear and radiation safety in the United Kingdom (UK). The Integrated Regulatory Review Service (IRRS) mission team said in its preliminary findings that the UK had made considerable progress since reviews in 2006 and 2009. It also identified good practices in the country's nuclear regulatory system. In addition to following up previous missions, a key objective was to review the effectiveness of the role of the Office of Nuclear Regulation (ONR), the UK's nuclear regulator, in ensuring the safety of radioactive waste management and decommissioning, occupational radiation protection, and public and environmental exposures, including emergency planning and response. The mission also considered the response of the UK's regulatory regime to the implications of the Fukushima Daichi accident had been timely and effective. Recommendations and suggestions were made to the ONR and the Government aimed at strengthening the effectiveness of the country's regulatory framework and functions in line with IAEA Safety Standards, the control of radioactive discharges and environmental monitoring. 'The staff of ONR is clearly dedicated to their mission to secure the protection of people and society from the hazards of the nuclear industry. I am confident that ONR will use the results of this mission to further enhance their regulatory programs', said Bill Borchardt, mission leader and former Executive Director of the United States Nuclear Regulatory Commission (NRC). 'The staff were open and cooperative in their discussions; they provided the fullest practicable assistance, and accepted advice from the Team for continuous improvement in their regulatory work'. ONR's Chief Executive, John Jenkins, said that the full report of the IRRS mission will enhance regulatory effectiveness in the UK

A Left-Sided Prevalence of Lentigo Maligna: A UK Based Observational Study and Review of the Evidence

Directory of Open Access Journals (Sweden)

Mark Gorman

2015-01-01

Full Text Available Skin cancer has been shown to present asymmetrically, prevalent on the left side of the body, more so in subtypes of cutaneous melanoma such as lentigo maligna. Biases have been linked to cumulative UV light exposure and automobile driving patterns. Though left-right ratios have previously correlated with the side men or women tend to position themselves or countries drive on, more recent trends indicate a consistent left-sided bias. To clarify reasons for changing trends, a review of the evidence base and LM’s laterality in a UK cohort (99 cases 2000–2011 was conducted for the first time. The strong correlation of left-sided excess, found in both genders (ratios 1.381–1.5, P<0.05  X2 0.841, is congruent with more recent findings. Though evidence indicates that driving position is no longer a risk factor for LM, due most likely to improved car window UV protection, it remains the most commonly attributed cause. Understanding phenomena such as UV lights “scatter effect” or that cumulative exposure may not be a significant risk factor helps rationalize older conclusions that would otherwise appear contradictory. The reasons for left-sided excess remain unclear but may be due to factors requiring further research such as the body’s anatomical/embryological asymmetry.

Radiation protection in the dental profession

International Nuclear Information System (INIS)

Holyoak, B.; Overend, J.K.; Gill, J.R.

1980-01-01

A survey, conducted by the Health and Safety Executive (HSE), on the standard of radiation protection in the dental profession in the United Kingdom is described. The results are compared with UK advisory standards. The preliminary survey results were reported in the professional press and each participating dental practitioner received comments and advice concerning the basic requirements for radiation protection. The method of survey has been broadened to form the basis of inspection of dental radiography by the HSE. (H.K.)

Strategies for engaging with future radiation protection professionals: a public outreach case study

International Nuclear Information System (INIS)

Cole, P; Gornall, B T; Wood, M D; Whitcher, R; Bannon, A; Bloomer, S; Hunak, S; Fear, J; Hale, H; Humphries, J; Jones, C; Matthewman, C; Matthews, A; Slater, S; Stephens, C; Stewart, J

2015-01-01

It is evident that there is a nuclear skills shortage within the UK, and logically it can be assumed that the shortfall extends to the radiation protection arena. Plans for nuclear new-build and the decommissioning of existing nuclear sites will require many more people with radiological knowledge and practical competencies. This converts to a nuclear industry requirement in the order of 1000 new recruits per year over at least the next ten years, mainly as new apprentices and graduates. At the same time, the strong demand for persons with radiation protection know-how in the non-nuclear and health care sectors is unlikely to diminish.The task of filling this skills gap is a significant one and it will require a determined effort from many UK stakeholders. The Society for Radiological Protection (SRP) has adopted a strategy in recent years to help address this skills gap. The aim is to engage the interest of secondary school students in the science of radiation and inspire them to follow a career in radiation protection. This paper presents the reasoning behind this strategy and, in an ‘outreach case study’, describes the establishment of the annual SRP Schools Event. This event is becoming an important addition to the national efforts aimed at increasing the numbers of skilled UK radiation protection professionals over the forthcoming decades. (note)

Cross-Cultural Study of Information Processing Biases in Chronic Fatigue Syndrome: Comparison of Dutch and UK Chronic Fatigue Patients.

Science.gov (United States)

Hughes, Alicia M; Hirsch, Colette R; Nikolaus, Stephanie; Chalder, Trudie; Knoop, Hans; Moss-Morris, Rona

2018-02-01

This study aims to replicate a UK study, with a Dutch sample to explore whether attention and interpretation biases and general attentional control deficits in chronic fatigue syndrome (CFS) are similar across populations and cultures. Thirty eight Dutch CFS participants were compared to 52 CFS and 51 healthy participants recruited from the UK. Participants completed self-report measures of symptoms, functioning, and mood, as well as three experimental tasks (i) visual-probe task measuring attentional bias to illness (somatic symptoms and disability) versus neutral words, (ii) interpretive bias task measuring positive versus somatic interpretations of ambiguous information, and (iii) the Attention Network Test measuring general attentional control. Compared to controls, Dutch and UK participants with CFS showed a significant attentional bias for illness-related words and were significantly more likely to interpret ambiguous information in a somatic way. These effects were not moderated by attentional control. There were no significant differences between the Dutch and UK CFS groups on attentional bias, interpretation bias, or attentional control scores. This study replicated the main findings of the UK study, with a Dutch CFS population, indicating that across these two cultures, people with CFS demonstrate biases in how somatic information is attended to and interpreted. These illness-specific biases appear to be unrelated to general attentional control deficits.

Geologic disposal of spent nuclear fuel and nuclear waste: Ethical and technical bases for standards and criteria to protect public health

International Nuclear Information System (INIS)

Pigford, T.H.

1999-01-01

concentration than will occur in ground water near the site? (5) Can habits of future people be predicted? Can a probabilistic model of future people activities be constructed, and can it be based on habits of present people living near the site? (6) Is calculated maximum dose to a critical group a sufficient basis for protecting public health? Limiting the dose to individuals in a properly chosen critical group will ensure that other individuals in the vicinity receive lower doses, but this will not ensure that the population dose commitment is acceptable. What is an acceptable level of population dose commitment? The technical and ethical content of each of these issues, as well as perspectives in the US and abroad, will be discussed

Optimizing School-Based Health-Promotion Programmes: Lessons from a Qualitative Study of Fluoridated Milk Schemes in the UK

Science.gov (United States)

Foster, Geraldine R. K.; Tickle, Martin

2013-01-01

Background and objective: Some districts in the United Kingdom (UK), where the level of child dental caries is high and water fluoridation has not been possible, implement school-based fluoridated milk (FM) schemes. However, process variables, such as consent to drink FM and loss of children as they mature, impede the effectiveness of these…

Balance ability of 7 and 10 year old children in the population: results from a large UK birth cohort study.

Science.gov (United States)

Humphriss, Rachel; Hall, Amanda; May, Margaret; Macleod, John

2011-01-01

The literature contains many reports of balance function in children, but these are often on atypical samples taken from hospital-based clinics and may not be generalisable to the population as a whole. The purpose of the present study is to describe balance test results from a large UK-based birth cohort study. Data from the Avon Longitudinal Study of Parents and Children (ALSPAC) were analysed. A total of 5402 children completed the heel-to-toe walking test at age 7 years. At age 10 years, 6915 children underwent clinical tests of balance including beam-walking, standing heel-to-toe on a beam and standing on one leg. A proportion of the children returned to the clinic for retesting within 3 months allowing test-retest agreement to be measured. Frequency distributions for each of the balance tests are given. Correlations between measures of dynamic balance at ages 7 and 10 years were weak. The static balance of 10 year old children was found to be poorer with eyes closed than with eyes open, and poorer in boys than in girls for all measures. Balance on one leg was poorer than heel-to-toe balance on a beam. A significant learning effect was found when first and second attempts of the tests were compared. Measures of static and dynamic balance appeared independent. Consistent with previous reports in the literature, test-retest reliability was found to be low. This study provides information about the balance ability of children aged 7 and 10 years and provides clinicians with reference data for balance tests commonly used in the paediatric clinic. Copyright © 2010 Elsevier Ireland Ltd. All rights reserved.

Differences between naive and memory T cell phenotype in Malawian and UK adolescents: a role for Cytomegalovirus?

Directory of Open Access Journals (Sweden)

Wallace Diana

2008-10-01

Full Text Available Abstract Background Differences in degree of environmental exposure to antigens in early life have been hypothesized to lead to differences in immune status in individuals from different populations, which may have implications for immune responses in later years. Methods Venous blood from HIV-negative adolescents and blood from the umbilical cords of babies, born to HIV-negative women, post-delivery was collected and analysed using flow cytometry. T cell phenotype was determined from peripheral blood lymphocytes and cytomegalovirus (CMV seropositivity was assessed by ELISA in adolescents. Results HIV-negative Malawian adolescents were shown to have a lower percentage of naïve T cells (CD45RO-CD62Lhi CD11alo, a higher proportion of memory T cells and a higher percentage of CD28- memory (CD28-CD45RO+ T cells compared to age-matched UK adolescents. Malawian adolescents also had a lower percentage of central memory (CD45RA-CCR7+ T cells and a higher percentage of stable memory (CD45RA+CCR7- T cells than UK adolescents. All of the adolescents tested in Malawi were seropositive for CMV (59/59, compared to 21/58 (36% of UK adolescents. CMV seropositivity in the UK was associated with a reduced percentage of naïve T cells and an increased percentage of CD28- memory T cells in the periphery. No differences in the proportions of naïve and memory T cell populations were observed in cord blood samples from the two sites. Conclusion It is likely that these differences between Malawian and UK adolescents reflect a greater natural exposure to various infections, including CMV, in the African environment and may imply differences in the ability of these populations to induce and maintain immunological memory to vaccines and natural infections.

Addressing the knowledge gap: sexual violence and harassment in the UK Armed Forces.

Science.gov (United States)

Godier, Lauren R; Fossey, M

2017-09-06

Despite media interest in alleged sexual violence and harassment in the UK military, there remains a paucity of UK-based peer-reviewed research in this area. Ministry of Defence and service-specific reports support the suggestion that UK service personnel may be at risk of experiencing sexual harassment. These reports however highlight a reluctance by service personnel to report sexual harassment through official channels. In this article, we discuss the paucity of UK-based research pertaining to the prevalence and impact of sexual harassment in the military, explore potential reasons for this gap in knowledge and outline future directions and priorities for academic research. © 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.

[Formation of microbial populations on the surface of protective coatings].

Science.gov (United States)

Kopteva, Zh P; Zanina, V V; Piliashenko-Novokhatnyĭ, A I; Kopteva, A E; Kozlova, I A

2001-01-01

Formation of microbial cenosis on the surface of polyethylene-, polyurethane- and oil-bitumen-based protective coatings was studied in dynamics during 1, 3, 7, 14 and 21 days. It has been shown that the biofilm was formed on the protective materials during 14 days and consisted of ammonifying, denitrifying, hydrocarbon-oxidizing and sulphate-reducing bacteria referred to Pseudomonas, Arthrobacter, Bacillus and Kesulfovibrio genera. The bacteria which form the biofilm on coatings possess high denitrifying and sulphate-reducing activities. Corrosion inhibitors-biocydes, introduced in composition of oil-bitumen coatings suppressed growth and metabolic activity of corrosion-active bacteria.

EXTINCTION DEBT OF PROTECTED AREAS IN DEVELOPING LANDSCAPES

Science.gov (United States)

To conserve biological diversity, protected-area networks must be based not only upon current species distributions but also the landscape's long-term capacity to support populations. We used spatially-explicit population models requiring detailed habitat and demographic data to ...

Computational modeling of interventions and protective thresholds to prevent disease transmission in deploying populations.

Science.gov (United States)

Burgess, Colleen; Peace, Angela; Everett, Rebecca; Allegri, Buena; Garman, Patrick

2014-01-01

Military personnel are deployed abroad for missions ranging from humanitarian relief efforts to combat actions; delay or interruption in these activities due to disease transmission can cause operational disruptions, significant economic loss, and stressed or exceeded military medical resources. Deployed troops function in environments favorable to the rapid and efficient transmission of many viruses particularly when levels of protection are suboptimal. When immunity among deployed military populations is low, the risk of vaccine-preventable disease outbreaks increases, impacting troop readiness and achievement of mission objectives. However, targeted vaccination and the optimization of preexisting immunity among deployed populations can decrease the threat of outbreaks among deployed troops. Here we describe methods for the computational modeling of disease transmission to explore how preexisting immunity compares with vaccination at the time of deployment as a means of preventing outbreaks and protecting troops and mission objectives during extended military deployment actions. These methods are illustrated with five modeling case studies for separate diseases common in many parts of the world, to show different approaches required in varying epidemiological settings.

Computational Modeling of Interventions and Protective Thresholds to Prevent Disease Transmission in Deploying Populations

Directory of Open Access Journals (Sweden)

Colleen Burgess

2014-01-01

Full Text Available Military personnel are deployed abroad for missions ranging from humanitarian relief efforts to combat actions; delay or interruption in these activities due to disease transmission can cause operational disruptions, significant economic loss, and stressed or exceeded military medical resources. Deployed troops function in environments favorable to the rapid and efficient transmission of many viruses particularly when levels of protection are suboptimal. When immunity among deployed military populations is low, the risk of vaccine-preventable disease outbreaks increases, impacting troop readiness and achievement of mission objectives. However, targeted vaccination and the optimization of preexisting immunity among deployed populations can decrease the threat of outbreaks among deployed troops. Here we describe methods for the computational modeling of disease transmission to explore how preexisting immunity compares with vaccination at the time of deployment as a means of preventing outbreaks and protecting troops and mission objectives during extended military deployment actions. These methods are illustrated with five modeling case studies for separate diseases common in many parts of the world, to show different approaches required in varying epidemiological settings.

Radiological protection standards in the United Kingdom

International Nuclear Information System (INIS)

Pochin, E.; McLean, A.S.; Richings, L.D.G.

1976-09-01

In view of the interest now being expressed in the means by which radiological protection standards are derived and applied, this report briefly outlines the roles of the international organisations involved, summarises the UK arrangements, and indicates the principal sources of relevant biological information. (author)

Radiological impact on the UK population of industries which use or produce materials containing enhanced levels of naturally occurring radionuclides. Part II: the steel production industry

International Nuclear Information System (INIS)

Crockett, G.M.; Smith, K.R.; Oatway, W.B.; Mobbs, S.F.

2003-01-01

This report contains an assessment of the radiological impact on the UK population of the steel production industry within the UK. The radiological impact of the primary industry, the waste streams produced and the use of by-product slag have been considered. Individual doses from atmospheric releases from ail currently operating integrated steel plants in the UK are less than 10 μSv y -1 for all age groups. The per caput dose rate in the UK population from 500 years of continuous steel production at the current levels is estimated to be 0.1 μSv y -1 . Estimated maximum doses to workers at the steel production plant, landfill workers, and workers manufacturing and using building materials containing slag were generally less than 20 μSv y -1 . The estimated radon concentrations in buildings constructed from concrete containing slag depend upon the radon emanation fraction assumed for the material. Experimental data in this area is sparse, and thus a range was considered. The estimated radon concentrations in buildings constructed from concrete containing slag ranged between 7.0 and 10.8 Bq m -3 , compared with 9.9 Bq m -3 when slag-free concrete is assumed. The estimated dose from radon exposure ranges between 363 μSv y -1 and 559 μSv y -1 , compared with 510 μSv y -1 when slag-free concrete is used. The estimated external dose to an individual in a house constructed using concrete containing slag is 790 μSv y -1 compared with 758 μSv y -1 for slag-free concrete. The overall effect of the use of the slag in building materials therefore ranges between a reduction in dose of 115 μSv y -1 and an increase of 81 μSv y -1 . Other scenarios involving exposure of members of the public to slag resulted in doses of less than 5 μSv y -1 . The estimated peak individual risk from landfill disposal of steel industry waste is less than approximately 1 10 -8 y -1 . Currently, radiological controls on the operation of steel production sites are confined to the

Epidemiology of occupational hypersensitivity pneumonitis; reports from the SWORD scheme in the UK from 1996 to 2015

Science.gov (United States)

Barber, C M; Wiggans, R E; Carder, M; Agius, R

2017-01-01

Objective To estimate the reported incidence of occupational hypersensitivity pneumonitis (OHP) in the UK and to consider whether the pattern of attributed causation has changed over time. Methods All cases of OHP reported to the SWORD scheme between January 1996 and December 2015 were classified into 1 of 10 categories of the suspected agent. Cases were grouped into four 5-year time periods to examine any changing pattern in incidence or suspected causation. For each time period, the annual incidence was calculated using the estimated number of reported cases and the working population of the UK. Results Between 1996 and 2015, there were 202 actual cases of OHP reported to SWORD, equating to an estimated 818 cases, when adjusting for the sampling ratio. Over this period, the annual UK incidence was 1.4 per million workers. The mean (SD) age of reported cases was 52 (13) years, and cases were four-times more likely to be men than women. Over the study period, there was a fall in the proportion of cases reported to be due to agricultural exposures (44–12%), and an increase in cases due to metalworking fluids (MWFs, 2–45%). Conclusions Over the last 20 years, the incidence of OHP in the UK has been ∼1–2 cases per million workers per year. Working with water-based MWFs is now the most commonly suspected causative exposure for OHP cases reported to the SWORD scheme in the UK. PMID:27919062

Protection of the lung from blast overpressure by stress wave decouplers, buffer plates or sandwich panels.

Science.gov (United States)

Sedman, Andrew; Hepper, A

2018-03-19

This paper outlines aspects of UK Ministry of Defence's research and development of blast overpressure protection technologies appropriate for use in body armour, with the aim of both propagating new knowledge and updating existing information. Two simple models are introduced not only to focus the description of the mechanism by which the lungs can be protected, but also to provide a bridge between fields of research that may hold the key to further advances in protection technology and related body armour. Protection can be provided to the lungs by decoupling the stress wave transmission into the thorax by managing the blast energy imparted through the protection system. It is proposed that the utility of the existing 'simple decoupler' blast overpressure protection is reviewed in light of recent developments in the treatment of those sustaining both overpressure and fragment injuries. It is anticipated that further advances in protection technology may be generated by those working in other fields on the analogous technologies of 'buffer plates' and 'sandwich panels'. © Crown copyright (2018), Dstl. This material is licensed under the terms of the Open Government Licence except where otherwise stated. To view this licence, visit http://www.nationalarchives.gov.uk/doc/open-government-licence/version/3 or write to the Information Policy Team, The National Archives, Kew, London TW9 4DU, or email: psi@nationalarchives.gsi.gov.uk.

Turning the tide : tidal power in the UK

OpenAIRE

Sustainable Development Commission

2007-01-01

Contents: Turning the tide : tidal power in the UK -- Executive summary -- Tidal power in the UK : research report 1 : UK tidal resource assessment -- Tidal power in the UK : research report 2 : tidal technologies overview -- Tidal power in the UK : research report 3 : Severn barrage proposals -- Tidal power in the UK : research report 4 : Severn non-barrage options -- Tidal power in the UK : research report 5 : UK case studies. Summarised in the Welsh language version of the executive ...

The economics of protecting tiger populations: Linking household behavior to poaching and prey depletion

Science.gov (United States)

Damania, R.; Stringer, R.; Karanth, K.U.; Stith, B.

2003-01-01

The tiger (Panthera tigris) is classified as endangered and populations continue to decline. This paper presents a formal economic analysis of the two most imminent threats to the survival of wild tigers: poaching tigers and hunting their prey. A model is developed to examine interactions between tigers and farm households living in and around tiger habitats. The analysis extends the existing literature on tiger demography, incorporating predator-prey interactions and exploring the sensitivity of tiger populations to key economic parameters. The analysis aims to contribute to policy debates on how best to protect one of the world's most endangered wild cats.

The evidence-based practice profiles of academic and clinical staff involved in pre-registration nursing students' education: a cross sectional survey of US and UK staff.

Science.gov (United States)

Upton, Penney; Scurlock-Evans, Laura; Williamson, Kathleen; Rouse, Joanne; Upton, Dominic

2015-01-01

Competency in evidence-based practice (EBP) is a requirement for graduate nurses. Despite a growing body of research exploring the EBP profiles of students, little research has explored the EBP profiles of nurse educators. To explore: the differences/similarities in the EBP profiles of US and UK clinical and academic faculty; the barriers nurse educators experience when teaching EBP; the impact of postgraduate education on EBP profile and; what nurse educators perceive "success" in implementing and teaching EBP to be. A cross-sectional online survey design was employed. Two Universities delivering undergraduate nursing education in the US and UK, in partnership with large hospital systems, small community hospitals, community settings, and independent sector health organisations. Eighty-one nurse educators working in academic and clinical contexts in the US and UK (US academic=12, US clinical=17, UK academic=9, UK clinical=43) were recruited opportunistically. Participants were emailed a weblink to an online survey, comprising demographic questions, the Evidence-Based Practice Questionnaire and open-ended questions about EBP barriers, facilitators and successes. Quantitative results indicated that academic faculty scored significantly higher on knowledge and skills of EBP, than clinical faculty, but revealed no other significant differences on EBP use or attitudes, or between US and UK professionals. Participants with postgraduate training scored significantly higher on EBP knowledge/skills, but not EBP attitudes or use. Qualitative findings identified key themes relating to EBP barriers and facilitators, including: Evidence-, organisational-, and teaching-related issues. Perceptions of successes in EBP were also described. Nurse educators working in the UK and US face similar EBP barriers to teaching and implementation, but view it positively and use it frequently. Clinical staff may require extra support to maintain their EBP knowledge and skills in

Perpetrators of Domestic Violence Abuse within Intellectual Disability Services: A Hidden Population?

Science.gov (United States)

Swift, Charlotte; Waites, Erin; Goodman, Wendy

2018-01-01

Background: Domestic violence abuse (DVA) has been identified by the UK Government as a priority to address. Whilst there is a growing body of research into perpetrators of DVA from the mainstream population, there is scant research into perpetrators of DVA who have an intellectual disability. This lack of an evidence base suggests there may be a…

UK guidance for assessing the impact of radioactive substances on wildlife inhabiting Natura 2000 sites

International Nuclear Information System (INIS)

Merrill, P.; Copplestone, D.; Zinger, I.; Allot, R.; Williams, C.

2004-01-01

concept of reference organisms into the context of protecting feature species present in Natura 2000 sites. Feature species are named species, usually of conservation value, that have been identified as requiring protection. The derivation of concentration factors has been conservative, due to the lack of data for those protected feature species. In light of the lack of data, and given the assumptions and uncertainties that underlay the assessment methodology, a precautionary approach has been adopted. The derived guidance allows assessors to derive dose-rates to biota based on discharge limits (Bq/yr). The paper will outline the Stage 3 Assessment approach and provide a practical example of its application in England and Wales to demonstrate the use of this methodology as part of the UK regulatory framework. (Author)

Radiation Protection Procedures to Individuals According to Situations

International Nuclear Information System (INIS)

Gomaa, M.A.

2008-01-01

The new recommendations of the International Commission for Radiological Protection (ICRP) had been adopted in March 2007. Historically, the first main ICRP recommendations were adopted in 1976. Hence, IAEA issued its publication (safety series no 9) entitled Basic safety standards for radiation protection, EU issued its legislative directive. Furthermore, U K issued its 1985 Ionizing Radiation Regulations . These recommendations were based upon system of dose limitation (justification, optimization and annual dose limits and Four types of exposures (occupational, medical, public and planned special exposure) The second main ICRP recommendations were adopted in 1990. Hence, IAEA together with other international organizations issued its publication (safety series no 115) entitled International Basic Safety Standards for protection against ionizing radiation and safety of radiation sources in 1996. Furthermore, EU issued its new legislative directive and UK issued its updated Ionizing radiation regulations in 1999. These recommendations based upon two systems of protection, these are system of protection in practice and system of protection in intervention. The new ICRP or 2007 recommendations is based upon situations 1- Planned situations, 2- Emergency situations, and 3- Existing situations. The 2007 recommendations rely also on Individuals 1- Occupational, 2- Public and 3- Patient and Furthermore, elements of Radiation Protection system are 1- Justification, 2- Optimization and 3- Dose limits. Updated numerical values for radiation weighting factors for proton is 2 instead of 5 and for neutron , its continuous function instead of discrete values . New numerical values for tissue weighting factors include value of 8% for Gonads instead of 20%. The recommended nominal probability is around 5 per cSv. IAEA as well other international organization are updating its Basic Safety Standards . National regulations shall also be updated accordingly

Doctors' perspectives on PSA testing illuminate established differences in prostate cancer screening rates between Australia and the UK: a qualitative study

Science.gov (United States)

Pickles, Kristen; Carter, Stacy M; Rychetnik, Lucie; Entwistle, Vikki A

2016-01-01

Objectives To examine how general practitioners (GPs) in the UK and GPs in Australia explain their prostate-specific antigen (PSA) testing practices and to illuminate how these explanations are similar and how they are different. Design A grounded theory study. Setting Primary care practices in Australia and the UK. Participants 69 GPs in Australia (n=40) and the UK (n=29). We included GPs of varying ages, sex, clinical experience and patient populations. All GPs interested in participating in the study were included. Results GPs' accounts revealed fundamental differences in whether and how prostate cancer screening occurred in their practice and in the broader context within which they operate. The history of prostate screening policy, organisational structures and funding models appeared to drive more prostate screening in Australia and less in the UK. In Australia, screening processes and decisions were mostly at the discretion of individual clinicians, and varied considerably, whereas the accounts of UK GPs clearly reflected a consistent, organisationally embedded approach based on local evidence-based recommendations to discourage screening. Conclusions The GP accounts suggested that healthcare systems, including historical and current organisational and funding structures and rules, collectively contribute to how and why clinicians use the PSA test and play a significant role in creating the mindlines that GPs employ in their clinic. Australia's recently released consensus guidelines may support more streamlined and consistent care. However, if GP mindlines and thus routine practice in Australia are to shift, to ultimately reduce unnecessary or harmful prostate screening, it is likely that other important drivers at all levels of the screening process will need to be addressed. PMID:27920082

Methodological review of UK and international low carbon scenarios

International Nuclear Information System (INIS)

Hughes, Nick; Strachan, Neil

2010-01-01

Scenarios have a long history in business, politics and military planning, as a tool for strategic planning to inform protective, proactive or consensus-based decision making in the face of uncertain futures. Recent years have seen a growth in scenarios for assessing the implications of low carbon futures, but relatively little work has linked these energy scenarios to the broader literature on scenario development. This paper undertakes a methodological review of a selection of UK and international low carbon scenario studies, using a typology of 'trend based', 'technical feasibility' and 'modelling' studies. Dominant methodologies in such studies have been the 2x2 axis and the 'back-casting' approach. Strengths of the studies reviewed include technological detail, and identification of key economic and social constraints. Weaknesses include the over-reliance on constructs such as exogenous emissions constraints, and high level trends, which diminish the ability to understand how the various future scenarios could be brought about or avoided. This is compounded by the lack of depiction of specific system actors; the tendency to abstract policy from the scenarios; and the resulting failure to consider policy, technology and behaviour in an iterative, 'co-evolving' fashion.

Development of a radiation protection competency framework, a consultancies perspective

International Nuclear Information System (INIS)

Bryant, P A

2016-01-01

The UK nuclear industry is suffering heightened concerns of a skills gap. This has led to companies, and in particular consultancies recruiting increasing numbers of graduates and less experienced staff. The following paper provides an overview of an approach to developing a radiation protection based competency framework within a consultancy with the aim of supporting the identification of the required initiatives to support the development of staff, their careers, and the profession. It is hoped this will provide useful guidance for organisations that are embarking on establishing a training and development programme. (paper)

Carriage of Staphylococcus species in the veterinary visiting dog population in mainland UK: molecular characterisation of resistance and virulence.

Science.gov (United States)

Wedley, Amy L; Dawson, Susan; Maddox, Thomas W; Coyne, Karen P; Pinchbeck, Gina L; Clegg, Peter; Jamrozy, Dorota; Fielder, Mark D; Donovan, David; Nuttall, Tim; Williams, Nicola J

2014-05-14

This study investigated the prevalence of nasal carriage of staphylococci in dogs and determined the characteristics of the isolates. A total of 724 dogs from 87 veterinary practices across the mainland UK were screened for carriage of Staphylococcus spp. All isolates were examined for meticillin resistance (MR) and the presence of the mecA gene investigated in those isolates showing resistance. All coagulase-positive staphylococci and MR coagulase-negative staphylococci (MRCoNS) were subjected to antimicrobial susceptibility testing. Spa typing and DNA microarray analysis of resistance and virulence genes was carried out on all MR S. aureus (MRSA) and a subset of meticillin susceptible S. aureus (MSSA). Staphylococci were isolated from 399 (55.1%) of the dogs; only seven (1%) carried MRSA, all of which were identified as the dominant UK healthcare-associated strain (EMRSA-15, ST22). MSSA was identified in 47 (6.5%) dogs, the sequence types of which have been suggested as precursors to successful MRSA clones. Forty (5.5%) dogs carried MRCoNS, while no dogs carried MR S. pseudintermedius, although this is increasingly reported in mainland Europe. Resistance to antimicrobials among the isolates varied between species, with multidrug resistance (MDR) in 87.5% of MRCoNS and 21.8% of coagulase positive staphylococci. Microarray analysis of MRSA and a subset of MSSA isolates identified numerous virulence genes associated with pathogenesis, which are commonly identified in isolates of human origin. However, no isolates carried Panton-Valentine leukocidin (PVL) genes. This study suggests that MRSA carriage is low in the vet visiting dog population, but there is a diverse range of virulence and resistance determinants in canine S. aureus and MRCoNS isolates. Copyright © 2014 Elsevier B.V. All rights reserved.

Promotion of an indigenous manufacturing industry in the UK

International Nuclear Information System (INIS)

Anderson, C.

1998-01-01

Of the large European wind energy markets, that of the UK is uniquely dominated by imported technology. An indigenous manufacturing base is desirable for strategic reasons, and to create employment and export opportunities. Analysis of the wind energy policies of other countries indicates the factors required to stimulate local manufacture. This paper examines how UK wind energy policy may be shaped for this purpose, taking account of the lessons learned under NFFO/SRO, and elsewhere in Europe. (Author)