scholarly journals A multi-centre insight into general surgical care during the coronavirus outbreak in the United Kingdom

2020 ◽  
Author(s):  
Anokha Oomman Joseph ◽  
Janso Padickakudi Joseph ◽  
Haritharan Nageswaran ◽  
Viswa Retnasingam Rajalingam ◽  
Amit Sharma ◽  
...  
Keyword(s):  
United Kingdom ◽  
Surgical Care ◽  
The United Kingdom ◽  
Insight Into

United Kingdom/Norway

2021 ◽  
Vol 36 (1) ◽  
pp. 155-164
Author(s):  
Richard Barnes
Keyword(s):  
European Union ◽  
United Kingdom ◽  
Sustainable Management ◽  
The European Union ◽  
Framework Agreement ◽  
The North ◽  
The United Kingdom ◽  
The North Sea ◽  
The Uk ◽  
Insight Into

Abstract On 30 September 2020, the United Kingdom and Norway signed the Framework Agreement on Fisheries that will provide the basis for future cooperation in the sustainable management of their fisheries. The Agreement is the first such agreement adopted by the UK following its decision to the leave the European Union. This note provides some background to the Agreement and examines its key features. Whilst the content of the Agreement appears to be rather basic, this is broadly consistent with other framework agreements, and it does provide some insight into the direction and focus of fisheries management in the North Sea, and how cooperation may develop between coastal States and the European Union.

Introduction

2020 ◽  
pp. 1-10
Keyword(s):  
United Kingdom ◽  
Surgical Care ◽  
Second World War ◽  
British Association ◽  
Paediatric Surgery ◽  
World War ◽  
Surgical Specialty ◽  
The United Kingdom ◽  
Second World

Paediatric surgery is the surgical care of children from fetus to adolescent. It is a comparatively new surgical specialty, only formally recognized after the Second World War. This chapter provides a history and overview of the specialty, including the associations related to paediatric surgery, and biographies of famous surgeons who contributed to the field throughout their careers. The main organization in the United Kingdom is the British Association of Paediatric Surgeons (BAPS) founded in 1953 with Sir Denis Browne as the first president. Though based in London, it now has many international contacts and, through its conferences and symposia inside and outside the United Kingdom, is a leading educational provider in the specialty.

scholarly journals Pigmentary keratitis in pugs in the United Kingdom: prevalence and associated features

2019 ◽  
Vol 15 (1) ◽  
Author(s):  
S. Maini ◽  
R. Everson ◽  
C. Dawson ◽  
Y. M. Chang ◽  
C. Hartley ◽  
...  
Keyword(s):  
United Kingdom ◽  
Longitudinal Studies ◽  
Lower Eyelid ◽  
Disease Prevalence ◽  
Breeding Strategies ◽  
The United Kingdom ◽  
Social Events ◽  
Prospective Longitudinal ◽  
Underlying Pathophysiology ◽  
Insight Into

Abstract Background Pigmentary keratitis (PK) is commonly recognised in Pugs, but its aetiology is not completely understood. The aim of this study was to determine the prevalence and associated features of PK in Pugs in the United Kingdom (UK). Results A total of 210 Pugs (420 eyes) were recruited from 12 UK dog shows and social events. The median age of Pugs recruited was 2.50 years (range 0.25–16.25 years). Pigmentary keratitis was detected in 369/420 (87.8%) eyes and in at least one eye 193/210 (91.9%) Pugs, of which 17/193 (8.8%) were affected unilaterally and 176/193 (91.2%) bilaterally. Pigmentary keratitis was typically mild to moderate (46.3 and 49.9% of eyes, respectively). Detection of PK was significantly associated with increased age (P = 0.002) and the presence of medial entropion of the lower eyelid (MELE) (P = 0.001). Severity of PK was significantly associated with the grade of MELE (P < 0.001). There was also a correlation between the presence of limbal pigment and PK (P = 0.036) that warrants further study. Conclusions This study estimated a high disease prevalence of PK in UK Pugs, and demonstrated significant associations with age and the presence of MELE. These associations, which have not been previously reported, offer an insight into the underlying pathophysiology of this condition in Pugs. The results encourage further population research, such as prospective longitudinal studies. These findings also support the development of clinical and breeding strategies based on the reduction of MELE and, possibly, limbal pigment.

scholarly journals Women’s perceptions of COVID-19 and their healthcare experiences: a qualitative thematic analysis of a national survey of pregnant women in the United Kingdom

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Babu Karavadra ◽  
Andrea Stockl ◽  
Edward Prosser-Snelling ◽  
Paul Simpson ◽  
Edward Morris
Keyword(s):  
United Kingdom ◽  
National Survey ◽  
Thematic Analysis ◽  
Perceived Barriers ◽  
The United Kingdom ◽  
Qualitative Thematic Analysis ◽  
Healthcare Experiences ◽  
Women’S Perceptions ◽  
The Media ◽  
Insight Into

Abstract Background The aim of this national survey was to explore pregnant women’s perceptions of COVID-19 and their healthcare experiences. Methods Through patient and public involvement, a questionnaire was developed and advertised via the BBC website, Twitter and other online media during May 2020. The findings were analysed by qualitative thematic analysis. Women who are currently pregnant, or who have delivered during the COVID-19 pandemic were invited to partake in a national online survey. Results One thousand four hundred fifty-one participants replied to the online questionnaire. Participants provided significant insight into the perceived barriers to seeking healthcare during this pandemic. These include ‘not wanting to bother anyone’, ‘lack of wider support from allied healthcare workers’ and the influence of the media. Other concerns included the use of virtual clinics antenatally and their acceptability to patients, the presence of birthing partners, and the way in which information is communicated about rapidly changing and evolving services. The influence of the media has also had a significant impact on the way women perceive hospital care in light of COVID-19 and for some, this has shaped whether they would seek help. Conclusions This is the first ever reported study in the United Kingdom to explore pregnant women’s perceptions of COVID-19 and their subsequent healthcare experiences. It has also provided insight into perceived barriers into seeking care as well as maternal concerns antenatally, intrapartum and postpartum.

scholarly journals P-OGC04 Evaluation of post-operative surveillance strategies for oesophago-gastric cancers in the United Kingdom

2021 ◽  
Vol 108 (Supplement_9) ◽  
Author(s):  
Swathikan Chidambaram ◽  
Viknesh Sounderajah ◽  
Nick Maynard ◽  
Tim Underwood ◽  
Sheraz Markar
Keyword(s):  
United Kingdom ◽  
Surgical Care ◽  
High Volume ◽  
High Recurrence Rate ◽  
Allied Health Professionals ◽  
Gastric Cancers ◽  
The United Kingdom ◽  
Major Factors ◽  
Randomised Controlled ◽  
The Uk

Abstract Background Oesophago-gastric malignancies are associated with a high recurrence rate, yet there is a lack of  evidence to inform guidelines for the standardisation and structure of post-operative surveillance after curatively intended treatment. This study aimed to capture the variation in post-operative surveillance strategies across the United Kingdom and Ireland, and enquire the opinions and beliefs around surveillance from practicing clinicians.  Methods A web based survey consisting of forty questions was sent to surgeons or allied health professionals performing or involved in surgical care for oesophago-gastric cancers at high volume centers in the United Kingdom (UK). Respondents from each centre completed the survey on what best represented their centre. The first section of the survey evaluated the timing and components of follow-ups, and their variation between centres. The second section evaluated respondents perspective on how surveillance can be structured.  Results Thirty five surgeons from 25 centers consisting 28 consultants, 6 senior trainees and 1 specialist nurse had completed the questionnaire. 45.7% of responders arranged clinical follow-up at 2-4 weeks. Twenty responders had a specific post-operative surveillance protocol for their patients. Of these, 31.4% had a standardised protocol for all patients, while 25.7% tailored it to patient needs. Patient preference, comorbidities and chance of recurrence were considered as major factors for necessitating more intense surveillance than currently practised.  Conclusions There is a significant variation in how patients are monitored after surgery between centers in the UK. Randomised controlled trials are necessary to link surveillance strategies to both survival outcomes and quality of life of patients and to evaluate the prognostic value of different post-operative surveillance strategies. 

Legal Regulation of Harassment on the Ground of Age: Lessons from America?

2007 ◽  
Vol 9 (1) ◽  
pp. 57-65
Author(s):  
Sam Middlemiss
Keyword(s):  
United States ◽  
United Kingdom ◽  
The United States ◽  
Legal Regulation ◽  
Valuable Insight ◽  
Legal Rules ◽  
The United Kingdom ◽  
The Us ◽  
The Uk ◽  
Insight Into

While numerous articles have now been written on the age regulations 1 they tend to concentrate on the broad detail of the Regulations and their likely impact in the United Kingdom, whereas this article, while also involving analysis of the legal rules, concentrates on one aspect of the Regulations namely, age harassment. It will also involve consideration of the equivalent law in the United States because they have a much more mature set of legal rules dealing with this type of activity. The difficulty of making such a comparison is that the legal rules in the two jurisdictions are very different and the UK version is much more favourable than its US counterpart. Nevertheless, it is this writer’s view that identifying the various problems that have arisen in the US with implementing their age legislation in respect of age harassment over almost forty years 2 will prove instructive and valuable to those persons required to comply with the new law in the UK and offer valuable insight into the legal treatment of this issue.

scholarly journals Stressed, Depressed and Exhausted: Six Years as a Teacher in UK State Education

2020 ◽  
Vol 34 (5) ◽  
pp. 949-958
Author(s):  
Robin Burrow ◽  
Rachel Williams ◽  
Daniel Thomas
Keyword(s):  
United Kingdom ◽  
Public Sector ◽  
Education System ◽  
Qualified Teachers ◽  
Neoliberal Reform ◽  
The United Kingdom ◽  
State Education ◽  
Qualified Teacher ◽  
The Uk ◽  
Insight Into

This article foregrounds the experiences of a newly qualified teacher – ‘Daniel’ – in the state education sector in the United Kingdom. It provides an insight into the under-explored realities of teaching work and an empirical connection with a segment of the UK public sector that successive governments have positioned as central to economic and social prosperity. It centres on why nine out of ten teachers who participated in the 2017 National Skills and Employment Survey reported that they ‘often’ or ‘always’ come home from work exhausted. In doing so, it also helps to explain why 33% of newly qualified teachers leave within five years of qualifying. Through Daniel’s story, 40 years of neoliberal reform to the UK education system is contextualised and shown to have intensified latent contradictions by stripping teachers of time and the freedom to operate and innovate.

scholarly journals Now you see it, now you don’t: On the (in)visibility of police stop and search in Northern Ireland

2018 ◽  
Author(s):  
John Topping ◽  
Ben Bradford
Keyword(s):  
United Kingdom ◽  
Northern Ireland ◽  
Social Control ◽  
Research Evidence ◽  
Police Service ◽  
Police Powers ◽  
The United Kingdom ◽  
Stop And Search ◽  
Theoretical Insight ◽  
Insight Into

Police stop and search practices have been subject to voluminous debate for over forty years in the United Kingdom. Yet critical debate related to the use of ‘everyday’ stop and search powers by the Police Service of Northern Ireland (PSNI) has, despite the hyper-accountable policing system of Northern Ireland, been marked by its absence. This paper presents the first ever analysis of PSNI’s use of PACE-type powers - currently used at a higher rate and with poorer outcomes compared to the rest of the U.K. While it can only be considered as an elusive power, about which detailed research evidence is markedly lacking, stop and search in Northern Ireland seems to serve as a classificatory tool for PSNI to control mainly young, socio-economically marginal male populations. The paper provides new theoretical insight into stop and search as a simultaneous overt and covert practice, and speaks to wider issues of mundane police power – and practice – within highly contested and politically fractured contexts.Keywords: stop and search; Police Service of Northern Ireland; police powers; social control

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