Results from the first year as a major trauma radiology unit in the UK

2014 ◽  
Vol 69 (8) ◽  
pp. 812-821 ◽  
Author(s):  
E. Adiotomre ◽  
A. Chopra ◽  
A. Kirwadi ◽  
N. Kotnis
Keyword(s):  
Major Trauma ◽  
First Year ◽  
The Uk

scholarly journals An OSCE as part of the first-year SpR assessmentinent in ENT

2006 ◽  
Vol 88 (9) ◽  
pp. 310-312 ◽  
Author(s):  
A Drake-Lee ◽  
D Skinner ◽  
A Reid
Keyword(s):  
First Year ◽  
European Law ◽  
Senior Registrar ◽  
The Uk ◽  
Second Wave

The structure of postgraduate hospital training in the UK has changed in the last 20 years: the Calman report brought training in line with European law and the SpR post was created out of the registrar and senior registrar posts. Implementation of the new training was staggered across specialties. ENT was included in the second wave of implementation in October 1995. At the same time, consultant expansion was envisaged.

scholarly journals Caterpillars of the marsh fritillary butterfly Euphydryas aurinia can extend their life-cycle in Scotland

2021 ◽  
Author(s):  
Neil O. M. Ravenscroft
Keyword(s):  
Life Cycle ◽  
Conservation Status ◽  
Northern Europe ◽  
First Year ◽  
Winter Mortality ◽  
Closely Related Species ◽  
Euphydryas Aurinia ◽  
High Conservation ◽  
The Uk ◽  
Marsh Fritillary

AbstractThe marsh fritillary Euphydryas aurinia is declining across Europe and is of high conservation interest. Its ecology has been defined and its conservation status assessed primarily from the affinities and populations of young caterpillars in the autumn, before hibernation and high winter mortality. The possibility that caterpillars of E. aurinia can overwinter more than once was investigated on the Isle of Islay, Scotland after caterpillars were found to occur at some locations in the spring despite a pre-hibernation absence. Closely-related species in North America and Northern Europe can prolong larval development by diapausing for a year as does E. aurinia in Scandinavia. Measurements of development and manipulations of distribution confirmed that some caterpillars do extend the life-cycle in Scotland and may occur in areas devoid of larvae in their first year. Caterpillars attempting this life-cycle develop slowly in spring, attain the normal penultimate spring instar and then enter diapause while other caterpillars are pupating. They moult just before diapause, construct highly cryptic webs and on emergence the following spring are 5–6 times heavier than larvae emerging in their first spring, or the equivalent of a month or so ahead. They attain a final, extra instar as larvae in their first spring reach the penultimate instar. Knowledge of this life-cycle is confined in the UK to Islay but its occurrence in this mild climate implies that it is more widespread.Implications for insect conservation Conditions that permit long diapause are probably precise and may not be reflected in recognised qualities of habitat. The species may also be present despite a perceived absence in autumn, the standard period for monitoring. Assessments of the prevalence of the life-cycle and its contribution to the persistence of E. aurinia are required. Populations of E. aurinia are known to fluctuate greatly and do occur below the observation threshold for long periods.

scholarly journals High Incidence of Arterial and Venous Thrombosis in Antineutrophil Cytoplasmic Antibody–associated Vasculitis

2018 ◽  
Vol 46 (3) ◽  
pp. 285-293 ◽  
Author(s):  
Amy Kang ◽  
Marilina Antonelou ◽  
Nikki L. Wong ◽  
Anisha Tanna ◽  
Nishkantha Arulkumaran ◽  
...  
Keyword(s):  
Ischemic Stroke ◽  
Venous Thrombosis ◽  
Independent Predictor ◽  
Antineutrophil Cytoplasmic Antibody ◽  
First Year ◽  
High Incidence ◽  
All Cause Mortality ◽  
Coronary Events ◽  
The Uk ◽  
Event Rates

Objective.To determine the incidence of arterial thrombotic events (ATE) and venous thromboembolism (VTE) in antineutrophil cytoplasmic antibody–associated vasculitis (AAV).Methods.This is a retrospective cohort study presenting the incidence of ATE (coronary events or ischemic stroke) and VTE [pulmonary embolism (PE) or deep venous thrombosis (DVT)] in patients diagnosed with AAV between 2005 and 2014.Results.There were 204 patients with AAV who were identified. Median followup for surviving patients was 5.8 (range 1–10) years, accounting for 1088 person-years (PY). The incidence of ATE was 2.67/100 PY (1.56 for coronary events and 1.10 for ischemic stroke) and for VTE was 1.47/100 PY (0.83 for DVT only and 0.64 for PE with/without DVT). On multivariate analysis, prior ischemic heart disease (IHD) and advancing age were the only independent predictors of ATE. Among patients without prior IHD or stroke, the incidence of ATE remained elevated at 2.32/100 PY (1.26 for coronary events and 1.06 for ischemic stroke). ATE, but not VTE, was an independent predictor of all-cause mortality. Event rates for both ATE and VTE were highest in the first year after diagnosis of AAV but remained above the population incidence during the 10-year followup period. In comparison to reported rates for the UK population, the event rates in our AAV patients were 15-times higher for coronary events, 11-times higher for incident stroke, and 20-times higher for VTE.Conclusion.Patients with AAV have a high incidence of arterial and venous thrombosis, particularly in the first year after diagnosis.

scholarly journals Healthcare utilization and costs in adults with SLE in the United Kingdom: a real-world observational retrospective cohort analysis

2021 ◽  
Author(s):  
Mihail Samnaliev ◽  
Volkan Barut ◽  
Sharada Weir ◽  
Julia Langham ◽  
Sue Langham ◽  
...  
Keyword(s):  
Disease Severity ◽  
Healthcare Costs ◽  
Severe Disease ◽  
Cohort Analysis ◽  
Practice Research ◽  
Future Research ◽  
First Year ◽  
Clinical Practice Research Datalink ◽  
Comorbid Conditions ◽  
The Uk

Abstract Objectives To describe direct healthcare costs for adults with systemic lupus erythematosus (SLE) in the UK over time and by disease severity and encounter type. Methods Patients aged ≥18 years with SLE were identified using the linked Clinical Practice Research Datalink—Hospital Episode Statistics database from January 2005 to December 2017. Patients were classified as having mild, moderate, or severe disease using an adapted claims-based algorithm based on prescriptions and comorbid conditions. We estimated all-cause healthcare costs and incremental costs associated with each year of follow-up compared with a baseline year adjusting for age, sex, disease severity, and comorbid conditions (2017 UK pounds). Results We identified 802 patients; 369 (46.0%) with mild, 345 (43.0%) moderate, and 88 (11.0%) severe disease. The mean all-cause cost increased in the 3 years before diagnosis, peaked in the first year after diagnosis and remained high. Adjusted total mean annual increase in costs per patient was £4476 (95% confidence interval £3809–5143) greater in the year of diagnosis compared with the baseline year (p < 0.0001). The increase in costs per year were 4.7-fold and 1.6-fold higher among patients with severe SLE compared with those with mild and moderate SLE respectively. Primary care utilisation was the leading component of costs during the first year of diagnosis. Conclusion The healthcare costs for patients with SLE in the UK are substantial, remain high after diagnosis and increase with increasing severity. Future research should assess whether earlier diagnosis and treatment may reduce disease severity and associated high healthcare costs.

Investigating the reliability of the Key Stage 2 test results for assessing individual pupil achievement and progress in England

2005 ◽  
Author(s):  
Lesley Doyle ◽  
Ray Godfrey
Keyword(s):  
Secondary School ◽  
Test Scores ◽  
First Year ◽  
Educational Standards ◽  
Test Results ◽  
Assessment Data ◽  
National Assessment ◽  
Personalised Learning ◽  
Pupil Achievement ◽  
The Uk

'Personalised learning' and the value of national assessment data in achieving it have been identified by the UK Secretary of State for Education and Skills as essential for raising educational standards. Employing multilevel analysis, this paper compares children's end of primary school (Key Stage 2) test scores with those they achieved in comparable test papers taken in each term of their first year of secondary school. The paper questions the reliability of national assessment data in respect of the performance of individual children, their predictive validity and thus their value in contributing to the provision of 'personalised learning'.

Norplant® implants in the UK: First year continuation and removals

Contraception ◽  
1996 ◽  
Vol 53 (6) ◽  
pp. 345-351 ◽  
Author(s):  
Tina Peers ◽  
Jane E. Stevens ◽  
Jo Graham ◽  
Angela Davey
Keyword(s):  
First Year ◽  
The Uk

scholarly journals The Criminal Histories of Drug-Drive Offenders

2018 ◽  
Vol 14 (2) ◽  
pp. 456-468 ◽  
Author(s):  
James Nunn
Keyword(s):  
Criminal Activity ◽  
Criminal History ◽  
First Year ◽  
Criminal Behaviour ◽  
Research Subjects ◽  
Criminal Sanctions ◽  
Criminal Histories ◽  
The Uk ◽  
High Level ◽  
Criminological Theories

Abstract This study examined the previous criminal behaviour of individuals who were arrested for violating the drug driving over the prescribed limit offence, introduced into the UK in March 2015. The sample consists of individuals arrested during the first year of enforcement of this offence from March 2015 to March 2016 within the jurisdictional boundaries of the Metropolitan Police Service in London. The previous criminal behaviour of the research subjects was framed within a number of criminological theories and there is examination of any correlation between their criminal history and the drug-driving offence they had been arrested for. The criminal activity was obtained from each individual’s criminal record held on the police national computer and coded with regards to offence groups. As well as criminal sanctions, there was also an examination of drug-related arrest histories. The results indicate a high level of previous criminal activity with drugs and driving matters dominating that activity. This supports the construct that, in this context, drug driving fits within their patterns of offending.

The Efficacy and Durability of Radon Remedial Measures

1994 ◽  
Vol 56 (1-4) ◽  
pp. 65-69 ◽  
Author(s):  
K.D. Cliff ◽  
S.P. Naismith ◽  
C. Scivyer ◽  
R. Stephen
Keyword(s):  
Research Programme ◽  
First Year ◽  
Remedial Measures ◽  
Annual Average ◽  
Building Research ◽  
Remedial Work ◽  
The Uk ◽  
Radon Concentrations

Abstract In the UK, over 16,000 homes, from an estimated 100,000, with annual average radon concentrations exceeding the UK Action Level of 200 Bq.m-3 have been discovered. Some 600 householders who have taken action have sought confirmatory measurements from NRPB. Results for 345 such homes are discussed. A number of remedied homes are being remeasured annually to determine the durability of the remedies: results for the first year follow-up measurements are given. In a separate exercise, homes having the highest radon levels known in the UK have been enrolled in a research programme of the Building Research Establishment. The results for 53 homes in which BREW surveyed, designed and supervised remedial work are presented.

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