Excavations beside the North-West Gate at Veii, 1957–58

1959 ◽  
Vol 27 ◽  
pp. 38-79 ◽  
Author(s):  
J. B. Ward-Perkins
Keyword(s):  
Archaeological Research ◽  
North West ◽  
The North ◽  
British School

The excavations here described were undertaken by the British School at Rome on behalf of the Superintendency of Antiquities for Southern Etruria, through the courtesy of its Superintendent, Professor Renato Bartoccini, who has done so much to foster active archaeological research within an area that is undergoing drastic and archaeologically disastrous change, and with the active and cordial collaboration of his staff. The purpose of the excavations was the strictly limited one of examining, while there was yet time, one of the few remaining stretches of the defences of Veii where ploughing in recent years had revealed (and is now rapidly destroying) substantial remains of the ancient walls. In the course of the work such other features as came to light were examined and recorded so far as this limited purpose permitted; but no attempt was, or could be, made to follow up the larger implications of these discoveries, which must await another occasion and other hands.The work was undertaken in two short campaigns, each of between two and four weeks' duration. The first of these, in November and December 1957, was hampered by the ravages of Asian influenza, the work of supervision being shared in succession by Mrs. Selina Tomlin (now Mrs. Ballance), Mr. Guy Duncan and Mr. Michael Ballance; and it is greatly to their credit that, despite these difficulties, a satisfactory and coherent result was obtained. The second campaign took place in October-November 1958, and was supervised throughout by Mrs. P. W. Murray Threipland. Both in the field and the work-room a great deal of volunteer help was received both from students of the School and from friends and visitors, outstanding among the latter being Mrs. Anne Kahane and Mrs. Betty Eastwood and, during the second campaign, Mr. Eric Gray.

scholarly journals Indigenous healers in the North West province: A survey of their clinical activities in health care in the rural areas

Curationis ◽  
1996 ◽  
Vol 19 (4) ◽  
Author(s):  
S. N. Shai-Mahoko
Keyword(s):  
Health Care ◽  
Random Sample ◽  
Southern Africa ◽  
Rural Areas ◽  
Demographic Variables ◽  
Simple Random Sample ◽  
North West ◽  
The North ◽  
Clinical Conditions

The purpose of this study was to explore the clinical conditions brought to indigenous healers by people in the rural areas in search of health care. The demographic variables and preventive, promotive, curative and follow-up activities of indigenous healers were investigated. Data were collected from a simple random sample of 35 indigenous healers. A questionnaire designed by Mogoba (1984) for investigation of training and functioning of traditional doctors in Southern Africa was modified and used to collect data.

scholarly journals Brief History of the North-West Okhotsk Sea Coast Archaeological Research (In Celebration of the 90th Anniversary of the First Northern Okhotsk Sea Coast Archaeology Publication by V. I. Ogorodnikov)

2021 ◽  
Vol 20 (5) ◽  
pp. 20-31
Author(s):  
Sergey B. Slobodin ◽  
Alisa Yu. Zelenskaya
Keyword(s):  
Far East ◽  
Northeast Asia ◽  
Northeastern Russia ◽  
Archaeological Research ◽  
Okhotsk Sea ◽  
North West ◽  
North East ◽  
The North ◽  
History Of ◽  
Sea Coast

Purpose. To analyze the significance of V. Ogorodnikov’s 1929 article on finds from Olsky (Zaviyalova) Island in the historiography of archaeological research in northeastern Russia. Results. An analysis of his published materials, in the context of the history of archaeological research in Northeast Asia in the 18th – first quarter of the 20th century shows that this was, in fact, the first professional publication on archaeological research in this part of northeast Asia. Until that time, sporadic publications about random finds and their fragmentary descriptions did not give a holistic picture of human existence in these territories. It was also the first Russian archaeological publication post-revolution on the antiquities of the north of the Far East. However, Ogorodnikov’s article, from the day of its publication, was forgotten, and in all further archaeological research, both in Northeast Asia as a whole, and on Zaviyalova Island and in Taui Bay in particular, was not mentioned and was not analyzed by the archaeologists who conducted research there, although the conclusions made by him were confirmed by further work. This, apparently, was due to the fact that although he was a well-known Siberian historian and the first Dean of the Department of History of Irkutsk University, Ogorodnikov was unjustly repressed for political reasons in 1933 and died in 1938 in a Gulag camp. Despite the fact that he was politically rehabilitated in 1957, his name has not yet returned to the historiography of archeology of Northeast Asia. This publication aims to fill this gap. The Neolithic age of the archaeological materials declared and published by Ogorodnikov, previously unforeseen and not justified by anyone for Northeast Asia, was fully confirmed by further research. Conclusion. The publication by Ogorodnikov in 1929 featuring results of the first excavations in Taui Bay on Olsky (Zaviyalova) Island is a significant milestone in archaeological research in the North-East of Russia.

scholarly journals 768 Impact Of COVID-19 And BOAST Standards on Surgical Management of Upper Limb Injuries in A Large Teaching Hospital

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
T Naylor
Keyword(s):  
Teaching Hospital ◽  
Upper Limb ◽  
Day Case ◽  
North West ◽  
The North ◽  
Large Teaching Hospital ◽  
Limb Injuries ◽  
Upper Limb Surgery ◽  
Limb Fractures

Abstract Aim During the first peak of the COVID-19 pandemic, the BOA recommended that upper limb surgery for trauma should be avoided if possible, or performed as day-case if unavoidable, to reduce the risk of COVID-19 related negative outcomes. This audit assessed compliance with recommendations and impact on proportion of injuries managed conservatively due to COVID-19 risks, inpatient stay duration, COVID-19 infections, and corrective surgical intervention rates. Method Data was collected for all referrals to orthopaedics for upper limb fractures/dislocations at a large NHS teaching hospital in the North West over a 10-week period from April 4th to June 12th. Follow up was performed to 6 months after date of injury. Care was audited against the “British Orthopaedic Association Standard in Trauma: Management of patient with urgent orthopaedic conditions and trauma during the coronavirus pandemic”. Results A total of 112 patients were referred. 76% of patients were discharged from Emergency Department, with surgery indicated in 48%. Of those, 11% (n = 6) were not operated on due to COVID-19 risks and 1 patient from this group (16.7%) has required secondary corrective surgery. Surgery was completed as day-case procedure in 50%. COVID-19 swabs were not taken in 46% of referrals, 50% had a negative test and 4% positive. No patients tested positive after discharge following treatment. Conclusions Few cases were managed conservatively based on COVID-19 risk, and only 1 patient has required secondary surgery. More upper limb injuries may be managed conservatively, as per BOAST standards, with day-case procedures better utilised as an alternative.

scholarly journals Perceptions of emergency care using a seizure care pathway for patients presenting to emergency departments in the North West of England following a seizure: a qualitative study

BMJ Open ◽  
2018 ◽  
Vol 8 (9) ◽  
pp. e021246 ◽  
Author(s):  
Leanne Rachel Male ◽  
Adam Noble ◽  
Darlene Ann Snape ◽  
Peter Dixon ◽  
Tony Marson
Keyword(s):  
Lived Experience ◽  
Patient Experience ◽  
Critical Realism ◽  
Care Pathway ◽  
Service Level ◽  
Service Improvement ◽  
North West ◽  
Care Continuity ◽  
The North

ObjectivesTo establish the appropriateness of a previously developed seizure care pathway by exploring to what extent patients valued the intervention and perceived it as being helpful or not.DesignQualitative descriptive study, using semistructured, in-depth interviews and thematic template analysis, theoretically informed by critical realism.SettingIn North West England, a seizure care pathway has been developed in collaboration with a specialist neurology hospital to support clinical management of seizure patients on initial presentation to the emergency department (ED), as well as access to follow-up services on discharge, with the aim of improving patient experience. Three National Health Service (NHS) EDs and a specialist neurology hospital provided the setting for participant recruitment to this study.Participants181 patients fulfilled the inclusion criterion with 27 participants taking part following their experience of an ED attendance and outpatient follow-up appointment after a seizure.ResultsFive main themes emerged from the data: decision to seek care, responsiveness of services, waiting and efficiency, information and support, and care continuity. Two integrative themes spanned the whole study: lived experience and communication. This paper reports on two of the main themes: care continuity, and waiting and efficiency. The average time between ED presentation and interview completion was 100 days.ConclusionsImplementation of a care pathway is a complex intervention, requiring long-term follow-up to assess its integration into practice and effectiveness in service improvement. The seizure care pathway has the potential to enhance the care of seizure patients in the ED and at follow-up by improving continuity and management of care. The study demonstrates good aspects of the seizure care pathway as observed by patients and also recognises shortcomings within current service provision and questions what the NHS should and should not be delivering. Our study suggests various ways to enhance the pathway at service level to potentially drive improved patient experience.

P5334A 15-year follow-up of 315 patients with familial hypercholesterolemia from the North-West region of Russia

2019 ◽  
Vol 40 (Supplement_1) ◽  
Author(s):  
V Konstantinov ◽  
T Kuznetsova ◽  
V Korneva ◽  
M Serebrenitskaya
Keyword(s):  
Familial Hypercholesterolemia ◽  
Time Course ◽  
Receptor Gene ◽  
Ldl Receptor ◽  
North West ◽  
Saint Petersburg ◽  
The North ◽  
West Region ◽  
Homozygous Patient

Abstract Familial hypercholesterolemia (FH) is one of the most common inherited diseases that lead to premature atherosclerosis and coronary heart disease (CHD). Aim of the study to ascertain genetic and environmental factors influencing the time course of FH during a 15-year follow-up in a large FH cohort from the North-West region of Russia. We screened more than 1ehz746.0302 high risk patients in order to reveal FH in Saint-Petersburg and Petrozavodsk using DLCN criteria. In most patients DNA analysis was also performed. Definite FH (≥8 according to DLCN) was found in 315 patients (221 - in Saint-Petersburg, 94 - in Petrozavodsk). These patients were followed-up for 15 years and more. CHD was more frequent in male patients, patients older than 60 years of age and was associated with higher levels of total cholesterol, LDL cholesterol, lower levels of HDL cholesterol, arterial hypertension, smoking and higher DLCN scoring. Patients without CHD had lowest LDL/HDL ratio (5.2±0.45) whereas patients with stable and progressive CHD had LDL/HDL ratio - 7.7±0.89 and 10.4±0.78, respectively (p≤0.05). Genetic study revealed only 1 homozygous patient and 1 patient with apoB-100 (FDP) gene mutation. Only 1 case of FH-North Karelia mutation that is typical for Finland was found in Petrozavodsk. Most of revealed mutations in LDL-receptor gene were unique i.e. found only in 1 family. This suggest the absence of a strong founder effect associated with FH in the North-West Region of Russia. Due to high heterogeneity of FH-causing mutations we failed to establish interrelations between type of LDL-receptor gene mutations and severity of atherosclerosis and CHD time course. 14% of FH patients didn't take any hypolipidemic medications at the onset of the follow-up, whereas 61% took statins and 25% statin + ezetimibe. Homozygous patient was treated both with statin, ezetimibe, evolocumab and LDL-apheresis. Nevertheless, 26% of the treated group didn't achieve the target LDL-C levels. It is interesting that 40% of patients who didn't reach LDL-goals were current smokers (compared with 5% of patients who reached LDL-goals). 33 patients (10.5%) died during the follow-up mostly due to cardiovascular complications. Death rates in FH patients were strongly associated with age, male sex, LDL/HDL ratio, smoking and effectiveness of hypolipidemic treatment. FH is strongly associated with high CHD risk; the time course of FH is much more favourable in females, in patients with low LDL/HDL ratio and free of other modifiable risk factors. Type of LDL-receptor gene mutation doesn't influence lipid levels or clinical manifestations of FH.

scholarly journals P06 Driving up quality: local observations from the National Early Inflammatory Arthritis Audit

Rheumatology ◽  
2020 ◽  
Vol 59 (Supplement_2) ◽  
Author(s):  
Jack Loh ◽  
Joshua Withers ◽  
Sarah FIsh ◽  
Elizabeth MacPhie
Keyword(s):  
Rheumatoid Arthritis ◽  
Inflammatory Arthritis ◽  
First Year ◽  
Drug Education ◽  
Dmard Therapy ◽  
North West ◽  
Patient Pathway ◽  
The North ◽  
Early Inflammatory Arthritis

Abstract Background The National Early Inflammatory Arthritis Audit (NEIAA) provides the opportunity for rheumatology services to benchmark the care they provide against NICE quality standards (QS) 33. It provides a mechanism to identify where improvements can be made. This project assessed compliance against QS2: patients are seen in a rheumatology clinic within 3 weeks of referral and QS3: patients with newly diagnosed RA should be offered short-term glucocorticoids and a combination of DMARDs within 6 weeks of referral. Methods Data submitted to the NEIAA online tool during the first year of the audit were downloaded for analysis. Results were presented to the Rheumatology Multi-Disciplinary Team. The patient pathway was mapped, driver diagrams were developed by the team and areas for improvement identified. Results In total 246 patients were recruited to the audit, 71(29%) had confirmed rheumatoid arthritis (RA) and were included in the follow-up cohort. All patients had a baseline form completed, and 61 (86%) had a 3-month follow-up form completed. The mean patient age in the RA cohort was 62 years (range: 26-88). Rheumatoid factor (RF) and anti-citrullinated protein antibodies (ACPA) status was recorded in 69 (97%) and 63 (88%) respectively with, 33 (52%) positive for RF and 26 (38%) for ACPA. Twenty-two patients (8.9%) were seen within 3 weeks of being referred and 5 patients (7%) started DMARD therapy within 6 weeks of referral. On average, patients waited 66 days (range: 5-138) to be seen and diagnosed, and if sent for investigations on average a further 50 days (range: 37-69) to diagnosis. There was an additional wait for drug education, with patients waiting a mean of 25 days and 39 days if they had been sent for investigations to confirm diagnosis. Prior to starting DMARD therapy 65 (90%) patients were given bridging steroids. Sixty-five (92%) patients started DMARDs, and in those that didn’t there was justification. A higher proportion of patients >65years started DMARD monotherapy in sero-positive patients and those with a high DAS28 we found more use of combination DMARD therapy. Process mapping and driver diagrams highlighted areas for improvement, both clinician and patient in origin. Regarding QS2 these include developing referral guidelines for primary care, increasing triage capacity, simplifying the booking process, increasing new appointment capacity (additional consultant, upskilling extended scope practitioner and specialist nurse) and introducing text reminders. In relation to QS3 these include: one-stop clinic with access to ultrasound, increasing drug education and monitoring clinic capacity, improve sign-posting to National Rheumatoid Arthritis Society. Conclusion The NEIAA has provided detailed information about the patient pathway which has enabled the team to identify priority areas for improvement. The prospective nature of the audit will allow the team to determine if changes are improving performance. Disclosures J. Loh None. J. Withers None. S. FIsh None. E. MacPhie Other; EM is the secretary of the North West Rheumatology Club; meetings are supported by an unrestricted educational grant from UCB.

The Vassal-Treaties of Esarhaddon

Iraq ◽  
1958 ◽  
Vol 20 (1) ◽  
pp. 1-99 ◽  
Author(s):  
D. J. Wiseman
Keyword(s):  
The Other ◽  
The South ◽  
North West ◽  
South Eastern ◽  
The North ◽  
British School ◽  
The Temple ◽  
Made In

The sixth (1955) season of excavation by the British School of Archaeology in Iraq at Nimrud (ancient Kalḫu, Biblical Calah) was mainly devoted to clearing buildings in the south-eastern corner of the akropolis. One building to the north of Ezida, the temple of Nabu, contained a long Throne-room (SEB2) where lay a varied collection of ivories and bronzes from Assyrian furniture broken when the building was destroyed by fire. Amid this debris more than three hundred and fifty fragments of baked clay tablets were found scattered in the north-west corner of the room between the dais which once supported the royal throne and the door leading to a small ante-chamber (NTS3). Some fragments were also found in the southern doorway of the Throne-room and in the adjacent courtyard (Fig. 1). It will probably never be known with certainty, whether the documents had once been housed in this room or thrown there when the building was sacked by the Medes about 612 B.C. A special room (NT12) in the neighbouring Nabu Sanctuary seems to have been set aside for the use of scribes and for the storage of tablets and this may have been their original location.These fragments proved to be parts of a few large tablets of which one was reconstituted in the field. Miss Barbara Parker, who was present at the time of discovery, soon identified the text as a treaty made in 672 B.C. by Esarhaddon, king of Assyria (681–669 B.C.), with a chieftain of the Medes named Ramataia of Urukazaba(r)na. The remaining texts were duplicates except that they named different city-govenors, or chieftains, as the other party to the agreement. The dated fragments bear the same Eponym year-date of 672 B.C. With commendable speed Miss Parker published a brief report based on her preliminary reading of about three hundred lines of the Ramataia text and some of the fragments.

scholarly journals The outcome of kidney transplant from living donors with pelvi-ureteric junction dysfunction

2020 ◽  
Vol 52 (10) ◽  
pp. 1863-1868
Author(s):  
Miroslav Tisljar ◽  
Hatem Ali ◽  
Charlie Gledhill-Flynn ◽  
Mila Garreus ◽  
Arvind Ponnusamy ◽  
...  
Keyword(s):  
Renal Transplantation ◽  
Graft Function ◽  
Control Group ◽  
Case Group ◽  
Post Transplantation ◽  
Demand And Supply ◽  
North West ◽  
The North ◽  
The Mean

Abstract Purpose To assess the effect of receiving a kidney with PUJ dysfunction on the recipient renal graft function. Methodology 198 patients, who underwent renal transplantation from 1st January 2004 to 31st December 2014 in a single Center in the North West of England, were retrospectively reviewed using a computerized database. Split kidney function and the PUJ dysfunction for the donors were assessed using Tc-99 m MAG3 renogram. Each recipient with PUJ dysfunction was matched with a control recipient by age, gender, and number of days after transplantation. Both groups were followed up for 3.5 years post-transplantation. Results Of the 198 recipients included in the study, 19 recipients received kidneys from donors with PUJ dysfunction. Prevalence of PUJ dysfunction was 9.5% and it was more common in males than females. There was no difference between the case group and the control group in terms of age, gender, and follow-up time post-transplantation. There was also no difference between the case group and the control group in mean creatinine (130 µmol/l and 138 µmol/l respectively, p = 0.305) or the mean eGFR (48.6 ml/min and 47.5 ml/min respectively, p = 0.054) at 3.5 year post-kidney transplantation. Conclusion This study showed that PUJ dysfunction of renal allograft has a negligible effect on graft function over 3.5 years period post-transplantation. A prospective randomized trial is needed to test these findings. In the presence of widened gap between demand and supply in renal transplantation, PUJ dysfunction in potential donors should not preclude them from donation.

Association of metabolic phenotypes, grip strength and diabetes risk: The 15-year follow-up of The North West Adelaide Health Study, Australia

2020 ◽  
Vol 14 (6) ◽  
pp. 536-541
Author(s):  
Alline M. Beleigoli ◽  
Sarah L. Appleton ◽  
Tiffany K. Gill ◽  
Catherine L. Hill ◽  
Robert J. Adams
Keyword(s):  
Grip Strength ◽  
Diabetes Risk ◽  
Health Study ◽  
North West ◽  
Metabolic Phenotypes ◽  
The North

The Site of Olynthus

1916 ◽  
Vol 21 ◽  
pp. 11-15 ◽  
Author(s):  
A. J. B. Wace
Keyword(s):  
The West ◽  
North West ◽  
Commercial Importance ◽  
The North ◽  
British School ◽  
Olive Groves ◽  
The Village ◽  
The Doors

Early in 1915 during a short journey in Macedonia I took the opportunity of exploring the site and neighbourhood of Olynthus (Fig. 1), because it is hoped that the British School at Athens will before long be able to begin excavations there. I spent two days in the territory of Olynthus examining sites at Hagios Mamas, Myriophyton and Molivopyrgos as well as the ruins at Pizla, Magazudia and Palaioportes, all near Polygyros, which are those of mediaeval or modern villages. Although somewhat impeded by a heavy fall of snow I had the satisfaction of seeing for myself the comparative warmth of the climate of Olynthus even in winter. All about the reputed site of Olynthus the snow soon melted, whereas to the west beyond the village of Portaria towards the Kara Burun promontory, the snow remained for several days. The biting north-west Vardar wind which freezes the western end of Chalkidike in winter is kept off from Olynthus by the range of hills behind Polygyros, some of which are over three thousand feet high. Along the coast from Hagios Mamas to Molivopyrgos the territory of Olynthus is warm, faces south and is fertile, producing oil, corn, wine and silk. The low ground towards the coast is covered with olive groves, while the hills to the north are clothed with oak woods which were undoubtedly finer in antiquity than they are to-day. In most of the houses in Polygyros the doors and floors are of oak instead of the usual pine. These circumstances, coupled with the good anchorage at Molivopyrgos (the ancient Mekyberna), make it easy to understand the wealth and commercial importance of Olynthus. In addition to its other advantages, from Polygyros there runs the best road northwards into the upper country. Iron is said to be found in the hills and to-day mines of chrome and magnesite are worked along the coast.

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