scholarly journals ‘We're happy as we are’: the experience of living with possible undiagnosed dementia

2021 ◽  
pp. 1-26
Author(s):  
Josie Henley ◽  
Alexandra Hillman ◽  
Ian Rees Jones ◽  
Bob Woods ◽  
Catherine Anne MacLeod ◽  
...  
Keyword(s):  
Qualitative Interviews ◽  
Service Levels ◽  
Cognitive Difficulties ◽  
Treatment Services ◽  
The United Kingdom ◽  
Diagnosis Of Dementia ◽  
The Right ◽  
Levels Of Service ◽  
Cognitive Problems

Abstract It is estimated that a third of people in the United Kingdom with signs of dementia are living without a formal diagnosis. In Wales, the proportion is nearly half. Some explanations for the gap between prevalence of dementia and number of diagnoses include living with a long-term partner/spouse and systemic barriers to diagnosis. This study recruited participants from the Cognitive Function and Ageing Studies-Wales (CFAS-Wales) cohort, randomly selected from people aged over 65 living in two areas of Wales, who met study criteria for a diagnosis of dementia and did not have a record of a formal diagnosis in general practice records. We aimed to understand more about the contexts and circumstances of people who live with and cope with cognitive difficulties without having a formal diagnosis of dementia. We conducted qualitative interviews with six participants and their spouses, and additionally with four family members of three invited people who were unable to take part. Themes were generated using thematic analysis. We present the argument that there is an adaptive response to low service levels and a complex interaction between the expectations of levels of service, perceptions of the legitimacy of cognitive problems and the right to make demands on services. This paper concludes that more could be done to address barriers to diagnosis and treatment services for those living with symptoms of dementia, but that the value placed on diagnosis by some individuals might be lower than anticipated by government policy.

scholarly journals SUBMISSION OF LEVELS OF SERVICE AT GENERAL ROAD ROUTINE MAINTENANCE

2021 ◽  
pp. 11-25
Author(s):  
Alexander P. Kanin ◽  
◽  
Anna N. Kharchenko ◽  
Natalia M. Sokolova ◽  
◽  
...  
Keyword(s):  
Service Levels ◽  
Term Contract ◽  
The Monte Carlo Method ◽  
The World ◽  
Theoretical Generalization ◽  
The Subject ◽  
The Individual ◽  
Levels Of Service ◽  
Term Maintenance

The article deals with the problems of substantiation of service levels in long-term maintenance contracts of public roads. It has been established that the requirements for the operating condition of road elements in existing regulatory documents are rather complete, but they are unsystematized, which complicates the process of their processing in order to conclude a long-term contract for maintenance of roads. It has been determined that according to the world experience, the problem of substantiation of service levels should be considered with detail at the level of the individual defect. The research object is a long-term contract based on end-of-life performance (service levels) of public roads. The subject of research - levels of service - requirements for the operational state of general roads. The purpose of the study is to substantiate the levels of service in long-term contracts for the maintenance of public roads. Research methods - analysis and theoretical generalization of the world experience in substantiating service levels when implementing long-term maintenance contracts of roads. The conducted studies have shown that simulation modeling, in particular, the Monte Carlo method, should be used to solve the problem of substantiation of service levels. In this case, the indicators of the level of maintenance of the elements of roads should be set better than the maximum permissible in terms of ensuring safety, speed and comfort of motion and the requirements for the preservation of elements of roads.

Classification of caesarean sections

2001 ◽  
Vol 12 (1) ◽  
pp. 23-39 ◽  
Author(s):  
MS Robson
Keyword(s):  
National Health Service ◽  
Caesarean Section ◽  
Health Service ◽  
Financial Burden ◽  
Caesarean Section Rate ◽  
The United Kingdom ◽  
Short And Long Term ◽  
The Right

Caesarean section rates in the United Kingdom continue to be a topic of importance in both the medical and lay press. In previous years most of the discussion has been about what the correct caesarean section rate should be. More recently the debate has focused on whether a woman has the right to choose to have her baby delivered by caesarean section in the absence of a medical indication. This has medical implications, in terms of short and long term complications for the woman, but also carries a financial burden that the National Health Service can ill afford.

Demographic gaps between Syrian and the European populations: What do they suggest?

2017 ◽  
Vol 7 (2) ◽  
pp. 207-230 ◽  
Author(s):  
Mustafa Murat Yucesahin ◽  
Ibrahim Sirkeci
Keyword(s):  
Transition Theory ◽  
World Population ◽  
Demographic Analysis ◽  
Demographic Differences ◽  
Syrian Crisis ◽  
The United Kingdom ◽  
Syrian Population ◽  
Displaced People ◽  
Near Future

Syrian crisis resulted in at least 6.1 million externally displaced people 983,876 of whom are in Europe while the rest are in neighbouring countries in the region. Turkey, due to its geographical proximity and substantial land borders with the country, has been the most popular destination for those fleeing Syria since April 2011. Especially after 2012, a sharp increase in the number of Syrian refugees arriving in Turkey was witnessed. This has triggered an exponential growth in academic and public interest in Syrian population. Numerous reports mostly based on non-representative sample surveys have been disseminated whilst authoritative robust analyses remained absent. This study aims to fill this gap by offering a comprehensive demographic analysis of the Syrian population. We focus on the demographic differences (from 1950s to 2015) and demographic trends (from 2015 to 2100) in medium to long term, based on data from World Population Prospects (WPP). We offer a comparative picture to underline potential changes and convergences between populations in Syria, Turkey, Germany, and the United Kingdom. We frame our discussion here with reference to the demographic transition theory to help understanding the implications for movers and non-movers in receiving countries in the near future.

Anti-System Politics

2020 ◽  
Author(s):  
Jonathan Hopkin
Keyword(s):  
Comparative Approach ◽  
The European Union ◽  
Political Systems ◽  
The United Kingdom ◽  
The Us ◽  
Long Term Result ◽  
The Rich ◽  
Dramatic Shift ◽  
To Come ◽  
The Right

Recent elections in the advanced Western democracies have undermined the basic foundations of political systems that had previously beaten back all challenges—from both the Left and the Right. The election of Donald Trump to the US presidency, only months after the United Kingdom voted to leave the European Union, signaled a dramatic shift in the politics of the rich democracies. This book traces the evolution of this shift and argues that it is a long-term result of abandoning the postwar model of egalitarian capitalism in the 1970s. That shift entailed weakening the democratic process in favor of an opaque, technocratic form of governance that allows voters little opportunity to influence policy. With the financial crisis of the late 2000s, these arrangements became unsustainable, as incumbent politicians were unable to provide solutions to economic hardship. Electorates demanded change, and it had to come from outside the system. Using a comparative approach, the text explains why different kinds of anti-system politics emerge in different countries and how political and economic factors impact the degree of electoral instability that emerges. Finally, it discusses the implications of these changes, arguing that the only way for mainstream political forces to survive is for them to embrace a more activist role for government in protecting societies from economic turbulence.

Strike Ballots, Democracy, and Law

2020 ◽  
Author(s):  
Breen Creighton ◽  
Catrina Denvir ◽  
Richard Johnstone ◽  
Shae McCrystal ◽  
Alice Orchiston
Keyword(s):  
United Kingdom ◽  
The United States ◽  
International Labour Organisation ◽  
Human Right ◽  
Strike Activity ◽  
Legal Rules ◽  
Worked Example ◽  
The United Kingdom ◽  
Democratic Rights ◽  
The Right

The purpose of the research upon which this book is based was empirically to investigate whether the ballot requirements in the Fair Work Act do indeed impose a significant obstacle to the taking of industrial action, and whether those provisions are indeed impelled by a legitimate ‘democratic imperative’. The book starts from the proposition that virtually all national legal systems, and international law, recognise the right to strike as a fundamental human right. It acknowledges, however, that in no case is this recognition without qualification. Amongst the most common qualifications is a requirement that to be lawful strike action must first be approved by a ballot of workers concerned. Often, these requirements are said to be necessary to protect the democratic rights of the workers concerned: this is the so-called ‘democratic imperative’. In order to evaluate the true purpose and effect of ballot requirements the book draws upon the detailed empirical study of the operation of the Australian legislative provisions noted above; a comparative analysis of law and practice in a broad range of countries, with special reference to Canada, South Africa, the United Kingdom and the United States; and the jurisprudence of the supervisory bodies of the International Labour Organisation. It finds that in many instances ballot requirements – especially those relating to quorum – are more concerned with curtailing strike activity than with constructively responding to the democratic imperative. Frequently, they also proceed from a distorted perception of what ‘democracy’ could and should entail in an industrial context. Paradoxically, the study also finds that in some contexts ballot requirements can provide additional bargaining leverage for unions. Overall, however, the study confirms our hypothesis that the principal purpose of ballot requirements – especially in Australia and the United Kingdom – is to curtail strike activity rather than to vindicate the democratic imperative, other than on the basis of a highly attenuated reading of that term. We believe that the end-result constitutes an important study of the practical operation of a complex set of legal rules, and one which exposes the dichotomy between the ostensible and real objectives underpinning the adoption of those rules. It also furnishes a worked example of multi-methods empirical, comparative and doctrinal legal research in law, which we hope will inspire similar approaches to other areas of labour law.

scholarly journals Clinical Study of 107 Hospitalized Patients with Peritonsillar Abscess

2021 ◽  
Vol 04 (01) ◽  
pp. e11-e16
Author(s):  
Risa Wakisaka ◽  
Takumi Kumai ◽  
Kan Kishibe ◽  
Miki Takahara ◽  
Akihiro Katada ◽  
...  
Keyword(s):  
Clinical Study ◽  
Initial Treatment ◽  
Peritonsillar Abscess ◽  
Laryngeal Edema ◽  
Antibacterial Drugs ◽  
Inferior Pole ◽  
Duration Of Hospitalization ◽  
The Right ◽  
Superior Pole

AbstractWe conducted a retrospective analysis of the data of 107 cases of peritonsillar abscess treated at our hospital between January 2014 and December 2018. Data on age, sex, affected site, duration of hospitalization, method of drainage, presence/absence of laryngeal edema, antibacterial drugs used, and isolated bacteria were analyzed. Of the 107 patients, 71 were males and 36 were females; the median age was 44 years (range: 18–88 years).The left side was affected in 55 patients, the right side in 50 patients, and both sides in two patients. The abscess was localized in the superior pole in 71 patients, and in the inferior pole in 36 patients. Thirty-five patients had laryngeal edema, of which three underwent tracheotomy. Recurrence of the abscess was observed in 15 cases, with the recurrence developing within 3 months in 7 cases, and over a period of 3 years in 4 cases. As for the sensitivity of the causative bacteria to antibacterial drugs, 17% of the causative bacteria showed resistance to clindamycin, while none showed resistance to ampicillin/sulbactam (ABPC/SBT). We concluded that ABPC/SBT might be suitable for the initial treatment of peritonsillar abscess, and that we need to bear in mind the possibility of long-term recurrence.

scholarly journals COVID-19 related mortality in post-operative cardiac surgical patients

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Azhar Hussain ◽  
Amina Khalil ◽  
Priyanka Kolvekar ◽  
Prity Gupta ◽  
Shyamsunder Kolvekar
Keyword(s):  
Cardiac Surgery ◽  
Long Term Outcomes ◽  
Case Presentation ◽  
Elective Cardiac Surgery ◽  
The United Kingdom ◽  
Global Pandemic ◽  
Cardiac Operations ◽  
Related Mortality

Abstract Background COVID-19 has caused a global pandemic of unprecedented proportions. Elective cardiac surgery has been universally postponed with only urgent and emergency cardiac operations being performed. The National Health Service in the United Kingdom introduced national measures to conserve intensive care beds and significantly limit elective activity shortly after lockdown. Case presentation We report two cases of early post-operative mortality secondary to COVID-19 infection immediately prior to the implementation of these widespread measures. Conclusion The role of cardiac surgery in the presence of COVID-19 is still very unpredictable and further studies on both short term and long term outcomes are warranted.

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