scholarly journals New UK Chapter of the Alliance for a Cavity-Free Future

BDJ ◽  
2021 ◽  
Vol 231 (12) ◽  
pp. 781-786
Author(s):  
Nigel B. Pitts ◽  
Avijit Banerjee
Keyword(s):  
Dental Caries ◽  
Life Course ◽  
Caries Prevention ◽  
Public Health Action ◽  
Individual Level ◽  
Health And Social Care ◽  
Caries Management ◽  
Health Action ◽  
The Individual ◽  
The Uk

AbstractThe Alliance for a Cavity-Free Future (ACFF), started in 2010, has been based at King's College London since 2013. It is a dental caries-focused charity promoting integrated clinical and public health action. ACFF Chapters seek to improve caries prevention and management locally, based on best global evidence. The UK Chapter has been created in response to a continuing need combined with opportunities including the implementation of the latest UK version of the Delivering better oral health guidance on prevention (version 4). The Chapter has been formed through a coordinating committee with UKwide representation combining expertise in dental caries management across the patient life course. This committee co-created the Chapter Values Statement: 'in pursuit of a cavity-free future across the UK we value: collaboration and innovation; realistic and implementable prevention-based solutions; approaches that reduce health inequalities; action across both oral and general health settings; and working comprehensively from the population through to the individual level.' The agreed Chapter focus is on advocating for the implementation of appropriate, effective, pragmatic caries prevention and care across three themes: 1) in everyday dental practice; 2) in health and social care curricula; and 3) for vulnerable people across their life course on the basis of increased caries risk/susceptibility.

scholarly journals Academic neurosurgery in the UK: present and future directions

2019 ◽  
Vol 95 (1128) ◽  
pp. 524-530
Author(s):  
Mueez Waqar ◽  
Benjamin M Davies ◽  
Rasheed Zakaria ◽  
Damiano G Barone ◽  
Angelos G Kolias ◽  
...  
Keyword(s):  
Clinical Research ◽  
Basic Science ◽  
Academic Training ◽  
Future Directions ◽  
Individual Level ◽  
International Standing ◽  
Personal Accounts ◽  
The Individual ◽  
The Uk

Academic neurosurgery encompasses basic science and clinical research efforts to better understand and treat diseases of relevance to neurosurgical practice, with the overall aim of improving treatment and outcome for patients. In this article, we provide an overview of the current and future directions of British academic neurosurgery. Training pathways are considered together with personal accounts of experiences of structured integrated clinical academic training and unstructured academic training. Life as an academic consultant is also described. Funding is explored, for the specialty as a whole and at the individual level. UK academic neurosurgical organisations are highlighted. Finally, the UK’s international standing is considered.

scholarly journals Achieving radical change

2018 ◽  
Vol 31 (2) ◽  
pp. 428-455 ◽  
Author(s):  
Noel Hyndman ◽  
Mariannunziata Liguori
Keyword(s):  
Performance Management ◽  
Radical Change ◽  
Practice Variation ◽  
Structured Interviews ◽  
Content Type ◽  
Individual Level ◽  
Incremental Change ◽  
The Individual ◽  
The Uk ◽  
Perceived Outcomes

Purpose The purpose of this paper is to focus on strategies and “spoken discourses” used to construct legitimation around change at the individual level. Comparing changes in financial accounting, budgeting and performance management at two government levels (Westminster and Scotland), it explores the use of legitimation strategies in the implementation of accounting change and its perceived outcomes. Design/methodology/approach Drawing on semi-structured interviews, six legitimation/delegitimation strategies are used to code the transcribed data. Patterns with the perceived outcomes of change are explored. Findings Changes introduced to enhance “rational” decision making are often received as pushed by some source of authority. Regardless of the interviewees’ background and level, the results suggest that for radical accounting change to embed, it is necessary for it to be perceived as rational, rather than merely driven by authorisation-based pressures. Conversely, incremental change is associated with modest legitimation via rationalisation and delegitimation based on pathos and rationalisation. Research limitations/implications The study deals with actors’ legitimation strategies and perceptions of change. These may not correspond to actual substantial change. Taken-for-granted ideas often remain “under the radar”, therefore care must be taken in interpreting the results. The focus of the empirical study is on the UK, therefore conclusions are restricted to this context. Originality/value Existing studies struggle to explain organisations’ heterogeneity and practice variation; this study sheds light on how individual legitimation, which may lead to different organisational results, occurs. Differences in how actors interpret changes may be based on their position (central vs devolved administration) and on their ownership of the changes.

scholarly journals Effecting dietary change

2004 ◽  
Vol 63 (4) ◽  
pp. 537-547 ◽  
Author(s):  
Ashley J. Adamson ◽  
John C. Mathers
Keyword(s):  
Policy Development ◽  
Dietary Intervention ◽  
Dietary Habits ◽  
Healthy Lifestyle ◽  
Eating Behaviour ◽  
Dietary Change ◽  
Individual Level ◽  
Effective Strategies ◽  
The Individual ◽  
The Uk

A world epidemic of diet-related chronic disease is currently being faced. In the UK incidence of obesity alone has tripled in the last 20 years and this trend is predicted to continue. Consensus exists for the urgent need for a change in diet and other lifestyle factors and for the direction and targets for this change. The evidence for how this change can be achieved is less certain. It has been established that disease processes begin in childhood. Recent evidence indicates that dietary habits too are established in childhood but that these habits are amenable to change. While establishing a healthy lifestyle in childhood is paramount, interventions have the potential to promote positive change throughout the life course. Success in reversing current trends in diet-related disease will depend on commitment from legislators, health professionals, industry and individuals, and this collaboration must seek to address not only the food choices of the individual but also the environment that influences such choices. Recent public health policy development in England, if fully supported and implemented, is a positive move towards this goal. Evidence for effective strategies to promote dietary change at the individual level is emerging and three reviews of this evidence are discussed. In addition, three recent dietary intervention studies, in three different settings and with different methods and aims, are presented to illustrate methods of effecting dietary change. Further work is required on what factors influence the eating behaviour and physical activity of individuals. There is a need for further theory-based research on which to develop more effective strategies to enable individuals to adopt healthier lifestyles.

scholarly journals Job separation rates of immigrants and natives in the UK during the Great Recession

2017 ◽  
Vol 38 (7) ◽  
pp. 1036-1054
Author(s):  
Dafni Papoutsaki
Keyword(s):  
Labour Market ◽  
Labour Force ◽  
The European Union ◽  
Market Outcomes ◽  
Content Type ◽  
Individual Level ◽  
The Great Recession ◽  
The Business Cycle ◽  
The Individual ◽  
The Uk

Purpose The purpose of this paper is to assess the probability of job separations of immigrants and natives in the UK before and during the economic crisis of 2008. Design/methodology/approach A mixed proportional hazard duration model with a semi-parametric piecewise constant baseline hazard is used on a data sample of inflows into employment. Findings It is found that the crisis increased the probability of exits to unemployment for all groups, while immigrants from the new countries of the European Union seemed to have the lowest hazard towards unemployment even after controlling for their demographic and labour market characteristics. More specifically, even when we account for the fact that they tend to cluster in jobs that are most vulnerable to the business cycle, they are still less likely to exit dependent employment than natives. However, this migrant group is adversely affected by the crisis the most. Research limitations/implications Possible implications of out-migration of the lower performers are discussed. Originality/value This paper makes use of the panel element of the UK Quarterly Labour Force Survey, and uses duration analysis on the individual level to assess the labour market outcomes of natives and immigrants in the UK.

scholarly journals Choice of influenza vaccine in people over 65 years old. Analysis of reports from international vaccination advisory committees

2021 ◽  
Author(s):  
Alberto Pérez-Rubio ◽  
◽  
José Javier Castrodeza ◽  
José María Eiros
Keyword(s):  
Influenza Vaccine ◽  
Influenza Vaccines ◽  
High Dose ◽  
Advisory Committees ◽  
Individual Level ◽  
Age Appropriate ◽  
Working Groups ◽  
Flu Vaccine ◽  
The Individual ◽  
The Uk

Introduction. Annual recommendations on influenza vaccine use in different countries are developed by influenza-specific working groups within their Immunization Advisory Committees. Adults aged 65 years and over are included in the groups for which vaccination against influenza is particularly recommended due to the morbidity associated. A variety of influenza vaccines are available, some of which boosted immunity, are licensed for use only in this specific age group, where the immune response to traditional influenza vaccines may be suboptimal. We analyze the main annual recommendations on the use of the influenza vaccine issued by advisory committees on immunization for the population over 65 years of age. Material and methods. The latest influenza vaccination guidelines have been selected and the recommendations for people over 65 years of age published by the main vaccination advisory committees have been reviewed. Results. The UK Advisory Committee (JCVI) recommends the use of Quadruvalent Inactivated Influenza Vaccine with Adjuvant (aQIV) or High Dose Quadrivalent Inactivated Influenza Vaccine (QIV-HD). The US committee (ACIP) does not express a preference for any type of vaccine. The Australian committee (ATAGI) preferably recommends adjuvanted influenza vaccine. The advisory committees of Canada and Germany (NACI, STIKO) and the European Center for Disease Control (Ecdc) recommend using any of the age-appropriate flu vaccines available, although they bet on the use of inactivated quadrivalent flu vaccine high dose at the individual level for those over 65 years. Conclusion. It is necessary further studies and improvement in their quality that analyze the different vaccines available and their comparability, although the use of reinforced immunity vaccines is generally recommended in the population over 65 years of age.

scholarly journals Vaccination and Non-Pharmaceutical Interventions: When can the UK relax about COVID-19?

2021 ◽  
Author(s):  
Sam Moore ◽  
Edward M. Hill ◽  
Michael J. Tildesley ◽  
Louise Dyson ◽  
Matt J. Keeling
Keyword(s):  
Perceived Risk ◽  
Immunisation Programme ◽  
Population Level ◽  
Epidemiological Data ◽  
Vaccine Uptake ◽  
Severe Illness ◽  
Individual Level ◽  
The Individual ◽  
The Uk ◽  
Pharmaceutical Interventions

AbstractThe announcement of efficacious vaccine candidates against SARS-CoV-2 has been met with worldwide acclaim and relief. Many countries already have detailed plans for vaccine targeting based on minimising severe illness, death and healthcare burdens. Normally, relatively simple relationships between epidemiological parameters, vaccine efficacy and vaccine uptake predict the success of any immunisation programme. However, the dynamics of vaccination against SARS-CoV-2 is made more complex by age-dependent factors, changing levels of infection and the potential relaxation of non-pharmaceutical interventions (NPIs) as the perceived risk declines. In this study we use an age-structured mathematical model, matched to a range of epidemiological data, to consider the interaction between the UK vaccination programme and future relaxation (or removal) of NPIs. Our predictions highlight the population-level risks of early relaxation leading to a pronounced wave of infections, and the individual-level risk relative to vaccine status. While the novel vaccines against SARS-CoV-2 offer a potential exit strategy for this outbreak, this is highly contingent on the transmission blocking action of the vaccine and the population uptake, both of which need to be carefully monitored as vaccine programmes are rolled out in the UK and other countries.

scholarly journals AGENCY AS IDEOLOGY: PRECARITY AND DISEMBEDDEDNESS IN THE 21ST CENTURY LIFE COURSE

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S589-S589
Author(s):  
wenxuan huang
Keyword(s):  
Life Course ◽  
Transition To Adulthood ◽  
Social Institutions ◽  
Historical Time ◽  
Cultural Traditions ◽  
Individual Level ◽  
Individual Agency ◽  
Transition Research ◽  
The Individual ◽  
The Life Course

Abstract The “individualization” thesis has gradually merged into the discussion of increasing heterogeneity of the life course as well as growing inequality over historical time. As individuals are “disembedded” from both cultural traditions and more recently social institutions, individual agency has drawn revived interest in outlining “choice biography” that is seen as paramount to personal outcomes and even containing overcoming force against structure. This practice mutes the consideration of the ongoing forces of social structure that by their very nature continue to constitute individual selves and possibilities. The uncritical treatment of individual agency makes it problematic for the study of precarity, mystifying and obscuring the analysis of inequality-generating mechanisms, reducing them to the individual-level. We analyze current uses of the concept of agency in the life course research, and particularly in the areas of transition research, e.g., transition to adulthood/retirement, where individual agency is assumed to be most active.

scholarly journals Prevalence of Dental Caries in 5- and 6-Year-Old Myanmar Children

2019 ◽  
Vol 2019 ◽  
pp. 1-7 ◽  
Author(s):  
Yoshiaki Nomura ◽  
Khin Maung ◽  
Eint Min Kay Khine ◽  
Khin Myo Sint ◽  
May Phyo Lin ◽  
...  
Keyword(s):  
Oral Health ◽  
Dental Caries ◽  
Multilevel Modeling ◽  
Item Response ◽  
School Children ◽  
Caries Prevalence ◽  
National Data ◽  
Individual Level ◽  
The Individual ◽  
Level Analysis

There are no national data available of the oral health in Myanmar. In this study, we examined dental caries status of 187 school children located in the suburban area of Naypyidaw, capital of Myanmar, at the age of five and six and analyzed by the individual level and tooth level. Maxillary D and B were sensitive for dental caries almost at the same level. They were less sensitive than maxillary A. Mandibular A and B were tolerant for dental caries. Prevalence of dental caries in Myanmar children was still high. By applying item response theory and multilevel modeling, tooth level analysis can be implemented to confirm the tendency for sensitivity or tolerance for dental caries by the tooth level.

Scandals of abuse: policy responses in intellectual disabilities

2015 ◽  
Vol 35 (1/2) ◽  
pp. 107-124 ◽  
Author(s):  
Peter Mark Halladay ◽  
Charlene Harrington
Keyword(s):  
Theoretical Framework ◽  
Case Study Methodology ◽  
Content Type ◽  
Descriptive Case Study ◽  
Individual Level ◽  
Policy Responses ◽  
The Social ◽  
The Usa ◽  
The Individual ◽  
The Uk

Purpose – The purpose of this paper is to compare two scandals related to the care of individuals with intellectual and developmental disabilities (I/DD) in the USA and the UK. Design/methodology/approach – A descriptive case study methodology was used to conduct an in-depth qualitative analysis of the two scandals to examine the process of scandal development, and to survey the policy response against policy trends and theories of abuse in each case. The two cases were systematically analysed against a theoretical framework derived from Bonnie and Wallace (2003) theoretical framework for understanding abuse based on its sociocultural context, the social embeddedness of organisations providing care, and the individual level characteristics and interactions of subjects and carers. Findings – In both cases the process of scandal construction was comparable, and each case offered confirmatory support to extant theories of abuse, and to wider policy trends within I/DD. Research limitations/implications – The study examines only the short-term policy responses to the scandals in two countries, based on published material only. Originality/value – This paper contributes an international comparison of the similarities and differences in the social construction of scandal and the policy responses to abuse and neglect of a vulnerable population using systematic analytical frameworks.

scholarly journals Step-free railway station access in the UK: the value of inclusive design

2021 ◽  
Vol 13 (1) ◽  
Author(s):  
Antony Swift ◽  
Long Cheng ◽  
Becky P. Y. Loo ◽  
Mengqiu Cao ◽  
Frank Witlox
Keyword(s):  
Disabled Persons ◽  
Free Access ◽  
Structured Interviews ◽  
Railway Station ◽  
Railway Stations ◽  
Individual Level ◽  
Substantial Investment ◽  
The Individual ◽  
The Uk ◽  
Reduced Mobility

Abstract Background Despite substantial investment in step-free access at UK railway stations, persons with reduced mobility (PRMs) continue to travel less than their able-bodied counterparts and little is known about the value of step-free access. This research examines the benefits of step-free access and its relationship with rail usage among PRMs, and the wider benefits of railway station accessibility. Methods These issues are explored through a mixed methods approach. Semi-structured interviews with ten key organisations were undertaken, as was an analysis of Senior/Disabled Persons Railcard data from 17 railway stations in Buckinghamshire, each with varying levels of step-free accessibility. Results The results show that the benefits of step-free access extend beyond benefits at the individual level typically associated with those limited to PRMs, and demonstrate the potential to positively affect the society at large economically, environmentally, and socially. The findings also show a positive correlation between the level of step-free accessibility at a railway station and the percentage of PRMs using it. Conclusions This research argues that government and interested stakeholders should commit to expanding the number and coverage of step-free stations throughout the UK. They should ensure that the appraisal process for investment in step-free accessibility appropriately captures both user and non-user benefits.

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