scholarly journals The impact of poor asthma control among asthma patients treated with inhaled corticosteroids plus long-acting β2-agonists in the United Kingdom: a cross-sectional analysis

Author(s):  
Ian D. Pavord ◽  
Nicola Mathieson ◽  
Anna Scowcroft ◽  
Riccardo Pedersini ◽  
Gina Isherwood ◽  
...  
2019 ◽  
Vol 27 (1) ◽  
pp. 13-44 ◽  
Author(s):  
John Denley ◽  
Barak Ariel

Much of the literature on organized crime is based on media, arrests and prosecution records, while research based on intelligence data on this otherwise clandestine criminality is scarce. We present aggregated intelligence data on all known organized crime groups (ocgs) and ocgs members in West Midlands region of the United Kingdom, encompassing records on 2,726 highly-prolific offenders and 280 groups, collated based on over a million records from multiple law enforcement agencies. Using a cross-sectional analysis of the records, we describe in granular details the characteristics, patterns and criminal endeavor of organized crime in one of the largest regions in the United Kingdom. Social network analyses are explored as well, in order to observe the links between both offenders within the same ocg as well as between ocgs. The results debunk previously assumed notions about suitable targets in the policing of organized crime. (a) Based on internal records, police pursue is responsible for the archiving of less than 6% of inactive ocgs, while more than 2/3’s of the ocgs become inactive due to ‘market’ reasons regardless of enforcement pursues; (b) more than half of ocg members have ‘replaceable’, low-level jobs (i.e., drug suppliers, enforcers and criminal activity organizers), while 20% are considered principal members of the groups (who are older and more experienced offenders, as per their arrest records) (c) larger ocgs appear to pose a greater threat to society than smaller ocgs, while the latter are more likely to be ‘naturally’ dispersed over time; (d) given the inefficiencies that characterize the current pursue approach, a promising avenue of exploration is the targeting of younger and less experienced co-offenders of ocg members, before they ‘formally’ join the ocgs and through preventative mechanism. We discuss these findings and offer scholars and practitioners new considerations for future inquiries.


2021 ◽  
pp. 002076402110577
Author(s):  
Laura Phalp ◽  
Rhiannon Corcoran ◽  
Catrin Eames ◽  
Aarun Naik

Background: The risk of suicide for agricultural workers in parts of the United Kingdom (UK) is almost twice the national average. Existing literature has suggested that adverse farming events, where failure is determined by uncontrollable and unpredictable forces, may be to blame. Yet, the impact of such events on farmer suicidality has not been explicitly explored. Aims: The present paper therefore aimed to investigate the relationship between adverse farming events and suicidal ideation in farmers. Methods: A cross-sectional questionnaire battery was disseminated between July 2018 and February 2019, and completed by 170 adult farmers. Results: Over a 12-month period, 88.8% reported that they had experienced an adverse farming event and 32.9% said that they had experienced suicidal thoughts. Correlational analysis revealed a relationship between these variables. Conclusions: The high prevalence of suicidal ideation within farmers demonstrates a critical need for intervention. Likewise, the prevalence of adverse farming events suggests that interventions need to be appropriately tailored, with greater understanding about the impact of such events on the mental wellbeing of farmers.


2018 ◽  
Vol 4 (1) ◽  
Author(s):  
Osinachi Akanwa Ekeagwu ◽  
Stanley Idika Ukpai

Due to the growing elderly population in the United Kingdom, there is increasing demand for formal carers. Research suggests that elderly care may be associated with adverse impacts, however not much is known about migrants who constitute a considerable proportion of formal carers. Given that migrants already face peculiar challenges related to cultural assimilation and social integration, it becomes necessary to investigate the impact of a burdensome yet well sought job among them. This study therefore aimed to investigate the impact (burden and benefit) of elderly social care among migrant carers. A descriptive cross-sectional survey design was used and data obtained through snowball sampling using web-based questionnaires. Majority of participants (51.6%) confirmed that the choice of the job was financially motivated, even though most (63.3%) experienced stress. Apparently, the perceived stress was related to frustrations stemming from their skills not being fully utilised, but unrelated to gender, prior experience and cultural background. Nevertheless, 66.7% remained happy to recommend their job to others. The inherent caregiver burden should be recognised and addressed by all parties involved including the carers, employers and policy makers. Although the avoidance of caregiver burden entirely may be impossible, there should be room for decreasing this impact and providing respite for those already affected.


2007 ◽  
pp. 24-28
Author(s):  
N. N. Brimkulov ◽  
D. V. Vinnikov ◽  
E. V. Ryzhkova

A cross-sectional analysis of management of asthma patients before and after short-term training of 78 physicians in Bishkek was performed. At baseline, diagnosis of asthma was made in 37 patients (4.1 % of all respiratory diseases). Just after training, in 1 year and in 2 years, asthma was diagnosed in 26, 45 and 26 patients, respectively. At baseline, peak flow measurement and spirometry were not used at all and treatment was mainly symptomatic. The training resulted in improvement of theoretical knowledge score from 84.6 % to 73.3 %; p < 0.001. Use of peak flow measurements increased to 38.5 %, 51.1 % and 38.5 % just after the training, in 1 and 2 years, respectively. Use of spirometry grew to 11.5 %, 17.8 % and 26.9 %, respectively. Inhaled corticosteroids (ICS) were administered to 42.3 %, 53.3 %, and 46.2 %, respectively, vs. 5.4 % at baseline with simultaneous reduction in inadequate administrations of vitamins, antibiotics and expectorants. So, the short-term training was effective. However, application of peak flow measurement in 100 % of the patients should be achieved; the majority of patients need ICS. Ways to increase the training efficiency are necessary.


2021 ◽  
Author(s):  
Harriet Quinn-Scoggins ◽  
Rebecca Cannings-John ◽  
Yvonne Moriarty ◽  
Victoria Whitelock ◽  
Katriina L. Whitaker ◽  
...  

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