scholarly journals 1082 Are Trauma and Orthopaedics Consultant Posts Decreasing in Frequency and Increasing in Subspecialisation?

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
S A Ansari ◽  
J Kennedy ◽  
B Irwin ◽  
S Rogers

Abstract Aim Changes to the configuration of the NHS Trauma Services in T&O and the level of subspecialisation are changing and could impact training and the number of consultant posts available at CCT. The aim of this study was to review the number of T&O Consultant posts and determine the frequency of the subspecialist requirements of these posts from 2011 to 2020, to assess the perceived reduction in advertised numbers and the increasing sub specialisation as a whole. Method 451 volumes of the BMJ were reviewed over Jan 2011 - April 2020. The total number of jobs advertised were recorded. Additionally, for each post, sub-specialism, regional analysis and substansive or locum tenure were recorded. Results 1141 jobs were advertised during this period. There has been a decreasing trend in the total number of advertised posts of 13% per annum. Proportion of specialty jobs remain constant yearly. However, jobs listing Trauma clearly decreased after 2012, when trauma centres were initiated. Clear decreases were present in North-west and Scotland in number of jobs. There has also been an increasing trend of advertisement of substantive posts, with locum posts forming less than 13% of total advertisements. Conclusions We found no significant increase in job specialism contradicting previous research. Overall, the total number of Consultant jobs in Trauma and Orthopaedics is decreasing, especially in the north-west and Scotland, two of the biggest employers. Questions must be asked for the future of training in T&O to meet service needs.

1964 ◽  
Vol 44 (1) ◽  
pp. 1-8

Early in 1963 much of the land occupied by the Roman building at Fishbourne was purchased by Mr. I. D. Margary, M.A., F.S.A., and was given to the Sussex Archaeological Trust. The Fishbourne Committee of the trust was set up to administer the future of the site. The third season's excavation, carried out at the desire of this committee, was again organized by the Chichester Civic Society.1 About fifty volunteers a day were employed from 24th July to 3rd September. Excavation concentrated upon three main areas; the orchard south of the east wing excavated in 1962, the west end of the north wing, and the west wing. In addition, trial trenches were dug at the north-east and north-west extremities of the building and in the area to the north of the north wing. The work of supervision was carried out by Miss F. Pierce, M.A., Mr. B. Morley, Mr. A. B. Norton, B.A., and Mr. J. P. Wild, B.A. Photography was organized by Mr. D. B. Baker and Mrs. F. A. Cunliffe took charge of the pottery and finds.


2008 ◽  
Vol 12 (1) ◽  
pp. 57-71
Author(s):  
George Hewitt

AbstractProtases ('if'-clauses) in the North West Caucasian language Abkhaz are mostly marked by either /-r/ or /-zα.r/, depending on the tense and/or type of verb (Stative or Dynamic) concerned. The article presents examples of this conditional usage and the role of protasis-type forms in both temporal and interrogative expressions as well as in complementiser-function. The complementisers in question share the semantic feature of irrealis with conditionals. A rhotic element is also found in the non-finite form of the Future I tense, in the Masdar (verbal noun), and in such converbs as the Purposives, the Resultative and the Future Absolute. The article attempts to link the semantic notions of futurity, potentiality, indefiniteness or general irrealis to the rhotic element and asks what might have been the historical development resulting in the forms attested today and thus their original morphological segmentation.


2016 ◽  
Vol 56 (1) ◽  
pp. 173 ◽  
Author(s):  
Stephen Molyneux ◽  
Jeff Goodall ◽  
Roisin McGee ◽  
George Mills ◽  
Birgitta Hartung-Kagi

Why are the only commercial hydrocarbon discoveries in Lower Triassic and Permian sediments of the western margin of Australia restricted to the Perth Basin and the Petrel Sub-basin? Recent regional analysis by Carnarvon Petroleum has sought to address some key questions about the Lower Triassic Locker Shale and Upper Permian Chinty and Kennedy formations petroleum systems along the shallow water margin of the Carnarvon and offshore Canning (Roebuck/Bedout) basins. This paper aims to address the following questions:Source: Is there evidence in the wells drilled to date of a working petroleum system tied to the Locker Shale or other pre-Jurassic source rocks? Reservoir: What is the palaeogeography and sedimentology of the stratigraphic units and what are the implications for the petroleum systems?The authors believed that a fresh look at the Lower Triassic to Upper Permian petroleum prospectivity of the North West Shelf would be beneficial, and key observations arising from the regional study undertaken are highlighted:Few wells along a 2,000 km area have drilled into Lower Triassic Locker Shale or older stratigraphy. Several of these wells have been geochemically and isotopically typed to potentially non Jurassic source rocks. The basal Triassic Hovea Member of the Kockatea Shale in the Perth Basin is a proven commercial oil source rock and a Hovea Member Equivalent has been identified through palynology and a distinctive sapropelic/algal kerogen facies in nearly 16 wells that penetrate the full Lower Triassic interval on the North West Shelf. Samples from the Upper Permian, the Hovea Member Equivalent and the Locker Shale have been analysed isotopically indicating –28, –34 and –30 delta C13 averages, respectively. Lower Triassic and Upper Permian reservoirs are often high net to gross sands with up to 1,000 mD permeability and around 20% porosity. Depositional processes are varied, from Locker Shale submarine canyon systems to a mixed carbonate clastic marine coastline/shelf of the Upper Permian Chinty and Kennedy formations.


2015 ◽  
Vol 2 (1) ◽  
pp. 3-19 ◽  
Author(s):  
Raja Ben Ahmed ◽  
Yasmina Romdhane ◽  
Saïda Tekaya

In this study 13 leech species from Tunisia are listed. They belong to 2 orders, 2 suborders, 4 families and 11 genera. The paper includes also data about hosts and habitats, distribution in the world and in Tunisia. Faunistic informations on leeches were found in literature and in the results of recent surveys conducted by the authors in the North East and the South of the country. The objectives of this study were to summarize historical and recent taxonomic data, and to propose an identification key for species signalized. This checklist is to be completed, taking into account the hydrobiological network of the country especially the North West region, which may reveal more species in the future


1996 ◽  
Vol 6 (4) ◽  
pp. 401-408 ◽  
Author(s):  
Jennifer Bowen

SummaryThe Vanuatu Megapode Megapodius layardi is endemic to Vanuatu (formerly New Hebrides). On the volcanic island of Ambrym it exhibited three different incubation strategies. It incubated its eggs (1) in burrows between decaying roots of trees; (2) in burrows at large communal nesting grounds in volcanically heated soils; and (3) in burrows on sun-exposed beaches. No mounds were found. In a study by the Vanuatu Protected Areas Initiative (VPAI) nesting grounds were mapped to monitor the population. Three communal nesting grounds were surveyed. Two were on promontories and one on a beach. The burrows were classified into three categories: active, probably active and old. The density of active burrows per hectare of the three sites was 82.4 for Promontory A, 43.5 for Promontory B and 10.5 for Buwoma Beach. Additional information of this poorly known species was collected from villagers in the north-west and west of the island. They have noticed a decrease in the numbers of birds and have expressed concern about the future of the species.Le Mègapode de Vanuatu, Mègapodius layardi, est uniquement originaire de Vanuatu, (dit 'Nouvelles Hebrides' autrefois). Sur l'île volcanique d'Ambrym, il fait preuve de trois stratégies d'incubation différentes. II couve ses oeufs premièrement dans des terriers situés entre les racines pourries des arbres, duexièmement dans des terriers situés dans des grands terrains communaux de nids, et troisièmement dans des terriers situés sur des plages exposées au soleil. Aucan monticule n'est évident. Lors d'une étude par l'lnitiative des Terrains Protégés de Vanuatu (Vanuatu Protected Areas Initiative, VPAI), les terrains de nids furent plannifiés afin d'étudier la population. Trois terrains communaux de nids furent enquêtés. Les terriers furent classifiés en trois catégories; actifs, probablement actifs, et anciens. La densité des terriers actifs par hectare des trois terrains étaient de 82.4 pour le Cap A, 43.5 pour le Cap B, et de 10.5 pour la plage de Buwoma. Des données additionelles pur cet espèce peu connu furent rassemblées des villageois dand le nord ouest et l'ouest de Iîle. Ils ont constaté une diminuation des nombres d'oiseaux et ils ont exprimé leurs soucis vis-à-vis le future de l'espèce.Wan pijin, nem blong hem Namalau, Megapodius layardi, i stap long Vanuatu nomo (bifo, New Hebrides i nem blong Vanuatu). Long Ambrym, wan aelan wetem volkeno, Namalau i yusum trifala defren fasin long makem nes blong hem so heg blong hem i stap gud nomo; 1) ol i putum heg blong hem nekis rus bio tri wea ol rus i rotin 2) ol i putum heg blong hem wetem plenti narafala Namalau heg long graon wea volkeno i mekem groan i hot, 3) ol i putum heg blong hem insead sanbij wea san i makem i hot. Long Ambrym ol man i no fanem ples wea Namalau putum heg blong hem insaed wanples wea i gat plenti lif mo tri antap graon. Vanuatu Protected Areas Initiative (VPAI) i mekem wan stadi long ples wea ol Namalau i putum heg mo ol i mekem wan map. VPAI i lukum long trifala ples wea Namalau i putum heg. Tufala ples i stap long graon wea i go aot long solwota mo namba tri ples i stap long wan sanbij. I gat trifala defren grup blong ples wea ol i putum heg; niufala, klosap niufala mo olfala. Namba blong nuifala ples wea Namalau i putum heg insaed long wan hectare i 82.4 long pies A, 43.5 long ples B mo 10.5 long Buwoma sanbij. I no gat plenti save blong Namalau mo VPAI toktok plenti wetem ol man blong vilej long notwes mo wes Ambrym. Ol man is e namba blong Namalau i go daon bigwan mo ol i wari long fiuja long Namalau.


2001 ◽  
Vol 172 (2) ◽  
pp. 177-188 ◽  
Author(s):  
Jean-Francois Lenat ◽  
Patrick Bachelery ◽  
Frederic Desmulier

Abstract A large lava flow field, essentially constituted of "pahoehoe" flows, forms a relatively monotonous area on the north-west flank of the terminal cone of Piton de la Fournaise and on a large part of the Enclos floor. We named this unit "champ de lave de l'Enclos Fouque" (CLEF). To the east, more recent lava flows almost completely cover the CLEF. Mapping of the CLEF has been attempted using satellite imagery. Radar (SIR-C) and SPOT images have been used. Both types of images lead to comparable results for the surface of the CLEF, estimated to 11 km 2 . On satellite images, only a general map of the facies of the CLEF can be done. Air photos and ground observations allow to characterize more precisely the facies defined from satellite images. On the slopes of the Central Cone, the surface of the CLEF is mostly composed of tumuli that may produce small lava flows at their downhill base. On the floor of the Enclos, the CLEF is constantly formed by a multitude of intricate small flows. Except for small "aa" patches, surfaces are "pahoehoe". Tumuli, pressure ridges and collapsed plates are common features of the CLEF. Near the NW border of Enclos, the surface becomes less regular, with a higher proportion of "aa" patches and tilted slabs. This is probably due to the increase of slope in this area. In the vicinity of Bory crater contemporaneous welded scoria cover a zone extending 150-200 m from the crater. Several elements, found in various historical documents collected by Lacroix [1936 and 1938], bring evidence that the CLEF may result from a succession of events between the years 1750's to the 1790's. During this period, the volcano has been virtually continuously in eruption. Bory crater was the only active crater until 1766, when a new summit crater was formed by collapse, 400 m east of Bory crater. In the following years, this 1766 crater was filled by lava emissions which erected a gigantic tumulus, 50 m high, called Mamelon central. Several large lava flows, some of them reaching the sea, are unambiguously described as emitted from the summit craters. One of the main event appears to be the phase that occurred in 1753 (or 1759 according to different authors). This phase was associated to felt earthquakes and widespread ash-falls in the island. Lava flows covered most the western part of Enclos and reached the sea to the east. Whereas the activity of 1753 (1759 ?) appears as paroxysmal, extensive lava flows are described until 1794. In 1791, a new crater formed south of the 1766 crater. In 1801, Bory de St-Vincent [1804] observed an active lava lake inside this 1791 crater. In summary, it appears that quasi-continuous activity took place during the second half of the 18th century at Piton de la Fournaise, with lava flows covering almost all the Enclos and Grand Brule areas. It is obvious that the presently outcropping surface of the CLEF is only a fraction of its former extension. From the above-mentioned historic descriptions, it is reasonable to assume the CLEF may have recovered the entire surface of the Enclos Fouque and the Grand Brule depression. The surface extension of the CLEF would thus lie between 11 km 2 , its presently observed area, to ca. 90 km 2 . The compounded thickness of the CLEF has not been directly observed. In the rim of Dolomieu crater, a series of lava flows thought to represent the CLEF is about 25 m thick, but this thickness is that of the shield built around the vents and not that of the lava field. Using statistical laws for strombolian cones morphometry from Wood [1980], the thickness of the CLEF may be approached considering the crater diameter of 3 cones located in the north-western part of Enclos and partially flooded by the CLEF. We obtain estimates of 5 to 15 m. If Enclos has been entirely covered by the CLEF and for a mean thickness of 5 to 10 m, then the volume of the CLEF eruption is 450 to 900X10 6 m 3 . Mineralogical and chemical compositions of the CLEF lavas are similar to those of the transitional olivine basalts of the historic period [steady-state basalts, Albarede et al, 1997]. The chemical compositions vary somewhat due to variable modal olivine phenocrysts abundances and are characteristic of a rapid transfer of magma from deep reservoirs with virtually no low-pressure evolution. Major changes of the summit craters were associated to this eruption as a result of the unusually prolonged magmatic activity at Piton de la Fournaise during decades. The occurrence of similar phases at Piton de la Fournaise in the future can be appraised with reference to Kilauea. Holcomb [1987] reports 7 long-lived eruptions at Kilauea in the last 3 centuries. Thus, although not frequent, this type of event is not uncommon for Kilauea. By analogy, it must be considered as probable that Piton de la Fournaise will experience new long-lived eruptions in the future.


2015 ◽  
Vol 63 (2) ◽  
pp. 101 ◽  
Author(s):  
P. D. Shaughnessy ◽  
S. D. Goldsworthy ◽  
A. I. Mackay

The long-nosed (or New Zealand) fur seal (Arctocephalus forsteri) breeds in southern Australia and New Zealand. Most of the Australian population is in South Australia, between Kangaroo Island and Eyre Peninsula. Fur seal populations in southern Australia were heavily exploited by colonial sealers between 1801 and 1830, resulting in major reductions. Numbers remained low for 150 years, then slowly built up and new colonies established across their presumed former range. Here we present estimates of pup abundance at South Australia colonies, mostly during the 2013–14 breeding season. Long-nosed fur seals bred from Baudin Rocks in the south-east to Fenelon Island in the north-west. In total, 29 breeding colonies produced 20 431 pups, 3.6 times greater than the 1989–90 estimate; the increase is attributed to recovery from 19th century overharvesting. The 2013–14 pup estimate leads to an estimate of abundance of long-nosed fur seals in South Australia of 97 200. Most pups were on Kangaroo Island (49.6%) and the Neptune Islands (38.6%). New breeding colonies were identified on Williams Island and at two small sites on Kangaroo Island. The increasing trend in South Australia is likely to continue over the coming decade, primarily by expansion in colonies on Kangaroo Island and by establishment of new colonies.


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