The NHS Long-Term Plan and the Importance to the North East Region

Author(s):  
Debbie Porteous
Keyword(s):  
2022 ◽  
Author(s):  
Otilia-Maria Bordeianu ◽  
◽  
Claudia-Elena Grigoras-Ichim ◽  
Lucia Morosan-Danila ◽  
◽  
...  

The global crisis generated by the COVID-19 pandemic among the population and at the level of companies, state institutions, etc., underlined the importance of analysing its impact at different levels (intern, national and international level). The concepts of sustainability, development and growth must be aware, adapted and implemented more and more frequently, even constantly, in order to cope with the current evolution of the economy (and not only). The paper is an empirical research conducted in the North-East Region of Romania, aiming to analyse the impact of COVID-19 on local companies (especially SME’s), in the context of existing correlation between the COVID-19 impact on resizing, restricting, changing the number of active employees, changing revenue, changing turnover and changing profit, based on the Spearman correlation coefficients. In this sense, it was important to implement sustainability strategies and ensure the activity and resources of companies in the long term, because the effects of an economic crisis (natural resources, human resources, not only financial) are felt in 2021 and will be felt in the future 10 years. The paper concludes with two practical solutions to ensure the sustainability of the companies involved in the study, solutions that can be applied by all companies that have been affected by the COVID-19 pandemic.


2021 ◽  
Vol 38 (1) ◽  
pp. 98-108
Author(s):  
Z.K. Mohammed ◽  
B.B. Petrol ◽  
U. Ahmad

Fermented cereal-based gruels with poor nutritional value form a major component of the diet of infants during the transition phase of childhood. With the recent security challenges affecting people in the north- east region of Nigeria, food security is at stake, malnutrition is common among infants and young children while reliance on UNICEF for supplies of ready- to- use therapeutic foods is not a long-term solution. A complementary food blend was prepared following the guideline of WHO/FAO on infants’ nutritional requirements in a 60:20:20 ratio from fermented yellow maize (improved variety), roasted soybean and fishmeal respectively. All the sample materials were pre-processed by either fermentation, drying or roasting prior to food blend formulation. Standard methods (AOAC) were used to evaluate the nutritional values of the raw and processed materials and the formulated complementary food blend. Water absorption capacity of the fermented yellow maize significantly decreased (P< 0.05) with decrease in pH and increase in titratable acidity from 20% - 51% (0 – 72h). The carbohydrate (64.35±0.03%) and protein contents (14.55±0.03% and energy value (351.64±0.03 Kcal/100g) of the complementary food blend was closely comparable to the commercial complementary food blend cerelac® (Carbohydrate 69.00%, Protein 15.0%, and energy 426.00 Kcal/100g) and satisfied the needs of infants. The low moisture content (3.1±0.02%) exhibited by the complementary food blend might give a good storage stability. The iron level of the complementary food blend (40.33± 0.03%) was higher than that of the commercial complementary food blend celerac® (10.0%), though the levels of potassium, zinc and calcium were lower. Microbial analysis showed no contamination with pathogenic organisms in the formulated food blend. The formulated complementary food blend met the WHO estimated requirements of infant 6 – 23 months in terms of nutritional quality and may therefore be a good substitute to the imported, expensive alternatives.


2018 ◽  
pp. 149-154

Vera Antonovna Martynenko (17.02.1936–06.01.2018) — famous specialist in the field of studying vascular plant flora and vegetation of the Far North, the Honored worker of the Komi Republic (2006), The Komi Republic State Scientific Award winner (2000). She was born in the town Likhoslavl of the Kali­nin (Tver) region. In 1959, Vera Antonovna graduated from the faculty of soil and biology of the Leningrad State University and then moved to the Komi Branch of USSR Academy of Science (Syktyvkar). From 1969 to 1973 she passed correspondence postgraduate courses of the Komi Branch of USSR Academy of ­Science. In 1974, she received the degree of candidate of biology (PhD) by the theme «Comparative analysis of the boreal flora at the Northeast European USSR» in the Botanical Institute (St. Petersburg). In 1996, Vera Antonovna received the degree of doctor of biology in the Institute of plant and animal ecology (Ekaterinburg) «Flora of the northern and mid subzones of the taiga of the European North-East». The study and conservation of species and coenotical diversity of the plant world, namely the vascular plants flora of the Komi Republic and revealing its transformation under the anthropogenic influence, was in the field of V. A. Martynenko’ scientific interests. She made great contribution to the study of the Komi Republic meadow flora and the pool of medi­cinal plants. She performed inventorying and mapping the meadows of several agricultural enterprises of the Republic, revealed the species composition and places for harvesting medicinal plants and studied their productivity in the natural flora of the boreal zone. The results of her long-term studies were used for making the NPA system and the Red Book of the Komi Republic (1998 and 2009). Vera Antonovna participated in the research of the influence of placer gold mining and oil development on the natural ecosystems of the North, and developed the method of long-term monitoring of plant cover. Results of these works are of high practical value. V. A. Martynenko is an author and coauthor of more than 130 scientific publications. The most important jnes are «Flora of Northeast European USSR» (1974, 1976, and 1977), «Floristic composition of fodder lands of the Northeast Europe» (1989), «The forests of the Komi Republic» (1999), «Forestry of forest resources of the Komi Republic» (2000), «The list of flora of the Yugyd va national park» (2003), «The guide for vascular plants of the Syktyvkar and its vicinities» (2005), «Vascular plants of the Komi Republic» (2008), and «Resources of the natural flora of the Komi Republic» (2014). She also was an author of «Encyclopedia of the Komi Republic» (1997, 1999, and 2000), «Historical and cultural atlas of the Komi Republic» (1997), «Atlas of the Komi Republic» (2001, 2011). V. A. Martynenko made a great contribution to the development of the botanical investigations in the North. Since 1982, during more than 10 years, she was the head of the Department of the Institute of Biology. Three Ph. D. theses have been completed under her leadership. Many years, she worked actively in the Dissertation Council of the Institute of biology Komi Scientific Centre UrB RAS.  The death of Vera Antonovna Martynenko is a heavy and irretrievable loss for the staff of the Institute of Biology. The memory of Vera Antonovna will live in her numerous scientific works, the hearts of students and colleagues.


Diagnostics ◽  
2021 ◽  
Vol 11 (5) ◽  
pp. 907
Author(s):  
Laura Teodoriu ◽  
Maria Christina Ungureanu ◽  
Letitia Leustean ◽  
Cristina Preda ◽  
Delia Ciobanu ◽  
...  

Thyroid cancer (TC) represents a worldwide problem, the consistent growth of the incidence increment issues about management of risk factors and curative treatment. Updated statistical data are not complete in the North East region of Romania and need to be improved. Therefore, through this study, we aim to renew the existing data on thyroid cancer. We conducted a retrospective study covering a period of 10 years. Data were collected from a hospital information system (InfoWorld) between 2009 and 2019. Patients’ age groups were stratified in relation with the age at the moment of the Chernobyl event. A database was obtained (Microsoft Excel) and statistical correlations were applied. In the studied period, 1159 patients were diagnosed: 968 females and 191 males, distributed by region, with the highest addressability in Iasi (529), followed by neighboring counties. Age distribution displayed that most of the thyroid cancers were in the range 4060 years old (50.94%), followed by 60–80 years old (32.41%). Most patients were diagnosed with papillary carcinoma 63.10%, then follicular 14.7%, medullary 6.74% and undifferentiated 1.02%. Romania was in the vicinity of the radioactive cloud at Chernobyl fallout, so we must deliberate whether the increased incidence of thyroid cancer in the age group 40–60 years is associated with radiogenicity (iodine 131) given the fact that over has 35 years and the half-life of other radioisotopes like Caesium-137 and Strontium -90 is completed.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Noorfariza Nordin ◽  
Suhaily Mohd Hairon ◽  
Najib Majdi Yaacob ◽  
Anees Abdul Hamid ◽  
Seoparjoo Azmel Mohd Isa ◽  
...  

Abstract Background People with type 2 diabetes mellitus (T2DM) are best managed by a chronic care model that is associated with enhanced quality of care and improved patient outcome. Assessing patients’ perceived quality of care is crucial in improving the healthcare delivery system. Hence, this study determined the perceived quality of care among people with T2DM and explored its associations with (i) sociodemographic and clinical characteristics and (ii) types of healthcare clinics to guide future planning. Methods A cross-sectional study involving 20 primary healthcare clinics in the North East Region of Peninsular Malaysia and people with T2DM as the sampling unit was conducted from February to May 2019. The pro forma checklist, interview-guided Skala Kepuasan Interaksi Perubatan-11, and Patient Assessment of Chronic Illness Care (Malay version; PACIC-M) questionnaire were used for data collection. Univariate analysis and linear regression were used to determine the status of perceived quality of care and the factors associated with the perceived quality of care, respectively. Results Overall, data from 772 participants were analyzed. The majority was from the Malay ethnic group (95.6%) with a mean (standard deviation [SD]) glycated hemoglobin A1c (HbA1c) level of 8.91% (2.30). The median (interquartile range [IQR]) of the number of medical officers available at each clinic was 6 (7), with Family Doctor Concept (FDC) clinics having a higher number of medical officers than non-FDC clinics (p = 0.001). The overall mean (SD) PACIC-M score was 2.65 (0.54) with no significant difference between scores of patients treated in the two clinic types (p = 0.806). Higher perceived quality of care was associated with lower number of medical officers (adjusted regression coefficient [Adj.β], − 0.021; p-value [p], 0.001), and greater doctor–patient interaction in all domains: distress relief (Adj.β, 0.033; p, < 0.001), rapport (Adj.β, 0.056; p, < 0.001), and interaction outcome (Adj.β, 0.022; p, 0.003). Conclusion Although there was no significant difference found between clinic type, this study reflects that patients are comfortable when managed by the same doctor, which may support a better doctor-patient interaction. A larger specialized primary care workforce could improve diabetes care in Malaysia.


Archaeologia ◽  
1885 ◽  
Vol 49 (01) ◽  
pp. 1-168 ◽  
Author(s):  
Arthur John Evans

Hitherto we have been concerned with the Dalmatian coast-cities and the great parallel lines of road that traversed the length of the Province from the borders of Pannonia and Italy to those of Epirus. From Salonæ there were, in addition to these highways to the North and South, at least two main-lines of Roman Way that traversed the interior ranges of the Dinaric Alps and led to the Mœsian and Dardanian borders that lay to the East and South-East. Milliary columns have been found at Salonæ, one recording the completion by Tiberius' Legate Dolabella of a line of road leading from the Colony of Salonæ to a mountain stronghold of the Ditiones—an Illyrian clan probably inhabiting what is now the North-East region of Bosnia; another, also of Tiberius' time, referring to the construction of a line, 156 miles in extent, from Salonæ to aCastellumof the Dæsitiates, an Illyrian clan belonging to theConventusor administrative district of Narona, and whose stronghold, according to the mileage given, must be sought somewhere on the Upper Drina, towards the Moesian and Dalmatian confines. This latter line may very well be that represented in theTabula Peutingerianaas leading from Salonæ to Argentaria, a name which seems to connect itself with the silver-bearing ranges lying on the uncertain boundary of the ancient Dalmatia and Dardania, and which, from its mineral riches, was still known in the Middle Ages asMonte Argentaro.


Nanomedicine ◽  
2006 ◽  
Vol 1 (4) ◽  
pp. 499-504
Author(s):  
Alex Maw ◽  
Mike Pitkethly ◽  
Shak Gohir ◽  
Amanda McMurray ◽  
Dave Robbins
Keyword(s):  

Author(s):  
Roxana Mironescu ◽  
Andreea Feraru ◽  
Ovidiu Turcu

The intellectual capital in its dynamic approach focusses on the development of the entropic model, which expresses the dynamic transformation of the theoretical intellectual capital in a concrete and useful intellectual capital. The aim of the present paper is to perform a detailed analysis of the intellectual capital inside the SMES of the North-Est region of the country. It also speaks about the influence of the main integrators of the intellectual capital, divided into three elements: the cognitive, the emotional and the spiritual capital, about how they are acting as a field of forces upon the basic components of the intellectual capital, such as knowledge, intelligence and values and how they determine the generation and development of the intellectual capital in the eastern analyzed SMEs. Both jobs and teams inside the analyzed SMEs are stimulating the development of the intellectual skills, which reduces the need for involving the external experts, by appealing only those specialists who could transform the tacit knowledge into explicit knowledge. The organizational communication provides the necessary information and contributes to the establishment of a fair climate and of the effective relationships between managers and employees, between work mates, and also with the people outside the organization.


2014 ◽  
Vol 2 (3) ◽  
pp. 61 ◽  
Author(s):  
Pranab Jyoti Sarma

This paper carries out a critical review of the trends of historical writings in Assam. The historiographical study reveals that the beginning of the historical phase was, in fact, late in the North East region. Moreover, in many of these historical writings, the importance of the local histories of the communities of the region was ignored. The author highlights the fact that a pan-Indian history for the region may not be authentic enough to understand the cultural dynamics of the complex society of the Northeast. The author also focuses on corroborating ‘proper’ historical source material for reconstructing the history of the region rather than deriving inferences from mythology and legends. However, the importance of recent trends in historiography such as selective utilisation of oral traditions, folklores and memory studies has been emphasised. An alternative and more precise periodisation of the historical phase has been provided which does not, however, project any clear marker between periods and eras but emphasises on slow and steady transformations. Importance of archaeological sources and material evidence has been kept in mind while deriving periodical divisions. Relooking at the history of the Koches, Kacharis has been emphasised.


Sign in / Sign up

Export Citation Format

Share Document