scholarly journals Poverty and child health in the UK: using evidence for action

2016 ◽  
Vol 101 (8) ◽  
pp. 759-766 ◽  
Author(s):  
Sophie Wickham ◽  
Elspeth Anwar ◽  
Ben Barr ◽  
Catherine Law ◽  
David Taylor-Robinson

There are currently high levels of child poverty in the UK, and for the first time in almost two decades child poverty has started to rise in absolute terms. Child poverty is associated with a wide range of health-damaging impacts, negative educational outcomes and adverse long-term social and psychological outcomes. The poor health associated with child poverty limits children's potential and development, leading to poor health and life chances in adulthood. This article outlines some key definitions with regard to child poverty, reviews the links between child poverty and a range of health, developmental, behavioural and social outcomes for children, describes gaps in the evidence base and provides an overview of current policies relevant to child poverty in the UK. Finally, the article outlines how child health professionals can take action by (1) supporting policies to reduce child poverty, (2) providing services that reduce the health consequences of child poverty and (3) measuring and understanding the problem and assessing the impact of action.

2008 ◽  
Vol 65 (2) ◽  
pp. 267-275 ◽  
Author(s):  
Tom L. Catchpole ◽  
Andrew S. Revill ◽  
James Innes ◽  
Sean Pascoe

Abstract Catchpole, T. L., Revill, A. S., Innes, J., and Pascoe, S. 2008. Evaluating the efficacy of technical measures: a case study of selection device legislation in the UK Crangon crangon (brown shrimp) fishery. – ICES Journal of Marine Science, 65: 267–275. Bycatch reduction devices are being introduced into a wide range of fisheries, with shrimp and prawn fisheries particularly targeted owing to the heavy discarding common in these fisheries. Although studies are often undertaken to estimate the impact of a technical measure on the fishery before implementation, rarely have the impacts been assessed ex post. Here, the efficacy of the UK legislation pertaining to the use of sievenets in the North Sea Crangon crangon fishery is assessed. Three impacts were evaluated: on fisher behaviour (social), on the level of bycatch (biological), and on vessel profitability (economic). An apparent high level of compliance by skippers was identified despite a low level of enforcement. The estimated reduction in fleet productivity following the introduction of the legislation was 14%, equalling the mean loss of Crangon landings when using sievenets calculated from catch comparison trawls. Sievenets did reduce the unnecessary capture of unwanted marine organisms, but were least effective at reducing 0-group plaice, which make up the largest component of the bycatch. Clearly the legislation has had an effect in the desired direction, but it does not address sufficiently the bycatch issue in the Crangon fishery.


2013 ◽  
Vol 34 (2) ◽  
pp. 331-353 ◽  
Author(s):  
Mónica García Quesada

AbstractFailures of compliance with European Union (EU) directives have revealed the EU as a political system capable of enacting laws in a wide range of different policy areas, but facing difficulties to ensure their actual implementation. Although the EU relies on national enforcement agencies to ensure compliance with the EU legislation, there is scarce analysis of the differential deterrent effect of national enforcement in EU law compliance. This article examines the enforcement of an EU water directive, the Urban Waste Water Treatment Directive, in Spain and the UK. It focuses on the existing national sanctions for disciplining actors in charge of complying with EU requirements, and on the actual use of punitive sanctions. The analysis shows that a more comprehensive and active disciplinary regime at the national level contributes to explain a higher degree of compliance with EU law. The article calls for a detailed examination of the national administrative and criminal sanction system for a more comprehensive understanding of the incentives and disincentives to comply with EU law at the national state level.


2021 ◽  
Author(s):  
Avgi Loizidou ◽  
Taranjit Singh Tatla ◽  
Ian Harvey ◽  
Miriayi Aibibula ◽  
Justin Roe ◽  
...  

Abstract BackgroundFlexible nasendoscopy (FNE) is an invaluable multi-disciplinary tool for upper aerodigestive tract (UADT) examination. During the COVID-19 pandemic concerns were raised that FNE had the potential of generating aerosols resulting in human cross-contamination when performed on SARS-COV2 carriers. In the UK, and other European countries, national guidelines were issued restricting FNE to essential cases. We surveyed ENT UK members and Royal College of Speech and Language Therapists (RCSLT) members to determine the impact of the COVID-19 pandemic (first peak) on FNE practice in the UK.MethodsAn observational internet-based survey constructed in accordance to the CHERRIES checklist and setup in SurveyMonkeyof FNE practice amongst UK-based ENT surgeons and speech and language therapists in community clinics, the outpatient department, inpatient wards, ICU, emergency department and operating theatres (through the NHS and private sector) prior to, during and following the first COVID-19 wave in the UK. Results 314 responses collected (24% response rate), 82% from ENT clinicians, 17% from SLTs and 1% from other allied healthcare professionals. Overall, there has been a large reduction in the volume and indications for FNE during the first peak of the COVID-19 pandemic with limited recovery by mid-August 2020. Cancer and airway assessments were impacted less. A wide range of FNE protocols influenced by local factors are reported, varying in endoscope preference, Personal Protective Equipment (PPE) and sterilization methods. Where dedicated Aerosol Generating Procedure (AGP) rooms were unavailable, clinicians resorted to window opening and variable room “down-time” between patients. Endoscope preference reflected availability and user familiarity, ENT trainees favoring the use of single-use video endoscopes. ConclusionDespite national guidance, local practice of FNE remains interrupted and highly variable in the UK. A collaborative inter-disciplinary approach is required to re-introduce FNE safely in volume across healthcare settings, re-establishing timely endoscopic diagnosis and pre-pandemic levels of patient care.


ESMO Open ◽  
2018 ◽  
Vol 3 (1) ◽  
pp. e000258 ◽  
Author(s):  
Elena Pallari ◽  
Anthony W Fox ◽  
Grant Lewison

BackgroundThis is an appraisal of the impact of cited research evidence underpinning the development of cancer clinical practice guidelines (CPGs) by the professional bodies of the European Society for Medical Oncology (ESMO), the National Institute for Health and Care Excellence (NICE) and the Scottish Intercollegiate Guidelines Network (SIGN).MethodsA total of 101 CPGs were identified from ESMO, NICE and SIGN websites across 13 cancer sites. Their 9486 cited references were downloaded from the Web of Science Clarivate Group database, analysed on Excel (2016) using Visual Basic Application macros and imported onto SPSS (V.24.0) for statistical tests.ResultsESMO CPGs mostly cited research from Western Europe, while the NICE and SIGN ones from the UK, Canada, Australia and Scandinavian countries. The ESMO CPGs cited more recent and basic research (eg, drugs treatment), in comparison with NICE and SIGN CPGs where older and more clinical research (eg, surgery) papers were referenced. This chronological difference in the evidence base is also in line with that ESMO has a shorter gap between the publication of the research and its citation on the CPGs. It was demonstrated that ESMO CPGs report more chemotherapy research, while the NICE and SIGN CPGs report more surgery, with the results being statistically significant.ConclusionsWe showed that ESMO, NICE and SIGN differ in their evidence base of CPGs. Healthcare professionals should be aware of this heterogeneity in effective decision-making of tailored treatments to patients, irrespective of geographic location across Europe.


Author(s):  
D.V. Budianskyi

The characteristic features of I. Kavaleridze’s drama is considered in the article. It is noted that there are signs of the artist’s individuality, attraction to expressionist forms, artistic techniques characteristic for the art of sculpture: symbolism, monumentality, hyperbole. I. Kavaleridze was well versed in the drama laws, understood the specifics of the stage events construction, had a large arsenal of literary means, thanks to which the characters’ monologues and dialogues were extremely expressive and colorful. In his work, he implemented original solutions that were ahead of time. Therefore, many of the artist’s ideas and achievements received due recognition only after his death. I. Kavaleridze’s creative heritage covers a wide range of both purely artistic and general philosophical problems. Among them the formation of the era of modernism and its features in the Ukrainian art of the early XX century, the impact of revolutionary ideas on the work of the 1920s, the role of spiritual leaders of the Ukrainian people T. Shevchenko and G. Skovoroda in the formation of national consciousness, political and ideological pressure on figurative art language and the formation of a socialist-realist canon, etc. The analysis of the productions of I. Kavalerizde’s plays “The First Furrow” and “Gregory and Paraskeva” on the stage of the Mykhailo Shchepkin Sumy Theater of Drama and Musical Comedy in 1970-1972. The article notes that these plays were staged in Sumy for the first time in the history of Ukrainian theater. The premiere of “The First Furrow” (the play was called “Old Men”) took place on March 19, 1970. The figure of the national genius Hryhoriy Skov oroda was als o embodied for the first time on t he stage in Sumy in th e play “Hryhoriy and Paraskeva”. It premiered on October 21, 1972. I. Rybchynsky, Honored Artist of the USSR, performed the production. Creating generalized historical outlines of people’s life, features of life at that time, depicting psychological portraits of people in various, sometimes-dramatic collisions, in the productions of I. Kavaleridze’s plays on the Sumy stage the emphasis was on universal values such as virtue, love. The main character was the Ukrainian people, who nurtured such large-scale historical figures, gave them strength and wisdom for great achievements. Based on publications in periodicals of that time, memoirs of Ukrainian directors, the peculiarities of the director’s interpretation, stenographic and musical design of these plays on the Sumy stage are considered. Considerable attention is paid to the analysis of acting works in I. Kavaleridze’s plays. In particular, the peculiarities of the actor’s embodiment of the image of the national genius Hryhoriy Skovoroda on the stage are presented. It is noted that I. Kavaleridze’s plays, created in a difficult political, social and ideological context, are rightly considered to be highly artistic works of Ukrainian drama. Their staging was carried out on various theatrical stages, including Mykhailo Shchepkin Sumy Theater of Drama and Musical Comedy is an important page of national theatrical art.


2016 ◽  
Author(s):  
Carlos Ordóñez ◽  
David Barriopedro ◽  
Ricardo García-Herrera ◽  
Pedro M. Sousa ◽  
Jordan L. Schnell

Abstract. This paper analyses for the first time the impact of high-latitude blocks and subtropical ridges on near-surface ozone in Europe during a 15-year period. For this purpose, a catalogue of blocks and ridges over the Euro-Atlantic region is used together with a gridded dataset of maximum daily 8-hour running average ozone (MDA8 O3) covering the period 1998–2012. The response of ozone to the location of blocks and ridges with centres in three longitudinal sectors (Atlantic, ATL, 30º–0º W; European, EUR, 0º–30º E; Russian, RUS, 30º–60º E) is examined. The impact of blocks on ozone is regionally and seasonally dependent. In particular, blocks within the EUR sector yield positive ozone anomalies of ~ 5–10 ppb over large parts of central Europe in spring and northern Europe in summer. Over 20 % and 30 % of the days with blocks in that sector register exceedances of the 90th percentile of the seasonal ozone distribution at many European locations during spring and summer, respectively. The impacts of ridges during those seasons are subtle and more sensitive to their specific location, although they can trigger ozone anomalies of ~ 5–10 ppb in Italy and the surrounding countries in summer, eventually exceeding European air quality targets. During winter, surface ozone in the northwest of Europe presents completely opposite responses to blocks and ridges. The anticyclonic circulation associated with winter EUR blocking, and to a lesser extent with ATL blocking, yields negative ozone anomalies between −5 ppb and −10 ppb over the UK, Northern France and the Benelux. Conversely, the enhanced zonal flow around 50˚–60˚ N during the occurrence of ATL ridges favours the arrival of background air masses from the Atlantic and the ventilation of the boundary layer, producing positive ozone anomalies above 5 ppb in an area spanning from the British Isles to Germany. This work provides the first quantitative assessments of the remarkable but distinct impacts that the anticyclonic circulation and the diversion of the zonal flow associated with blocks and ridges exert on surface ozone in Europe. The findings reported here can be exploited in the future to evaluate the modelled responses of ozone to circulation changes within chemical transport models (CTMs) and chemistry-climate models (CCMs).


2019 ◽  
Vol 58 (6) ◽  
pp. 647-655
Author(s):  
Samantha Schilling ◽  
Shaundreal Jamison ◽  
Charles Wood ◽  
Eliana Perrin ◽  
Coby Jansen Austin ◽  
...  

In 2014, Family Success Alliance (FSA) was formed as a place-based initiative to build a pipeline of programs to reduce the impact of poverty on outcomes for children living in Orange County, North Carolina. In this study, FSA parents’ perception of child health, parent and child adverse childhood experiences (ACEs), and resilience were obtained by parent interview. Receipt of recommended health services were abstracted from primary care medical records of FSA children. Correlation coefficients investigated relationships among health, ACEs, and resilience. Among 87 parent-child dyads, 65% were Spanish speaking. At least 1 of the 7 ACEs measured was reported in 37% of children and 70% of parents. Parent perceptions of child health were lower than national averages. Routine preventive services included the following: autism screening at 18 months (15%) and 24 months (31%); ≥4 fluoride varnish applications (10%); lead screening (66%); and receipt of immunizations (94%). Parent perception of child health was moderately correlated with resilience.


2021 ◽  
Vol 9 (3) ◽  
Author(s):  
Arthur Mustafin

The author of this article attempts to reveal and systematise archival data on grain prices in Russia between the 1650s and 1700s and analyse their dynamics by comparing them with data for the eighteenth century. The study is based on a wide range of archival sources from the funds of the RSAAA (RGADA), CSA of Moscow (TsGA of Moscow), DM NLR (OR RNB), and SFI CANNR (GKU TsANO). The data from these sources make it possible to construct time series describing rye and oat price dynamics in the northern and central non-black earth regions of Russia. The author substantiates the homogeneity and reliability of the data received and determines the real prices. The resulting numbers make the author doubt the “price revolution” in eighteenth-century Russia. Throughout the eighteenth century, the average real prices remained below the level of the 1660s and 1670s. Only in the 1790s did prices briefly exceed this level. Overall, the Russian grain market was characterised by long-term price fluctuations. The author aims to explain this dynamic by analysing supply and demand in the grain market. More particularly, for the first time in the historiography, the author examines the connection between Russian grain prices and yield in the second half of the seventeenth and eighteenth centuries. It is established that in most cases, the relationship between these indicators was direct: as grain yield increased, prices did too. The article explains this seeming paradox. The data published by the author help not only to estimate the impact of various factors on grain prices during the period in question, but also solve practical tasks regarding various price indicators in grain equivalents.


2020 ◽  
Author(s):  
JL Clarke ◽  
R Kipping ◽  
S Chambers ◽  
K Willis ◽  
H Taylor ◽  
...  

AbstractBackgroundIn spring 2020, the COVID-19 lockdown placed unprecedented restrictions on the behaviour and movements of the UK population. Citizens were ordered to ‘stay at home’, only allowed to leave their houses to buy essential supplies, attend medical appointments or exercise once a day. This qualitative study explored how ‘lockdown’ and its subsequent easing changed young children’s everyday activities, eating and sleep habits to gain insight into the impact for health and wellbeing.MethodsIn summer 2020 we interviewed 20 parents of children due to start school in September 2020 (aged 3-5 years) by phone or video call to explore their experiences of lockdown and its easing. We recruited participants through nurseries and local Facebook community groups in the South West and West Midlands of England. Half the sample were from Black, Asian or Minority Ethnic backgrounds and half lived in the most deprived quintile. We analysed interviews using thematic analysis.ResultsChildren’s activity, screen time, eating, and sleep routines had some level of disruption. Parents reported children ate more snacks during lockdown, but also spent more time preparing meals and eating as a family. Most parents reported a reduction in their children’s physical activity and an increase in screen time, which some linked to difficulties in getting their child to sleep. Parents sometimes expressed guilt about changes in activity, screen time and snacking over lockdown. Most felt these changes would be temporary with no lasting impact, though others worried about re-establishing healthy routines.ConclusionsThe spring COVID-19 lockdown negatively impacted on pre-school children’s eating, activity and sleep routines. While some positive changes were reported, there were wide-spread reports of lack of routines, habits and boundaries which, at least in the short-term, were likely to have been detrimental for child health and development. Guidance and support for families during times of COVID-19 restrictions could be valuable to help them maintain healthy activity, eating, screen-time and sleeping routines to protect child health and ensure unhealthy habits are not adopted.


Bioethics ◽  
2021 ◽  
Vol 28 (2) ◽  
pp. 33-38
Author(s):  
Natalia A. Alshuk ◽  
◽  
Svetlana A. Kostenko ◽  
Olga Yu. Golitsyna ◽  
◽  
...  

Currently, much attention is paid to the correct presentation of the results of. This is not surprising, since international standards used for assessing the effectiveness of scientific clinical and pre-clinical studies in scientific publications activities are based on citation rates and the number of publications in peer-reviewed journals. This tradition originated in the UK and is the result of a struggle for grants in the scientific community. The Hirsch index (individual authors) type of assessment and the impact factor (journals) made it possible to quantitatively compare papers without referring to their content. The assessment of the latter was accomplished by editors of the journals, and it was assumed that it was objective. This method was consistent with the digitalization process, but it has not yet received an ethical assessment. This is happening not only because there is a fairly wide range of opinions on this issue in the scientific community [1], but also because moral plots are generally not referred to digital processes.


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