scholarly journals Exploring the Relationship Between Palatal Cleft Type and Width With the Use of Relieving Incisions in Primary Repair

2021 ◽  
pp. 105566562110196
Author(s):  
Alex Davies ◽  
Amy Davies ◽  
Yvonne Wren ◽  
Scott Deacon ◽  
Alistair R.M. Cobb ◽  
...  
Keyword(s):  
Oral Mucosa ◽  
Primary Repair ◽  
Fistula Formation ◽  
The United Kingdom ◽  
Using Data ◽  
The Uk ◽  
The Relationship ◽  
Soft Edge ◽  
Intravelar Veloplasty ◽  
Pierre Robin

Objective: The mainstay of palatal repair in the United Kingdom is the intravelar veloplasty (IVVP). It is not always possible to align the oral mucosa in the midline to achieve tension-free repair. The addition of lateral relieving incisions may aid transposition of the oral mucosa to allow closure. The aim of this study was to explore cleft features that may predispose to a requirement for relieving incisions in order to allow palate closure. Design: We performed a national multiinstitutional retrospective study using data from the UK Cleft Collective cohort study. Patients: The study sample consisted of 474 patients who had undergone IVVP at the time of palatal closure across all 16 of the UK cleft units. Results: We found strong evidence for the requirement for relieving incisions in patients with an increased degree of clefting per the Veau classification ( P < .001), increasing palatal soft-edge width ( P < .001) and moderate evidence of an associated use in patients with Pierre Robin sequence ( P = .015). Insufficient data were available to explore the relationship between intertuberosity distance and the presence of fistula formation with the use of relieving incisions. Conclusions: The results of this study identify cleft features that increase the likelihood for requiring lateral relieving incisions to allow palatal closure. The degree to which the addition of relieving incisions to IVVP affects maxillary growth and speech outcomes is unknown. Further study is required to answer this important question.

scholarly journals The Authoritarian Dynamic During the COVID-19 Pandemic: Effects on Nationalism and Anti-Immigrant Sentiment

2021 ◽  
pp. 194855062097802
Author(s):  
Todd K. Hartman ◽  
Thomas V. A. Stocks ◽  
Ryan McKay ◽  
Jilly Gibson-Miller ◽  
Liat Levita ◽  
...  
Keyword(s):  
Social Order ◽  
Situational Factors ◽  
Right Wing ◽  
Right Wing Authoritarianism ◽  
The United Kingdom ◽  
The Social ◽  
Political Outcomes ◽  
Nationally Representative ◽  
Using Data ◽  
The Relationship

Research has demonstrated that situational factors such as perceived threats to the social order activate latent authoritarianism. The deadly COVID-19 pandemic presents a rare opportunity to test whether existential threat stemming from an indiscriminate virus moderates the relationship between authoritarianism and political attitudes toward the nation and out-groups. Using data from two large nationally representative samples of adults in the United Kingdom ( N = 2,025) and Republic of Ireland ( N = 1,041) collected during the initial phases of strict lockdown measures in both countries, we find that the associations between right-wing authoritarianism (RWA) and (1) nationalism and (2) anti-immigrant attitudes are conditional on levels of perceived threat. As anxiety about the COVID-19 pandemic increases, so too does the effect of RWA on those political outcomes. Thus, it appears that existential threats to humanity from the COVID-19 pandemic moderate expressions of authoritarianism in society.

scholarly journals Primary repair versus surgical and transcatheter palliation in infants with tetralogy of Fallot

Heart ◽  
2018 ◽  
Vol 104 (22) ◽  
pp. 1864-1870 ◽  
Author(s):  
Dan M Dorobantu ◽  
Alireza S Mahani ◽  
Mansour T A Sharabiani ◽  
Ragini Pandey ◽  
Gianni D Angelini ◽  
...  
Keyword(s):  
Right Ventricular ◽  
Tetralogy Of Fallot ◽  
Primary Repair ◽  
Treatment Options ◽  
Right Ventricular Outflow Tract ◽  
Ventricular Outflow Tract ◽  
Outflow Tract ◽  
Young Infants ◽  
Using Data ◽  
The Uk

ObjectivesTreatment of infants with tetralogy of Fallot (ToF) has evolved in the last two decades with increasing use of primary surgical repair (PrR) and transcatheter right ventricular outflow tract palliation (RVOTd), and fewer systemic-to-pulmonary shunts (SPS). We aim to report contemporary results using these treatment options in a comparative study.MethodsThis a retrospective study using data from the UK National Congenital Heart Disease Audit. All infants (n=1662, median age 181 days) with ToF and no other complex defects undergoing repair or palliation between 2000 and 2013 were considered. Matching algorithms were used to minimise confounding due to lower age and weight in those palliated.ResultsPatients underwent PrR (n=1244), SPS (n=311) or RVOTd (n=107). Mortality at 12 years was higher when repair or palliation was performed before the age of 60 days rather than after, most significantly for primary repair (18.7% vs 2.2%, P<0.001), less so for RVOTd (10.8% vs 0%, P=0.06) or SPS (12.4% vs 8.3%, P=0.2). In the matched groups of patients, RVOTd was associated with more right ventricular outflow tract (RVOT) reinterventions (HR=2.3, P=0.05 vs PrR, HR=7.2, P=0.001 vs SPS) and fewer pulmonary valve replacements (PVR) (HR=0.3 vs PrR, P=0.05) at 12 years, with lower mortality after complete repair (HR=0.2 versus PrR, P=0.09).ConclusionsWe found that RVOTd was associated with more RVOT reinterventions, fewer PVR and fewer deaths when compared with PrR in comparable, young infants, especially so in those under 60 days at the time of the first procedure.

The changing landscape of local authority commissioning

2020 ◽  
pp. 177-196
Author(s):  
Dave Ayre
Keyword(s):  
Academic Research ◽  
The European Union ◽  
Public And Private ◽  
The United Kingdom ◽  
Health And Social Care ◽  
History Of ◽  
The Uk ◽  
Relationship Of ◽  
The Relationship

This chapter assesses the history of the relationship between public and private sectors and the extent to which the political and regulatory environment of governments and institutions such as the European Union (EU) can help or hinder the efforts of public bodies in seeking to deliver services that determine the health and quality of life for communities. The relationship of public and private sectors in the United Kingdom (UK) and the commissioning, procurement, and development of public–private partnerships is driven by the prevailing political and economic environment. However, rigorous academic research on the benefits of partnering to organisations, societies and between countries is limited. Evidence is needed to fill the policy vacuum. A bolder approach is necessary to work with public and private sectors to develop and implement successful partnering alternatives to the outsourcing of public services. The growing catalogue of outsourcing failures in construction, probation, rail franchising, health, and social care is creating an appetite for change, and the exit of the UK from the EU provides the opportunity.

23. European Union Law in the United Kingdom Courts

Public Law ◽  
2019 ◽  
pp. 835-868
Author(s):  
Andrew Le Sueur ◽  
Maurice Sunkin ◽  
Jo Eric Khushal Murkens
Keyword(s):  
European Union ◽  
United Kingdom ◽  
Eu Law ◽  
European Union Law ◽  
National Sovereignty ◽  
The United Kingdom ◽  
Parliamentary Sovereignty ◽  
The Uk ◽  
The Relationship

This chapter discusses the reception of Community (now EU law) in the UK courts, and in particular how UK courts reconciled the doctrine of supremacy with the doctrine of parliamentary sovereignty. The chapter will examine three ways in which the UK courts have attempted to reconcile these competing doctrines: by constructing national law in light of EU law; by disapplying conflicting national law; and by reasserting national sovereignty and threatening not to apply EU law automatically. Finally, the chapter will briefly re-visit the case of Miller in order to evaluate that case in light of earlier cases on the relationship between UK and EU law.

scholarly journals Comprehending the relationship between a company and its accountants, 1894–1967: Evaluating and accommodating Foucauldian and other perspectives

2019 ◽  
Vol 25 (3) ◽  
pp. 448-467
Author(s):  
Ying Yong Ding ◽  
Sam McKinstry ◽  
Peiran Su ◽  
Kirsten Kininmonth
Keyword(s):  
United Kingdom ◽  
Professional Services ◽  
Professional Roles ◽  
The United Kingdom ◽  
Historical Methodology ◽  
Points Of View ◽  
The Uk ◽  
Work Done ◽  
The Relationship ◽  
A Company

This article analyses the relationship between a Scottish manufacturing company and the accountancy firm which provided it with professional services across its existence (1894–1967). It examines the professional roles fulfilled by the accountants, the work done and the fee income derived from it, in the context of the company’s history. It emphasises the importance of the services provided by accountancy firms for unlisted companies in understanding the development of professional accountancy in the United Kingdom. The material presented is used to test three different explanations of the UK accountancy profession’s rise which relate to the auditing function and has implications for historical methodology and epistemologies. The explanations explored may be categorised as economic rationalist, Foucauldian and jurisdictional points of view.

scholarly journals Re-calculating the cost of coccidiosis in chickens

2020 ◽  
Vol 51 (1) ◽  
Author(s):  
Damer P. Blake ◽  
Jolene Knox ◽  
Ben Dehaeck ◽  
Ben Huntington ◽  
Thilak Rathinam ◽  
...  
Keyword(s):  
Egg Production ◽  
The United States ◽  
The United Kingdom ◽  
Chicken Population ◽  
Global Cost ◽  
Using Data ◽  
The Uk ◽  
The Cost ◽  
The Impact ◽  
Significant Disease

Abstract Coccidiosis, caused by Eimeria species parasites, has long been recognised as an economically significant disease of chickens. As the global chicken population continues to grow, and its contribution to food security intensifies, it is increasingly important to assess the impact of diseases that compromise chicken productivity and welfare. In 1999, Williams published one of the most comprehensive estimates for the cost of coccidiosis in chickens, featuring a compartmentalised model for the costs of prophylaxis, treatment and losses, indicating a total cost in excess of £38 million in the United Kingdom (UK) in 1995. In the 25 years since this analysis the global chicken population has doubled and systems of chicken meat and egg production have advanced through improved nutrition, husbandry and selective breeding of chickens, and wider use of anticoccidial vaccines. Using data from industry representatives including veterinarians, farmers, production and health experts, we have updated the Williams model and estimate that coccidiosis in chickens cost the UK £99.2 million in 2016 (range £73.0–£125.5 million). Applying the model to data from Brazil, Egypt, Guatemala, India, New Zealand, Nigeria and the United States resulted in estimates that, when extrapolated by geographical region, indicate a global cost of ~ £10.4 billion at 2016 prices (£7.7–£13.0 billion), equivalent to £0.16/chicken produced. Understanding the economic costs of livestock diseases can be advantageous, providing baselines to evaluate the impact of different husbandry systems and interventions. The updated cost of coccidiosis in chickens will inform debates on the value of chemoprophylaxis and development of novel anticoccidial vaccines.

scholarly journals Research groups: how big should they be?

2015 ◽  
Author(s):  
Isabelle Cook ◽  
Sam Grange ◽  
Adam Eyre-Walker
Keyword(s):  
Impact Factor ◽  
Group Size ◽  
The United Kingdom ◽  
Average Group ◽  
Using Data ◽  
Number Of Publications ◽  
Number Of Citations ◽  
The Impact ◽  
Large Groups ◽  
The Relationship

We have investigated the relationship between research group size and productivity in the life sciences in the United Kingdom using data from 398 principle investigators (PIs). We show that the number of publications increases linearly with group size, but that the slope is modest relative to the intercept, and that the relationship explains little of the variance in productivity. A comparison of the slope and intercept suggests that PIs contribute on average 5-times more productivity than an average group member and using multiple regression we estimate that post-doctoral researchers are approximately 3–times more productive than PhD students. We also find that the impact factor and the number of citations are both non-linearly related to group size such that there is a maximum. However, the relationships explain little of the variance and the curvatures are shallow so the impact factor and the number of citations do not greatly depend upon group size. The intercept is large relative to curvature suggesting that the PI is largely responsible for the impact factor and the number of citations from their group. Surprisingly we find this non-linear relationship for post-docs, but for PhD students we observe a slight but significant decrease in the impact factor. The results have important implications for the funding of research. Given a set number of Pis there is no evidence of diminishing returns in terms of the number of papers published and only a very weak cost to very large groups in terms of where those papers are published and the number of citations they receive. However, the results do suggest that it might be more productive to invest in new permanent members of faculty rather than additional post-docs and PhD students.

Public opinion attitudes towards the European Union and its future in the United Kingdom. Study based on the results of Eurobarometer surveys in the UK and Poland

2014 ◽  
pp. 116-131
Author(s):  
Beata Słupek
Keyword(s):  
European Union ◽  
The European Union ◽  
Main Research ◽  
The United Kingdom ◽  
The Future ◽  
The Subject ◽  
The Uk ◽  
The Relationship ◽  
British People ◽  
The Eu

The subject of this publication is the scepticism regarding the future of the European Union in the UK. The research is based on Eurobarometer surveys conducted over the period of five years. A purpose of the research is to show the relationship between the results of the Eurobarometer survey on the future of the EU, and the eurosceptic views in the UK. The main research questions is: is the UK sceptical about the future of the EU? Hypothesis of this publication is that the UK is sceptical about the future of the European Union. The reasons for such attitudes are not analysed here – the article is merely an attempt to present the societal attitudes. The research method employed is the comparative critical analysis of quantitative data. The conclusion is that Great Britain is not significantly eurosceptic. British people are, however, less enthusiastic about what is happening at present in the EU, and also are showing greater anxieties when it comes to the future of the EU.

EU Countries and the UK

2021 ◽  
pp. 295-306
Author(s):  
Mads Andenas
Keyword(s):  
Judicial Review ◽  
Rapid Development ◽  
European Convention ◽  
Constitutional Court ◽  
Court System ◽  
Eu Countries ◽  
The United Kingdom ◽  
The Common ◽  
The Uk ◽  
The Relationship

This chapter compares European Union countries to the United Kingdom. It aims at ascertaining not so much whether a common core exists but how it is shaped and evolves, also in response to influences by supranational legal orders. EU countries do not adhere to one model. Administrative law is subject to rapid development, and even countries that share many structures and general features do not develop at the same speed or in the same direction. In the UK, there is no specialized administrative court jurisdiction. There is one general court system that deals with civil, criminal, and administrative cases; but there are many administrative tribunals and appeals tribunals. Nearly all the EU countries have a specialised administrative court system, and the majority has a constitutional court. The chapter considers the perceived divide between civil law countries and the common law in the UK, in the light of the relationship between national law and EU and European Convention on Human Rights (ECHR) law. It also looks at the four main features of the legal systems selected for comparison: the constitutional relevance of judicial review; the limitations of judicial review; procedural errors or omissions; and annulment and damages.

EDITORIAL INTRODUCTION

2021 ◽  
Vol 9 (3) ◽  
Author(s):  
Werdie Van Staden ◽  
James Appleyard
Keyword(s):  
Working Conditions ◽  
Well Being ◽  
Work Life ◽  
Work Life Balance ◽  
Life Balance ◽  
The Third ◽  
Regulatory Changes ◽  
The United Kingdom ◽  
The Uk ◽  
The Relationship

This issue features the third set of articles in the volume on work–life balance and burnout. It focuses on burnout among physicians and an intervention pursuing well-being by which to prevent or recover from burnout. Burnout among physicians is addressed from perspectives from the United Kingdom (UK), Nordic countries, Japan and Germany [4]. Different from the focus on burnout among physicians in these four articles, another article [7] focuses on interventions that pursue well-being by which one may prevent or recover from burnout. Burnout is a global problem adversely affecting physicians and patient care. In the UK, the first article shows, burnout among about a third of physician puts their national health service at risk. Burnout is linked to working conditions leading to emotional exhaustion and impediments to a good work–life balance. Working conditions brought about by regulatory changes in Japan and Germany feature respectively in the third and fifth articles. The fourth article drawing on Nordic studies underscores the person-centered point that burnout among physicians is adversely affecting the very foundation of the physician’s work, that is, the relationship with the patient. This issue, furthermore, features an article on the quantitative effects that well-being interventions had on the personality and health of a sample of refugees living in Sweden.

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