scholarly journals Routines and Structure in the Assessment of Visuospatial Neglect in Rehabilitation Facilities: Current Practice in the Netherlands and the United Kingdom

2021 ◽  
Vol 5 (1) ◽  
Author(s):  
Martine S. Bosma ◽  
◽  
Monique A.A. Caljouw ◽  
Jacqueline K. Benfield ◽  
Laura Edwards ◽  
...  
Keyword(s):  
United Kingdom ◽  
The Netherlands ◽  
Health Care Professionals ◽  
Best Practice ◽  
Assessment Tools ◽  
Geriatric Rehabilitation ◽  
Visuospatial Neglect ◽  
The United Kingdom ◽  
Rehabilitation Facilities ◽  
The Uk

Visuospatial neglect (VSN) adversely impacts both the length of rehabilitation and activities of daily living (ADL) of patients after stroke and can reduce their participation in community activities. Therefore, it is important to assess VSN after stroke in neurorehabilitation facilities. The process of assessing VSN comprehensively in current geriatric rehabilitation remains unclear. This study examined the process of VSN in post-stroke assessment emphasizing the details of the (systematic) routines and structure of VSN assessment in current geriatric rehabilitation facilities in the Netherlands and rehabilitation facilities in the United Kingdom (UK). Health care professionals in geriatric rehabilitation facilities in the Netherlands (n = 6) and in stroke and neurorehabilitation facilities in the UK (n = 6) were interviewed. VSN was not routinely assessed in any of the geriatric rehabilitation facilities in the Netherlands, and only in half of the neurorehabilitation facilities in the UK. Healthcare teams in the Netherlands detected no patients with VSN over a two month period. Several VSN assessment tools were employed. Neuropsychological tests were most frequently used. Nine interviewees indicated the need to improve the process of VSN assessment in actual practice. The suggestions focused on improving the process of assessing VSN and developing relevant knowledge development and training. This study showed that in current rehabilitation practice, VSN was not always assessed in a routine (every stroke patient) and structured (who, when, and, which tests) manner. VSN was not routinely assessed with more than one test (neuropsychological and during daily activities), contrary to best practice recommendations. VSN remains probably underrecognized, especially in geriatric rehabilitation facilities. It is important to improve the current process, including selecting the most appropriate tools for assessing VSN.

scholarly journals A unique measles B3 cluster in the United Kingdom and the Netherlands linked to air travel and transit at a large international airport, February to April 2014

2016 ◽  
Vol 21 (13) ◽  
Author(s):  
Laura Nic Lochlainn ◽  
Sema Mandal ◽  
Rita de Sousa ◽  
Karthik Paranthaman ◽  
Rob van Binnendijk ◽  
...  
Keyword(s):  
Public Health ◽  
United Kingdom ◽  
The Netherlands ◽  
Virus Strain ◽  
Measles Virus ◽  
The Philippines ◽  
The United Kingdom ◽  
Public Health Officials ◽  
The Uk ◽  
In Transit

This report describes a joint measles outbreak investigation between public health officials in the United Kingdom (UK) and the Netherlands following detection of a measles cluster with a unique measles virus strain. From 1 February to 30 April 2014, 33 measles cases with a unique measles virus strain of genotype B3 were detected in the UK and the Netherlands, of which nine secondary cases were epidemiologically linked to an infectious measles case travelling from the Philippines. Through a combination of epidemiological investigation and sequence analysis, we found that measles transmission occurred in flight, airport and household settings. The secondary measles cases included airport workers, passengers in transit at the same airport or travelling on the same flight as the infectious case and also household contacts. This investigation highlighted the particular importance of measles genotyping in identifying transmission networks and the need to improve vaccination, public health follow-up and management of travellers and airport staff exposed to measles.

scholarly journals Clinical Ethics Committees in the United Kingdom: Towards Evaluation

2007 ◽  
Vol 8 (3) ◽  
pp. 221-237 ◽  
Author(s):  
Laura Williamson ◽  
Sheila McLean ◽  
Judith Connell
Keyword(s):  
United States ◽  
United Kingdom ◽  
Health Care Professionals ◽  
Clinical Ethics ◽  
Ethics Committees ◽  
The United States ◽  
Policy Support ◽  
Department Of Health ◽  
The United Kingdom ◽  
The Uk

In the United Kingdom there is a growing conviction that CECs have an important role to play in helping health care professionals address ethical dilemmas. For example, the Royal College of Physicians, the Nuffield Trust and the unofficial Clinical Ethics Network, which has received financial support from the Department of Health, commend the use of CECs in the UK. The growth of such committees has been influenced by the legal and policy support they have received in the United States. However, there is increasing concern about both the benefits and the quality of work produced by CECs. In addition, despite the rapid increase in the number of CECs in the UK, outside of the United States they remain under-researched and no formal mechanism exists to assess their performance. As a result we know little about the structure, function, impact and effectiveness of CECs. We are currently conducting a research project funded by the Wellcome Trust that seeks to interrogate the competing claims regarding the benefits and disbenefits of CECs. This initial account of our research provides a detailed analysis of theoretical issues that surround the development and use of CECs and points towards the questions that lie at the heart of the social science strand of our project.

scholarly journals NATIONAL DATABASE OF METAL IN COMPARATIVE PERSPECTIVES OF THE UNITED KINGDOM & INDONESIA

2021 ◽  
Vol 36 (2) ◽  
Author(s):  
Rachma Puspitasari ◽  
Raldi Koestoer
Keyword(s):  
United Kingdom ◽  
Best Practice ◽  
Public Access ◽  
Future Generations ◽  
National Database ◽  
Success Story ◽  
The United Kingdom ◽  
Research Institutes ◽  
The Uk

The ocean is a source of mega-biodiversity that is supposed to perform optimally for current and future generations. The health of the ocean must be evaluated by measuring heavy metals in sediment because they can be accumulated and stored in long term. This metal can be released and absorbed by an organism, and affect the ecological risk and human health. The purpose of this article is to share viewpoints and those in a comparative study in terms of the metal database of both countries, the UK and Indonesia. The methodology used in this paper is critical review and analysis to compare a success story about compiling metal data into a national database in the United Kingdom (UK). Indonesia already has an open public access database issued by the Ministry of Environment and Forestry. The further step is to strengthen collaboration between research institutes, universities, and government to assign a Standard Operational Procedure (SOP) to collect, analyze and report the data to a national depository. This database will be worthwhile to describe the pollution status in Indonesia and basic data for best practice decisions. 

scholarly journals A comparison of government communication of climate change in Hong Kong and United Kingdom

2021 ◽  
Author(s):  
Emma JS Ferranti ◽  
Joanna Ho Yan Wong ◽  
Surindar Dhesi
Keyword(s):  
Climate Change ◽  
Hong Kong ◽  
United Kingdom ◽  
Best Practice ◽  
Practice Elements ◽  
The United Kingdom ◽  
Climate Change Information ◽  
Climate Action ◽  
The Uk ◽  
Different Characteristics

AbstractAs leaders of civil society, governments have a prime responsibility to communicate climate change information in order to motivate their citizens to mitigate and adapt. This study compares the approaches of the United Kingdom (UK) and Hong Kong (HK) governments. Although different in size and population, the UK and HK have similar climate change agendas to communicate to similarly educated and prosperous populations. The study finds that whilst both governments use similar means: policy, education, campaigns, internet and social media, these have different characteristics, with different emphases in their climate change message. The UK’s top-down approach is more prominent in its legally binding policy and well-defined programmes for adaptation and risk assessment. HK has more effectively embedded climate change education across the school curricula, and has a more centralized and consistently branded campaign, with widespread use of visual language to connect the public to the problem. HK frames climate change as a science-society problem, and has a greater focus on self-responsibility and bottom-up behavioral change. Thus, the UK and HK governments have polarized approaches to motivating their citizens into climate action. Moving forwards, both governments should consider best practice elements of the other to develop their communication of climate change.

scholarly journals EP.FRI.763 Impact of COVID-19 on the rates of emergency laparotomies at an acute general hospital in the United Kingdom

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Curtis Wright ◽  
Simon Kirkham ◽  
Alex Millward ◽  
Robert MacAdam
Keyword(s):  
Critical Care ◽  
United Kingdom ◽  
High Risk ◽  
Observational Study ◽  
Best Practice ◽  
Emergency Laparotomy ◽  
Single Centre ◽  
The United Kingdom ◽  
The Uk ◽  
National Emergency

Abstract Aims The aim of this study was to analyse if the COVID-19 pandemic had any effect on the number of emergency laparotomies performed each month at a single NHS Foundation Trust. Methods This single-centre retrospective observational study included all patients that underwent an emergency laparotomy that was registered as part of the National Emergency Laparotomy Audit (NELA) at Whiston Hospital in Merseyside, UK, between January 2019 and October 2020. The rates recorded throughout March and April 2020 (COVID) were then compared to the preceding 12 months until the first COVID death was recorded in the UK on March 5th, and the 6 months following the initial national lockdown. Results The number of emergency laparotomies performed each month declined from an average of 14.7 (95% CI 13.2 – 16.1) in the preceding 12 months to 5 during COVID (95% CI 5 – 5); a decrease of 65.9%. Following the easing of lockdown rules in early May, this decline was partly reversed with an average of 9.7 (95% CI 8.9 – 10.5) performed each month until October 2020, reflecting a 34.1% reduction from the pre-COVID baseline. The percentage of patients that achieved the NELA best practice tariffs also fell during COVID to 71% from an average of 79.3% (95% CI 76.0 – 82.7) due to fewer high risk laparotomies being admitted to Critical Care post-operatively. Conclusions During the COVID-19 pandemic, emergency laparotomy rates fell and have only partially recovered to pre-pandemic rates. Post-operative admission to critical care for high risk laparotomies also declined during this period. 

scholarly journals Accreditation and professional integration experiences of internationally qualified dentists working in the United Kingdom

2022 ◽  
Vol 20 (1) ◽  
Author(s):  
Latha S. Davda ◽  
David R. Radford ◽  
Sasha Scambler ◽  
Jennifer E. Gallagher
Keyword(s):  
Health Care ◽  
United Kingdom ◽  
Dental Care ◽  
Health Care Professionals ◽  
European Economic Area ◽  
The European Union ◽  
Framework Analysis ◽  
Professional Integration ◽  
The United Kingdom ◽  
The Uk

Abstract Introduction Regulatory processes for Oral health care professionals are considered essential for patient safety and to ensure health workforce quality. The global variation in their registration and regulation is under-reported in the literature. Regulatory systems could become a barrier to their national and international movement, leading to loss of skilled human resources. The General Dental Council is the regulatory authority in the UK, one of the nine regulators of health care overseen by the Professional Standards Authority. Aim The aim of this paper is to present the professional integration experiences of internationally qualified dentists (IQDs) working in the UK, against the background of regulation and accreditation nationally. Methods Registration data were obtained from the General Dental Council to inform the sampling and recruitment of research participants. Semi-structured interviews of 38 internationally qualified dentists working in the United Kingdom were conducted between August 2014 and October 2017. The topic guide which explored professional integration experiences of the dentists was informed by the literature, with new themes added inductively. A phenomenological approach involving an epistemological stance of interpretivism, was used with framework analysis to detect themes. Results Internationally qualified dentist’s professional integration was influenced by factors that could be broadly classified as structural (source country training; registration and employment; variation in practising dentistry) and relational (experiences of discrimination; value of networks and support; and personal attributes). The routes to register for work as a dentist were perceived to favour UK dental graduates and those qualifying from the European Economic Area. Dentists from the rest of the world reported experiencing major hurdles including succeeding in the licensing examinations, English tests, proving immigration status and succeeding in obtaining a National Health Service performer number, all prior to being able to practice within state funded dental care. Conclusion The pathways for dentists to register and work in state funded dental care in UK differ by geographic type of registrant, creating significant inconsistencies in their professional integration. Professional integration is perceived by an individual IQD as a continuum dictated by host countries health care systems, workforce recruitment policies, access to training, together with their professional and personal skills. The reliance of the UK on internationally qualified dentists has increased in the past two decades, however, it is not known how these trends will be affected by UK’s exit from the European Union and the COVID-19 pandemic.

scholarly journals A comparative analysis of strengths and weaknesses of corporate governance practices between two jurisdictions; UK and South Africa

2021 ◽  
Author(s):  
King Costa ◽  
Thelela Ngcetane-Vika
Keyword(s):  
South Africa ◽  
Corporate Governance ◽  
United Kingdom ◽  
Best Practice ◽  
Stock Exchange ◽  
The Other ◽  
The United Kingdom ◽  
Other Hand ◽  
Business Entities ◽  
The Uk

This paper is an exploration of theoretical aspects underpinning the practice of Corporate Governance (CG) in the United Kingdom and South Africa. Because of several corporate scandals and failures in the twenty and twenty first siècles, Corporate Governance has been a significant and crucial subject and field of study in business schools in recent years. Leadership and Management of business entities and alignment to prescripts that are statutory formulated for prevention of corporate decline and enhancement of sound business principles continue to be highly contentious issues. A theoretical and exploratory narrative synthesis was conducted to unearth the strengths and weaknesses of contextual explication, practice and legal application of Corporate Governance in both the United Kingdom and South Africa. In terms of the UK, the study found out that the CG is designed and benchmarked on international best practice, seamlessly fitting within all the Codes on Key Aspects of Corporate Governance. Secondly, another major element of strengths determination were found to be inherent in the practice of voluntary compliance. However, the greatest criticisms of Corporate Governance theories in the UK was the fact that their focus is largely on public corporations, especially those listed in London stock exchange and thus, leave behind small and medium enterprises. The cultural diversity is also found to be a cause for concern in terms of practice and legal application. On the other hand, in South Africa, the study found out that consideration for diversity is one of the greatest strengths in CG practice and legal application, which is likely to contribute effectively to good and sound decision-making, reflective of all people. Weaknesses continue to be the delay in realisation of board equity in terms of gender while on the other hand, corruption and lack of adherence to retributive prescripts remain problematic.

Remediation of the Site of a Former Active Handling Building in the United Kingdom

2009 ◽  
Author(s):  
J. Armitage ◽  
R. M. Cornell ◽  
A. Staples
Keyword(s):  
United Kingdom ◽  
Radioactive Contamination ◽  
Assessment Tools ◽  
Microsoft Excel ◽  
System A ◽  
The United Kingdom ◽  
Set Up ◽  
The Uk ◽  
Regulatory Controls ◽  
The Impact

In 2000, Nuvia Limited was contracted to carry out the decommissioning of a former Active Handling Building A59 on the United Kingdom Atomic Energy Authority (UKAEA) site at Winfrith in the UK. This is in support of UKAEA’s mission, which is to carry out environmental restoration of its nuclear sites and to put them to alternative uses wherever possible. Recently UKAEA has been reorganised and responsibility for the site lies with Research Sites Restoration Limited (RSRL) with funding provided by the National Decommissioning Authority (NDA). Following major decommissioning operations the main containment building structure and the two suites of concrete shielded caves were demolished between June 2006 and March 2007 leaving just the base slab for final removal and the site remediation operations undertaken. The base slab contained a quantity of encast, internally contaminated items including more than 100 steel mortuary tubes set up to 6.6m deep into the slab. At the outset it was suspected that some leakage of radioactive contamination had occurred into the ground although the precise location/s of the leakage was unknown. As a result the scope of the work required the underlying soil to be carefully monitored for the presence of radioactive contamination and, if detected, its remediation to an end state suitable for unrestricted use without planning or nuclear regulatory controls. These latter operations form the basis of this paper, which reviews some of the significant tasks undertaken during the process and describes the waste monitoring procedures utilised on the concrete and soil debris. Extensive dewatering was required to support the removal of the deeper mortuary tubes and the impact this had upon the operations and associated excavations will be described. Further, the demolition of an external active effluent tank and excavation and monitoring of the surrounding soils due to the presence of significant local contamination will be a key feature of the paper. A number of significant problems that were encountered during the operations will also be identified with a narrative about how these arose and were subsequently overcome. The use of Nuvia’s Groundhog™ system, a gamma radiation ground surveying and global positioning system, together with a well defined sampling grid enabled the footprint of the base slab to be surveyed and subsequently remediated to an agreed standard by the end of 2008 to allow infilling with non-calcareous soil ahead of final landscaping as the last step for completion of the project. One area of particular significance to the remediation process has been the use of office-based contaminated land assessment tools including ReCLAIM, a Microsoft Excel spreadsheet based tool used to assess current and future impacts of radiological contamination at nuclear licensed sites. This tool is particularly recommended to others working on similar projects.

Restitution Policies on Nazi-Looted Art in the Netherlands and the United Kingdom: A Change from a Legal to a Moral Paradigm?

2018 ◽  
Vol 25 (2) ◽  
pp. 139-178 ◽  
Author(s):  
Tabitha I. Oost
Keyword(s):  
United Kingdom ◽  
The Netherlands ◽  
Paradigm Change ◽  
New Paradigm ◽  
Cultural Objects ◽  
The United Kingdom ◽  
Specific Category ◽  
Constant Tension ◽  
The Uk ◽  
Individual Ownership

Abstract:This article considers the constant tension facing several national panels in their consideration of Nazi spoliation claims concerning cultural objects. It will argue that this tension results from a shift in paradigms in dealing with Nazi-related injustices—from a strictly legal paradigm to a new victim groups-oriented paradigm, where addressing and recognizing the suffering caused by the nature of past crimes is central. While these national panels originate from this new paradigm and embody the new venues found for dealing with Nazi-looted art claims, this paradigm change at the same time presents these panels with a predicament. It seems impossible to abandon the legalist paradigm completely when remedying historical injustices in the specific category of cultural objects. Through a comparison between the Dutch and United Kingdom (UK) systems, this article will illustrate from both an institutional and substantive perspective that these panels seem to oscillate between policy-based, morality-driven proceedings (new paradigm) and a legal emphasis on individual ownership issues and restitution in kind (old paradigm). This article addresses this tension in order to provide insights on how we could conceptually approach and understand current restitution cases concerning Nazi-looted art in the Netherlands and the UK.

Handling adaptation policy choices in Sweden, Germany, the UK and the Netherlands

2014 ◽  
Vol 6 (1) ◽  
pp. 9-24 ◽  
Author(s):  
Eric Massey ◽  
Dave Huitema ◽  
Heiko Garrelts ◽  
Kevin Grecksch ◽  
Heleen Mees ◽  
...  
Keyword(s):  
United Kingdom ◽  
The Netherlands ◽  
Conceptual Framework ◽  
Public Policies ◽  
Adaptation Policy ◽  
Policy Choices ◽  
The United Kingdom ◽  
Vague Concept ◽  
State Actors ◽  
The Uk

Attention is increasing in academia towards the governance of adaptation, specifically how state and non-state actors are defining the adaptation ‘problematique’ and crafting public policies to address it. Adaptation is the ‘adjustment in natural or human systems in response to actual or expected climatic stimuli or their effects, which moderates harm or exploits beneficial opportunities’. The challenge for governments is taking this rather vague concept and turning it into viable and implementable public policies. This implies that they have to make choices as to the types of polices to create, the sectors they should cover, ministerial jurisdictions and funding. This article contributes to the discussion on the adaptation governance by presenting a conceptual framework that outlines policy choices governors need to make, by applying this framework to a number of countries, and starting the debate on which choice or choices were particularly instrumental in shaping adaptation policy in particular countries as a whole. It focuses on four countries traditionally seen to be adaptation leaders: Germany, the Netherlands, Sweden and the United Kingdom.

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