scholarly journals On Nurses, Mental Health & Caring for the Carers

2020 ◽  
Vol 13 (3) ◽  
Author(s):  
Pardina Samson-Fessale
Keyword(s):  
Healthcare Workers ◽  
Healthcare Systems ◽  
Daily Basis ◽  
Allied Health Professionals ◽  
The Public ◽  
Increased Risk ◽  
Personal Experiences ◽  
The Many ◽  
The Uk

The COVID-19 pandemic has stretched the resources of healthcare systems across the world, as professionals work to treat the public with the scant evidence available. This has resulted in the loss of many essential workers' lives, with the loss of over 119 healthcare workers' lives in the UK as of April of this year. Adding the loss of colleagues to the many difficulties associated with working in healthcare, and the increased risk to their lives and the lives of their loved ones will undoubtedly compound the burnout already felt by nurses on a daily basis The author uses her own personal experiences to explore the themes brought up in current research, as well as looking at suggestions of how to support nurses and allied health professionals both in the immediacy and in the long term.

Archaeologists and the Dead

2016 ◽  
Keyword(s):  
Historical Context ◽  
Ethical Considerations ◽  
International Context ◽  
The Public ◽  
The Us ◽  
The Dead ◽  
The Many ◽  
The Uk ◽  
The Relationship ◽  
Experience Effect

This volume addresses the relationship between archaeologists and the dead, through the many dimensions of their relationships: in the field (through practical and legal issues), in the lab (through their analysis and interpretation), and in their written, visual and exhibitionary practice--disseminated to a variety of academic and public audiences. Written from a variety of perspectives, its authors address the experience, effect, ethical considerations, and cultural politics of working with mortuary archaeology. Whilst some papers reflect institutional or organizational approaches, others are more personal in their view: creating exciting and frank insights into contemporary issues that have hitherto often remained "unspoken" among the discipline. Reframing funerary archaeologists as "death-workers" of a kind, the contributors reflect on their own experience to provide both guidance and inspiration to future practitioners, arguing strongly that we have a central role to play in engaging the public with themes of mortality and commemoration, through the lens of the past. Spurred by the recent debates in the UK, papers from Scandinavia, Austria, Italy, the US, and the mid-Atlantic, frame these issues within a much wider international context that highlights the importance of cultural and historical context in which this work takes place.

Chronic post-amputation pain & blast injury: An analysis of British First World War Veterans’ pension records, 1914-85

2021 ◽  
Author(s):  
Sarah Dixon Smith ◽  
David Henson ◽  
George Hay ◽  
Andrew S.C. Rice
Keyword(s):  
Blast Injury ◽  
First World War ◽  
World War ◽  
The Public ◽  
The First World War ◽  
Future Care ◽  
Medical Teams ◽  
The Uk ◽  
First World

LAY SUMMARY The First World War created the largest group of amputees in history. There were over 41,000 amputee Veterans in the UK alone. Recent studies estimate that over two thirds of amputees will suffer long-term pain because of their injuries. Medical files for the First World War have recently been released to the public. Despite the century between the First World War and the recent Afghanistan conflict, treatments for injured soldiers and the most common types of injuries have not changed much. A team of historians, doctors, and amputee Veterans have collaborated to investigate what happened next for soldiers injured in the war and how their wounds affected their postwar lives, and hope that looking back at the First World War and seeing which treatments worked and what happened to the amputees as they got older (e.g., if having an amputation put them at risk of other illnesses or injuries) can assist today’s Veterans and medical teams in planning for their future care.

scholarly journals Economic cost of congenital CMV in the UK

2018 ◽  
Vol 104 (6) ◽  
pp. 559-563 ◽  
Author(s):  
Jenny Retzler ◽  
Nick Hex ◽  
Chris Bartlett ◽  
Anne Webb ◽  
Sharon Wood ◽  
...  
Keyword(s):  
Public Sector ◽  
Vaccine Development ◽  
Cost Model ◽  
Financial Burden ◽  
Secondary Data ◽  
Economic Cost ◽  
Future Research ◽  
The Public ◽  
The Uk

ObjectiveCongenital cytomegalovirus (cCMV) is the most common infectious cause of congenital disability. It can disrupt neurodevelopment, causing lifelong impairments including sensorineural hearing loss and developmental delay. This study aimed, for the first time, to estimate the annual economic burden of managing cCMV and its sequelae in the UK.DesignThe study collated available secondary data to develop a static cost model.SettingThe model aimed to estimate costs of cCMV in the UK for the year 2016.PatientsIndividuals of all ages with cCMV.Main outcome measuresDirect (incurred by the public sector) and indirect (incurred personally or by society) costs associated with management of cCMV and its sequelae.ResultsThe model estimated that the total cost of cCMV to the UK in 2016 was £732 million (lower and upper estimates were between £495 and £942 million). Approximately 40% of the costs were directly incurred by the public sector, with the remaining 60% being indirect costs, including lost productivity. Long-term impairments caused by the virus had a higher financial burden than the acute management of cCMV.ConclusionsThe cost of cCMV is substantial, predominantly stemming from long-term impairments. Costs should be compared against investment in educational strategies and vaccine development programmes that aim to prevent virus transmission, as well as the value of introducing universal screening for cCMV to both increase detection of children who would benefit from treatment, and to build a more robust evidence base for future research.

Afghan aid flows will resume, bypassing the Taliban

2021 ◽  
Keyword(s):  
Public Sector ◽  
Healthcare Workers ◽  
Economic Impacts ◽  
Female Employment ◽  
Service Members ◽  
Content Type ◽  
The Public ◽  
Security Service ◽  
Wage Payment

Significance The Taliban government has allowed UN agencies to start paying salaries directly to teachers and healthcare workers. It initially stalled on this, but has now conceded for fear of losing legitimacy if it fails to address the looming crisis. Impacts Western concerns about reprisal killings of former security service members will further complicate relations with the Taliban. The public-sector wage payment scheme established by UN agencies may become the norm for many years. Taliban restrictions on female employment will have long-term economic impacts but will fall down the list of Western priority concerns.

Postscript: starting oral contraceptives (25 May, page 41)

1992 ◽  
Vol 30 (14) ◽  
pp. 56.1-56
Keyword(s):  
Breast Cancer ◽  
Oral Contraceptives ◽  
Contraceptive Use ◽  
Causal Relation ◽  
Case Control ◽  
Term Pregnancy ◽  
Oral Contraceptive Use ◽  
Increased Risk ◽  
The Uk

In our article on oral contraceptives (OCs) we state that ‘oral contraceptives increase the risk of breast cancer with long-term use but reduce the risk of endometrial and ovarian cancer’. Some commentators have questioned the breast cancer risk. The UK National Case-Control (UKNCC) study, which looked at oral contraceptive use in women with breast cancer diagnosed before age 36, found a trend for increased risk associated with duration of use.1 ‘The simplest and most plausible explanation’, say the authors of the study, ‘must be that there is a substantial causal relation between prolonged use and breast cancer in young women.’ The increased risk seems to be associated particularly with OC use before the first full-term pregnancy.2 Several studies found no excess risk in OC users aged 45 or over, few of whom had taken the pill before their first pregnancy.3–5 In the UKNCC study the relative risk of breast cancer was 1.43 after 4–8 years’ use and 1.74 after more than 8 years’ use. In broad terms this means that three women in 1000 who use oral contraceptives for 4 or more years might be expected to be under treatment for breast cancer by age 36, compared with two per 1000 non-users.

‘What a skewed sense of values’: Discussing PreP in the British press

Sexualities ◽  
2019 ◽  
Vol 23 (8) ◽  
pp. 1343-1361 ◽  
Author(s):  
Sharif Mowlabocus
Keyword(s):  
Critical Discourse Analysis ◽  
Gay Men ◽  
Male Body ◽  
The Public ◽  
Moral Conduct ◽  
British Press ◽  
Wonder Drug ◽  
The Uk ◽  
Exposure Prophylaxis

In this article I examine the public discussion of pre-exposure prophylaxis (PrEP) in the UK and investigate how this treatment and its key beneficiaries were framed by the British press between 2012 and 2016. Drawing upon an archive of articles published in national newspapers, I identify the discursive transformation that PrEP underwent during this period, as it moved from being a ‘wonder drug’ that benefited the health of the general population, to a ‘promiscuity pill’ that threatened the lives of the most vulnerable. I illustrate how this transformation was accompanied by a shift in the representation of gay men – who were almost universally positioned as the future beneficiaries of PrEP in the UK. Utilizing critical discourse analysis methods, I explore how gay men went from being ‘upstanding citizens’ to ‘dangerous outsiders’, and how the British press mapped older stereotypes of the diseased gay male body onto newer homonormative representations of the ‘good gay’ and the ‘evil queer’. This analysis reveals the precarious status gay men occupy in ‘post-equalities’ Britain – a status that requires adherence to a particular code of sexual and moral conduct, and the disavowal of long-term health inequalities.

The public face of interest group lobbying on immigration: Who responds to and who ignores what they say

2020 ◽  
Vol 30 (5) ◽  
pp. 543-556
Author(s):  
Michael J Donnelly ◽  
Md Mujahedul Islam ◽  
Justin Savoie
Keyword(s):  
Public Policy ◽  
Interest Group ◽  
Immigration Policy ◽  
Survey Experiment ◽  
Demographic Groups ◽  
The Public ◽  
Public Unions ◽  
The Uk ◽  
Group Environments

A main avenue for influencing public policy available to unions and business is public opinion campaigning. As groups with substantial credibility in the minds of the public, unions and employers have the potential to move immigration attitudes and, thereby, have a long-term indirect influence on immigration policy. The article asks, first, who is (not) convinced by arguments from business or labour leaders and second, what messages are most convincing. We present the results of a survey experiment in three very different immigration regimes and interest group environments (Canada, the UK and Germany). The results suggest that the net effects of public arguments are small, but vary widely across demographic groups.

Metrics, Targets and Performance

2006 ◽  
Vol 197 ◽  
pp. 80-92 ◽  
Author(s):  
Philip Andrew Stevens ◽  
Lucy Stokes ◽  
Mary O'Mahony
Keyword(s):  
Public Sector ◽  
Performance Management ◽  
Performance Indicators ◽  
Acute Hospital ◽  
Performance Management System ◽  
The Public ◽  
Productivity Measure ◽  
And Performance ◽  
The Uk

The setting and use of targets in the public sector has generated a growing amount of interest in the UK. This has occurred at a time when more analysts and policymakers are grasping the nettle of measuring performance in and of the public sector. We outline a typology of performance indicators and a set of desiderata. We compare the outcome of a performance management system — star ratings for acute hospital trusts in England — with a productivity measure analogous to those used in the analysis of the private sector. We find that the two are almost entirely unrelated. Although this may be the case for entirely proper reasons, it does raise questions as to the appropriateness of such indicators of performance, particularly over the long term.

Proton pump inhibitors and upper gastrointestinal cancers

2019 ◽  
Vol 12 (9) ◽  
pp. 526-530
Author(s):  
Monica Kumar
Keyword(s):  
Gastric Cancer ◽  
General Practice ◽  
Proton Pump Inhibitors ◽  
Proton Pump ◽  
Cost Effective ◽  
Gastrointestinal Cancers ◽  
Increased Risk ◽  
The Uk ◽  
Upper Gastrointestinal

Proton pump inhibitors (PPIs) were introduced in the 1980s. They are now one of the most commonly prescribed drugs in general practice. They are cost-effective when used correctly; however, PPIs are often used beyond accepted clinical indications. Recent published studies performed outside the UK have suggested that adverse effects are associated with long-term use of PPIs; in particular, an increased risk of gastric cancer. This article will aim to systematically assess the evidence and discuss its application to our clinical practice.

Corporate reputation, trait covariation and the averaging principle ‐ The case of the UK pensions mis‐selling scandal

2001 ◽  
Vol 35 (3/4) ◽  
pp. 387-413 ◽  
Author(s):  
Roger Bennett ◽  
Helen Gabriel
Keyword(s):  
Media Coverage ◽  
Empirical Investigation ◽  
Bad News ◽  
Insurance Companies ◽  
Averaging Principle ◽  
Media Criticism ◽  
The Public ◽  
The Uk ◽  
A Company

Presents the results of an empirical investigation into whether the attribution by members of the public of an unfavourable reputational trait (e.g. dishonesty) to a company covaries with other traits ascribed to the same enterprise. Additionally it examines whether people aggregate successive pieces of unfavourable information received about a business to form a continuously worsening impression of it; or whether they mentally average bad news, so that successive adverse items can actually improve the overall impression – provided the later messages are not as damaging as the earlier ones. The study is based on the UK pensions mis‐selling scandal, which generated severe, long‐term media criticism of the large UK insurance companies. Hence it analyses a unique reputational management situation in that the firms involved are subject to continuous and intense scrutiny, protracted and hostile media coverage, periodic public censure by regulatory authorities, and interference in day‐to‐day management by government agencies. The proposition that pensions are an “avoidance product” is also explored.

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