scholarly journals Radon concentrations in abandoned mines, Cumbria, UK: safety implications for industrial archaeologists

2011 ◽  
Vol 11 (5) ◽  
pp. 1311-1318 ◽  
Author(s):  
G. Gillmore ◽  
H. Alizadeh Gharib ◽  
A. Denman ◽  
P. Phillips ◽  
D. Bridge
Keyword(s):  
Geographical Area ◽  
Abandoned Mines ◽  
Fracture Zones ◽  
Radon Exposure ◽  
Management Scheme ◽  
Mining History ◽  
Risk Of Exposure ◽  
The Uk ◽  
Copper Ores ◽  
Radon Risk

Abstract. This paper presents a number of surveys performed in a geographical area of the UK, part of which until recently was considered low radon risk. The Cumbrian region was identified by the Building Research Establishment (BRE) in its 1999 guide as an area without a significant radon problem in the built environment. The geology of the region, which includes the Northern Pennine Orefield is varied, but consists of granites, andesites, tuffs, carbonates, sandstones and shales. Mineralisation has taken place (mostly lead and copper ores) primarily along fault and fracture zones, one example being Copper Valley, northwest of Coniston village. This work quantifies the risk of exposure to radon in a number of abandoned mine environments. High radon levels, up to 28 589 Bq m−3, have been measured in parts of one mine. This study demonstrates that industrial archaeologists (such as the Cumbrian Amenity Trust Mining History Society or CATMHS members) and explorers of abandoned mines can be at risk from radon exposure and it proposes a management scheme to allow industrial archaeologists to continue exploration whilst minimising the risk to health from radon.

scholarly journals Seroprevalence and Risk Factors for Exposure to Equine Coronavirus in Apparently Healthy Horses in Israel

Animals ◽  
2021 ◽  
Vol 11 (3) ◽  
pp. 894
Author(s):  
Gili Schvartz ◽  
Sharon Tirosh-Levy ◽  
Samantha Barnum ◽  
Dan David ◽  
Asaf Sol ◽  
...  
Keyword(s):  
Geographical Area ◽  
Enzyme Linked Immunosorbent Assay ◽  
Risk Of Infection ◽  
Multivariable Model ◽  
The Usa ◽  
Sporadic Cases ◽  
Risk Of Exposure ◽  
The Uk ◽  
Healthy Carriers ◽  
Apparently Healthy

Equine coronavirus (ECoV) infection is the cause of an emerging enteric disease of adult horses. Outbreaks have been reported in the USA, EU and Japan, as well as sporadic cases in the UK and Saudi Arabia. Infection of ECoV in horses in Israel has never been reported, and the risk of exposure is unknown. Importation and exportation of horses from and into Israel may have increased the exposure of horses in Israel to ECoV. While the disease is mostly self-limiting, with or without supportive treatment, severe complications may occur in some animals, and healthy carriers may pose a risk of infection to other horses. This study was set to evaluate the risk of exposure to ECoV of horses in Israel by using a previously validated, S1-based enzyme-linked immunosorbent assay (ELISA). A total of 41 out of 333 horses (12.3%) were seropositive. Exposure to ECoV was detected in 17 of 29 farms (58.6%) and the seroprevalence varied between 0 and 37.5% amongst farms. The only factor found to be significantly associated with ECoV exposure in the multivariable model was the geographical area (p < 0.001). ECoV should be included in the differential diagnosis list of pathogens in cases of adult horses with anorexia, lethargy, fever and gastrointestinal signs in Israel.

scholarly journals Protocol for a qualitative study to identify strategies to optimise hospital ePrescribing systems

BMJ Open ◽  
2021 ◽  
Vol 11 (1) ◽  
pp. e044622
Author(s):  
Catherine Heeney ◽  
Stephen Malden ◽  
Aziz Sheikh
Keyword(s):  
Qualitative Interviews ◽  
Geographical Area ◽  
Health Resources ◽  
Round Table ◽  
Developed Countries ◽  
Care Quality ◽  
Electronic Prescribing ◽  
Study Results ◽  
Electronic Health ◽  
The Uk

IntroductionElectronic prescribing (ePrescribing) is a key area of development and investment in the UK and across the developed world. ePrescribing is widely understood as a vehicle for tackling medication-related safety concerns, improving care quality and making more efficient use of health resources. Nevertheless, implementation of an electronic health record does not itself ensure benefits for prescribing are maximised. We examine the process of optimisation of ePrescribing systems using case studies to provide policy recommendations based on the experiences of digitally mature hospital sites.Methods and analysisQualitative interviews within six digitally mature sites will be carried out. The aim is to capture successful optimisation of electronic prescribing (ePrescribing) in particular health systems and hospitals. We have identified hospital sites in the UK and in three other developed countries. We used a combination of literature reviews and advice from experts at Optimising ePrescribing in Hospitals (eP Opt) Project round-table events. Sites were purposively selected based on geographical area, innovative work in ePrescribing/electronic health (eHealth) and potential transferability of practices to the UK setting. Interviews will be recorded and transcribed and transcripts coded thematically using NVivo software. Relevant policy and governance documents will be analysed, where available. Planned site visits were suspended due to the COVID-19 pandemic.Ethics and disseminationThe Usher Research Ethics Group granted approval for this study. Results will be disseminated via peer-reviewed journals in medical informatics and expert round-table events, lay member meetings and the ePrescribing Toolkit (http://www.eprescribingtoolkit.com/)—an online resource supporting National Health Service (NHS) hospitals through the ePrescribing process.

Searching for the true attrition rate of UK paediatric trainees

2021 ◽  
pp. archdischild-2020-321415
Author(s):  
Melody Grace Redman ◽  
Davide Carzedda ◽  
Nicola Jay ◽  
Simon J Clark ◽  
Marie Rogers
Keyword(s):  
Geographical Area ◽  
Workforce Planning ◽  
Training Programme ◽  
Attrition Rate ◽  
Freedom Of Information ◽  
Evidence Based ◽  
Record Keeping ◽  
Retrospective Data Analysis ◽  
Level Of Training ◽  
The Uk

ObjectiveTo quantitatively analyse the number of doctors leaving the paediatric specialty training (ST) programme in the UK, to assist with evidence-based workforce planning.DesignData were sought on those leaving the UK paediatrics training programme between 2014 and 2019 from Heads of Schools of Paediatrics and Freedom of Information Act requests.SettingRetrospective data analysis.Outcome measuresOverall attrition rate, attrition rate across level of training, attrition rate across geographical area, recorded reason for leaving.ResultsAll results must be interpreted with caution due to limitations in record keeping and analysis. The annual attrition rate across all ST levels between 2014 and 2019 is estimated at 3.7%–4.2% (ie, 749–845 trainees may have left the paediatric training programme over 2014–2019). No reason for leaving was recorded for three-quarters of individuals, around 630 doctors. Of those leaving paediatrics, significantly more (χ², p=0.015) did so at ST3 (20.3%) versus the next highest training year, ST2 (13.6%).ConclusionsThis project seems to demonstrate worryingly poor record-keeping of the true attrition rate of paediatric trainees by organisations responsible for workforce planning, including Health Education England, the Royal College of Paediatrics and Child Health and individual paediatric schools across the UK. To allow evidence-based workforce planning for the benefit of UK children, it is vital that accurate records on trainees who leave the training programme are kept and shared across the UK.

The spatiality of men who go missing on a night out

2019 ◽  
Vol 9 (2) ◽  
pp. 153-166
Author(s):  
Geoff Newiss ◽  
Ian Greatbatch
Keyword(s):  
Rural Areas ◽  
Geographical Area ◽  
Personal Characteristics ◽  
Search Strategies ◽  
Night Time ◽  
Content Type ◽  
Search Heuristics ◽  
The Individual ◽  
The Uk ◽  
Almost All

Purpose The purpose of this paper is to quantify the risk of fatality for men who are reported missing following a night out. Additionally, the paper aimed to develop search heuristics to inform the development of search strategies, through an examination of the key geographical points involved in these cases. Design/methodology/approach Cases were identified, and data collected, from online media sources supplemented with a request to UK police forces and a search of the UK Missing Persons Unit database. In total, 96 cases which occurred over a five-and-a-half-year period in the UK were included. The study compares the profile of fatalities that result from disappearances occurring in different types of geographical area. Location data were georeferenced allowing Euclidean distances between geographical locations to be generated. Findings In total, 60 per cent of disappearances lasting longer than 48 h resulted in fatality, rising to almost all cases after three days missing. In 89 per cent of cases bodies are recovered from water; 11 per cent on land after the individual died from a fall, hypothermia or a drugs overdose. Practical implications Search strategies can be informed by a consideration of the type of area the person was socialising (high night-time economy through to rural areas) and the geography of subsequent sightings. Originality/value In focusing on the specific circumstances of a disappearance rather than an individual’s personal characteristics, the paper offers an innovative approach to understanding risk (i.e. what is the likelihood of a particular outcome occurring) and the development of heuristics for search strategies in missing person cases.

scholarly journals Comparisons of Costs between Black Caribbean and White British Patients with Advanced Multiple Sclerosis in the UK

2014 ◽  
Vol 2014 ◽  
pp. 1-12
Author(s):  
Wayne Smith ◽  
Paul McCrone ◽  
Cassie Goddard ◽  
Wei Gao ◽  
Rachel Burman ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
Ethnic Groups ◽  
Service Use ◽  
Unit Cost ◽  
Geographical Area ◽  
Population Based ◽  
Cross Sectional ◽  
Black Caribbean ◽  
Significant Difference ◽  
The Uk

Background. Multiple sclerosis (MS) is now more common among black and minority ethnic groups in the UK but little is known about the costs of care amongst different ethnic groups.Objective. This study examined and compared service use and costs for people severely affected with MS from Black Caribbean (BC) and White British (WB) backgrounds in the UK and identified predictors of cost for both groups.Method. Population-based cross-sectional study of 43 BC and 43 WB patients with MS (EDSS ≥ 6) and their informal caregivers recruited from an MS service in southeast London. Interviews collected data on health and social service use and informal care support. Costs were calculated using UK unit cost data. Using regression analyses we compared costs between the ethnic groups and identified possible predictors of cost.Results. The mean (SD) costs for the WB and BC groups were£25,778 (£39,387) and£23,186 (£30,433), respectively. Results identified no significant difference in total cost between the two ethnic groups. The EDSS score alone was a significant predictor of cost.Conclusion. Similar costs between ethnic groups indicate that with regard to this MS service and geographical area, access to care was not affected by ethnicity.

‘Maybe a Maverick, Maybe a Parent, but Definitely Not an Honorary Nurse’: Social Worker Perspectives on the Role and Nature of Social Work in Mental Health Care

2020 ◽  
Author(s):  
Laura Tucker ◽  
Martin Webber
Keyword(s):  
Mental Health ◽  
Social Work ◽  
Mental Health Services ◽  
Health Service ◽  
Health Services ◽  
Social Workers ◽  
Geographical Area ◽  
Health Service Delivery ◽  
Structured Interviews ◽  
The Uk

Abstract In many places in the UK, social work is integral to mental health service delivery. Significant role erosion, however, has left the profession unclear about where it fits within modern mental health services. The 2016 Social Work for Better Mental Health initiative outlines five key mental health roles and has been adopted into national policy in England to combat this uncertainty, but the influence of this has not been explored. This study aimed to develop an understanding of how mental health social workers perceive and explain their role. Semi-structured interviews were undertaken with seven social workers based within one English National Health Service mental health trust covering a large geographical area and their responses analysed using Ritchie, Spencer and O’Connor’s Framework thematic model. Findings indicated that social workers only superficially engaged with the aspirational policy roles, instead presenting their own framework for what makes mental health social work distinctive. This was constructed around the context and intentions of practice, rather than around proscribed tasks and responsibilities. This study has significance for individual social workers and for organisations providing and planning mental health services in the UK and beyond, given the influence that practitioner perceptions can have on how they undertake their roles.

scholarly journals A Digital-Twin Evaluation of Net Zero Energy Building for Existing Buildings

2018 ◽  
Vol 11 (1) ◽  
pp. 159 ◽  
Author(s):  
Sakdirat Kaewunruen ◽  
Panrawee Rungskunroch ◽  
Joshua Welsh
Keyword(s):  
Energy Demand ◽  
Fossil Fuels ◽  
Geographical Area ◽  
Existing Buildings ◽  
Zero Energy ◽  
Existing Building ◽  
Digital Twin ◽  
Net Zero Energy ◽  
Net Zero ◽  
The Uk

With buildings around the world accounting for nearly one-third of global energy demand and the availability of fossil fuels constantly on the decline, there is a need to ensure that this energy demand is efficiently and effectively managed using renewable energy now more than ever. Most research and case studies have focused on energy efficiency of ‘new’ buildings. In this study, both technical and financial viability of Net Zero Energy Buildings (NZEB) for ‘existing’ buildings will be highlighted. A rigorous review of open literatures concerning seven principal areas that in themselves define the concept of NZEB building is carried out. In practice, a suitable option of the NZEB solutions is needed for the evaluation and improvement for a specific geographical area. The evaluation and improvement has been carried out using a novel hierarchy-flow chart coupled with a Building Information Model (BIM). This BIM or digital twin is then used to thoroughly visualize each option, promote collaboration among stakeholders, and accurately estimate associated costs and associated technical issues encountered with producing an NZEB in a pre-determined location. This paper also provides a future model for NZEB applications in existing buildings, which applies renewable technologies to the building by aiming to identify ultimate benefit of the building especially in terms of effectiveness and efficiency in energy consumption. It is revealed that the digital twin is proven to be feasible for all renewable technologies applied on the NZEB buildings. Based on the case study in the UK, it can be affirmed that the suitable NZEB solution for an existing building can achieve the 23 year return period.

scholarly journals A local dental network approach to COVID-19 pandemic: innovation through collaboration

2020 ◽  
pp. 205016842098097
Author(s):  
Simon Hearnshaw ◽  
Stefan Serban ◽  
Imran Suida ◽  
Mohammed Ajmal Zubair ◽  
Deksha Jaswal ◽  
...  
Keyword(s):  
Geographical Area ◽  
Critical Evaluation ◽  
Integrated Network ◽  
Policy Makers ◽  
Care Services ◽  
Large Geographical Area ◽  
Urgent Patient ◽  
Collaborative Structures ◽  
Set Up ◽  
The Uk

The coronavirus pandemic has had significant effects on individuals, healthcare systems and governments. In the UK, whilst routine dentistry was suspended, an urgent dental care system was required to support urgent patient need. Using an adapted model of Donabedians’ framework, a critical evaluation of the services developed and implemented is provided and the various innovative approaches involved in this work are discussed. The three domains of the framework are structure, process and outcome. Structure: We present the principles for selecting and initiating hubs, the integration with secondary care services and the supply of personal protective equipment. Process: The main elements are communication, the development of referral processes to manage complex cases and data collection. Outcome: Through work with local dental stakeholders, 23 clusters and 36 hubs were set up covering a large geographical area. The integrated network of hubs and clusters has strengthened collaboration between providers and policy makers. Various leadership approaches facilitated the readiness for the transition to recovery. The new local collaborative structures could be used to support local programmes such as flexible commissioning, peer-led learning and integration with primary care networks.

Single nucleotide variation in rDNA ITS-2 differentiates Psoroptes isolates from sheep and rabbits from the same geographical area

Parasitology ◽  
1999 ◽  
Vol 119 (4) ◽  
pp. 419-424 ◽  
Author(s):  
H. OCHS ◽  
A. MATHIS ◽  
P. DEPLAZES
Keyword(s):  
Geographical Area ◽  
Nucleotide Position ◽  
Red Foxes ◽  
Field Isolates ◽  
Rdna Its ◽  
Geographical Regions ◽  
Significant Difference ◽  
Domestic Rabbits ◽  
Second Internal Transcribed Spacer ◽  
The Uk

Psoroptic sheep scab and psoroptic otoacariasis of domestic rabbits occur in the same geographical regions of Switzerland. To address the question as to whether Psoroptes mites are naturally transmitted between sheep and rabbits, we determined the sequences of the rDNA second internal transcribed spacer (ITS-2) from psoroptic mites from sheep (5 field isolates from Switzerland and 2 laboratory isolates from Ireland and the UK) and from rabbits (8 field isolates from Switzerland). The ITS-2 sequences for all Psoroptes mites originating from sheep were identical and differed at 1 nucleotide position from all the sequences of the rabbit-derived isolates. A statistically significant difference between a rabbit-derived isolate and isolates originating from sheep was also obtained by morphometric analysis of the lengths of the outer opisthosomal setae. For comparative purposes, the ITS-2 sequences from Chorioptes and Sarcoptes collected in Switzerland were also determined. No intraspecies variation was found in 6 sarcoptic isolates from red foxes, with a sequence identity of 41% as compared to Psoroptes. The ITS-2 sequences of 3 chorioptic isolates differed by 24–29% from the Psoroptes sequence. Identical sequences were found for the Chorioptes isolates from sheep and a camel, which differed by 18% from the sequence of an isolate from a cow. These genetic data of psoroptic mites originating from sheep and rabbits from the same geographical area suggest the existence of epidemiologically separated populations.

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