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A guide to coastal birds
No full textBrett Westwood is joined by keen bird watcher Stephen Moss on the Devonshire coast. With the help of wildlife sound recordist Chris Watson they offer a practical and entertaining guide to birds that you're most likely to see and hear on Britain's off-shore islands; birds like Common Eider Duck, Puffin, Manx Shearwater and Arctic Tern.
These programmes to help identify many of the birds found around our British coastline in places like sandy beaches, rocky shores, estuaries, sea cliffs and off-shore islands. Not only is there advice on how to recognise the birds from their appearance, but also how to identify them from their calls and song
Mind at the centre of post-war healing process: a Buddhist perspective on the significance of mind for communal healing
No full textEmbedding racialised differences into prescribing: the case of UK hypertension guidelines
No full textIn 2002, US psychiatrist Dr Sally Satel courted controversy by arguing in a New York Times magazine article that physicians should take into account a patient’s race when they prescribed medicine. For many observers, her viewpoint contradicted the long-standing consensus that race was a biologically meaningless form of categorisation, and ignored concerns about the socially sensitive nature of making racialised judgements in healthcare. However, in 2006, the UK’s foremost authority on prescribing practices, the National Institute for Health and Care Excellence (NICE), issued a set of treatment guidelines for hypertension that stipulated a treatment pathway for ‘black patients of African or Caribbean decent’. In 2014, the US Joint Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC) followed suit, over-
turning its 2003 race-blind policy. These developments raise difficult questions, not least for health care systems, policymakers and practitioners. This paper reports
on research investigating the development of the NICE hypertension prescribing guideline, based on documentary analysis and interviews with key UK experts. We consider the discussions that surrounded its development, the types of evidence used to support the guideline, and ideas about its implementation. We analyse the intersections between different knowledge claims (about pharmacological evidence, tacit clinical experience and underlying assumptions about difference) to reflect on how racial categories are ascribed and how uncertainties about ‘mixedness’ are addressed. We will also discuss the implications of such
guidance for evidence-based clinical practice and for policy debates about inclusion and equality
A review of the current status of measurement of the impact of adolescent chronic pain
No full textChronic pain has widespread deleterious effect on the lives of adolescents and their parents, affecting physical, psychological social and familial functioning. Measurement of these effects is an important clinical and scientific starting point for both research and clinical practice. This study reports on two reviews of existing measures for adolescents with chronic pain and their parents, in addition to the development and use of two multidimensional measures designed for use with these particular populations. Separate systematic literature searches were conducted to identify measures used specifically to assess functioning of adolescents with chronic pain and their parents. The adolescent review identified a total of 43 measures used with adolescents, whilst the parent review identified a total of 68 measures used with parents of adolescents with chronic pain. Further examination revealed a dearth of measures designed specifically for adolescents with chronic pain (n=12) and their parents (n=7), in addition to sporadic psychometric evaluation in these populations. As a result of the findings of these systematic measurement reviews, two multidimensional measures were developed for use specifically with adolescents with chronic pain (Bath Adolescent Pain Questionnaire; BAPQ) and their parents (Bath Adolescent Pain – Parental Impact Questionnaire). Evaluation of the BAPQ and BAP-PIQ in populations comprising adolescents with chronic pain and parents of adolescents with chronic pain, respectively, revealed psychometrically robust, multidimensional assessment tools. This study reports in detail on these completed measures with regard to guidelines for usage, use of normative data, critique of their strengths and weaknesses and discussion of how these measures can enhance assessment in a clinical setting. This study was grant supported by the BUPA Foundation and the Health Foundation