89 research outputs found

    The identification of the careers of mentally disordered offenders using cluster analysis in a complex realist framework

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    Custody diversion teams were introduced in order to divert mentally disordered offenders away from the criminal justice system and custody because of concerns about the growing prevalence of psychiatric disorder in prison populations. This research explores the impact of one such team on the psychiatric and criminal careers of people referred to it. The framework provided by a complex realist approach, along with the technique cluster analysis, were used to identify and map the different institutional careers experienced by people referred to the Cleveland Diversion Team and the different paths their careers took as a consequence of the team's actions. Five different types of career were identified. Careers One and Two describe experiences of criminalisation - violent offenders with no psychiatric history who were referred, assessed and diagnosed but had no health or social care needs identified and were not referred again. Careers Three and Four describe experiences of criminalisation - violent offenders with a psychiatric history half of whom (Career Three) were referred, assessed and diagnosed, had health or social care needs identified and were not referred again; the remainder (Career Four) were not assessed or diagnosed, nor did they have needs identified and consequently all were re-referred repeatedly. Career Five represents neither medicalisation or criminalisation - individuals referred for information and for whom little else is known. The implications of these findings include re-focusing the diversion service on Careers Three and Four. This would avoid stigmatising Careers One and Two and achieve positive outcomes by assessing and meeting the needs of all those in Careers Three and Four. In addition there is the promising application of this methodology elsewhere in other research which involves the analysis of large and complex datasets describing social processes

    Sounds Local, 1993 July 16

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    Interview with steering committee members Michael Titterton and Ren Brown (Reynolds Brown), and others, about the Arts Council of the Lower Cape Fear’s new cultural action plan to change their mission to be more service driven rather than program oriented; Interview with newly local author and bartender Chris Scott, son of actor Randolph Scott, at Oak Island, North Carolina about moving from California and his writing; Interview with artist and bartender Bryan Ashley Jacobs on opening his one-man show called The Life of Bernie at the Well-Informed on Front Street; Overview of upcoming events on the cultural calendar

    Steering Taste: Ernest Marsh, a study of private collecting in England in the early 20th Century

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    The primary aim of this thesis is to focus attention on the bourgeois, 'un-named' collector. The driving force behind most museum and art gallery collections of the Victorian and Edwardian period. British museum and art gallery records of gifted collections, bequests and loans usually note their donors. However, with a few notable exceptions, little is known about the collectors, their activities and motivation in making such presentations. Using the interests and activities of the Quaker miller and collector Ernest Marsh (1843-1945) as a case study, this thesis explores how in the period 1890-1945 a collector came to be a key agent in the construction and manifestation of taste in British Applied Arts and to a lesser degree in the Fine Arts. Through primary visual and documentary evidence of the Marsh home, and reference to contemporary and later commentaries it considers the relative influences of husband and wife on decorating and furnishing the domestic interior, the evolution of taste, and, for Ernest Marsh, its impact upon his artistic interests within the public arena. By examination of private papers, metropolitan and provincial art gallery and museum archives it also considers evidence of the inter-relationships between donors and curators, and the mutual advantages and disadvantages accruing to both, particularly focussing on the processes in bringing about changes in individual and institutional collecting policy. Further, by review of records of, in particular, the Contemporary Art Society and the Greenslade archive, it examines the degree to which private benefactors and those in public or semi-public office, acting as fund-raisers and spenders exercise influence through patronage of particular practitioners, choice of works and initiating new designs

    Sustainability and UK food policy 2000-2011

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    A report on food, farming, sustainable consumption and production.Publisher PD

    Primary total hip replacement: variations in patient management in Oxford & Anglia, Trent, Yorkshire & Northern 'regions'.

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    OBJECTIVES: To examine national practice, and variations in practice, concerning total hip replacement; in particular the choice of prosthesis and the involvement of consultants in NHS operations. DESIGN: Pre-operative survey of patients undergoing total hip replacement. SETTING: Five English regions serving combined population of 16.8 million people. SUBJECTS: 13,343 total hip replacement operations in one year commencing September 1996, either in NHS or private sector. MAIN OUTCOME MEASURES: Prosthesis used for surgery, status of surgeons involved in operation, use of laminar flow operating theatre. RESULTS: Prostheses without well documented 5-year survival were used in 5504 (58%) of 9417 operations for which information was available. The consultant was the operator in 4810 (64%) of 7499 NHS operations. In 1352 trainee-led operations, the consultant was present for only 637 (47%); this figure was 54% for trainees in years 1-4 of their training. Substantial variation between NHS consultant firms occurred both for use of prostheses with well documented survival data, and supervision of trainees by the consultant. CONCLUSIONS: This large study is the first attempt to describe national practice for primary total hip replacement. Substantial variation among consultant firms was observed for all indices of practice reported

    Risk factors for asthma and allergy associated with urban migration: background and methodology of a cross-sectional study in Afro-Ecuadorian school children in Northeastern Ecuador (Esmeraldas-SCAALA Study).

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    BACKGROUND: Asthma and allergic diseases are becoming increasingly frequent in children in urban centres of Latin America although the prevalence of allergic disease is still low in rural areas. Understanding better why the prevalence of asthma is greater in urban migrant populations and the role of risk factors such as life style and environmental exposures, may be key to understand what is behind this trend. METHODS/DESIGN: The Esmeraldas-SCAALA (Social Changes, Asthma and Allergy in Latin America) study consists of cross-sectional and nested case-control studies of school children in rural and urban areas of Esmeraldas Province in Ecuador. The cross-sectional study will investigate risk factors for atopy and allergic disease in rural and migrant urban Afro-Ecuadorian school children and the nested case-control study will examine environmental, biologic and social risk factors for asthma among asthma cases and non-asthmatic controls from the cross-sectional study. Data will be collected through standardised questionnaires, skin prick testing to relevant aeroallergen extracts, stool examinations for parasites, blood sampling (for measurement of IgE, interleukins and other immunological parameters), anthropometric measurements for assessment of nutritional status, exercise testing for assessment of exercise-induced bronchospasm and dust sampling for measurement of household endotoxin and allergen levels. DISCUSSION: The information will be used to identify the factors associated with an increased risk of asthma and allergies in migrant and urbanizing populations, to improve the understanding of the causes of the increase in asthma prevalence and to identify potentially modifiable factors to inform the design of prevention programmes to reduce the risk of allergy in urban populations in Latin America

    The Conservative Party and the form of the National Health Service, 1964 - 1979

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    This thesis was submitted for the degree of Doctor of Philosophy and awarded by Brunel University, 16/05/2002.This thesis focuses on the development of the Conservative Party's policy in respect of the form of the National Health Service in England between the general elections of 1964 and 1979. By form is meant the basic principles of the Service and the organisational arrangements (structure, management processes and financing) made to give effect to those principles. After an account of the form of the NHS in 1964, the thesis documents the development of Conservative Party policy on those aspects of form to which attention was given between 1964 and 1979. In doing so, it draws extensively on primary material, much of which (especially that relating to the Party's periods in Opposition) has not, as far as the author can discover, been brought together previously in an historical study. By examining this material in its appropriate context, it is hoped that the thesis makes intelligible a passage of history quite tightly circumscribed both in terms of subject and period. Insofar as an overall theme might be said to emerge, it is of a Party committed to the idea of a comprehensive health service, uncomfortable with the consequences of aspects of the form enacted in 1946 but, conscious of the popularity of the NHS, cautious about making radical changes

    Sedentary Behavior Research Network (SBRN) - Terminology Consensus Project process and outcome

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    Background: The prominence of sedentary behavior research in health science has grown rapidly. With this growth there is increasing urgency for clear, common and accepted terminology and definitions. Such standardization is difficult to achieve, especially across multi-disciplinary researchers, practitioners, and industries. The Sedentary Behavior Research Network (SBRN) undertook a Terminology Consensus Project to address this need. Method: First, a literature review was completed to identify key terms in sedentary behavior research. These key terms were then reviewed and modified by a Steering Committee formed by SBRN. Next, SBRN members were invited to contribute to this project and interested participants reviewed and provided feedback on the proposed list of terms and draft definitions through an online survey. Finally, a conceptual model and consensus definitions (including caveats and examples for all age groups and functional abilities) were finalized based on the feedback received from the 87 SBRN member participants who responded to the original invitation and survey. Results: Consensus definitions for the terms physical inactivity, stationary behavior, sedentary behavior, standing, screen time, non-screen-based sedentary time, sitting, reclining, lying, sedentary behavior pattern, as well as how the terms bouts, breaks, and interruptions should be used in this context are provided. Conclusion: It is hoped that the definitions resulting from this comprehensive, transparent, and broad-based participatory process will result in standardized terminology that is widely supported and adopted, thereby advancing future research, interventions, policies, and practices related to sedentary behaviors
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