2,369 research outputs found
Usage of allergy codes in primary care electronic health records: a national evaluation in Scotland
No full textBackground: The UK's NHS intends to move from the current Read code system to the international, detailed Systematized Nomenclature of Medicine Clinical Terms (SNOMED-CT) to facilitate more clinically appropriate coding of conditions and associated risk factors and outcomes. Given concerns about coding behaviour of general practitioners, we sought to study the current coding patterns in allergies and identify lessons for the future migration to SNOMED-CT.Methods: Data from 2 014 551 primary care consultations in over 100 000 patients with one or more of 11 potentially allergic diseases (anaphylaxis, angioedema, asthma, conjunctivitis, drug allergies, eczema, food allergy, rhinitis, urticaria, venom allergy and other probable allergic disorders) from the Scottish Primary Care Clinical Informatics Unit Research (PCCIU-R) database were descriptively analysed and visualized to understand Read code usage patterns.Results: We identified 352 Read codes for these allergic diseases, but only 36 codes (10%) were used in 95% of consultations; 73 codes (21%) were never used. Half of all usage was for Quality and Outcomes Framework codes for asthma. Despite 149 detailed codes (42%) being available for allergic triggers, these were infrequently used.Conclusions: This analysis of Read codes use suggests that introduction of the more detailed SNOMED-CT, in isolation, will not improve the quality of allergy coding in Scottish primary care. The introduction of SNOMED-CT should be accompanied by initiatives aimed at improving coding quality, such as the definition of terms/codes, the availability of terminology browsers, a recommended list of codes and mechanisms to incentivize detailed coding of the condition and the underlying allergic trigger
Brief Investigatory Detentions: A Critique of R. v. Simpson
No full textIn this article, the author examines the brief investigative detention power created by the Ontario Court of Appeal in R. v. Simpson and challenges both the Court\u27s reasoning and the way in which the decision has been followed in other Canadian jurisdictions. The common law power to detain an individual, based upon prominent U.S. and British case law, is inconsistent with the previous Supreme Court jurisprudence on police powers. The author demonstrates this by analyzing several cases involving police powers and joins the list of commentators who have urged the country\u27s highest court to re-examine the Simpson doctrine. The author also argues that there has been a tendency for U.S. courts to grant increased discretion to the police even when such powers are unwarranted. There is a real possibility of a similar accretion of police powers in Canada. Moreover, the American experience also indicates that members of minority groups are frequently subjected to the rigours of brief investigative detention, often only because of their ethnic identity. Recent studies show that the same trend exists in Canada, serving to challenge democratic and egalitarian values that the Charter is designed to protect. The solution, according to the author, lies not with the Courts, but with Parliament taking the opportunity to define the extent and limits of brief investigative detentions
sj-pdf-1-jrs-10.1177_01410768221095239 - Supplemental material for Impact on emergency and elective hospital-based care in Scotland over the first 12 months of the pandemic: interrupted time-series analysis of national lockdowns
No full textSupplemental material, sj-pdf-1-jrs-10.1177_01410768221095239 for Impact on emergency and elective hospital-based care in Scotland over the first 12 months of the pandemic: interrupted time-series analysis of national lockdowns by Syed Ahmar Shah, Rachel H Mulholland, Samantha Wilkinson, Srinivasa Vittal Katikireddi, Jiafeng Pan, Ting Shi, Steven Kerr, Uktarsh Agrawal, Igor Rudan, Colin R Simpson, Sarah J Stock, John Macleod, Josephine-LK Murray, Colin McCowan, Lewis Ritchie, Mark Woolhouse and Aziz Sheikh in Royal Society of Medicine</p
Kanter Revisited: Gender, Power and (In)visibility
No full textThis paper revisits Kanter's (1977) seminal work Men and Women of the Corporation, rereading her account of numerical advantage and disadvantage through a poststructuralist lens which exposes hidden dimensions of gendered power. This lens is captured in the ‘(In)visibility Vortex’ (Lewis and Simpson, 2010) which highlights struggles and tensions around the norm through processes of preservation and concealment within the norm as well as dynamics of revealing, exposure and disappearance as features of the margins. The study draws on developments in feminist theorizing, specially around visibility, invisibility and power, to facilitate this rereading. In so doing, the author demonstrate that while Kanter retreated from explanations based on the gendering of organizations or from recognition of gendered power, these dynamics can be identified in her text. The authors suggest that rereading classic texts can surface dimensions of organizations that have contemporary significance and can inform future research
A more comprehensive and commanding delineation: Mary Shelley's narrative strategy in Frankenstein
No full textThis thesis argues that the first edition of Frankenstein challenges conventional reading by employing what Simpson in Irony and Authority in Romantic Poetry calls Romantic irony, where the absence of a stable 'metacomment' precludes an authoritative reading. The novel hints at such readings but prevents them. The insights offered by Tropp's Mary Shelley's Monster, Baldick's In Frankenstein's Shadow, Poovey's The Proper Lady and the woman writer and Swingle's, 'Frankenstein's Monster and its Relatives: Problems of Knowledge in English Romanticism' are considered, but none recognises the full implications of the instability deriving from multiple first- person narratives. Clemit's The Godwinian Navel acknowledges the novel's indeterminacy, but reads a specific ideological purpose in it. Paradise Last provides a language to describe the relationship between the monster and Frankenstein, but proves too unstable to fix identity or establish moral value. Similarly, Necessity ultimately fails to provide a stable explanation in terms of cause and effect. The status of nature shifts between foreground and background, never allowing final definition. These uncertainties destabilise knowledge which is compromised by its provisional nature: no authoritative reading is possible, yet the novel has narrative coherence. The reader is encouraged to try to develop a reading the structure prevents. The radical nature of the first edition is highlighted by comparison with the 1831 edition, which removes much of the ambivalence and gives the novel a clearer morality. The novel challenges conventional methods of deriving authority by disturbing the reader's orthodox orientation in the world around him' (Simpson) in order to afford 'a point of view to the imagination for the delineation of human passions more comprehensive and commanding than any which the ordinary relations of existing events can yield' (Mary Shelley)
Results of monitoring at the British library excavation
No full textThe main phase of excavation for the basements of the British Library at St Pancras, London, was completed in 1987. The project included basements extending up to 25 m deep, through the London Clay and into the Lambeth Group. The excavations were formed using both the top-down method and open excavation with ground anchors. Existing major buildings lie within 25 m of the site and London Underground tunnels lie below and adjacent to the site. The purpose of this paper is to present the results of displacement monitoring; they are summarised in the paper and presented in more detail in online supplementary data files. The retaining walls advanced towards the site by up to about 32 mm and the clays expanded rapidly on unloading beneath the excavations, causing the Victoria Line tunnels to heave by up to 22 mm. The slow progress of the project provided an unusual opportunity to monitor ground and structure movements in the surroundings before site activity began. Ironically, it was found that the largest settlements of adjacent buildings were caused by the installation of equipment intended to measure the settlements. Extensive condition surveys were carried out, but no damage to adjacent structures or tunnels has been recorded.</p
Dien Bien Phu the epic battle America forgot
No full textThe fighting began in November 1953, when French paratroopers seized a small airstrip in northwestern Vietnam. It ended in May 1954 with tens of thousands of Vietminh troops overrunning the besieged garrison. A third of the 15,000 defenders died in combat; fewer than a hundred escaped into the jungle. Thousands more died in captivity. Dien Bien Phu is recognized as one of history's great battles and as a turning point for American policy: the French defeat led to the fateful U.S. commitment to Vietnam. Ironically, the U.S. military repeated many of the French mistakes. American Howard R. Simpson was there as a combat reporter and photographer. His account is a personal one - that of a man who shared meals and wine and danger with the doomed soldiers. A much-published defense expert, Simpson is uniquely qualified to tell the dramatic story of this famous last stand. Aided by interviews with dozens of survivors from both sides - including victorious Gen. Vo Nguyen Giap - his book will rank with Bernard Fall's bestselling Hell in a Very Small Place as a classic work on an event as significant for the United States as it was for France. Dien Bien Phu is being published on the fortieth anniversary of the French defeat and contains rare combat photos by the author and the French Foreign Legion
Homer Simpson Ponders Politics: Popular Culture as Political Theory
No full textIt is often said that the poet Homer “educated” ancient Greece. Joseph J. Foy and Timothy M. Dale have assembled a team of notable scholars who argue, quite persuasively, that Homer Simpson and his ilk are educating America and offering insights into the social order and the human condition.
Following Homer Simpson Goes to Washington (winner of the John G. Cawelti Award for Best Textbook or Primer on American and Popular Culture) and Homer Simpson Marches on Washington, this exceptional volume reveals how books like J. R. R. Tolkien’s The Hobbit and J. K. Rowling’s Harry Potter, movies like Avatar and Star Wars, and television shows like The Office and Firefly define Americans’ perceptions of society. The authors expand the discussion to explore the ways in which political theories play out in popular culture.
Homer Simpson Ponders Politics includes a foreword by fantasy author Margaret Weis (coauthor/creator of the Dragonlance novels and game world) and is divided according to eras and themes in political thought: The first section explores civic virtue, applying the work of Plato and Aristotle to modern media. Part 2 draws on the philosophy of Hobbes, Locke, Rousseau, and Smith as a framework for understanding the role of the state. Part 3 explores the work of theorists such as Kant and Marx, and the final section investigates the ways in which movies and newer forms of electronic media either support or challenge the underlying assumptions of the democratic order. The result is an engaging read for undergraduate students as well as anyone interested in popular culture.
Joseph J. Foy, associate campus dean and associate professor of political science at the University of Wisconsin–Waukesha, is the editor of Homer Simpson Goes to Washington: American Politics through Popular Culture and coeditor of Homer Simpson Marches on Washington: Dissent through American Popular Culture.
Timothy M. Dale, assistant professor of political science at the University of Wisconsin–La Crosse, is coeditor of Homer Simpson Marches on Washington: Dissent through American Popular Culture.
“Today, film, fiction, and television reflect our notions of civic virtue, morality, and the human condition—or at least help us to struggle with understanding and defining these. The ubiquitous nature of popular culture means that it will have an effect upon us, whether one likes that or not. The authors argue that, given this fact, even those who doubt the ‘seriousness’ of popular culture would do well to pay attention to it.”—Margaret Ferguson, Assistant Vice President for Statewide Academic Relations at Indiana University
Since ancient times myths and stories have been used to convey our deepest thoughts about how to live together in community. With this book we now have a fun and engaging way to learn and think about political theory through the myths and stories of our time, popular culture. -- William Irwin, author of Black Sabbath and Philosophy: Mastering Reality
Foy and Dale have done it again, this time with political theory! Political theory is one of the most difficult subjects that political science undergraduates encounter and Homer Simpson Ponders Politics opens up an avenue for students to engage many of the broad theories through some of the cultural artifacts with which they are most familiar: popular culture. These important theories bubble up through all areas of popular culture from Machiavelli and The Godfather to Plato and Star Wars— there is much to learn from this compendium. This is a useful book for students of political theory of any age or training and for those who are intrigued by the many political concepts popular culture teaches us. --Lilly J. Goren, coeditor of Women and the White House: Gender, Popular Culture, and Presidential Politics
Most essays in this collection employ their philosophical guides in ways that can...disabuse undergraduates of the notion that political theory can better address the sterile and obsolete concerns of forgotten eras than fundamental questions about contemporary political life. -- Choicehttps://uknowledge.uky.edu/upk_american_popular_culture/1013/thumbnail.jp
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