1,117 research outputs found
Knowledge and attitudes of General Practitioners and sexual health care professionals regarding human papillomavirus vaccination for young men who have sex with men
Full text linkMen who have sex with men (MSM) may be at higher risk for human papillomavirus (HPV)-associated cancers. Healthcare professionals’ recommendations can affect HPV vaccination uptake. Since 2016, MSM up to 45 years have been offered HPV vaccination at genitourinary medicine (GUM) clinics in a pilot programme, and primary care was recommended as a setting for opportunistic vaccination. Vaccination prior to potential exposure to the virus (i.e. sexual debut) is likely to be most efficacious, therefore a focus on young MSM (YMSM) is important. This study aimed to explore and compare the knowledge and attitudes of UK General Practitioners (GPs) and sexual healthcare professionals (SHCPs) regarding HPV vaccination for YMSM (age 16–24). A
cross-sectional study using an online questionnaire examined 38 GPs and 49 SHCPs, including 59 (67.82%) females with a mean age of 40.71 years. Twenty-two participants (20 SHCPs, p < 0.001) had vaccinated a YMSM patient against HPV. GPs lack of time (25/38, 65.79%) and SHCP staff availability (27/49, 55.10%) were the main reported factors preventing YMSM HPV vaccination. GPs were less likely than SHCPs to believe there was sufficient evidence for vaccinating YMSM (OR = 0.02, 95% CI = 0.01, 0.47); less likely to have skills to identify YMSM who may benefit from vaccination (OR = 0.03, 95% CI = 0.01, 0.15); and less confident recommending YMSM vaccination (OR = 0.01,
95% CI = 0.00, 0.01). GPs appear to have different knowledge, attitudes, and skills regarding YMSM HPV vaccination when compared to SHCPs
'Jabs for the boys': time to deliver on HPV vaccination recommendations
Full text linkHuman papillomavirus (HPV) vaccination programmes in the UK were established in 2008, and targeted females aged 12–13 years. This decision was based on recommendations from the Joint Committee for Vaccination and Immunisation (JCVI), after assessing the available evidence for the impact and cost effectiveness of HPV vaccination programmes. The theory was that reducing HPV rates in females would result in lower infection rates in males of a similar age. This herd immunity did not extend to men-who-have-sex-with-men (MSM) or heterosexual men having sex abroad. Public Health England (PHE) undertook a trial of a targeted HPV vaccination programme for MSM in 2016–2017. The 12-month pilot involved MSM up to 45 years of age being offered Gardasil® 4, a quadrivalent HPV vaccine, through genitourinary medicine (GUM) and HIV clinics across England. GPs were not included in the pilot as there was insufficient evidence of acceptability and effective delivery. The pilot was reported as a success, and PHE has recommended rolling out this programme across England.1 The JCVI issued an interim statement regarding extending HPV immunisation to adolescent males in July 2017, again concluding that there was insufficient evidence for benefit in males.2 However, after strong responses through stakeholder consultations, continued pressure from lobby groups such as HPV Action (www.hpvaction.org), and further analysis of the latest research, the JCVI recently (18 July 2018) recommended extending the HPV vaccination programme to adolescent males.
Inscription in Nova Solyma, the ideal city; or, Jerusalem regained; an anonymous romance written in the time of Charles I
No full textProbable editor's gift inscription, "Jacobo Hiltonio Amico Suo Amicissimo D. D. D Libri hujus Editor et Interpres. W. B. A.D. CMMII".Nova Solyma, the ideal city; or, Jerusalem regained; an anonymous romance written in the time of Charles I. Now first drawn from obscurity, and attributed to the illustrious John Milton. With introduction, translation, literary essays and a bibliography by the Rev. Walter Begley.
Begley, Walter, 1845-1905, ed. and tr.
Gott, Samuel, 1613-1671, supposed author.
Milton, John, 1608-1674, supposed author
Writing and the rights of reality: usurpation and potentiality in Derrida, Plato, Nietzsche, and Beckett
Full text linkThe thesis critically evaluates Jacques Derrida's conferral of the rights of reality on writing, focussing on his theory of an arche-text in light of the speculative nature of this theory. The theory is initially considered in the context of Derrida's elucidation of the usurpatory status of writing within the Platonic and Nietzschean texts. This consideration reveals an admission of writing's usurpatory status by both writers while at the same time demonstrating their awareness of the intrinsically speculative nature of this view, the significance of writing lying in its ability to exteriorise the radically indeterminate status of consciousness m relation to reality rather than its ability to displace consciousness or reality The analyses, therefore, not only bring the Derridean hypothesis of a repressive or phonocentric metaphysical episteme into question but also exhibit the historical and philosophical role of potentiality in relation to writing, writing's ultimate significance lying in its capacity to exteriorise our existence as a mode of potentiality. Accordingly, in the second half of the thesis the Derridean theory of writing is countered with a specifically Aristotelian theory of the text as it is exhibited in the prose of Samuel Beckett, an author whose significance lies in his close alignment with Derridean theory within contemporary criticism. It is demonstrated that this identification has obviated an awareness of the significance of potentiality within the Beckettian text, his work consequently being appraised in the previously neglected context of Aristotelian metaphysics
Roundtable 3: Perspectives on Presidential Leadership with Past HBCU Presidents from Private HBCUs, June 14, 2012
No full textVideo interviews with a complementing monograph providing reflections of former presidents of Historically Black Colleges and Universities discussing leadership, mission, challenges, successes, and issues of race and education. Moderator: Dr. Barbara R. Hatton, President, South Carolina State University 1992-1995; President, Knoxville College 1997-2005. Panelists: Johnnetta B. Cole, Ph.D., President, Spelman College 1987-1997; President, Bennett College for Women 2002-2007. Thomas W. Cole Jr., Ph.D., President, West Virginia State College 1982-1986; President, Clark Atlanta University 1989-2002; President, Interdenominational Theological Center 2009-2010. Nathaniel R. Jackson, Ed.D., President, Mary Holmes College 2000 - 2003. Burnett Joiner, Ph.D., President, LeMoyne-Owen College 1991-1995; President, Livingstone College and Hood Theological Seminary 1996-2000. Samuel D. Jolley Jr., Ed.D., President, Morris Brown College 1993-1997 and 2004-2006. Samuel Tucker, Ph.D., President, Edward Waters College 1973-1976; President, Langston University 1978-1979
Why Do We Need HBCUs and Qualities for Successful Leadership: Perspectives from Past HBCU Presidents, June 14, 2012
No full textVideo interviews with a complementing monograph providing reflections of former presidents of Historically Black Colleges and Universities discussing leadership, mission, challenges, successes, and issues of race and education. Dr. Barbara R. Hatton, Moderator, President, South Carolina State University 1992-1995; President, Knoxville College 1997-2005. Panelists: Wiley S. Bolden, Ed.D., Acting President, Savannah State College, 1988-1989. Carlton E. Brown, Ed.D., President, Savannah State University 1997-2006; President, Clark Atlanta University 2008 - present. Johnnetta B. Cole, Ph.D., President, Spelman College 1987-1997; President, Bennett College for Women 2002-2007. Thomas W. Cole Jr., Ph.D., President, West Virginia State College 1982-1986; President, Clark Atlanta University 1989-2002; President, Interdenominational Theological Center 2009-2010. Samuel DuBois Cook, Ph.D., President, Dillard University 1974-1997. Nathaniel R. Jackson, Ed.D., President, Mary Holmes College 2000 - 2003. Joseph B. Johnson, Ed.D., President, Grambling State University 1977- 1991; President, Talladega College 1991-1998. Burnett Joiner, Ph.D., President, LeMoyne-Owen College 1991-1995; President, Livingstone College and Hood Theological Seminary 1996-2000. Samuel D. Jolley Jr.,Ed.D., President, Morris Brown College 1993-1997 and 2004-2006. Wiley A. Purdue, LLD., M.B.A., Acting President, Morehouse College 1994-1995. Herman B. Smith Jr., Ph.D., Interim President, Central State University 1965 and 1995; Chancellor, University of Arkansas, Pine Bluff 1974-1981; Interim President, Jackson State University 1991 � 1992; Interim President, Morris Brown College 1992- 1993. Charles E.Taylor, Ph.D., President, Wilberforce University 1976-1984; President, Morris Brown College 2002-2003. Samuel Tucker, Ph.D., President, Edward Waters College 1973-1976; President, Langston University 1978-1979. W. Clyde Williams, Ph.D., President, Miles College 1971 �1986; President, Trenholm State Technical College, 1998-2001. Robert Threat, Ed.D.; President, Morris Brown College 1973-1984
Samuel Beckett and the Writers of Port-Royal
Full text linkIt has been observed that ‘the literary influences on Beckett have been far more important than has been acknowledged, and more important indeed, than the philosophical influences’ (Smith 2002: 3). The truth of this statement is evidenced by the description that scholars have given of Samuel Beckett’s relationship to seventeenth century French classicism. To date, critical interest has been limited for the most part to the figure of the philosopher René Descartes on the (fragile) grounds that Beckett was exclusively concerned with the Cartesian imperative of clarity and order, the fundamental dualism between body and mind, and Nominalism.
Together with the assumption that Beckett’s vision was essentially Cartesian, his literary filiation with Pascal was suggested by critics, but only in terms of Beckett’s formal approach to the theatre. In his short article on En attendant Godot in 1953, the playwright Jean Anouilh was among the first reviewers to suggest that Beckett’s drama synthesizes the encounter between ‘classicism’ and a ‘modern’ form of art. It is well known that Beckett retained a lifelong admiration for Pascal – indeed, Pascal was one of his ‘old chestnuts’ (Knowlson 1997: 653). Little attention has been paid, however, to the originality of Pascal’s thought, the specific nature of his prose, and the impact these might have had upon Beckett’s mature work, especially the trilogy and the subsequent short prose. Yet, in the literary and philosophical context of post-war France, Beckett’s filiation with Pascal, their corresponding preoccupations, were evident to his contemporaries, who identified Pascal as an underlying presence in his works
Usability and acceptability of a website that provides tailored advice on falls prevention activities for older people
Full text linkThis article presents the usability and acceptability of a website that provides older people with tailored advice to help motivate them to undertake physical activities that prevent falls. Views on the website from interviews with 16 older people and 26 sheltered housing wardens were analysed thematically. The website was well received with only one usability difficulty with the action plan calendar. The older people selected balance training activities out of interest or enjoyment, and appeared to carefully add them into their current routine. The wardens were motivated to promote the website to their residents, particularly those who owned a computer, had balance problems, or were physically active. However, the participants noted that currently a minority of older people use the Internet. Also, some older people underestimated how much activity was enough to improve balance, and others perceived themselves as too old for the activities
Management of angina in primary care
No full text Angina pectoris is chest pain due to insufficient coronary artery blood flow and/or increased myocardial oxygen demand. In 2012, angina affected 3.05% of men and 1.79% of women in the UK. Stable angina is a chronic disease that can progress to unstable angina or myocardial infarction. Lifestyle modification, medications, and cardiac intervention/cardiothoracic surgery all play a part in its management. Patients with angina are mostly managed in primary care, where the focus of care is on maintaining quality of life and preventing disease progression. </jats:p
Richardson, Barbauld, and the construction of an early modern fan club
No full textMPhilMuch has been written about the life and long works of the eighteenth century epistolary novelist, Samuel Richardson, but the prospect of his position as the first celebrity novelist – responsible for courting his own fame as well as initiating his own fan club – has largely been ignored. The body of manuscripts housed at the National Art Library in the Victoria and Albert Museum in London provides the modern scholar with evidence of the skeletal beginnings of an early fan club. This thesis aims to show how these manuscripts were turned into a saleable commodity by the publisher and entrepreneur Richard Phillips, while under the guiding hand of another, slightly later, literary celebrity, Anna Laetitia Barbauld. In order to restore Richardson’s reputation amongst a new nineteenth century audience, Barbauld was required to construct her own idea of him as an eighteenth century celebrity author, and in doing so the insecurities of a self-professed, apparently diffident man, are revealed. Barbauld’s capacious, but heavily edited selection of letters is analyzed in this thesis, providing ample evidence that Richardson’s correspondents were more than just eager letter writers. By using Barbauld’s biography of Richardson this thesis aims to show how she manipulates the genre of life writing in her construction of him.
This thesis offers an alternative reading of how the Richardson manuscripts are viewed, redefining them as not simply a collection of letters, but as a collective entity, deliberately selected and archived as evidence of an early modern fan club, and its celebrity managing director
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