1,721,037 research outputs found

    The NHS and the Health and Social Care Bill: end of Bevan’s vision?

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    Although the Labour government has repeatedly pledged its commitment to the NHS, its latest reforms pave the way for multiple providers of health care.The Health and Social Care (Community Health and Standards) Bill 2003 is the most controversial piece of legislation to come out of the government's 10 year strategy for the NHS in England. The bill, which abolishes government control of NHS trusts by turning them into competing independent corporations called foundation trusts, is a major policy reversal. It could lead to considerable local variation in services and endangers one of the NHS's founding principles–to provide equal care for equal need

    Childhood injury in Tower Hamlets: Audit of children presenting with injury to an inner city A&E department in London.

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    Childhood injury is a leading cause of mortality and morbidity worldwide with the most socio-economically deprived children at greatest risk. Current routine NHS hospital data collection in England is inadequate to inform or evaluate prevention strategies. A pilot study of enhanced data collection was conducted to assess the feasibility of collecting accident and emergency data for national injury surveillance

    A review of the evidence of third sector performance and Its relevance for a universal comprehensive health system

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    UK policy promotes third sector organisations as providers of NHS funded health and social care. We examine the evidence for this policy through a systematic literature review. Our results highlight several problems of studies comparing non-profits with other provider forms, questioning their usefulness for drawing lessons outside the place of study. Most studies deem contextual factors and the regulatory framework in which providers operate as much more important than ownership form. We conclude that the literature does not support the policy of a larger role for the third sector in healthcare, let alone a switch to a market-based system

    In Sport and the Abuse of Children. 

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    This book looks historically at the harm that has been inflicted in the practice of sport and at some of the issues, debates and controversies that have arisen as a result. Written by experts in history, sociology, sport journalism and public health, the book considers sport and injury in relation to matters of social class; gender; ethnicity and race; sexuality; political ideology and national identity; health and wellbeing; childhood; animal rights; and popular culture. These matters are, in turn, variously related to a range of sports, including ancient, pre- and early industrial sports; American football; boxing; wrestling and other combat sports; mountaineering; horseracing; cycling; motor racing; rugby football; cricket; association football; baseball; basketball; Crossfit; ice hockey; Olympic sports; Mixed Martial Arts; and sport in an imagined dystopian future

    ‘Beastly Furie, and Exstreme Violence’: Pain, Injury and Death Resulting from Football and Other Ball Games Played in the British Isles Before the Reformation

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    The common opinion among English social elites and religious moralists between the fourteenth and sixteenth centuries was that football was a violent, disorderly activity played by the lower elements of society. Indeed, there is a bloody red thread running through the game’s early history. From kickabouts with severed heads to accidental stabbings, participants getting killed or knocked unconscious, riots, brawls, quarrels, broken bones and terrible cuts, football once had a well-earned reputation as nothing but ‘beastly furie, and exstreme violence’; a bloody pastime which resulted in wounded men nursing their ‘rancour and malice’. Accordingly, the focus of this talk is on pain, injury and death resulting from playing football and other ball games in the British Isles before the Reformation. That is a large time frame spanning, in the main, from the 1260s to the 1530s. My intention here is to be as comprehensive as possible while acknowledging that new sources will undoubtedly come to light. Developments during this period will be documented through a wide variety of primary sources – notably parliamentary rolls, close rolls, plea rolls, coroners’ inquests, justiciary rolls, manorial court rolls, tenurial documents, papal registers, chartularies, episcopal registers, diocesan visitations, civic and livery company records, university statutes, financial accounts, chronicles, sermons, poems and early printed texts

    The cricket pitch as "unsafe workplace" : sports culture and the death of Phillip Hughes

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    This chapter explores another controversy, this one provoked by the death of Australian cricketer Philip Hughes in 2014. Much of the response to the tragedy, this chapter argues, was suffused with myth and nostalgia, deriving its emotional force from the sharp contrast between cricket's rather anachronistic image of gentility and the ugliness of Hughes' demise. To maintain this position, it was necessary to interpret the incident as a "tragic" or "freakish" accident that brought the loosely constructed transnational cricket community together in sadness. It resisted other perspectives, like that articulated by Hughes' father, Greg, who contended that on the day of his catastrophic injury, his son operated in an "unsafe workplace" characterised by physical and verbal intimidation

    The Global Response to the COVID-19 Pandemic

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    Global approaches towards pandemic control range from strict lockdowns to minimal restrictions. We asked experts worldwide about the lessons learned from their countries' response. Their voices converge on the importance of scientifically guided interventions to limit the spread of SARS-CoV-2 and its impact on human health

    Going Beyond Counting First Authors in Author Co-citation Analysis

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    The present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
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