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Abstract: Background: Paper based simulated patients are widely used to analyse nurses’ clinical judgements. However, developments in the physical simulation of clinical environments offer exciting, but relatively underexploited, opportunities for exploring nurses’ judgements. Critical event risk assessment is an element of acute care practice which lends itself well to simulation and in which more clinical experience is often assumed to lead to better quality judgements. Objectives: To model nurses’ judgements of critical event risk using physical and paper simulation and to examine whether improving fidelity via physical clinical simulation impacts on the apparent benefits of clinical experience on nurses’ judgement performance. Design: A comparative clinical judgement analysis. Setting: A university in Northern England. Methods: Sixty-three nursing students and 34 experienced nurses made dichotomous risk assessment judgements (“at risk” or “not at risk”) in response to 25 paper and physical simulated scenarios. These were randomly generated from a dataset of real patient case records. Clinical outcomes (the judgement criteria) for a ‘correct’ judgement were derived from the same case records. Logistic regression models were constructed to derive statistics for each nurse representing various measures of judgement performance: achievement (r a ), consistency (R s ) and clinical information use (G). These statistics were known as Lens Model statistics (from the psychological theory of Brunswik''s Lens Model of judgement). Performance measures for novice and experienced nurses were compared. Results: No significant differences in judgemental achievement (r a ) between experienced nurses and students were observed in either paper or high fidelity clinical simulations. Similarly, there were no significant differences in the nurses’ abilities to correctly match the ways they synthesised clinical information with the optimum synthesis required by the task (policy matching) (G). When faced with “paper patients” experienced nurses exercised more cognitive control/consistency (R s ) than students (P =0.04). However, this heightened control in experienced nurses was absent when those same nurses made judgements in the higher fidelity clinical simulation environment. Conclusion: Clinical experience made no difference to nurses’ judgement achievement (accuracy) in either the lower fidelity paper scenarios or the higher fidelity setting of the clinical simulation unit. The significant impact of clinical experience on judgement consistency was negated by the increases in fidelity offered through clinical simulation. [Copyright &y& Elsevier]

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Purpose: The aim of this paper is to respond to a gap in the literature around resilience in later life for older people from minority groups of identity or experience. Specifically, it argues that we need to pay greater attention to how access to different types of social capital may leave some older people more or less able to cope with adverse events and how experiences of social exclusion can limit access to important networks of support during times of crisis. Design/methodology/approach: This paper draws on research conducted to inform the resilience strategy of Greater Manchester in 2019, and specifically looked at how this strategy could better address the needs of the regions' diverse ageing population. It used a qualitative design including focus groups with older women of Punjabi heritage living in Greater Manchester, interviews with staff from a community and voluntary organisation working with these women, and interviews with staff at an organisation supporting refugees and asylum seekers in Greater Manchester who specifically worked with older adults. Findings: The research found that belonging to a minority group and experiences of social exclusion gave participants in this study both resources and vulnerabilities when it came to dealing with external shocks in later life. Whilst participants in this study had access to strong networks of bonding capital based on shared identity and experience, social exclusion often meant they faced barriers to accessing network of support outside of these communities. Research limitations/implications: Findings from this study have implications for both future research and policy. In the case of the latter there are implications for those working in resilience planning in terms of how to address the needs of diverse older populations. For researchers, this paper has implications for how we understand the impacts on inequality in later life particularly in the context of the COVID-19 pandemic. Originality/value: The originality of this paper lies in its consideration of the impact of inequalities and social exclusion on the resilience of older people in times of crisis. It included older people from minority groups of identity and experience addressing an important gap in the literature. [ABSTRACT FROM AUTHOR]

Livestock markets are pathological sites in which contrasting biopolitical regimes compete to reconfigure agricultural practices and identities. Whilst the circulation of cattle is central to agricultural geographies, little is known about the practices of cattle trading or the role of livestock markets in cattle purchasing. Drawing on recent attempts to conceptualise the process of marketisation, this paper seeks to invigorate research into livestock markets. Specifically, the paper conceptualises cattle purchasing as a market encounter in which socio-technical arrangements, devices and bodily performances entangle cattle and farmers, enabling markets to work. Using data collected from interviews, focus groups and participant observation at livestock markets in England, the paper makes two contributions. Firstly, the paper shows how farmers' cattle purchasing practices are organised by practices of 'fluid engineering' that seek to maintain the 'farm system'. Secondly, the paper shows how at livestock markets, these strategies are mediated by front and backstage 'market displays' by farmers and auctioneers which produce market price through a series of performances that are carefully spatially and temporally ordered. Specifically, these displays perform specific rural and agricultural identities, such as the 'genuine' or 'good' farmer. In creating these spatial frames, frontstage displays diminish the relevance of backstage displays that rely on abstract calculations by distant others. The paper therefore reveals the intense entanglements and socio-technical work that is required to make cattle markets function and their wider relevance for the management of livestock diseases. [ABSTRACT FROM AUTHOR]

Presents comparison and critique on Rural White Papers for England, Scotland and Wales, published by British government between October 1995 and March 1996. The ethos and aims of Rural White Papers; Specific proposals and measures in the Rural White Papers; Policy objectives of the English RWP, Welsh RWP, and Scottish RWP; Reasons behind the persuasive case for incorporating the Ministry's regional management into the Government Offices; Conclusions.

Education reform is increasingly portrayed as a quest to achieve a ‘world class’ education system through a process of identifying and adopting the practices of those systems whose pupils perform best in league tables of achievement. This is the rationale for the range of new policies proposed by the coalition government in the schools White Paper published in November 2010, which promotes whole-system reform in England. This article examines the White Paper and analyses the sources and nature of the evidence for reform and the congruence between the policy intentions and their associated policy actions. The analysis suggests that the evidence for the proposed reforms and policy actions is at best tenuous. Both the White Paper and its key sources of evidence are characterised by: a selective use of data: a propensity to mix and match the sources of comparison; and an overall tendency to employ comparisons with high-performing systems elsewhere as a façade to legitimate preferred policy options. [ABSTRACT FROM AUTHOR]

Herbert Courthope Bowen was a progressive spirit in English teaching during the last quarter of the nineteenth century. Ideas about the role of activity in the development of the child - ideas usually associated with progressive teaching in the 1960s and 1970s - may be found in Bowen's published papers. In connection with the time that Bowen was Head Master of a London secondary school, I explain what turned on the amount of Latin in the school curriculum, why Latin mattered so much at the time and why English teaching at Grocers' (Hackney Downs) where Bowen taught, was so controversial. Bowen published a series of remarkable papers on key themes. At the core of all these writings lies his passionate interest in the psychological development of the individual child. From Froebel Bowen gained a rich conception of the productivity of mind as well as a sense of children's individual worth and dignity. I argue the case that his writings deserve revisiting as pivotal contributions to a theory of English that has a strong psychological component. Bowen acted as a conduit for a rich legacy of largely German ideas about self-cultivation (Bildung). His emphasis on 'self-activity', 'creativity' and the 'constructive imagination' prefigures the working out of principles usually associated with progressive English Teaching in the post-war period, such as 'personal growth'. Indeed, many of the presuppositions, norms and assumptions of progressive educators were shaped by the ideas I discuss. By historicising them, and stripping them of their aura, I envisage opening up fresh possibilities for interrogation and critique. [ABSTRACT FROM AUTHOR]

John Davies Thomas (1844-1893) described a two-ounce drop-bottle for chloroform in 1872 while he was a resident medical officer at University College Hospital, London. After working as a ship's surgeon, he settled in Australia. In May 1875, Thomas presented a paper on the mortality from ether and chloroform at a meeting of the Medical Society of Victoria in Melbourne, Victoria. Surveys conducted in Europe and North America had established that the mortality from chloroform was eight to ten times higher than that from ether. At that time, chloroform was the most widely administered anaesthetic in Australia. Thomas' paper was published in The Australian Medical Journal and reprinted by the Medical Society of Victoria for distribution to hospitals in the Colony of Victoria. Later that year, Thomas moved to Adelaide, South Australia, where he may have been influential at the Adelaide Hospital in ensuring that ether was administered more often than chloroform. It does not appear that Thomas' papers on anaesthesia had a significant effect on the conduct of anaesthesia in Victoria or New South Wales. [ABSTRACT FROM AUTHOR]

The article examines the life and research of professor and political activist Walter Rodney. Beginning with a brief biography of Rodney which discusses his birth in Guyana, his education, and his activism within political opposition movements, the paper ultimately examines a series of Rodney’s personal papers that have been archived in Atlanta, Georgia, Georgetown, Guyana, and London, England. The author recounts his own experience of traveling to each location to examine the papers. It is concluded that the papers give insight into why Rodney became an African historian and taught African history to the African and West Indian people.

St George's University of London (SGUL) has a Problem-Based Learning (PBL) curriculum for its undergraduate medicine course, using traditional paper-based patient cases. To counter the limitation that paper cases are linear and do not allow students to explore the consequences of decisions, interactive online virtual patients (VPs) were developed which allowed students to consider options as the cases unfold, and allow students to explore the consequences of their actions. A PBL module was converted to VPs, and delivered to 72 students in 10 tutorial groups, with 5 groups each week receiving VPs with options and consequences, and 5 groups receiving online VPs but without options. A comprehensive evaluation was carried out, using questionnaires, and interviews.Both tutors and students believed that the ability to explore options and consequences created a more engaging experience and encouraged students to explore their learning. They regretted the loss of paper and neither group could see any value in putting cases online without the options. SGUL is now adapting its transitional year between the early campus years and the clinical attachment years. This will include the integration of all technology-based resources with face-to-face learning and create a more adaptive, personalised, competency-based style of learning. [ABSTRACT FROM AUTHOR]

This paper is a reflection upon the research findings of Rebecca Allen and Anne West in relation to religious schools in London. While welcoming this contribution to the systematic study of faith schools (a neglected area of empirical inquiry), the paper argues that the use of 'religious schools' as a unitary category is problematic for the analysis. It also suggests that certain historical and cultural contextual knowledge is required when analysing the characteristics of different categories of religious schools. This response is intended to be helpful for future researchers into the different types of faith school. [ABSTRACT FROM AUTHOR]

Climatic deterioration in the later middle ages was associated with an increasing frequency of marine storm surges affecting the coasts of the southern North Sea. This paper investigates the impact of storm surges upon the lands bordering the Thames estuary and tidal river between the mid-thirteenth and mid-fifteenth centuries. Land use in the coastal and riverine marshes is reviewed, and the means and costs of defence against marine flooding explored. The impact of flooding upon human use of the marshlands, upon the suburbs of medieval London and upon the Thames fisheries are all investigated. Stress is placed upon the complex interaction of economic and environmental factors in determining the response to the threat of marine flooding. 1 This paper is a product of ongoing research, funded from January to June 2006 by the Crown Estate–Caird Fellowship scheme at the National Maritime Museum, Greenwich, and from March 2008–February 2010 by the Economic and Social Research Council in the project 'London and the Tidal Thames 1250–1550: Marine Flooding, Embankment and Economic Change' (Grant Ref: RES-000-22-2693), based at the Centre for Metropolitan History, Institute of Historical Research, University of London. I am grateful to the Centre's Director, Matthew Davies, for his support and advice and to Patricia Croot, Graham Dawson, Mark Gardiner, Derek Keene, Maryanne Kowaleski and Jonathan Potts for help and encouragement. Paul J. Clark kindly gave me access to his unpublished M.A. thesis '"London's lifeblood": control of the Thames, 1086–1485' (Fordham University, 2003). [ABSTRACT FROM AUTHOR]

The article presents a brief introduction of "10th International Symposium in Medical Geography," which was held in Manchester, England in the year of 2003. It represents a selection of papers presented at the Symposium. The conference attracted participants from 23 countries and saw over 100 presentations given over 4 days. The program covered the breadth of contemporary research in medical/health geographies with sessions focusing on issues of health, disease as well as qualitative and quantitative methods. The breadth of papers presented reflected the considerable changes seen in medical geography over the last decade which has, in many ways, reinvigorated our sub-discipline.

This paper aims to overview the main topics discussed in the academic papers related to public policies and corporate sustainability. Based on the literature, our scope is to set up a framework for future research on public policies and corporate sustainability by constructing bibliometric networks. The study will evidence the authors with some of the most important research in this field, based on the citations of their papers, and the countries with the highest number of publications and citations. Through the VOSviewer software we studied the topic of corporate sustainability and public policy based on keywords, citations, geographical distribution, and authorship. After observing 289 papers indexed in Web of Science, we found as frequent keywords corporate social responsibility, sustainable development, performance, management, legitimacy, or disclosure. The highest number of papers were published in American Journals, but also in England, Australia and Canada, but the most cited papers were the American and Canadian ones. Finally, T. Sueyoshi and M. E. Porter are the most cited authors for papers on corporate sustainability and public policy. [ABSTRACT FROM AUTHOR]

For many years the everyday reality of working parents and their children has been captured in notions of ‘quality time’ versus ‘quantity time’. On the one hand it is suggested that what families need is ‘more time’ for parents to spend together with their children and less time working. On the other hand this has been countered with arguments saying that attention has to be paid to how parents spend their time together with their children. As a result quality time is often presented through idealised images of ‘happy families’. Quality time is seen as parents engaging with their children in particular activities or outdoor excursions that create and maintain family enjoyment, care and togetherness. However, such debates are based on assumptions of what would be ‘good’ for today's children and neglect the perspective of children themselves. This paper draws on field research carried out with 10–11-year-old children on their understandings and use of time in an urban and a rural setting in the north of England. The paper points to five ‘qualities of time’ identified by children. These qualities suggest that children's views of time spent with their families cannot be seen as separate from the time they spend with friends, at school and on their own. The paper argues that the quality/quantity time conundrum needs replacing by fuller and more representative accounts of the varied aspects of time that matter for children. These need to be situated in the processes through which family, school and work life take place on a daily basis and in relation to children's life course. Copyright © 2002 John Wiley & Sons, Ltd. [ABSTRACT FROM AUTHOR]

Rhinosinusitis is a common condition with adults experiencing 2-5 episodes per year. The European Positional Paper on Rhinosinusitis and Nasal Polyps (EP3OS) published in 2005 and updated in 2007 provided evidence-based guidelines on the management of sinus disease promoting a conservative approach to treatment. This study examines the effect of EP3OS on sinus surgery uptake and acute admissions for sinusitis in England and Wales. A retrospective study using the national electronic health databases of England (Hospital Episodes Statistics, HES online) and Wales (Patient Episodes Database of Wales, PEDW) was undertaken from 2000 to 2010 using the OPCS-4 codes E12-E17 (sinus surgery) and ICD10 code J01 (acute admission for sinusitis). Data were analysed for effect following the introduction of the EP3OS in 2005 using linear regression and Chi squared analysis. 116,370 sinus procedures and 10,916 acute admissions for sinusitis were made during the study period. No significant decrease in sinus surgery procedures occurred following the introduction of the EP3OS as may have been expected ( p > 0.05), although subgroup analysis suggested a significant increase in Wales ( p < 0.05). In addition, significant increases in acute admissions for sinusitis were observed following the introduction of EP3OS ( p < 0.05). However, subgroup analysis suggested this was not the case in Wales ( p > 0.05). The EP3OS appears to have had little impact on the rates of sinus surgery but more conservative approaches to managing of sinus disease may have led to an increase in acute admissions. Further research is required to investigate whether changes in practice were adopted. [ABSTRACT FROM AUTHOR]

This paper reviews the research on successful school principalship carried out in England over the last 20 years. Drawing on evidence synthesized from the International Successful School Principalship Project (ISSPP) and related English school leadership research conducted by ISSPP scholars, this review aims to answer a conceptual research question: How do the principalship's moral purposes and contextual understanding shape the time-sensitive, informed adoption of combinations and accumulations of strategies that lead to sustained school success? This paper identifies five research insights derived from case studies in England and elaborates on the complex, values-led layered web of interactions between the school principal and key stakeholders within and outside the school in the context of frequent social changes and policy interventions in England. Whilst the pace has been greater and more intense than in many other countries, the direction has been, and remains, similar. The body of scholarship here reviewed engages with national policies as filtered and then enacted by successful principals. While 'effective' principals lead to students' success as measured by performance on national tests and examinations, our focus is upon an empirically founded definition of 'successful' school leadership that is located in complexity theory and encompasses the enactment of the core purposes of education that include but go beyond the functional. In doing so, it avoids 'what to do' formulae and the limitations of certain theoretical 'leadership' models, finding that successful school leaders' work embodies a broader humanistic view of student learning and achievement, which implies the preordinance of the personal over the functional. Taken together, these research insights contribute to the ISSPP's continued effort to refine and advance the knowledge base of successful school leadership within and across different countries. [ABSTRACT FROM AUTHOR]

Background: The National Health Service (NHS) and general practice are increasingly adopting digital services. These services can impact both positively and negatively upon patient experiences, and access to digital services is not equal amongst all groups. Within a wider project examining digital facilitation (the Di-Facto study) our team conducted a patient survey amongst English primary care practices aiming to investigate patient views of what supports uptake and use of web-based services. This paper reports on the analysis of the free-text responses from the patient survey. Methods: The Di-Facto patient survey was distributed to practices in eight clinical commissioning groups (CCGs) in England between 2021–2022. We examined free-text responses to two questions relating to access to primary care web-based and support for web-based services. We used qualitative reflexive thematic analysis based on a six-stage process to analyse responses. Results: Of the 3051 patients who responded to the Di-Facto survey, 2246 provided a free-text response. We present our findings in two major themes: systems and structures and their impact on use of web-based services, and 'what works for me', a description of how respondents described what worked, or did not work in terms of their interactions with web-based services. Respondents described how the technology, such as poor practice website design, confusion over multiple digital apps, data security and concerns about eConsultation offerings impacted on use of web-based services. Respondents described practice level barriers, such as a lack of or inconsistent provision, which prevented optimal use of web-based services. Respondents described personal and technical barriers that impacted on their use of digital services, and described which web-based services worked well for them. Respondents felt that web-based services were not a replacement for face-to-face interactions with a doctor. Conclusions: This analysis of free-text responses from a large patient survey highlights the system, practice, and person level barriers and facilitators to use of digital services in primary care. With an increasing push towards digital solutions in NHS primary care, practices should consider the design, rollout and communication of their web-based services to support patient access. [ABSTRACT FROM AUTHOR]

Policies for biodiversity no net loss and net gain underwrite narratives for green growth through advancing reparative logics to ongoing habitat impacts. By enabling offsetting practices that risk accommodating rather than averting land change developments, net principles are said to resemble modes of 'accumulation by environmental restoration'. Biodiversity net principles are frequently depicted visually as a diagram of the mitigation hierarchy for communicational ease and have proliferated over recent decades despite little evidence for their ecological effectiveness. This paper combines economic sociology, visual media analysis of the net diagram and political ecology to account for the stabilisation of net principles in policy frameworks. It highlights the upstream imaginative work that this visual tool and its wider assemblages perform to support offsetting and habitat banking practices on the ground. The paper positions the NNL diagram as a conceptual and ideational technology. It traces the practices through which biodiversity is rationalised by the Cartesian coordinates of an XY schematic, and en-framed as a measure of numerical value on a vertical scale. The effect is to engender coherence to the idea of netting out differences in aggregate sums of biodiversity unit value, making nature conceptually offset-able. I develop this account through a history of the diagram as well as the broader processes that have shaped the policy and its arrival in English planning frameworks. Observers increasingly question how biodiversity offsetting and no net loss/ net gain have become so popular when their empirical foundations are so weak. This paper proposes that within the wider assemblages of actors, one answer is located in the potency and mobility of conceptual technologies such as diagrams of no net loss or net gain of biodiversity and the logic of balance-sheet accounting that is imbricated within the visual design. [ABSTRACT FROM AUTHOR]

This paper reports the study which explored the learning and teaching of the topics of climate change, sustainability and disaster risk reduction in secondary-level teacher education programs in England and Japan. Through interviewing teacher educators, the study particularly probed how teacher education programs used local knowledge and collaboration in discussing the above topics. Geography tends to be the main subject area for these global agendas, but its crammed curriculum is "an ongoing challenge" for teacher education. Some researchers demonstrate that university-based initial teacher education has "ignored" training teachers on how to implement environmental and sustainability education at schools. Besides, the inquiries into how initial teacher education equips geography teachers for the learning and teaching of disaster risk reduction are still scarce. This paper aims to fill this gap by bringing together the fields of geography education, climate change and sustainability education, disaster risk reduction education and initial teacher education. [ABSTRACT FROM AUTHOR]

Textbooks are by no means ideological. This means that they present their dominant values and culture in the foreign-language education. In other words; textbooks can change thoughts of learners of the target language. The study is limited to the Iraqi ESL textbooks (English for Iraq) for sixth preparatory stage. This paper tries to examine the discourse of these textbooks critically. The aim of the current paper is to investigate the national identity of the publishing house in the Iraqi textbooks. In order to reveal the national identity embedded in them, the study draws on a corpus-based analysis. This study found the frequency of referring to nation identity of England more than other countries throughout the whole books. The study concluded that the English publishing house uses the national identity of England in the investigated data for ideological purposes. [ABSTRACT FROM AUTHOR]

Teacher professionalism in England may be considered to have been shaped by the set of professional standards, and the accompanying statutory performance management system, introduced by the Labour government in 2007. More recently the coalition government’s 2010 White Paper, The Importance of Teaching, announced reforms that will potentially re-shape teacher professionalism. In this article I examine the ‘shape’ of teacher professionalism in England, as defined by the professional standards. I reveal it to be a lop-sided shape, indicating a professionalism that focuses predominantly on teachers’ behaviour, rather than on their attitudes and their intellectuality. Presenting my conceptual analysis of professionalism, and examination of its link with professional development, I consider whether—and to what extent—teacher professionalism may in fact be shaped by government-imposed reform. I conclude that ‘enacted’ professionalism may be quite different from ‘demanded’ professionalism, and shaping professionalism involves a complex and indecipherable process that is better understood by examining the process whereby individuals develop professionally. [ABSTRACT FROM PUBLISHER]

Despite the limited exception introduced by statute in 1974, the principle that truth is and ought to be a complete defence to all actions in defamation is typically regarded as self-evident in modern English law. The fact that England stands here against not only the whole of the civilian tradition but also a number of common-law jurisdictions suggests, however, that it is not. This paper, after surveying the history of the principle in English law and the debates that it has spurred in the past, argues that English law is right on this question, but needs to understand more cogently why. This, in turn, requires an examination of the interests protected by the cause of action. It is only if we accept that it is, and is solely, reputation founded in character that the defence of veritas will be secured. [ABSTRACT FROM AUTHOR]

In 1998, a review for the Ministry of Agriculture Fisheries and Food (the predecessor of the Food Standards Agency) was published evaluating the relative merits of different dietary assessment methods against a series of factors likely to affect compliance or accuracy in low-income households. The review informed the design of a method comparison study carried out in London, UK, in 2001, in which the validity and acceptability of 4 d dietary assessment methods based on 24 h recalls, food checklists and a semi-weighed method were compared with 4 d weighed inventories and other reference measures. Results were based on observations in 384 respondents (159 males, 225 females) aged 2-90 years in 240 households. Outcomes of the comparison study included evaluations of each method made by respondents, interviewers and researchers. These findings were used in the present paper to update and extend the 1998 review. Additional factors not included in the 1998 review have been considered. This updated and extended review provides the basis for discussion of the relative merits of approaches to dietary assessment in low-income households in developed economies. The evidence presented here and elsewhere suggests that the 24 h recall is the method best suited for dietary assessment in low-income households, followed by the weighed inventory, food checklist and lastly the semi-weighed method. [ABSTRACT FROM AUTHOR]

The article offers information about paper sessions on urology to be discussed at the BAUS Annual Meeting to be held in Manchester, England from June 23-27, 2008.

While researching in the archives of Lambeth Palace library to find out just what Charlotte Brontë meant when she told Ellen Nussey that her conscience would not let her be 'either a Puseyite or a Hookist' (7 April 1840), I read the Library Committee's Annual Report for 2004. Quietly the report announced that among the recently acquired papers of Dr Charles Thomas Longley, former Archbishop of Canterbury and one time Bishop of Ripon, there was a firsthand description of Charlotte Brontë (1853) and a 'poignant letter from Patrick Brontë written after the death of Charlotte two years later'. This modest announcement led me to a remarkable clutch of letters written by the Bishop that add uniquely to our knowledge not only of Patrick Brontë's diocesan bishop, but also of the remarkable parsonage family. [ABSTRACT FROM AUTHOR]

Background: The guidelines about research ethics and research governance, implemented by the Department of Health, present new challenges to undertaking mental health service research within the National Health Service (NHS). Aims: This paper describes how these new ethical and research governance procedures have adversely affected three multi-centre mental health service research studies, funded by the Department of Health. Methods: The workload, time, and cost of meeting these requirements for each study is described. Conclusion: The implementation of Government guidance has resulted in a level of bureaucracy that threatens the future of the type of research that underpins policy development and service planning. For the researcher, the work involved in meeting these new requirements can be greater than the work of data collection, and for the trust, greater than the cost of participation in the research itself. The Department of Health has made recommendations to streamline the research ethics process. However this will not address the tension between research ethics systems and localized research governance procedures. Declaration of interest: None. [ABSTRACT FROM AUTHOR]

The application of game theory to evolutionary problems is so commonplace today, that few stop to consider how it all began. John Maynard Smith and George R. Price's 1973 Nature article, "The Logic of Animal Conflict," is often referred to as the first description in the literature of the concept of an evolutionary stable strategy (ESS), but what was the "behind the scenes" of the writing of that seminal paper? This article tracks the little known story of the curious American polymath, George Price. As will be shown, it was an earlier paper, the lost "Antlers, Intraspecific Combat, and Altruism," sent by Price to Nature in August 1968 (Unpublished), and refereed by Maynard Smith, which instigated the birth of the first ESS. Recently, the "Antlers" paper has been re-discovered by the author, shedding new light, together with letters and journals from the personal papers of George Price and John Maynard Smith, on their historical paper., (© 2010 Wiley-Liss, Inc.)

The paper referred to is ‘The Future of Data Analysis,’ published in 1962. Many authors have discussed it, notably Peter Huber, who in 1995 reviewed the period starting with Hotelling's 1940 article ‘The Teaching of Statistics.’ I extend the scope of Huber's remarks by considering also the period before 1940 and developments since 1995. I ask whether statistics is a science and suggest that to attract bright students to our subject, we need to show them the excitement and rewards of applied work. [ABSTRACT FROM AUTHOR]

This paper reports on research into personal education plans (PEPs) for ‘looked after’ children (children in care) in one large county local authority in England. PEPs were introduced by guidance from the Department for Education and Employment and Department of Health in 2000. The fieldwork for this research began two years after this guidance was published. The research findings show that although social services staff and teachers are critical of specific aspects of PEPs, they have helped to raise the profile of the educational needs of looked after children in the local authority studied. They have provided a forum for social work and education professionals to meet in the interests of particular children. Key problems relate to practical issues: ensuring social workers and teachers feel able to fulfil their expected roles in relation to the education of looked after children; making the system focus on meeting the needs of children as well as practitioners; difficulty in meeting specified timescales; more meaningful, constructive and sensitive involvement of children in the process of producing and reviewing PEPs. The broader issue, however, is about the ability to plan the education of looked after children. Additional barriers to planning were particularly apparent in residential care and specifically within secure accommodation. [ABSTRACT FROM AUTHOR]

In October 1964, Julian Huxley, Ernst Mayr, Humphrey Osmond and Abram Hoffer co-published a controversial paper in Nature, in which they tried to explain the persistence of schizophrenia from an evolutionary perspective. This article will elucidate how the reputed authors composed this paper to make it a strong argument for biological psychiatry. Through a close reading of their correspondence, it will furthermore clarify the elements which remained unspoken in the paper, but which were elementary in its genesis. The first was the dominance of psychoanalytical theory in (American) psychiatry--a dominance which the authors wanted to break. The second was the ongoing discussion on the boundaries of biological determinism and the desirability of a new kind of eugenics. As such, the Huxley et al. paper can be used to study the central issues of psychiatry in a pivotal era of its history.

Derived from an ethnography of working cultures and practices at a bike shop in the North of England, this paper rests on a critical application of social practice theories of literacy (Literacy Studies) in order to explore the complex and heterogeneous literacy practices of cycle technicians. Drawing on a series of vignettes constructed from the ethnographic data, the paper demonstrates the variety of experiences of both formal and informal learning that underpin the literacy practices of the cycle workshop. In addition to providing an account of a qualified and specialist workforce that is under-represented in extant research literature, the paper also provides an exemplar for ethnographic research as a vehicle for exploring literacy practices. The paper also suggests that ongoing debates concerning transferable workplace skills can be enriched through considering situated, contextualised literacy events. The paper concludes by arguing that for cycle technicians, and perhaps other occupations as well, Literacy Studies can generate rich and complex accounts that unpack the textual practices found alongside the occupational expertise and competence being observed. [ABSTRACT FROM AUTHOR]

When governments acquire third-party social welfare services (SWS), they create institutions of acquisition. The rules and practices that governments adopt define who is able to participate, on what basis, and how prices are determined. This paper conceptualizes the institutions of SWS acquisition, their variations, and implications, in order to contribute to a deeper understanding of the link between contracting and nonprofit commercialisation. Institutions of SWS acquisition include rules of entry, participation, and assessment. Resulting acquisition regimes can be marketised to a greater or lesser extent, and this is influential through its effect on nonprofit competition. Drawing on interviews with public servants and nonprofit staff, the paper compares acquisition regimes for homelessness services in England, a regime that closely resembles a market, and Canada, a regime which is not marketised. In contrast to their non-marketised counterparts, this paper finds that marketised SWS acquisition regimes create incentives for participants to reduce prices by loss-leading or ratcheting down service quality. [ABSTRACT FROM AUTHOR]

Approximately 1.3% (42,555 pupils) of secondary school pupils in England are autistic and there are numerous reports of poor academic and social experiences among this group. The intense interests that form part of an autism diagnosis relate to an increased focus on specific topics or objects and are reported to positively impact learning when effectively embedded into teaching. However, there is very little research into how interests may be used to support learning in secondary schools and little analysis of whether the utilisation of intense interests is conceptualised and implemented as an inclusive practice. This scoping review explored how intense interests are used to support the learning of autistic adolescents and provides a conceptual analysis of the six papers identified, all from the United States. Three applications of intense interests were reported: power cards, lunch clubs and responding to joint attention. A within-child, deficit-focused perspective was consistent throughout all papers, with the aim being to improve the 'appropriate' target behaviour of autistic children. There is limited research overall, and so further research is needed to examine how intense interests can be implemented in practice in more inclusive ways. [ABSTRACT FROM AUTHOR]

Purpose - This article seeks to summarise the recent publication, Turning the Tide: A Vision Paper for multiple needs and exclusions by Revolving Doors and Making Every Adult Matter. It addresses the significant financial and social costs of society's failure to support the 60,000 adults facing multiple needs and exclusions in England today and how this damage can be prevented.Design/methodology/approach - In total, six qualitative evidence seminars and a series of individual meetings were held, with 60 stakeholders consulted. The paper draws on the expertise of member agencies, partners, and the members of Revolving Doors' service user forum who have direct experience of multiple needs and exclusions.Findings - People facing multiple needs and exclusions experience several problems simultaneusly, have ineffective contact with services and, as a result, live chaotic lives. They are a small group but impose disproportionate costs on themselves, families, communities and the public purse. The paper sets out the vision that in every local area people facing multiple needs are supported by effective coordinated services. It argues that to achieve this, a new approach is needed from national government. Five building blocks to achieving the vision are examined in detail.Originality/value - Drawing on a wide evidence base, the paper shows how politicians, local leaders, and commissioners can act to make coordinated services for people facing multiple needs and exclusions the norm. It is of relevance to service managers/providers who can act now to tackle multiple needs by building partnerships, taking proposals to commissioners, and supporting elected members to develop new approaches. [ABSTRACT FROM AUTHOR]

Background: The English Public Health White Paper proposes introducing smoke-free workplaces except in pubs and bars that do not prepare and serve food. The bar area will be non-smoking in exempted pubs., Objective: To explore the likely impact of these proposals in UK pubs and bars., Methods: A total of 59 pubs and bars within Greater Manchester in 2001 were chosen. Thirteen were mechanically ventilated, 12 were naturally ventilated and 34 had extractor fans; 23 provided non-smoking areas. We measured time-weighted average concentrations of respirable suspended particles (RSP), solanesol tobacco-specific particles and vapour-phase nicotine (VPN) over a 4-h sampling period on a Tuesday or Saturday night., Results: Second-hand smoke (SHS) levels in smoking areas were high (mean RSP 114.5 microg/m3, VPN 88.2 microg/m3, solanesol 101.7 microg/m3). There were only small (5-13 per cent) reductions in bar areas. Mean levels were lower in non-smoking areas: by 33 per cent for RSPs, 52 per cent for solanesol particles and 69 per cent for VPN. Compared with other settings (homes and other workplaces) with unrestricted smoking, mean SHS levels were high throughout all areas of the pubs regardless of ventilation strategy., Conclusion: Partial measures, like those in the English Public Health White Paper, will leave bar staff in exempted pubs unprotected from the occupational hazard of SHS.

This article takes the issue of epistemology in writing for (performance) art to ask: 'What is the value of using "fictional" - as in "novelistic" - writing in reflective discourse on creative practice generally?' Using Susan Sontag's seminal essay 'Against Interpretation' as a starting point, the article argues that much writing on art assumes art's 'will-to-signify' - its value as a form of meaning - and consequently 'explanation' as the purpose of art writing. The problems with this reflex are discussed, including its suppression of alternative responses, which may include acknowledging that art is an affective entity: it has a function (if, in Kant's phrase, it is 'without purpose') and it has an ontology that may be more than its identity as signification. Extending, or restoring, the scope of art's reflective discourse in this way, the paper also notes, via reference to George Steiner, that a reciprocal extension for the media of this discourse is also possible, and it seeks to map the two extensions as the axes of a grid that offers varied combinations of the content-form dimensions of art writing. One of these conjunctions produces 'fictional writing' as a possible response to art. Seeming to dispel the problem of reductionism in explanatory discourse, the article then goes on to argue that the use of fiction in the spaces of art writing - 'Situational Fiction' - may be valuable in other ways as well. Hence, this is an argument for knowledge of creative practice in creative form. But 'Situational Fiction' may pursue this ethos of 'creative knowledge' in another way as well: as its reflexive dimension implicates the reader in deciding whether any aspect of this academic paper designates this work as 'fictional', as the paper understands this. [ABSTRACT FROM AUTHOR]

Over the past 5 years, a succession of recommendations or guidelines on the acute management of patients with a head injury have been published. These documents reflect developments in imaging technology, the benefits of specialist neurosurgical care and the need for rehabilitation and follow-up. To a large extent, improvements to the shortcomings of current clinical management will be dependent on the provision of adequate resources, in particular at neuroscience centres. This paper states the present stance of The Royal College of Surgeons of England in respect of key issues addressed in the above publications and reviewed below.

Recent policy statements that address the quality of care provided by acute mental health services have highlighted an urgent need for specialist nurse education and training. However, examples of how to design and implement such training initiatives are sparse. Drawing on recent experience of developing an innovative training programme for acute psychiatric settings, this paper seeks to examine some of the key issues associated with current training provision for acute inpatient mental health workers. The methodological and practical concerns surrounding this type of initiative are discussed with the main aspects of programme content, service user participation, team training and organizational challenges being explored. Resulting from this work, several recommendations regarding the content, organization and delivery of future training initiatives are made.