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There has been little research on domestic violence (DV) within ethnic minority communities in high-income countries. This study reports on the findings of a meta-ethnography that examined the barriers and facilitators of help-seeking behaviors in South Asian women living in high-income countries who have experienced DV to inform practice, understand the limits of the evidence, and identify research gaps. Qualitative studies were identified which were available in English by electronic databases. After an initial search, 2,465 articles were reviewed by title and abstract and 135 articles were reviewed for full text. Thirty-five papers were included for this review and were synthesized using meta-ethnography. Key findings included barriers and facilitators of help-seeking behaviors: (1) Socio-cultural norms to prohibit help-seeking behaviors, (2) Fear of negative consequences, (3) Negative aspects of immigration status, (4) Insufficient support from statutory, and voluntary agencies, (5) Safety strategies and facilitators for surviving. Although this review investigated the perceptions of two different populations (survivors and service providers) both groups had similar views about the barriers and facilitators of help-seeking behaviors. It is crucial for the government and non-government organizations to understand the barriers for women who are DV survivors to seek help from their organizations and also from South Asian ethnicities. The awareness and understanding of these barriers and facilitators may help support the development of interventions to encourage effective help-seeking amongst South Asian women affected by DV. Suggestions for research, practice, and policies are discussed. [ABSTRACT FROM AUTHOR]

Background: Racial disparities in pain management have been observed in the USA since the 1990s in settings such as the emergency department and oncology. However, the palliative care context is not well described, and little research has focused outside of the USA or on advanced disease. This review takes a cross-national approach to exploring pain management in advanced disease for people of different racial and ethnic groups. Methods: Mixed methods systematic review. The primary outcome measure was differences in receiving pain medication between people from different racial and ethnic groups. Five electronic databases were searched. Two researchers independently assessed quality using JBI checklists, weighted evidence, and extracted data. The quantitative findings on the primary outcome measure were cross-tabulated, and a thematic analysis was undertaken on the mixed methods studies. Themes were formulated into a conceptual/thematic matrix. Patient representatives from UK ethnically diverse groups were consulted. PRISMA 2020 guidelines were followed. Results: Eighteen papers were included in the primary outcome analysis. Three papers were rated 'High' weight of evidence, and 17/18 (94%) were based in the USA. Ten of the eighteen (56%) found no significant difference in the pain medication received between people of different ethnic groups. Forty-six papers were included in the mixed methods synthesis; 41/46 (89%) were based in the USA. Key themes: Patients from different ethnically diverse groups had concerns about tolerance, addiction and side effects. The evidence also showed: cultural and social doctor-patient communication issues; many patients with unmet pain management needs; differences in pain assessment by racial group, and two studies found racial and ethnic stereotyping. Conclusions: There was not enough high quality evidence to draw a conclusion on differences in receiving pain medication for people with advanced disease from different racial and ethnic groups. The mixed methods findings showed commonalities in fears about pain medication side effects, tolerance and addiction across diverse ethnic groups. However, these fears may have different foundations and are differently prioritised according to culture, faith, educational and social factors. There is a need to develop culturally competent pain management to address doctor-patient communication issues and patients' pain management concerns. Trial registration: PROSPERO-CRD42020167890. [ABSTRACT FROM AUTHOR]

The objective of this review was to examine the methods used to measure food insecurity (FI) globally, to inform considerations relating to adopting a novel, or reviewing an existing, FI measurement approach in developed countries. Considerations for measurement are examined with particular applicability to the United Kingdom (UK) which has recently announced adoption of the US Household Food Security Survey Module (HFSSM) as an indicator to facilitate annual FI monitoring. This study uses a Rapid Evidence Assessment (REA) methodological approach to systematically review the literature on FI measurement and considers: geographical jurisdiction, methodological approach, sampling strategy, FI indicator(s) used, and implications for measurement. Results found that the majority of papers reviewed emanate from North America with the US Household Food Security Scale Module (HFSSM) and its various adapted forms being the most commonly reported indicator. FI is becoming a key concern within developed countries with a range of indicators being used to report on the severity of the issue. This paper provides a contribution to knowledge by: (i) identifying various approaches to FI measurement and commonalities of existing measurement approaches; (ii) providing a summation of the methodologies and findings of studies relating to FI measurement, and associated implications for measurement, (iii) providing a justification evidenced by the literature for the adoption of the HFSSM in the UK; and (iv) assessing the methodological usefulness of a REA review. Understanding the components of robust FI indicators and their effectiveness can help inform existing and novel measurement approaches to ensure that data collected on FI are meaningful and thereby useful to inform future policy work in this area. [ABSTRACT FROM AUTHOR]

Healthcare accounts for approximately 5% of emissions in developed nations, and the public healthcare provider in the United Kingdom (UK), the National Health Service (NHS), has set a target to reach net-zero emissions by 2040 without detriment to its quality of patient care. With Uncrewed Aerial Vehicles (UAVs; a.k.a. drones, UAS, or RPAS) starting to be used in healthcare systems outside the UK, there is interest in how they could be integrated into NHS operations to transport diagnostic specimens. Reflecting on a business-as-usual analysis of current NHS diagnostic specimen logistics across the Solent region (southern UK), this paper critically evaluates the practical reality of integrating UAV deliveries of this commodity, identifying the benefits and challenges that must be addressed to realise commercial services, including dangerous goods legislation, cargo stability, routing, and weather. In the analysis, 14 out of 79 surgeries could be realistically served by a 5m wingspan vertical take-off/landing (VTOL) UAV: seven directly, and seven via ground-based transfers. The results suggested that an average of 1,628 samples could be served by UAV each week, resulting in 42 flights/week with 10 taxi services to cover periods where weather limited flying. This equated to an approximate total service cost of £2,964/week if regulations develop to relax UAV personnel constraints. The introduction of UAVs reduced the marginal external costs (greenhouse gas emissions, congestion, and air pollution) by £196 per week and cut travel times to UAV served sites by 72% (weather permitting). Tailpipe emissions (excl. taxis), vehicle-kilometres travelled, and van costs were reduced by 20%, 20%, and 23% (respectively), but the overall system cost increased by 56%. Whilst this increase is likely to make the introduction of UAV services financially challenging, the benefits in terms of emissions and journey time savings may offset some of the additional cost and warrant further investigation. [ABSTRACT FROM AUTHOR]

Objective: Although medication abortion has become more common in high-income countries, the procedure has not yet met early expectations for widening access to abortion. High-quality evidence can serve as a catalyst for changes in policy and practice. To direct research priorities, it is important to understand where quality evidence is concentrated and where gaps remain. High-income countries have developed a body of evidence that may have implications for the future of medication abortion. This literature review assesses the characteristics and quality of published studies on medication abortion conducted in the last 10 years in high-income countries and indicates future areas for research to advance policy and practice, and broaden access. Study design: A structured search for literature resulted in 207 included studies. A framework based upon the World Health Organization definition of sub-tasks for medication abortion was developed to categorize research by recognized stages of the medication abortion process. Using an iterative and inductive approach, additional sub-themes were created under each of these categories. Established quality assessment frameworks were drawn upon to gauge the internal and external validity of the included research. Results: Studies in the US and the UK have dominated research on MA in high-income countries. The political and social contexts of these countries will have shaped of this body of research. The past decade of research has focused largely on clinical aspects of medication abortion. Conclusion: Researchers should consider refocusing energies toward testing service delivery approaches demonstrating promise and prioritizing research that has broader generalizability and relevance outside of narrow clinical contexts. Plain English summary: Although medication abortion is more commonly available worldwide, it is not being used as often as people thought it would be, particularly in high income countries. In order to encourage changes in policy and practice that would allow greater use, we need good quality evidence. If we can understand where we do not have enough research and where we have good amounts of research, we can determine where to invest energies in further studies. Many high-income countries have produced research on medication abortion that could influence policy and practice in similarly resourced contexts. I conducted a literature review to be able to understand the type and quality of research on medication abortion conducted in high-income countries in the past 10 years. I conducted the review in an organized way to make sure that the papers reviewed discussed studies that I thought would be important for answering this question. The literature review found 207 papers. Each of these papers were reviewed and organized them by theme. I also used existing methods to determinine the quality of each study. Most of the research came from the US and the UK. Furthermore, most of the research conducted in the past 10 years was focused on clinical studies of medication abortion. In future studies, researchers should focus more on new ways of providing medication abortion to women that offers greater access. Also, the studies should be designed so that the results have meaning for a broader group of people or situations beyond where the study was done. [ABSTRACT FROM AUTHOR]

Aim: This study aims to present a general bibliometric overview of the development status of global nursing research from 2000 to 2019. Design: A longitudinal bibliometric analysis of nursing research was conducted. Methods: Nursing research publications (N = 88,665) were obtained from Web of Science. Bibliometric method was used to map the output and citation impact trends of countries/regions, institutions, disciplines, and journals and analyse the research collaboration among countries/regions and institutions. Results: The global paper output in nursing research increased steadily over the past two decades and it varied in different countries/regions with the USA being far ahead of the others. The paper output and cross‐border collaboration are mainly distributed in several developed countries like the USA, the UK, Australia, and Canada. The University of Pennsylvania, Harvard University, University of Toronto, and University of North Carolina at Chapel Hill have high academic influence in the field of nursing. Increasing attention from academic fields has been paid to research on nursing. Journal of Advanced Nursing is the most prolific and most cited journal in nursing field. Conclusion: Nursing research has developed steadily over the last two decades. Both the scientific output and research collaboration are disproportionally distributed between high‐income countries/regions and low‐ and middle‐income countries/regions. Most research and collaboration have taken place in a few developed countries across North America, Europe, and Oceania. Impact: The study highlighted the need for policy makers and funding agencies, especially those from low‐ and middle‐income countries/regions, to allocate research funding that supports the nursing higher education and international cooperation so as to promote the development of high‐quality nursing research in those countries/regions. At the same time, researchers from non‐English‐speaking countries/regions should attach more importance to publishing papers in English, strengthening the academic exchanges with international nursing colleagues and better integrating into the international academic community. [ABSTRACT FROM AUTHOR]

Pundits, development practitioners, and scholars worry that rising populism and international disengagement in developed countries have negative consequences on foreign aid. However, how populism and foreign aid go together is not well understood. This paper provides the first systematic examination of this relationship. We adopt the popular ideational definition of populism, unpack populism into its core "thin" elements, and examine them within a delegation model of aid policy—a prominent framework in the aid literature. In so doing, we identify specific domestic political processes through which the core components of populism may affect aid spending. We argue that increases in one component of populism—anti-elitism—and in nativist sentiments, an associated concept, in a donor country lead to a reduction in aid spending through a public opinion channel. We supply both micro- and macro-evidence for our arguments by fielding surveys in the United States and United Kingdom as well as by analyzing aid spending by a large number of OECD donors. Our findings show that nativism and anti-elitism, rather than populism per se, influence not only individual attitudes toward aid but also actual aid policy and generate important insights into how to address populist challenges to foreign aid. Beyond these, our study contributes to the broader International Relations literature by demonstrating one useful analytical approach to studying populism, nativism, and foreign policy. [ABSTRACT FROM AUTHOR]

Providing for the needs of the vulnerable is a critical component of social and health policy-making. In particular, caring for children and for vulnerable older people is vital to the wellbeing of millions of families throughout the world. In most developed countries, this care is provided through both formal and informal means, and is therefore governed by complex policies that interact in non-obvious ways with other areas of policy-making. In this paper we present an agent-based model of social and child care provision in the UK, in which agents can provide informal care or pay for private care for their relatives. Agents make care decisions based on numerous factors including their health status, employment, financial situation, and social and physical distance to those in need. Simulation results show that the model can produce plausible patterns of care need and availability, and therefore can provide an important aid to this complex area of policy-making. We conclude that the model's use of kinship networks for distributing care and the explicit modelling of interactions between social care and child care will enable policy-makers to develop more informed policy interventions in these critical areas. "The moral test of government is how it treats those who are in the dawn of life, the children; those who are in the twilight of life, the aged; and those in the shadows of life, the sick, the needy and the handicapped." — Hubert Humphrey Jr. [ABSTRACT FROM AUTHOR]

In many developed countries, especially in the USA and UK, different models of employee shareholding and other forms of financial participation of employees exist that make up the overall operative results, so that employees have a right to participate in the earned profit, but also to participate in the organization of the business and decision making on various levels. By including workers in the ownership of the company, traditional interests of workers, management and owners of the company are changing. According to the agency theory, the goals of the workers are identified as being identical to those of the owners. By enabling workers to participate in business decision making, they can have more impact on safety protection issues of the company. Studies have also shown that employee shareholding impacts safety and work protection, and there seems to be a connection between employee shareholding and fewer sickleave days. However, there are also other possible adverse effects such as burnout syndrome and more workplace injuries caused by excessive strain at work. The paper investigates the impact of the mentioned model of employee decision making to issues of safety and protection of work. [ABSTRACT FROM AUTHOR]

As cities continue to expand and climate change exacerbates flooding, development within flood risk zones becomes an increasingly pressing concern. Engineered solutions alone cannot fully address the risks to individuals and communities, especially when local officials and residents have conflicting understanding of the risk. Participatory GIS (PGIS) offers a unique opportunity to bridge this gap by engaging with communities to better understand their perceptions of flood risk. While PGIS has traditionally been used in developing nations as an alternative to numerical flood models, its potential for use in developed nations is largely unexplored. This paper presents a case study of survey-based PGIS conducted in Reading, a large town in Berkshire, UK. Findings suggest that local residents possess a surprisingly accurate understanding of flood risk zones, but discrepancies with modelled flood risk were also identified. These discrepancies may be due to issues with cartographic representation, but also raise concerns about the accuracy of numerical flood models. By examining local perceptions of flood risk, this study highlights the importance of considering community perspectives in flood risk management and offers valuable insights for practitioners seeking to bridge the gap between modelled and perceived flood risk zones. • Participants show remarkably robust local knowledge of flood risk in a UK city. • Findings highlight the value of stakeholder engagement in FRM. • Participatory GIS can help bridge the gap between modelled and perceived flood risk. • Approach could help address conflicts between flood managers and stakeholders. [ABSTRACT FROM AUTHOR]

• Historical correlation between US and the remaining G6 stock market returns analysed. • Correlations are explained with global crises measures. • Mixed frequency approach is used based on functional data analysis. • Some diversification benefits are observed during the early 20th century. • In the wake of crises, evidence of diversification benefits is non-existent post 1950. This paper presents a novel, mixed-frequency based regression approach, derived from functional data analysis (FDA), to analyze the effect of global crises on stock market correlations, using a long span of data, dating as far back as early 1800s, thus covering a wide range of global crises that have not yet been examined in the literature in this context. Focusing on the advanced nations in the G7 group, we observe heterogeneous effects of global crises on the convergence patterns across developed stock markets. While the post World War II period experienced a general rise in the level of correlations among developed stock market returns, we find that global crises in general have led to a stronger association of stock market returns in the US, UK and Canada, whereas the opposite holds when it comes to how European and Japanese stock markets co-move with the US. Overall, our results suggest that crises that are global in nature generally contribute to the convergence of global stock markets, while the effect largely depends on the context and nature of the crises that possibly drive the perception of risk and/or contagion in financial markets. From an investment perspective, our findings suggest that, in the wake of global crises, diversification benefits will be limited by moving funds across the US and UK stock markets whereas possible diversification benefits would have been possible during the crises-ridden period of the early twentieth century by holding positions in equities in the remaining G7 nations to supplement positions in the US. However, these diversification benefits seem to have frittered away in the post World War II period, highlighting the role of emerging markets and alternative assets to improve diversification benefits in the modern era. [ABSTRACT FROM AUTHOR]

The governments of Britain, France, and the United States are seeking to promote renewed investment in nuclear power through metagovernance. Metagovernance describes the way governments can leverage state power and resources to shape the behavior of networked actors to advance policy goals. To metagovern, governments use a variety of policy tools but the factors shaping the design of these policy tools remains unclear. Grid-group cultural theory is used to show that the design of the policy tools used in metagovernance reflects both an underlying cultural bias within government and prevailing institutional circumstances. The paper demonstrates the utility of cultural theory in the study of metagovernance. [ABSTRACT FROM AUTHOR]

In the UK, pubs are often the nodes and centres of the local social network. Particularly in villages and rural areas, pubs play an important role in stimulating community cohesion and social capital by enhancing socioeconomic activities, such as communal initiatives and business activities, within communities. Despite this, there has been a constant decline in the number of British pubs during the past decades. The factors influencing this decline are many and diverse: the rise of pub chains and theme pubs which target a more commercial type of custom, the result of progressively tougher drink-driving laws, rising prices and alcohol duties, the increased popularity of home entertainment, and the smoking ban. Since village pubs work as a network tier for the entire area, their disappearance often means the disappearance of major centres of social aggregation. This also has a significant impact on rural economies, given the importance of these businesses for local supply chains. The creation of Industrial and Provident Societies (l&PSs) in villages and small communities may represent a valid way to rescue a number of village pubs from closure. An l&PS is an organisation carrying on an industry, business, or trade, either as a cooperative or for the benefit of the community. This paper discusses the functioning of I&PSs and their potential with regard to pubs in rural areas by presenting original data obtained from primary research, including interviews held with owners, managers, and customers of village pubs. In addition, the paper provides case studies of communities who used an I&PS to save their local pubs and assets, and explores how this solution may help villagers to keep their centres of social aggregation economically viable and sustainable. It is concluded that l&PSs can represent a valuable solution for many rural communities, It is also concluded that the level of community cohesion among villagers, the investment required for setting up the I&PS, and the availability of financial grants and public sector support all have an important impact on their development. [ABSTRACT FROM AUTHOR]

Over the last 30 years the UK has seen a structural increase in mortgage default, interacting with cyclical economic trends to provide peaks and troughs of default. The latest upturn in mortgage arrears, from 2004, has been exacerbated by recessionary pressures since 2006. Despite significant exposure to risk and a distinct configuration to the current recession, lenders initial responses in 2006 and 2007 to managing arrears were limited and unchanged from the 1990s. This paper explores the extent to which such practices then changed, why and with what consequences. The paper identifies a shift in lenders' responses to mortgage arrears and possessions from 'pay or possess' to more 'managed forbearance'. It explores the ways in which commercial considerations, housing market drivers, a more stringent regulatory environment and government intervention have influenced this change resulting in a slower than expected growth in possessions. The paper considers the contingent nature of these changes and the implication for the longer-term sustainability of homeownership. The paper is based upon a qualitative study of lenders' and government agencies' responses to the current market downturn. The paper has a UK focus, but, in the context of global recession and significant homeownership markets in many developed countries, the issue of mortgage default and its management may resonate beyond the UK. [ABSTRACT FROM AUTHOR]

The electricity infrastructure in many developed countries requires significant investment to meet ambitious carbon emissions reduction targets, and to bridge the gap between future supply and demand. Perennial energy crops have the potential to deliver electricity generation capacity while reducing carbon emissions, leading to polices supporting the adoption of these crops. In the UK, for example, support has been in place over the past decade, although uptake and the market development have so far been relatively modest. This paper combines biophysical and socio-economic process representations within an agent-based model (ABM), to offer insights into the dynamics of the development of the perennial energy crop market. Against a changing policy landscape, several potential policy scenarios are developed to evaluate the cost-effectiveness of the market in providing a source of low carbon renewable electricity, and to achieve carbon emissions abatement. The results demonstrate the key role of both energy and agricultural policies in stimulating the rate and level of uptake; consequently influencing the cost-effectiveness of these measures. The UK example shows that energy crops have the potential to deliver significant emissions abatement (up to 24 Mt carbon dioxide equivalent year −1 , 4% of 2013 UK total emissions), and renewable electricity (up to 29 TWh year −1 , 8% of UK electricity or 3% of primary energy demand), but a holistic assessment of related policies is needed to ensure that support is cost-effective. However, recent policy developments suggest that domestically grown perennial energy crops will only play a niche role (<0.2%) of the UK energy balance. [ABSTRACT FROM AUTHOR]

Increasing the conditionality of welfare benefits is a growing trend in many developed countries, particularly in relation to some groups who may be perceived as undeserving of state support. Problem drug users (PDUs) are one such group, and in the UK most PDUs do not work and a high proportion claim benefits. Facilitating the movement of these individuals into employment is a policy aim, because it is believed to improve the circumstances of drug users (and promote future abstinence) and because moving all groups off benefits and into work is a primary purpose of recent welfare reforms. Yet little is known about the interactions of PDUs with the UK benefits system or how recent moves to increase the conditionality of benefits are likely to affect this vulnerable group. This paper begins to address this gap by exploring the perceptions that PDUs and relevant frontline staff have of drug users’ interactions with the welfare system and the factors affecting their prospects for employment. The findings suggest some aspects of recent welfare reforms, notably the simplification of benefits, may help PDUs interact with the system. However, the data also reinforce claims that the increased use of sanctions is unlikely to succeed in improving employment rates amongst this group without intensive support and demand-side interventions. [ABSTRACT FROM PUBLISHER]

Background: Even though all school-aged children in most countries experience some form of curricular physical education many do not maintain a lifelong involvement in sport or physical activity. From a theoretical perspective, the development models that dominate sport are limited by their staged and linear approaches to development (e.g. Cote's Developmental Model of Sport Participation) and their focus on a 'distinct' pathway to elite sport. R.P. Bailey and colleagues in 2010 advocated a new approach to understanding development in sport that enables a lifelong flow between different, but interrelated, motives for participation in sport (e.g. Participation, Personal Excellence, Elite Excellence). It is suggested that a common set of skills facilitate participation for these related but distinct motives across the lifespan. However, we argue that many curricular models in PE do not equip individuals with the skills necessary to maintain their involvement in sport and progress back and forth between different types of activities. Purpose: The purpose of this paper is to explore the psycho-motor and psycho-behavioural factors that underpin prolonged engagement in sport and physical activity, against a consideration of the extent to which these factors are promoted within PE. Key findings: Offering an operationalisation of this purpose, the Developing the Potential of Young People in Sport (DPYPS) model was used as an illustration of a developmental and educationally-oriented framework that recognised the interrelated importance of developing key developmental skills, namely psychomotor and psycho-behavioural skills, in a PE context. Essentially the skills offered within the DPYPS program are those psychological and psychomotor fundamentals that underpin learning, development, and performance and act as the foundation of lifelong engagement in sport and physical activity. [ABSTRACT FROM AUTHOR]

This paper presents an empirical analysis of the United Kingdom's society's long-term intervention into the energy flows of domestic terrestrial ecosystems through the human appropriation of aboveground net primary production (aHANPP) covering the period 1800–2000. The depicted aHANPP trajectory and the historical development of its components are discussed in view of a continuously increasing population and the transition process from an agrarian to an industrial socioecological regime. During the 19th century, aHANPP shows a steady decline from its level of 71% in 1800. While even higher levels were reached during the mid 20th century, the trend during the last forty years of the period under investigation again shows a reduction of aHANPP, which lies at 68% in the year 2000. The high values of aHANPP in the United Kingdom are primarily attributable to the limited amount of forest in comparison to large agricultural areas. At the beginning of the studied period, the relative stabilisation or even decrease in aHANPP in comparison to population development was made possible through the area expansion of and productivity increases on cropland and permanent pastures. Later this was made possible through the outsourcing of biomass harvest, by satisfying local nutritional demands by means of overseas imports, and as from the mid 20th century through huge amounts of fossil fuel based inputs into agriculture (e.g. increased amounts of fertilizers and motorized traction) which allowed increases in biomass harvest to be decoupled from HANPP. [Copyright &y& Elsevier]

Abstract: In all developed countries, once it emerged from the amateur era, Space (and especially rocketry) moved on the public agenda because of its potential significance for both the civil and military policies of governments (coupled with its appetite for new money). In the UK the policy treatment of Space broadly paralleled that in other countries until the post-Empire trauma, the burn-out of the White-Hot Technological revolution of Harold Wilson, and the financial crises of the 1970s exhausted the public appetite for large scale publicly funded projects in high technology. The culmination for Space of these pressures came in 1986–1987 when the UK rejected the emerging international consensus and, almost alone, stayed outside the manned space commitments which developed into the International Space Station. In this paper, Colin Hicks will review the UK political developments which led up to the 1986–1987 decision and how the politics and organisation of UK space activity have developed since then to the point where in 2008 a major government review of the UK involvement in manned space was commissioned. [Copyright &y& Elsevier]

‘Well-being’ has entered policy rhetoric in children's services in the UK and other Western developed countries as a companion to other buzzwords of recent years. In order to improve children's well-being, we need not only a better understanding of what it is and how services can improve it, but also the ability to measure child well-being in order to evaluate success. This paper explores conceptually and empirically the ‘lenses’ through which child well-being is often viewed. It considers the relationships between these perspectives, the added value that each one brings and the implications for services. [ABSTRACT FROM AUTHOR]

Abstract: Cervical screening has resulted in a major reduction in the incidence and mortality of cervical cancer in the UK and other developed countries. Nevertheless approximately 2700 women present with cervical cancer in the UK each year with mortality in excess of 1000 cases. Prophylactic HPV vaccination against HPV 16 and 18 has been shown to be highly effective in preventing HPV related malignancy in clinical trials. Newly introduced HPV vaccination programmes in the UK and elsewhere are ultimately likely to result in a further significant reduction in the incidence and mortality of cervical cancer. These vaccination programmes will be most effective in early adolescence when prevalence of HPV infection is low. Consequently, vaccination programmes in the UK have been initially targeted at 12 to 13-year olds. In Australia favourable estimates of cost effectiveness have supported funding of a ‘catch-up’ programme to 26 years. In the UK the catch up programme has for the present been restricted to 18 years for cost effectiveness reasons. In addition the value of HPV vaccination beyond 26 years has not yet been fully clarified. Nevertheless women up to 45 years of age have been shown to exhibit strong immune responses to the bivalent HPV vaccine which might be expected to reduce the risk of HPV re-infection and address the second peak of HPV related malignancy in later life, evident over 45 years of age. Early data from randomised trials testing the quadrivalent HPV vaccine in women over 25 years has suggested high vaccine efficacy comparable to younger women. This paper will explore the evidence supporting HPV vaccination in HPV naïve and HPV exposed sexually active women up to 26 years and beyond this age group. [Copyright &y& Elsevier]

This paper draws upon a survey of the life science and biotechnology regions of Oxford, Central Scotland and South West England to examine the innovation and embeddedness traits of the regions. The insights into the compositional weaknesses and strengths of the regions suggest opportunities and threats for the future development of the UK's life sciences and biotechnology. The discussion moves forward debates on biotechnology, regional innovation, regional economic development and policy by posing research questions relating to the gap of knowledge of two under-researched regions, the need for a differentiated view of regions and a public policy approach tailored towards them, as well as the prospects of 'engineering' high-tech regions. Some of the highlighted policy challenges are common to the three regions, while others are region-specific and reflect the variations of regional make-up and stage of development. [ABSTRACT FROM AUTHOR]

British society has changed greatly over the past half century. Increasing uncertainty about economic and social developments is becoming a distinctive feature of modern industrialized countries, affecting the life chances and opportunities of young people making the transition from dependent childhood into independent adulthood. Summarizing recent findings from data collected from about 30,000 individuals born 12 years apart, in 1958 and 1970 respectively, this paper examines the role of individual agency in shaping educational and occupational transitions as well as the assumption of family-related roles in times of social change. The data suggest that societal change and the associated increasing uncertainty does not impact on all individuals in the same way, and that there has been an increasing polarization between those who are able to benefit from the economic and social transformations and the ones who are excluded, largely because of their relatively disadvantaged socioeconomic circumstances and lack of access to opportunities in education and employment. It is concluded that human agency processes cannot be studied in isolation from the sociohistorical context in which they are embedded. [ABSTRACT FROM AUTHOR]

This paper examines the policy context of the rise in the international mobility and migration of nurses. It describes the profile of the migration of nurses and the policy context governing the international recruitment of nurses to five countries: Australia, Ireland, Norway, the United Kingdom, and the United States. We also examine the policy challenges for workforce planning and the design of health systems infrastructure. Data are derived from registries of professional nurses, censuses, interviews with key informants, case studies in source and destination countries, focus groups, and empirical modelling to examine the patterns and implications of the movement of nurses across borders. The flow of nurses to these destination countries has risen, in some cases quite substantially. Recruitment from lower-middle income countries and low-income countries, as defined by The World Bank, dominate trends in nurse migration to the United Kingdom, Ireland, and the United States, while Norway and Australia, primarily register nurses from other high-income countries. Inadequate data systems in many countries prevent effective monitoring of these workforce flows. Policy options to manage nurse migration include: improving working conditions in both source and destination countries, instituting multilateral agreements to manage the flow more effectively, and developing compensation arrangements between source and destination countries. Recommendations for enhancements to workforce data systems are provided. [ABSTRACT FROM AUTHOR]

The trend in most developed countries is for part time farms to increase relative to full time with growing emphasis on the Class II type mainly dependent on off farm sources of income and employment. The change from full time to part time farming could occur within the career of the farmer, by another household member taking a non-farm job, at the point of inter-generational transfer or by replacement of a full time by a part time farmer. Drawing on the literature and a recent survey of part time farming families in England and Wales, the paper assesses the importance of each type of transformation and the circumstances which favour it. It finds that while part time farming may slow down the rate of farm structural change at macro-level it is nevertheless associated with a rapid turnover of people. concludes that survival of the part time farm sector does not necessarily mean survival of existing part time farming families in farming. [ABSTRACT FROM AUTHOR]

"Open Data' is collection of easily accessible data that is to be available for general use without any restrictions. 'Open Data' is gaining momentum in literature and language for the purpose of research. Therefore, many developed countries are planning to start getting involved with 'Open Data'. Moreover, the focus is shifting from opening as much data as possible towards realizing the benefits of 'Open Data'.'Open Data' analysis has been taken up contemporary as a new trend in the world of information and communication technology. With technological advancements many countries are showing interest in opening their governmental approved data to the public. Moreover, many benefits and positive impacts have been identified playing a role in the eagerness of countries to implement 'Open Data' programs. Some of the discovered benefits of 'Open Data' include transparency and credibility of the information, participation and self-empowerment to the citizens, reliability in news growth, and stimula tion of innovation through re-use of data.The research explained how the fact that when News Media (Media which covered political news) had opened their data both internally and externally improved their capacity to innovate. Lastly, this paper described how some of the tasks mentioned previously could be outsourced by the newsroom researchers, bringing a new actor in the ecosystem. There are plenty of data sources that might provide a different angle on the perspective and large public datasets from various authors, countries and literary agencies. With the access to 'Open Data' the impact in Urdu News media is largely observed. [ABSTRACT FROM AUTHOR]