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Summary: Background & Aims: Healthcare service provision in inflammatory bowel disease (IBD) is often designed to meet targets set by healthcare providers rather than those of patients. It is unclear whether this meets the needs of patients, as assessed by patients themselves. This nationwide study assessed patients' experience of IBD and the healthcare they received, aiming to identify factors in IBD healthcare provision associated with perceived high‐quality care. Methods: Using the 2019 IBD Standards as a framework, a national benchmarking tool for quality assessment in IBD was developed by IBD UK, comprising a Patient Survey and Service Self‐Assessment. Results: In all, 134 IBD services and 9757 patients were responded. Perceived quality of care was lowest in young adults then increased with age, was higher in males and those >2 years since diagnosis. No hospital services met all the National IBD Standards for recommended workforce numbers. Key metrics associated with patient‐reported high‐quality care were as follows: identification as a tertiary centre, patient information availability, shared decision‐making, rapid response to contact for advice, access to urgent review, joint medical/surgical clinics and access to research (all p < 0.001). Higher numbers of IBD nurse specialists in a service was strongly associated with patients receiving regular reviews and having confidence in self‐management and reporting high‐quality care. Conclusions: This extensive patient and healthcare provider survey emphasises the importance of aspects of care less often measured by clinicians, such as communication, shared decision‐making and provision of information, and demonstrates that IBD nurse specialists are crucial to meeting the needs of people living with IBD.

Supplementary tables delineating additional pertinent study information, including inclusion and exclusion criteria, the schedule of study events, and the exploratory outcomes investigated. (DOCX 39 kb)

Therapeutic hypothermia (TH, 32-34ºC) reduces mortality and improves neurologic outcomes after ventricular fibrillation cardiac arrest (CA). The relationship between time to achieve TH and outcomes remains undefined. We hypothesized that a shorter interval from CA to achieve TH would be associated with improved neurologic outcome.We retrospectively reviewed subjects within or out-of-hospital CA treated with TH between November 2006 and April 2009 at our institution. The time to target temperature was defined as the interval between witnessed CA and first measurement of hypothermia (≤ 34 ºC) and further categorized as early (6 hours) or delayed (6 hours). Outcomes were assessed at the time of death or discharge using Cerebral Performance Category Score (CPC); good outcome was defined as CPC ≤ 2. Fisher's Exact test was used to assess the univariate relationship between time to TH and outcome.26 patients achieved TH after in-hospital (39%) and out-of-hospital (61%) CA. Five patients (5/26) reached early target temperature; 80% (4/5) of those had a good neurological outcome. 24% (5/21) of subjects with delayed target temperature achieved a good neurological outcome. The univariate relationship between time to target temperature and neurological outcome was statistically significant (p=0.034).Attaining TH within 6 hours of in or out-of-hospital CA was associated with a greater likelihood of a good neurological outcome at discharge. Time from CA to achieved TH should be included as a clinically important covariate in future studies of predictors of outcome after CA.

This reports summarises the observations of the deposition of pollutants from the atmosphere to the North Sea area during 2008. Priority is given to the metals arsenic, cadmium, chromium, copper, lead, mercury, nickel, and zinc, the organic pollutant lindane, and to oxidised and reduced forms of nitrogen. A number of voluntarily monitored pollutants are also reported by North Sea countries. As well as providing rates of deposition observed in 2008, the report summarises the temporal trends in deposition of lead, cadmium, mercury and PCB's.

Report of the observations of airborne pollutants around the OSPAR coastlines, 2004. Displays theestimated deposition of nutrient, heavy metal and organic pollutants around the coast, together with estimates of the total load to the North Sea of pollutants from the atmosphere. There is indication of decline in pollutant loads.

The atmosphere is often overlooked as a component of the coastal zone, despite the very convergence of terrestrial, marine and atmospheric biogeochemical pathways lending a defining character to the coast. The magnitude of pollutant supply through the atmosphere is also often overlooked. Investigations, however, reveal that the atmosphere contributes substantial proportions of total coastal inputs. Source regions for these pollutants are typically found to be large, potentially larger than the watersheds which are traditionally taken as the appropriate geographic scale for management. This puts emphasis on international collaboration. Yet whilst we understand the general magnitude of the issue, our routine assessment of marine atmospheric pollution is often insufficient to allow us to know the true effectiveness of air pollution abatement measures for coastal and regional seas. At best we can estimate no more than the expected general tendencies in pollutant input for many European coastal and regional seas, including the Black Sea.

The Chief of Naval Operations defines FORCEnet as the "operational construction and architectural framework for Naval Warfare in the Information Age which integrates warriors, sensors, networks, command and control, platforms and weapons into a networked, distributed combat force, scalable across the spectrum of conflict from seabed to space and sea to land." The Trident Warrior experiments are the Navy's premier FORCEnet Sea Trial experiments. The purpose of the Trident Warrior experiments is to provide "speed to capability" and to develop supporting tactics, techniques, and procedures The purpose of this thesis will be to provide a basic overview of the Trident Warrior Experimentation Process. Through a step-by-step analysis, this thesis will explain and justify the many steps required to complete a successful experiment/experimentation campaign. http://archive.org/details/thetridentwarrio109452189 Approved for public release; distribution is unlimited.

This report is the assimilated record of observed input of atmospheric pollutants to the OSPAR seas in 2003, and of the associated concentrations of pollutants in the ambient air of the OSPAR region. Observations have been conducted under the terms of the CAMP, the Comprehensive Atmospheric Monitoring Programme, which calls for Mandatory Monitoring of a range heavy metals, organic compounds and nutrients in precipitation and air, and encourages participation in a Voluntary Monitoring of additional compounds.

This report is the assimilated record of observed input of atmospheric pollutants to the OSPAR seas, and of the concentrations of pollutants in the ambient air of the OSPAR region. Observations are made following the terms of the CAMP – the Comprehensive Atmospheric Monitoring programme. This programme calls for Mandatory Monitoring of a range heavy metals, organic compounds and nutrients in precipitation and air, and encourages participation in a Voluntary Monitoring of additional compounds.

Observations from coastal air and precipitation monitoring stations in the year 2000 around the North-East Atlantic region are presented. Rates of pollutant supply in precipitation are given. The observations form the results of the Comprehensive Atmospheric Monitoring programme, CAMP, of the OSPAR Commission for the Protection of the North-East Atlantic.

This report describes the observations made at monitoring stations in 1999 around the North Sea and North East Atlantic by the CAMP programme. The monitoring programme and stations are described and annual observed values given in summary, supported by actual observed values listed in the Appendix.

Nearly all traditional charitable-giving studies conclude donors are more responsive to price-reducing charitable deductions (the price effect) than they are to income-reducing tax payments (the income effect). Thus, taxes stimulate giving. In addition, this empirical evidence also indicates that the charitable deduction is treasury efficient. This traditional understanding was recently challenged by studies employing observations on the same individuals across time (panel data). These panel studies provide evidence which suggest that donors are either much more responsive to income reducing tax payments than they are to price-reducing charitable deductions or just as responsive to both. Further, price elasticity estimates are much greater than negative one. Thus, the deduction is inefficient and giving is either neutral to, or inhibited by, taxes. Ph. D.

A collection of folklore and local history stories from Glin (B.) (school) (Glin, Co. Limerick), collected as part of the Schools' Folklore Scheme, 1937-1938 under the supervision of teacher #missing., Hidden Treasure / Mangan, Michael -- Hidden Treasure / Dillane, Michael -- Hidden Treasure -- Hidden Treasure / Barrett, Connor -- Funny Story / Mangan, Michael -- Funny Story / Barrett, Connor -- Funny Story / Barrett, Connor -- Funny Story / Mangan, Michael -- Funny Story / Barrett, Kevin -- Funny Story / Barrett, Kevin -- Funny Story / Barrett, Kevin -- Funny Story / Barrett, Kevin -- Funny Story / Barrett, Kevin -- Riddles / Sullivan, Patrick O' -- Riddles / Sullivan, Michael O' -- Riddles / Barrett, Connor -- Riddles / Mangan, Michael -- Weather-Lore / Sullivan, Patrick O' -- Weather-Lore / Mangan, Michael -- Weather-Lore / Barrett, Connor -- Local Happenings / Mangan, Michael, Teacher name missing., Supported by funding from the Department of Arts, Heritage and the Gaeltacht (Ireland), University College Dublin, and the National Folklore Foundation (Fondúireacht Bhéaloideas Éireann), 2014-2016.