22 results
Search Results
2. National Buildings for Nation-Building: The Case of England's and France's National Football Stadiums.
- Author
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Anat, Kidron and Levental, Orr
- Subjects
SOCCER fields ,MONUMENTS ,NATIONAL monuments ,NATION building ,HISTORY of colonies - Abstract
Buildings that contribute either directly or indirectly to the formation of a national identity are typically associated with historical monuments. Mega-structures such as national football stadiums, which were built as national monuments but were designed to meet functional needs as well, play a similar role. This paper examines these mega-structures, and specifically national football stadiums, through a critical review of two such stadiums, one in England and one in France, that represent an anomaly in the European context. The paper offers a local and global perspective based on nationality, geography, and sports theories. Our findings suggest that despite the differences between the two countries, they demonstrate a consensus regarding the need to build a national stadium. While this consensus is embedded in each country's colonial past, in both cases it reflects an inner need to cope with the decline of the imperial power and with the undermining of the homogenous social structure as a result of immigration. [ABSTRACT FROM AUTHOR]
- Published
- 2022
- Full Text
- View/download PDF
3. Knight's Tournaments in England and France from the 11th to the 14th Century: The Problems of Sources and Terminological Aspects.
- Author
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Mereniuk, Khrystyna
- Subjects
FOURTEENTH century ,TOURNAMENTS ,FRENCH language ,MILITARY education ,MILITARY maneuvers - Abstract
Copyright of Średniowiecze Polskie i Powszechne is the property of Wydawnictwo Uniwersytetu Slaskiego and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2022
- Full Text
- View/download PDF
4. Does Family Structure Account for Child Achievement Gaps by Parental Education? Findings for England, France, Germany and the United States.
- Author
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Solaz, Anne, Panico, Lidia, Sheridan, Alexandra, Schneider, Thorsten, Dräger, Jascha, Waldfogel, Jane, Kwon, Sarah Jiyoon, Washbrook, Elizabeth, and Perinetti Casoni, Valentina
- Subjects
- *
FAMILY structure , *ACHIEVEMENT gap , *PERFORMANCE in children , *FAMILY roles , *HIGH-income countries , *PARENT-child relationships - Abstract
This paper explores the role of family trajectories during childhood in explaining inequalities by maternal education in children's math and reading skills using harmonized, longitudinal, and nationally representative surveys, which follow children over the course of primary and lower secondary school in four high‐income countries (England, France, Germany, and the United States). As single parenthood and family transitions are more likely among less educated parents and are associated with fewer resources for children, we explore whether growing up outside a stable two‐parent family mediates educational inequalities in math and reading scores. Results show a strong educational gradient in family trajectories in the four countries, but this varies by child age and by country. Children who experience a family transition record lower test scores, although the magnitude differs by the type of postseparation arrangements. Overall, family trajectories are strongly associated with children's math and reading scores but, because of the importance of selectivity in family trajectories, they play only a modest role in explaining the skills gaps by maternal education, considerably less than determinants such as income. The penalties associated with not living within a stable two‐parent family are always larger in the United States and England than in France and Germany. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
5. The Use of Religious Signs in Schools in Germany, France, England and Spain: The Islamic Veil.
- Author
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Llorent-Bedmar, Vicente, Torres-Zaragoza, Lucía, and Sánchez-Lissen, Encarnación
- Subjects
RELIGIOUS schools ,PUBLIC spaces ,PUBLIC sphere ,FREEDOM of religion - Abstract
The use of religious signs in schools, as in other areas of the public sphere, is a current topic, given that legislative changes are constantly taking place. In countries as close as Germany, France, England and Spain, the legislation governing the wearing of the Islamic veil differs considerably due to their different historical, cultural, social, economic and idiosyncratic contexts. Leaving aside the ethnocentric perspective, in this paper a comparative study of the situation was carried out in these four countries. The main results include a negative attitude towards the wearing of the Islamic veil in France as opposed to a more tolerant position in England and Spain. In the case of Germany, there is a greater diversity of positions due to the characteristic autonomy of each federal state. Given the different types of veils, the reasons for wearing them, the traditions of each society and regional idiosyncrasies, it is considered that, a priori, there should not be a fight against its use, although it is recommended to adopt a belligerent stance against its imposition. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
6. From Government to Governance, From Judiciary to...?
- Author
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Ng, Gar Yein
- Subjects
JUSTICE administration ,JUDICIAL power ,EXECUTIVE power ,LEGAL research ,JUDGES - Abstract
It can be seen from the research that there is very little actually written about the role of the judge in relation to regulatory power. It is clear from the research on the political and legal constitutions around regulatory power that it is a complex picture. Therefore, this paper maps out how the judiciary in England and France has responded to changes in government. The first part of this paper will start to chart out the expansion and contraction of judicial power in relation to executive powers. The second part will provide a comparison between England and France's regulatory systems and their relationships to their respective judiciaries. The conclusion sets out to answer the main question of where the judiciary sits in an a complex political, economic and legal tapestry to control a hybrid institution that sits outside of a legal constitution. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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7. Healthcare professionals' perceptions of challenges in vaccine communication and training needs: a qualitative study.
- Author
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Holford, Dawn, Anderson, Emma C., Biswas, Aishmita, Garrison, Amanda, Fisher, Harriet, Brosset, Emeline, Gould, Virginia C., Verger, Pierre, and Lewandowsky, Stephan
- Subjects
IMMUNIZATION ,COMMUNICATIVE competence ,MEDICAL personnel ,RESEARCH funding ,QUALITATIVE research ,INTERVIEWING ,HEALTH ,INFORMATION resources ,CONFIDENCE ,SOUND recordings ,THEMATIC analysis ,PROFESSIONS ,ATTITUDES of medical personnel ,RESEARCH methodology ,PATIENT-professional relations ,VACCINE hesitancy ,HEALTH promotion ,COMMUNICATION education ,PSYCHOSOCIAL factors ,TIME ,EXPERIENTIAL learning - Abstract
Background: Healthcare professionals (HCPs) can play an important role in encouraging patients and their caregivers to be vaccinated. The objective of this qualitative study was to investigate HCPs' perspectives on challenges in vaccine communication and unmet training needs in this domain. Methods: Semi-structured interviews were conducted with 41 HCPs (mainly nurses and physicians) with vaccination roles (23 in England; 18 in France), gathering information on: (1) HCPs' approach to vaccine conversations with patients; (2) Challenges of communicating about vaccines; (3) Vaccine-related training and learning resources available to HCPs, and; (4) HCPs' training needs around vaccine communication. Results: HCPs described a range of communication experiences that indicated insufficient time, information, and skills to confidently navigate difficult conversations with vaccine-hesitant patients. Communication skills were especially important to avoid conflict that could potentially damage the patient-provider relationship. Some HCPs interviewed had received communication training, but for most, this training was not specific to vaccination. Although general communication skills were transferable to vaccine conversations, most HCPs welcomed specific training and informational resources to support countering patients' misconceptions or misinformation about vaccines. Conclusions: HCPs would benefit from training tailored to address vaccine communication with patients, and this should be part of a systemic approach that also provides time and space to have effective vaccine conversations. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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8. 'The more things change the more they stay the same': The continuing relevance of Bourdieu and Passeron's Reproduction in Education, Society and Culture.
- Author
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Reay, Diane
- Subjects
SOCIAL classes ,EDUCATIONAL equalization ,SOCIAL reproduction ,TWENTY-first century ,WORKING class ,EQUALITY ,EDUCATIONAL change ,CULTURE - Abstract
Copyright of Revista Española de Sociología is the property of Federacion Espanola de Sociologia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2022
- Full Text
- View/download PDF
9. Misdirection and the Regulation of Herbalism in France and England.
- Author
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Cloatre, Emilie and Urquiza-Haas, Nayeli
- Subjects
- *
CONSUMER protection , *HERBALISTS , *MAGIC tricks , *LEGAL procedure , *JUSTICE administration - Abstract
In this paper, we propose to explore how the regulation of herbalism, in France and in England, rests on series of 'misdirections,' with the coexistence of law and herbalism depending on multiple magical illusions. Attempts to regulate herbalists, and the responses they invite, involve multiple sleights of hands both by the law and by herbalists. Herbalists perform misdirections to maintain an illusion of legality, even where they bend legal rules that they deem incompatible with their practice. But far from being the only, or even the most effective, tricksters, herbalists are only one set of performers in a more complex layering of legal illusions. The regulatory and legal infrastructure itself relies on misdirections enacted through everyday legal procedures that trick the general public into believing that the law is 'acting' to protect vulnerable consumers from dangerous healers and their medicines, while the effects of its actions may be to tolerate, or indeed produce, zones of illegal, or 'barely legal,' practices. At the same time, this performance is enabled by playing a disappearing act, in which the knowledge of herbalists, and the demands of their users, are disappeared behind the screen of apparent legal protection. Drawing attention away from competing claims to knowledge, and towards its protective intervention, the legal system thereby embeds misdirections of its own kind. [ABSTRACT FROM AUTHOR]
- Published
- 2022
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10. Correlation of the Coniacian and Santonian stages of the Upper Cretaceous in the Anglo-Paris Basin.
- Author
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GALE, ANDREW SCOTT
- Subjects
CHALK ,AMMONOIDEA ,BRACHIOPODA ,MARL ,BIVALVES - Abstract
The correlation of the Coniacian and Santonian chalks of the Anglo-Paris Basin is described on the basis of detailed lithological logs and extensive records of macrofossils and microcrinoids. In the almost complete absence of ammonites, inoceramid bivalves afford the highest resolution correlation of these stages in chalks, but their value here is limited by the absence of key genera and species, most notably in the Upper Coniacian and middle and Upper Santonian. Echinoids and other macrofossils (brachiopods, stalked crinoids, belemnites) have proved useful, but many are long-ranging or uncommon. Some marker beds, including flints and marl seams, provide useful correlations across the basin, but are locally absent. For the Upper Santonian, the stemless benthonic crinoids Uintacrinus and Marsupites provide high-resolution correlation, both within the basin and to other regions. The successions on the basin margins, in the far north of France (Nord, Pas de Calais) and the southwest (Touraine) are condensed and yield ammonites in association with important inoceramid species. The controls on sedimentation caused by sea-level changes are evaluated on a basinal and global scale, most especially for the Upper Santonian. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
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11. Frustration v Imprévision, Why Frustration is so 'Frustrating': The Lack of Flexibility in the English Doctrine's Legal Consequence.
- Author
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Al Majed, Bashayer and AlMajed, Abdulaziz
- Subjects
FRUSTRATION ,CORONAVIRUS diseases ,PANDEMICS ,COMMON law ,CIVIL law - Abstract
The COVID-19 pandemic and subsequent economic restrictions have placed many contractual parties under great strain to honour their agreements as contracts have become commercially impracticable and excessively onerous. This article explores the legal position in England, France and the Middle East under the doctrine of impossibility, impracticability and unforeseen circumstances. Strongly rooted in contractual autonomy and commercial certainty, this article argues that frustration in English common law is not sufficiently broad because the consequence (automatic discharge) is too rigid and does not allow a renegotiation of obligations. French civil law is more accommodating but only formally adopted imprévision in civil law in 2016, meaning it lacks traction. However, Middle Eastern civil law countries accept the doctrine as an integral part of their law and theory of justice, allowing obligations to be rebalanced in a more flexible manner. The English legal system should consider the advantages of a similar reform. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
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12. The Acceptance of Indirect Treatment Comparison Methods in Oncology by Health Technology Assessment Agencies in England, France, Germany, Italy, and Spain.
- Author
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Macabeo, Bérengère, Rotrou, Théophile, Millier, Aurélie, François, Clément, and Laramée, Philippe
- Subjects
MEDICAL technology ,TREATMENT effectiveness - Abstract
Introduction: Randomized controlled trials (RCTs) are the gold standard when comparing treatment effectiveness, and Health Technology Assessment (HTA) agencies state a clear preference for such direct comparisons. When these are not available, an indirect treatment comparison (ITC) is an alternative option. The objective of this study was to assess the acceptance of ITC methods by HTA agencies across England, France, Germany, Italy, and Spain, using oncology cases for a homogeneous sample of HTA evaluations. Methods: The study was conducted on the PrismAccess database in May 2021 to retrieve HTA evaluation reports for oncology treatments for solid tumors, in which an ITC was presented. The analysis was restricted to HTA evaluation reports published between April 2018 and April 2021 in England, France, Germany, Italy, and Spain. Identified HTA evaluation reports were screened and reviewed by two independent reviewers. For each ITC presented, the methodology and its acceptance by the HTA agency were analyzed. Results: Five hundred and forty-three HTA evaluation reports were identified, of which 120 (22%) presented an ITC. This proportion was the highest in England (51%) and lowest in France (6%). The overall acceptance rate of ITC methods was 30%, with the highest in England (47%) and lowest in France (0%). Network meta-analysis (NMA; 23%) was the most commonly used ITC technique, with a 39% acceptance rate overall, followed by Bucher ITC (19%; 43% acceptance rate) and matching-adjusted indirect comparison (13%; 33% acceptance rate). The most common criticisms of the ITC methods from HTA agencies related to data limitations (heterogeneity and lack of data; 48% and 43%, respectively) and the statistical methods used (41%). Conclusions: The generally low acceptance rate of ITC methods by HTA agencies in oncology suggests that, whilst in the absence of a direct comparison ITCs may provide relevant evidence, this evidence is not widely considered sufficient for the purpose of HTA evaluations. The perception of ITC methods for the purpose of HTA evaluations varies substantially between countries. There is a need for further clarity on the properties of ITC techniques and the assessment of their results as ITC methods continue to evolve quickly and further techniques may become available in the future. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
13. The centralised sale of football media rights in Europe.
- Author
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Heller, C.-Philipp, Sudaric, Slobodan, and Winkler, Anne-Christin
- Subjects
MEDIA rights ,SOCCER on television ,SOCCER ,ANTITRUST law - Abstract
We analyse the competitive effects of the centralised sale of football media rights in Europe, focusing on the "Big Five" countries (England, France, Germany, Italy, Spain). Contrary to the findings of European competition authorities, we consider that there are arguments in favour of the relevant market for domestic media rights being club- or even match-specific. This raises the question of what competition is restricted by the centralised sale if the rights on offer have limited or no substitutability. We conclude that the centralised sale of media rights is unlikely to be anticompetitive and may have procompetitive effects if the media rights of different clubs are complementary instead of substitutable. In addition, there may be efficiency gains from the bundling of media rights. Under a club or match-specific market definition, a no-single-buyer rule likely reduces the benefits from the centralised sale and may harm consumers. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
14. Fighting for a Mare Clausum and Secret Science: France, England and Spain in the Strategies of Ambassador Dantas (1557-1568).
- Author
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Vila-Santa, Nuno
- Subjects
AMBASSADORS ,MARES ,ESPIONAGE ,SABOTAGE ,DIPLOMACY - Abstract
Copyright of Vegueta: Anuario de la Facultad de Geografía e Historia is the property of Vegueta: Anuario de la Facultad de Geografia e Historia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2023
- Full Text
- View/download PDF
15. Die Verschriftlichung fürstlichen Rangs: Beobachtungen zur Bedeutung des Königtums für die Entwicklung reichsfürstlicher Schriftlichkeit im 14. Jahrhundert unter besonderer Berücksichtigung der ersten Kopialbücher der Pfalzgrafen bei Rhein und der Markgrafen von Jülich
- Author
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PELTZER, JÖRG
- Subjects
IMPERIALISM ,KINGS & rulers ,LITERACY ,PRINCES ,CHARTERS ,POLITICAL doctrines ,INTERNAL colonialism ,NEOCOLONIALISM ,SCHOLARS ,CITIES & towns - Abstract
While scholars working on high and late medieval England and France have long been emphasising the significance of kings and their chanceries as driving forces for the use of the written word in administrative matters, scholars dealing with the Empire have painted a different picture: pragmatic literacy was first deployed by the towns, then by the magnates and lastly by the kings. This view, however, created a blind spot for the impact kings might have had on the activities of princely chanceries. This article addresses this theme by focussing on the subject of princely rank. In so doing it investigates when kings started issuing charters concerning the promotions to princely rank or dealing with the hierarchy among the princes. It then looks at the representation of such documents in princely cartularies by analysing the earliest cartularies of the counts palatine of the Rhine and the counts / dukes of Jülich respectively. It can be shown that these charters occupied a central position and may even have been the reason for the creation of the cartularies; they were key to the manifestation of princely rank. As a result, the idea that princely rank derived from the king - an idea the king himself was eager to promote in his charters - was enshrined in and communicated by these princely cartularies. These cartularies, therefore, did not paint an image of autonomous princely authority, but on the contrary, they portray a hierarchically ordered community of king and princes. In such a way the cartularies made their own small contribution to creating and maintaining the long-lasting idea of the Empire as a political configuration represented by the king and the princes. [ABSTRACT FROM AUTHOR]
- Published
- 2023
16. The importance of emotions in the lives of children and young people in foster care in England, France and Germany.
- Author
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Join‐Lambert, Hélène and Reimer, Daniela
- Subjects
INTERPERSONAL relations ,EMOTIONS ,PSYCHOLOGY of foster children ,PROFESSIONALISM ,FOSTER home care - Abstract
When foster care is discussed in research, emotions are mostly kept out of the scope. This article explores emotions narrated by young people in foster care and by their foster carers. It brings together findings from two studies: The first used biographical interviews conducted with 100 young people from Germany, while the second draws on ethnographic interviews with 12 young people from France and England. The analysis, in line with relevant literature, shows that although emotions are hardly mentioned directly, they seem to be highly relevant in understanding the experience of foster care. Therefore, we suggest, professionalism and emotions need to be understood as complementary elements. [ABSTRACT FROM AUTHOR]
- Published
- 2022
- Full Text
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17. Impact of Anterior Cruciate Ligament Injury on European Professional Soccer Players.
- Author
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Mazza, Daniele, Viglietta, Edoardo, Monaco, Edoardo, Iorio, Raffaele, Marzilli, Fabio, Princi, Giorgio, Massafra, Carlo, and Ferretti, Andrea
- Subjects
SOCCER ,RESEARCH methodology ,RE-entry students ,ANTERIOR cruciate ligament injuries ,DESCRIPTIVE statistics ,ATHLETIC ability ,EPIDEMIOLOGICAL research - Abstract
Background: The impact of anterior cruciate ligament reconstruction (ACLR) on the performance and career of professional soccer players has not been extensively investigated. Purpose: To evaluate in professional European soccer players (1) the ACL injury incidence, (2) the return-to-play (RTP) rate and time after ACLR, (3) career survival and athlete performance in the first 3 postoperative seasons after RTP, (4) factors likely related to different outcomes after ACLR, and (5) any related differences between the top 8 European soccer leagues. Study Design: Descriptive epidemiology study. Methods: Included were professional soccer players in the top 8 European Soccer leagues (Serie A [Italy], Premier League [England], Ligue 1 [France], LaLiga [Spain], Bundesliga [Germany], Jupiler Pro League [Belgium], Liga NOS [Portugal], and Premier Liga [Russia]) who sustained an ACL injury during seasons 2014 to 2015, 2015 to 2016, and 2016 to 2017. Data were retrieved from publicly available online sources. Outcomes were evaluated based on player age (<25 years, 25-30 years, and >30 years), position (goalkeeper, defender, midfielder, and forward), affected side (dominant vs nondominant), and league. Results: Overall, 195 players sustained an ACL injury, for a mean annual ACL injury incidence of 1.42%. The RTP rate was 95%, with a mean RTP time of 248 ± 136 days. Within the third postoperative season, 66 players (36%) competed in a lower level national league, and 25 (13.6%) ended their careers; a significant reduction in the mean minutes played per season was found in all 3 postoperative seasons. Player age correlated significantly with reduction in performance or recovery from an ACL injury. No significant correlation was found between postoperative player performance and affected side, position, league, or time to RTP. Conclusion: A substantial ACL injury incidence was found in top European elite soccer players; however, a high RTP rate in a reasonable time was seen after ACLR. Nevertheless, professional soccer players experienced a short-term decline in their performance. [ABSTRACT FROM AUTHOR]
- Published
- 2022
- Full Text
- View/download PDF
18. The Anglo-Saxon migration and the formation of the early English gene pool.
- Author
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Gretzinger J, Sayer D, Justeau P, Altena E, Pala M, Dulias K, Edwards CJ, Jodoin S, Lacher L, Sabin S, Vågene ÅJ, Haak W, Ebenesersdóttir SS, Moore KHS, Radzeviciute R, Schmidt K, Brace S, Bager MA, Patterson N, Papac L, Broomandkhoshbacht N, Callan K, Harney É, Iliev L, Lawson AM, Michel M, Stewardson K, Zalzala F, Rohland N, Kappelhoff-Beckmann S, Both F, Winger D, Neumann D, Saalow L, Krabath S, Beckett S, Van Twest M, Faulkner N, Read C, Barton T, Caruth J, Hines J, Krause-Kyora B, Warnke U, Schuenemann VJ, Barnes I, Dahlström H, Clausen JJ, Richardson A, Popescu E, Dodwell N, Ladd S, Phillips T, Mortimer R, Sayer F, Swales D, Stewart A, Powlesland D, Kenyon R, Ladle L, Peek C, Grefen-Peters S, Ponce P, Daniels R, Spall C, Woolcock J, Jones AM, Roberts AV, Symmons R, Rawden AC, Cooper A, Bos KI, Booth T, Schroeder H, Thomas MG, Helgason A, Richards MB, Reich D, Krause J, and Schiffels S
- Subjects
- Archaeology, DNA, Ancient analysis, Denmark, England, Female, France, Genetics, Population, Genome, Human genetics, Germany, History, Medieval, Humans, Language, Male, Population Dynamics, Weapons history, Gene Pool, Human Migration history
- Abstract
The history of the British Isles and Ireland is characterized by multiple periods of major cultural change, including the influential transformation after the end of Roman rule, which precipitated shifts in language, settlement patterns and material culture
1 . The extent to which migration from continental Europe mediated these transitions is a matter of long-standing debate2-4 . Here we study genome-wide ancient DNA from 460 medieval northwestern Europeans-including 278 individuals from England-alongside archaeological data, to infer contemporary population dynamics. We identify a substantial increase of continental northern European ancestry in early medieval England, which is closely related to the early medieval and present-day inhabitants of Germany and Denmark, implying large-scale substantial migration across the North Sea into Britain during the Early Middle Ages. As a result, the individuals who we analysed from eastern England derived up to 76% of their ancestry from the continental North Sea zone, albeit with substantial regional variation and heterogeneity within sites. We show that women with immigrant ancestry were more often furnished with grave goods than women with local ancestry, whereas men with weapons were as likely not to be of immigrant ancestry. A comparison with present-day Britain indicates that subsequent demographic events reduced the fraction of continental northern European ancestry while introducing further ancestry components into the English gene pool, including substantial southwestern European ancestry most closely related to that seen in Iron Age France5,6 ., (© 2022. The Author(s).)- Published
- 2022
- Full Text
- View/download PDF
19. Supporting patient decision-making in non-invasive prenatal testing: a comparative study of professional values and practices in England and France.
- Author
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Bowman-Smart H, Perrot A, and Horn R
- Subjects
- Pregnancy, Humans, Female, Genetic Testing, Aneuploidy, France, England, Prenatal Diagnosis, Down Syndrome
- Abstract
Background: Non-invasive prenatal testing (NIPT), which can screen for aneuploidies such as trisomy 21, is being implemented in several public healthcare systems across Europe. Comprehensive communication and information have been highlighted in the literature as important elements in supporting women's reproductive decision-making and addressing relevant ethical concerns such as routinisation. Countries such as England and France are adopting broadly similar implementation models, offering NIPT for pregnancies with high aneuploidy probability. However, we do not have a deeper understanding of how professionals' counselling values and practices may differ between these contexts., Methods: In this paper, we explore how professionals in England and France support patient decision-making in the provision of NIPT and critically compare professional practices and values. We draw on data from semi-structured interviews with healthcare professionals., Results: Both English and French professionals emphasised values relating to patient choice and consent. However, understandings and application of these values into the practice of NIPT provision differed. English interviewees placed a stronger emphasis on interpreting and describing the process of counselling patients and clinical care through a "principle" lens. Their focus was on non-directiveness, standardisation, and the healthcare professional as "decision-facilitator" for patients. French interviewees described their approach through a "procedural" lens. Their focus was on formal consent, information, and the healthcare professional as "information-giver". Both English and French professionals indicated that insufficient resources were a key barrier in effectively translating their values into practice., Conclusion: Our findings illustrate that supporting patient choice in the provision of NIPT may be held as an important value in common on a surface level, but can be understood and translated into practice in different ways. Our findings can guide further research and beneficially inform practice and policy around NIPT provision., (© 2024. The Author(s).)
- Published
- 2024
- Full Text
- View/download PDF
20. Fishers' views and experiences on abandoned, lost or otherwise discarded fishing gear and end-of-life gear in England and France.
- Author
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Mengo E, Randall P, Larsonneur S, Burton A, Hegron L, Grilli G, Russell J, and Bakir A
- Subjects
- England, France, Hunting
- Abstract
Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
- Published
- 2023
- Full Text
- View/download PDF
21. Launch sequencing of pharmaceuticals with multiple therapeutic indications: evidence from seven countries.
- Author
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Mills M, Michaeli D, Miracolo A, and Kanavos P
- Subjects
- Humans, France, Germany, England, Scotland, Pharmaceutical Preparations
- Abstract
Background: New medicines are increasingly being identified as efficacious across multiple indications. The impact of current pricing and reimbursement policies on launch decisions across these indications remains unclear., Objective: This paper, first, maps marketing authorisation and HTA coverage recommendation sequences of multi-indication medicines across Germany, France, England, Scotland, Canada, Australia, and the USA, and, second, evaluates the clinical characteristics, clinical development time and coverage recommendation time of multi-indication medicines, drawing comparisons between the first and subsequent indications of an approved molecule., Methods: Medicine approvals by the Food and Drug Administration between 2009-2019 were screened to identify multi-indication products with approved oncology indications. Data on clinical trial characteristics, clinical performance and HTA outcomes were extracted from publicly available regulatory approval and HTA reports., Results: Relative to subsequent indications, first indications were more likely to receive conditional marketing authorisation, have an orphan designation, have a single arm phase II pivotal trial and lower MCBS score. Subsequent indications had faster HTA coverage recommendation times in England and Canada. While the majority of first indications received HTA coverage recommendations across all settings, the proportion of subsequent indications with HTA coverage recommendations was lower and uptake varied considerably across settings., Conclusions: Discordance in the value of first versus subsequent indications can pose major challenges in systems that define price based on the initial indication. Current pricing and reimbursement systems generate significant fragmentation in the approval and availability of multi-indication products across settings., (© 2023. The Author(s).)
- Published
- 2023
- Full Text
- View/download PDF
22. Assisted vaginal birth with the Odon Device TM .
- Author
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Mottet N, Crofts JF, Hotton EJ, Eckman-Lacroix A, and Riethmuller D
- Subjects
- Female, Humans, Pregnancy, England, France, Vacuum Extraction, Obstetrical, Vagina, Surgical Instruments
- Abstract
The Odon Device
TM is an innovative investigational device for assisted vaginal birth (AVB) and has not yet been granted regulatory approval for sale in any country. It is the first innovation in AVB since the introduction of the vacuum extractor in the 1950's and the device is designed for use by different level of trained health care providers. Efficacy studies are presently in progress in two centers: The ASSIST II Study, Bristol, England, and The BESANCON ASSIST Study, Besançon, France. The device consists of an applicator, sleeve and cuff. This original paper illustrates the operating process in real conditions.- Published
- 2022
- Full Text
- View/download PDF
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