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Background Mothers who have children removed from their care often have complex needs. These women have poor health outcomes and are dying earlier than their peers from preventable and amenable causes. Yet there is little known about how health care services might mitigate these risks. This study aimed to listen to the voices of women who had children removed from their care to understand their experiences of health and healthcare. Methods We used a narrative approach to collect and analyse interview data with six mothers who had experienced child removal in England. Each participant was asked to reflect on their life and main health challenges. Results Three narrative subplots were developed to consolidate experiences of unmet health need: (i) 'on paper you're normal': narratives of complex need, (ii) 'in my family, everyone had issues': narratives of whole family need and (iii) 'I'm still mummy, no matter where they are': narratives of maternal identity and health. Conclusions Findings highlight limitations within current systems of support, including a culture of distrust and women falling between the gaps of services. Women's narratives illustrate opportunities for health intervention, especially immediately following child removal. [ABSTRACT FROM AUTHOR]

Traces the evolution of paper money in England. Circulation of fiduciary orders; Carolean paper orders; Promissory notes; Bills of exchange; Emergence of assignability; Earliest checks; Printing of money by the Bank of England.

In this article I begin by discussing the persistent problem of relations between educational inequality and the attainment gap in schools. Because benefits accruing from an education are substantial, the 'gap' leads to large disparities in the quality of life many young people can expect to experience in the future. Curriculum knowledge has been a focus for debate in England in relation to educational equality for over 40 years. Given the contestation surrounding views about curriculum knowledge and equality I consider the thinking of two philosophers, Jacques Derrida and Emmanuel Levinas, and their work on justice, to trouble the curriculum framework and discourse of knowledge promoted through the policy text of The Importance of Teaching: The Schools White Paper (2010) and later associated policy reforms to the General Certificate of Secondary Education ( GCSE) curriculum in England. The Schools White Paper aims to make the curriculum more challenging to students by introducing tight controls in terms of the assessment framework and curriculum knowledge. I argue that, when considered through Derrida's perspective on language and meaning and Levinas' view on the ethical responsibility for the other, the reforms present obstacles to the search for a just curriculum. I look to the work of Sharon Todd and Paul Standish for a re-imagination of curriculum as or through relations in the light of Derrida's and Levinas' philosophies. [ABSTRACT FROM AUTHOR]

The refurbishment of the St Pancras Renaissance Hotel (formerly the Midland Grand Hotel) provided a unique opportunity to investigate the interior design history of this iconic London landmark. During the refurbishment, wallpapers were uncovered from the initial decorative schemes of the hotel in the 1870s and from later interior design schemes until the building's closure in the 1980s. This article demonstrates how the CoBRA (Conservation-based Research and Analysis) methodology can be applied to increase our understanding of the history of interiors. The conservation process adds a new perspective to the historiography of the papered interior and its significance in the interior design process. By combining archival research with access to the original wallpapers during the retrieval and subsequent conservation process, it has been possible to construct an account of this commercial building's decorative schemes. Many of the earliest wallpapers were supplied by Jeffrey and Co., a London firm that worked with William Morris and other prominent designers. The wallpapers illustrate how the approach to the interior design of this building evolved over time, moving away from the Gothic Revival style of interior. [ABSTRACT FROM AUTHOR]

From a historical perspective, it is difficult to identify a specific date that launched the field of endocrinology. One "biomarker" of the inception of endocrinology traces back to Ernest Henry Starling, who first introduced the word hormone in a talk given in 1905 at the Royal College of Physicians in London (Starling, 1905). A historical look at the field of endocrine regulation of animal growth since 1905 conveys that countless scientists worldwide worked to advance the scientific evidence base, which led to the commercial development of hormone-based products that enhanced growth and beneficially changed carcass composition of meat animals. This review will discuss some of seminal contributions that include the discovery of hormones (like ST and β-adrenergic agonists) that have been shown to play key roles in regulating growth and nutrient partitioning of livestock, the mechanisms by which these hormones act, and the development of products for application in animal agriculture. [ABSTRACT FROM AUTHOR]

This study of the 1973 Local Government Election in England and Wales shows that the position of a canal/date's name on the ballot paper can have an important effect in terms of the number of votes which he receives. In particular the lower-placed members of each party are quite seriously disadvantaged. Investigation into the relationship between this positional effect and other aspects of the election show that it occurs quite generally. A simple model is formulated which attempts to explain the phenomenon. [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. [ABSTRACT FROM PUBLISHER]

Introduction Inappropriate antibiotic use contributes to antimicrobial resistance. High-income countries have high rates of antibiotic use, with a prevalence of health inequalities amongst populations. Objectives To understand the influence of factors commonly known to be associated with health inequalities on antibiotic use in high-income countries. Methods Factors commonly known to be associated with health inequalities were defined as protected characteristics under UK's Equality Act (age, disability, gender reassignment, marriage and civil partnership, pregnancy and maternity, race/ethnicity, religion or belief, sex, sexual orientation), socioeconomic characteristics (income, insurance, employment status, deprivation, education), geography (urban versus rural, region) and vulnerable groups. The study followed PRISMA-ScR and, PRISMA-E statements. Results Fifty-eight of 402 identified studies met inclusion criteria. Fifty of those papers (86%) included one or more protected characteristics, 37 (64%) socioeconomic characteristics, 21 (36%) geography and 6 (10%) vulnerable groups. Adults in older age groups, especially those in residential care, had the highest antibiotic use. The influence of race or ethnicity and antibiotic use was particular to country context. Areas of high deprivation had higher antibiotic use compared with areas of no or low deprivation, and geographical variation existed within countries. When faced with health system barriers, migrants relied on alternative routes of antibiotic supply other than prescription. Recommendations for future research To investigate how factors and wider social determinants of health interplay and impact antibiotic use, using frameworks/approaches to reduce health inequalities such as England's Core20PLUS approach. Antimicrobial stewardship initiatives should equip healthcare professionals to review patients at the highest risk of antibiotic use. [ABSTRACT FROM AUTHOR]

The article focuses on a revised version of a paper on international treaties and British statutes, presented at the Annual Conference of the Statute Law Society, held at the Institute of Advance Legal Studies, London, England on November 1, 2003. According to the article, treaties are important within the system of international law, and statutes are essential in the British legal system. Statutes modify or make new law, while treaties make and contract laws. Several aspects of statutes and treaties are discussed, such as drafting and application.

The article focuses on a revised version of a paper on the enactment of treaties, presented during the Annual Conference of the Statute Law Society at the Institute of Advance Legal Studies, London, England on November 1, 2003. Particular focus is given to examples of modern practices in treaty enactment, including additional protocols to the Geneva Conventions I and II of 1977, enacted by the Geneva Conventions (Amendment) Act 1995. The enactment of the European Convention on Human Rights 1950 is also discussed.

The Police Uplift Programme in England and Wales aims to recruit more than 20,000 new police officers into the service. There is little known about the potential consequences associated with a large-scale recruitment drive and the effect of introducing a younger cohort of officers into the ranks of the police. This article is based on a narrative review of 2,110 English-language titles including grey literature exploring the implications for the police who are younger in age and service workforce profile. Titles were identified through electronic and handsearching methods. Fifty-nine titles were assessed for inclusion, of which 48 were subject to a full-text review. The majority of papers were from North America. Three themes were identified from the review: (1) issues related to cultural considerations including younger officers' preference for transparent and linear relationships and highlighting an emphasis on public service; (2) well-being and work–life balance considerations; and (3) harnessing the skill base through effective recruitment and retention practices. The findings suggest that police forces can create a narrative for new recruits as adult learners committed to public service combined with enhanced leadership styles that prioritize teamwork, transparency, and personal development. [ABSTRACT FROM AUTHOR]

This article presents summaries of papers presented at the BAD Investigative Group Meeting, held in Bristol, England in January 1982. Some of the topics are: raised arachidonic acid and prostaglandin levels in dithranol erythema, the effect of benzoyl peroxide on cutaneous micro-organisms in vitro, vascular changes in urticaria and urticarial vasculitis; a light and electron microscopic study, definition of a critical period in the MSH control of coat colour in the agouti mouse, irritant reactions to dithranol in normal subjects and psoriatic patients, and others.

This paper explores how the selection of peer researchers influences and shapes peer research projects. It draws on two empirical studies formed from two community action projects in England. Peer research is a method for involving young people as coresearchers within their community or in specific settings such as educational environments and the two projects recruited school children of different ages and ethnic backgrounds; in both cases they were representative of the potential participant population. One project (Community House) was based in a junior school setting and concentrated on evaluating a community centre project. The second project (Knife Angel: Hear My Voice) was a youth work setting and brought together a group of young people to explore an intervention aimed at impacting crime and violence in the local community. This paper discusses how the demographic characteristics of the peer researchers shaped, influenced and impacted the success of both community action projects. We discuss how children and young people bring their unique skills to preparing the questionnaire and dissemination. Using researcher reflexivity, we consider the methodological implications of the findings and contribute to theory building about community action and the impact of participatory research. [ABSTRACT FROM AUTHOR]

Avoidable harm—that is, harm to service users caused by unsafe or improper interventions, practices or services and which could have been mitigated or prevented—is embedded in social care legislation and inspections. However, the concept of avoidable harm has largely been defined by policymakers, academics, practitioners, regulators and services, with little known about service users' experiences of avoidable harm in practice. This survivor-controlled review maps and synthesises peer-reviewed literature on service users experience of social and psychological avoidable harm in mental health social care (MHSC) in England. The review was guided by an Advisory Group of practitioners and service users. Six databases were systematically searched between January 2008 and June 2020 to identify relevant literature. Following de-duplication, 3,529 records were screened using inclusion and exclusion criteria. This led to full-text screening of eighty-four records and a final corpus of twenty-two papers. Following data extraction, thematic analysis was used to synthesise data. Six key themes were identified relating to relationships and communication, information, involvement and decision-making, poor support, fragmented systems and power-over and discriminatory cultures. Impacts on MHSC service users included stress, distress, disempowerment and deterioration in mental health. We discuss our findings and indicate future research priorities. [ABSTRACT FROM AUTHOR]

Background The term 'long COVID' describes ongoing symptoms and conditions experienced by people infected with SARS-CoV-2. This paper illustrates how a public health approach was used to influence and inform the development of post-COVID services across two Integrated Care Systems (ICSs). Methods A literature review was conducted between October and December 2020 to identify prevalence estimates for long COVID. The prevalence estimates were applied to locally available data on the susceptible population to estimate the number of people with long COVID. They were also used to develop a dashboard to predict fluctuations in the number of people experiencing persistent symptoms over time. Results A substantial number of people in each ICS may have experienced persistent symptoms or complications as a result of COVID-19. In Lancashire and South Cumbria, it is estimated that 33 000 people may have experienced post-COVID-19 syndrome since the beginning of the pandemic, which will include respiratory or cardiovascular complications. Conclusions The findings have been valuable in informing early service developments, engaging with managers and clinicians, and supporting applications for funding at a local level. Continued attention to emergent evidence on this topic will be vital in refining estimates and supporting service planning in the longer term. [ABSTRACT FROM AUTHOR]

The Annual Scientific Meeting of the Association of Surgeons of Great Britain and Ireland takes place this year at Bournemouth International Centre, Bournemouth, UK (14th - 16th May 2008), under the presidency of Professor Brian J Rowlands. To view all abstracts of oral presentations from this meeting, please click the pdf link on this page. Copyright © 2008 British Journal of Surgery Society Ltd. Published by John Wiley & Sons, Ltd. [ABSTRACT FROM AUTHOR]

The Annual Scientific Meeting of the Association of Surgeons of Great Britain and Ireland takes place this year at Bournemouth International Centre, Bournemouth, UK (14th - 16th May 2008), under the presidency of Professor Brian J Rowlands. To view all abstracts of poster presentations from this meeting, please click the pdf link on this page. Copyright © 2008 British Journal of Surgery Society Ltd. Published by John Wiley & Sons, Ltd. [ABSTRACT FROM AUTHOR]

A Victorian entrepreneur, Joseph Gillott, is a key figure in the history of collecting and patronage from the mid-1840s. He assembled one of the largest and most important painting collections of the day and also collected musical instruments and precious stones. His huge fortune derived from the development of machinery to enable the mass production of steel pens with 'elongated points' (nibs). The traffic of works of art was constant and large numbers of paintings were traded mostly through a network of dealers. To accommodate his vast collection, Gillott built three picture galleries at his house in Edgbaston, Birmingham, and another at his London house in Stanmore, Middlesex. His collection was dispersed after his death at a much publicized six-day sale at Christie's in 1872. [ABSTRACT FROM AUTHOR]

The Annual Scientific Meeting of the Association of Surgeons of Great Britain and Ireland takes place this year at Manchester Central (18th - 20th April 2007), under the presidency of Professor Brian J Rowlands. To view all abstracts of poster presentations from this meeting, please click the pdf link on this page. [ABSTRACT FROM AUTHOR]

The Annual Scientific Meeting of the Association of Surgeons of Great Britain and Ireland takes place this year at Manchester Central (18th - 20th April 2007), under the presidency of Professor Brian J Rowlands. To view all abstracts of oral presentations from this meeting, please click the pdf link on this page. [ABSTRACT FROM AUTHOR]

The Vascular Society AGM was held at the Bournemouth International Centre, Bournemouth, UK 23rd - 25th November 2005. To view all abstracts from this meeting, please click the pdf link on this page. [ABSTRACT FROM AUTHOR]

The article examines the progress in the creation of criminal law since 1965. It explains the mischief aimed at by the Servants' Character Act 1792. Its origins lay in a petition by householders who had taken servants into their households on the strength of false references. The passage of the Unlawful Drilling Act 1819 following the Peterloo Massacre is discussed, as well as rulings of the Court of Criminal Appeal whose effect is to support the Judicial Studies Board's (JSB) specimen direction.

In this paper, Curating Spaces of Hope is offered as a new paradigm for postsecular partnership for uncertain times. The need for a new paradigm is set out intially using literatures from faith based organisations. The case is made that the understanding of faith or the 'F' is inadequate, and that in order to make sense of the role it plays in social policy, a fresh framing is needed. For this, literatures from political philosophy, sociology or religion and social policy are engaged. These set out the space for mapping different worldviews, as part of the diversifying beleif landscape in the UK, and the policy context into which they are speaking. The paper then turns to empircal data to make the case for the new paradigm of postsecualr partnership, Curating Spaces of Hope. This case is made in three phases. First auto-ethnographic data is used as the basis for a social movement in the north west of England which takes place over 3 years. This is used as the premise for ethnographic research which maps postsecular contexts and informs the production of Curating Spaces of Hope. The paper then turns to the COVID-19 pandemic, as a lens through which to view current contexts of uncertainty. Three case studies are then offered which point to early applications of Curating Spaces of Hope and opportunities for building postsecular partnerships in the north west England. [ABSTRACT FROM AUTHOR]

Since the 2014 Care Act was passed, key observers have continued to present it as offering adult social work significant opportunities: first, to make a central contribution in delivering the Act's core principles; and, second, to realise adult social work's liberation from narrow 'care management' practice. The primary source in implementing the Act was its 2014 Statutory Guidance, studied in a previous paper for its potentially key contribution to the promised liberation (Whittington, 2016). In March 2016, that Guidance was withdrawn and replaced by a second, revised edition, marking a potentially significant step. Building on the earlier study, this paper analyses the 2016 Guidance and its endorsements of social work roles and practice, with three aims: to assess how far endorsements converge with published social work aspirations; to consider changes since the first edition; and to examine the further implications for social work liberation. The analysis finds types of endorsement of front line social work largely unaltered between 2014 and 2016 Guidance. However, the 2016 version introduces significant content about Principal Social Workers. These findings are considered together with parallel social work influences and wider contexts that identify the multiple political dimensions of the social work liberation project. [ABSTRACT FROM AUTHOR]

The core of Beverton and Holt's seminal work of the 1950s had been anticipated by Baranov 30 years earlier, but his contributions, published in Russian, remained poorly known to Anglophone scientists until after 1945. By that time, Russell and Graham had presented parallel ideas, though without Baranov's mathematics. Limited subsequent acknowledgement of the Russian's contributions has left an impression that each of his advances was achieved independently in England, hence that they contributed little to the Beverton–Holt model. I here construct a timeline of events linking and separating the Russian and English studies. From it, I argue that both Russell's presentation of the underlying concepts and Graham's decision to pursue a mathematical realization of his "Modern Theory" may have been influenced by translations of Baranov's papers. Moreover, when Holt developed the "simple" Beverton–Holt model during 1946–1947, he certainly drew on Baranov's exponential model of mortality, though perhaps only via Ricker. [ABSTRACT FROM AUTHOR]

Financial austerity has brought considerable pressure upon policing services in England and Wales in the past decade. For the British government, one mitigatory vehicle to alleviate this pressure is the expansion of police collaborative units operating across two or more police forces. To date however, such cross-force collaborations have been beset by a series of problems and progress has been inexorably slow. Drawing upon the reflections of police officers and staff involved at varying stages of cross-force collaborations, this paper explores why collaborations have so far largely failed. The paper argues that while the challenges of cross-force collaborations echo those of previous police efforts to work with external partners, these difficulties are intensified during cross-force collaborations in which partners present divergent policing agendas. As such, cross-force collaborations may be usefully understood as 'complex problems,' marking them out as particularly challenging and demanding new and distinct approaches to problem-solving. [ABSTRACT FROM AUTHOR]

Comments on the literary works of famous playwright William Shakespeare in London, England. Development on the theory of bad quartos; Distinctions between the authorial good texts and the derivative bad ones; Details on the theory about the transmission of theatrical texts.

This paper seeks to explore how hospitals can be reconfigured to adopt more 'health-promoting' approaches and values. Specifically, the paper focuses on the role of hospital chaplaincy and argues that spiritual care should be considered alongside other health domains. Using semi-structured interviews, the aim of the paper is to explore the experiences of patients who accepted (n = 10) and declined (n = 10) hospital chaplaincy services. Data were analysed drawing on principles of interpretative phenomenological analysis (IPA). The findings suggested that participants who accessed chaplaincy services reported using the chaplains for pastoral, religious and spiritual care which contributed positively to their sense of well-being. This included religious rituals and supportive conversations. The majority of these participants had existing links with a faith institution. Participants who declined chaplaincy services reported having personal religious or spiritual beliefs. Other reasons cited, included: that the offer was made close to discharge; they had different support mechanisms; they were unaware of what the chaplaincy service offered. Participants identified a number of skills and attributes they associated with chaplains. They perceived them as being religious but available to all, somebody to talk to who was perceived as impartial with a shared knowledge and understanding. The paper concludes by highlighting the important role of chaplaincy as part of a holistic health-promoting hospital. This has implications not only for the design, delivery and promotion of chaplaincy services but also for health promotion more broadly to consider spiritual needs. [ABSTRACT FROM AUTHOR]

This is a discussion paper which considers the potential implications of the introduction of the Professional Capabilities Framework as part of social work reform in England. The paper compares and contrasts the 2002 degree with the Professional Capabilities Framework, which is one of the changes introduced by the Social Work Reform Board. The 2002 degree is argued to have contained a double curriculum, which reflected the existing tensions within contemporary social work. The Professional Capabilities Framework has replaced the double curriculum and installed a unified model of academic and professional requirements as part of the social work reform agenda. It remains to be seen whether (and if) the framework can transform practice as well as the degree. Ironically, the double curriculum may better mirror the contradictions of social work than the Professional Capabilities Framework and the existing reform process. The key message of this paper is that the Professional Capabilities Framework has changed the social work curriculum but it is unclear whether the framework and social work reform will change practice. [ABSTRACT FROM AUTHOR]

Lentigo maligna (LM) is a melanoma in situ with distinct clinical features and histology. It commonly affects men after the sixth decade of life. Incidence rates of LM have increased based on early 21st century data from different countries; however, data are suboptimal. Data from England show a plateauing crude incidence between 2013 and 2019. By comparison, invasive melanoma and other types of melanoma in situ commonly appears in younger age groups (median age 58 and 67 years old, respectively) and incidence is rising. The most important risk factors for LM include fair skin and cumulative ultraviolet solar radiation exposure. Although LM is limited to the epidermis and connected skin adnexa, it may progress to invasive LM melanoma. The reported rate of malignant progression varies, reflecting a challenge for LM epidemiology research as often lesions are removed on diagnosis. LM poses a challenge in diagnosis and management. Although it can be diagnosed clinically or dermoscopically, histopathological assessment of biopsied skin tissue remains the gold standard. Reflectance confocal microscopy allows for better appreciation of the complexity of LM at a cellular level, often progressing beyond clinical margins. Management of LM may involve Mohs micrographic surgery or excision, although recurrence may occur even with 5 mm clinical margins. Imiquimod cream may be effective, but incomplete treatment and recurrence has been reported. Conservative management with observation or radiotherapy may be used in selected patients' cases. Five-year net survival rates are excellent. This paper reviews the natural history, epidemiology, aetiology, pathogenesis, diagnosis and management of LM. [ABSTRACT FROM AUTHOR]

Many coastal towns in England face a unique set of overlapping challenges: a longstanding socio-economic stagnation and environmental threats coming from the physical location. This paper examines coastal communities in the context of the left-behind debate. The consequences of de-industrialisation and failures in public policies recall other left-behind geographies. We look at a selection of case studies, apparently dealing with the decline of traditional coastal economic activities, but really affected by a decoupling of their socio-economic profile from their coastal specificity. More work is needed to nurture the existing coastal imaginaries, requiring regional coordination and a place-based approach to regeneration. [ABSTRACT FROM AUTHOR]

The article discusses the highlights of the Cultural Memory Conference, Centre of Language and Cultural Theory at the University of Southampton from April 7 to 9, 1995. The topic of this timely conference was to explore the connections and distinctions within cultural memory as a site of the complex of cultural production and reproduction. This conference depicts a comradely flexibility in the delivery and discussion of papers, encouraged by arrangements for interactive panels of speakers.

The article presents information on the seventh Annual Association of Adaptation Studies Conference held at the University of York in York. It is noted that the relationship between acts of authoring and the ongoing lives of adapted texts was reflected in the papers presented at the conference. Philosopher Kamilla Elliott presented her paper "12 Fallacies in Contemporary Adaptation Theory, 2012."

Background The Centre for Occupational and Environmental Health at the University of Manchester has successfully run distance-learning courses for a number of decades. These are based on hundreds of pages of (paper-based) written text, specially commissioned, packaged and distributed in eight binders. Converting printed text to an online format has the potential to improve learning through the benefits of information and communication technology as well as to save printing and distribution costs.Aim To determine which distance learning method is preferred by postgraduate occupational health students: paper-based text, or online text with embedded interactive questions and separate practical exercises.Methods From approximately 50 paper-based textual course sub-units, one was converted to an online format, incorporating a variety of interactive text and supplemental practical exercises. Occupational medicine and hygiene students were provided with both the paper-based and online versions and asked, via anonymous postal questionnaire, a series of questions, including their preference for future course sub-units.Results Sixty-two replies were received from 91 registered students (68% response). Apart from one student who had never tried the internet, all others described themselves as ‘frequent’ or ‘occasional’ internet users, with 78% having access both at home and work. Opinion was overwhelmingly positive with regard to ease of navigation, quality of the interactive exercises and online photo quality. Students tended to prefer multiple-choice questions and photo exercises and disliked interactive functions asking for words to complete paragraphs. Regarding preference for future teaching sub-units, the majority of students answering this question (67%) expressed a desire for mostly paper-based text supplemented with interactive online exercises.Conclusion Currently enrolled students prefer core teaching materials to remain in the printed medium, with the addition of online practical exercises to supplement learning. [ABSTRACT FROM AUTHOR]

Western medicine is a diverse social and cultural system which responds in different ways to internal and external pressures. The Evidence-Based Medicine (EBM) movement has, despite some resistance from the rofession, led to the introduction of EBM into many areas of medicine, including medical training. Using material from teaching sessions for junior psychiatrists in England, I argue that EBM’s novelty and potential challenge to established medical practice has been absorbed and accommodated within ordinary professional life by ritualizing EBM teaching in the familiar form of a traditional teaching ward round, with the difference that a published paper is ‘presented’ rather than a patient. These ritual occasions have the further effects of preventing any debate about EBM (partly because of the lack of immediate clinical application) and of limiting thought outside the paradigm of EBM and, indeed, of Western medicine itself. [ABSTRACT FROM AUTHOR]

Older people in England who pay for social care from their own funds ('self-funders') receive little help in seeking and arranging care compared to older people funded by their local council. This suggests an implicit assumption that people funded by local councils need help to manage their care whereas self-funders do not. This article reports findings from a scoping review of published evidence from England, Scotland and Wales on the skills that older people need, and the help they get, to seek, arrange or manage use of social care, and how this help affects outcomes. Searches undertaken in October 2018 resulted in the inclusion of thirty-six empirical papers and seven reviews. Thematic analysis identified the importance of everyday life and specific business skills, and personal attributes including objectivity when evaluating options. The review identified two significant gaps in the evidence: first, how help in seeking and arranging care compensated for lack of, or complemented existing, skills; and secondly, how outcomes for people receiving help in arranging care compared with those not receiving help. The article concludes that a tailored approach to supporting older people arrange and manage care, irrespective of funding, should be considered. [ABSTRACT FROM AUTHOR]

The article discusses the highlights of the Latin American Cinema Conference, held on June 29-30, 1999 at the University of Leeds in England. Many of the papers at the conference were concerned with how genres, industries and individual films articulate the cultural traditions and values of the nations in question. Several papers also addressed the issue of uneven development and cinema's relationship with the state, such as the one delivered by keynote speaker Michael Chanan.

Response by the authors to the issues raised by researchers H. Burgess, C. Barcham and P. Kearney on the formers' research paper "Perfect Opportunity--Perfect Storm? Raising the Standards of Social Work Education in England" is presented. The authors' assert on the details of their paper citing two reports on social work education by the English government.

The 'multistate lifetable' is a widely used model for the long-term health impacts of public health interventions. It requires estimates of the incidence, case fatality, and sometimes also remission rates, for multiple diseases by age and gender. The case fatality is the rate of death from a disease for people with a disease, and is commonly not observed directly. Instead, we often observe the mortality in the general population. Similarly, we might know the disease prevalence, but not the incidence. This paper presents Bayesian continuous-time multistate models for estimating transition rates between disease states based on incomplete data. It unifies and extends two previous methods, by using a formal statistical model, with more efficient computational algorithms. This allows rates for different ages, areas, and time periods to be related in more flexible ways, and allows models to be formally checked and compared. The methods are made more widely usable through an R package. The models are used to estimate case fatality for multiple diseases in the city regions of England, based on incidence, prevalence, and mortality data from the Global Burden of Disease study. The estimates can be used to inform health impact models relating to those diseases and areas. [ABSTRACT FROM AUTHOR]

This paper challenges the conventional understanding among many legal ethicists that environmental harm can be a necessary, if regrettable, collateral effect of lawyerly work. It argues that lawyers sometimes do things that cost society too much and that legal ethics (being the rules of ethical conduct set out by regulators of lawyers and broader theories of 'good' lawyering) has the potential to act as a mediator on lawyers' environmental harm-causing action. The paper begins by examining lawyers' formal rules of professional conduct in England & Wales, showing how those rules require lawyers to provide active counselling to clients but do not fully address clients' legally permissible choices that may result in environmental harm. The paper then turns to theories of legal ethics that go beyond these baseline rules. Here, I argue that the dominant 'Standard Conception' of lawyers as neutral technicians is not only implausible in the context of environmental law but also fundamentally incomplete. The paper also considers the ethical implications of a lawyer's initial decision to represent a client. The commonly held belief that 'Everyone deserves legal advice' often masks a simple ethical choice, where lawyers prioritise commercial concerns over environmental considerations, unburdened by more complex ethical constraints. However, this rationalisation rests on unsound premises and frequently clashes with lawyers' personal moral boundaries; a problem I label 'Meatloaf Lawyering'. Ultimately, I argue that lawyers have significant ethical agency and that their professional obligations do not impede (and sometimes require) an active, ethically responsible stance towards environmental harms. [ABSTRACT FROM AUTHOR]

Summary: In 2017, health and social care organizations contributed 6.3% of carbon emissions in England. Efforts to reduce the environmental footprint of the National Health Service (NHS) have been broadly focused on reducing demand, through prevention and patient empowerment, and modifying supply side factors by focusing on lean care systems and low carbon alternatives. This narrative review concentrates on supply side factors to identify sustainable practices with a focus on actions that could be implemented in dermatology departments. For this study, a literature review was conducted In MEDLINE in April 2020. The search terms included 'environmental sustainability' and 'climate change' with 'dermatology', 'telemedicine', 'NHS', 'surgery' and 'operating theatres'. Out of 95 results, 20 were deemed relevant to the review. Although the review showed that there is clearly growing interest in environmental sustainability, the identified literature lacked examples of comprehensive implementation and evaluation of initiatives. The literature discussed distinct areas including transport, waste management and procurement as part of a lean healthcare system. A number of papers highlighted the potential contribution of carbon‐reducing actions without citing verifiable outcome data. This narrative review highlights the need for detailed environmental impact assessments of treatment options in dermatology, in tandem with economic analysis. In conclusion, we have identified a clear need for evidence‐based guidance setting out implementable actions with identifiable benefits achievable within local clinical teams. This will require engagement between clinicians, patients and healthcare organizations. [ABSTRACT FROM AUTHOR]

Frailty represents an integrative prognostic marker of risk that associates with a myriad of age-related adverse outcomes in older adults. As a concept, frailty can help to target scarce resources and identify subgroups of vulnerable older adults that may benefit from interventions or changes in medical management, such as pursing less aggressive glycaemic targets for frail older adults with diabetes. In practice, however, there are several operational challenges to implementing frailty screening outside the confines of geriatric medicine. Electronic frailty indices (eFIs) based on the theory of deficit accumulation, derived from routine data housed in the electronic health record, have emerged as a rapid, feasible and valid approach to screen for frailty at scale. The goal of this paper is to describe the early experience of three diverse groups in developing, implementing and adopting eFIs (The English National Health Service, US Department of Veterans Affairs and Atrium Health—Wake Forest Baptist). These groups span different countries and organisational complexity, using eFIs for both research and clinical care, and represent different levels of progress with clinical implementation. Using an implementation science framework, we describe common elements of successful implementation in these settings and set an agenda for future research and expansion of eFI-informed initiatives. [ABSTRACT FROM AUTHOR]

The introduction of healthcare-based apprenticeships to become both a physician associate and a doctor has been approved for delivery in England. This will revolutionize medical training and it is hoped that medical training would be more accessible. This has generated a mixture of reactions, some enthusiastic and others concerned. This paper gauges interest among staff at Barking, Havering, and Redbridge University Hospitals NHS Trust in pursuing training as a doctor and/or physician associate through the apprenticeship route. Applicants were interviewed to discover their motivations for interest, and the potential benefit to the Trust of these new opportunities was also assessed. This revealed that applicants were primarily driven through intrinsic motivations, such as a lifelong dream to be a doctor and a desire to fulfil a patient-facing role. Many expressed financial and social situations were a barrier to prior application, making the apprenticeship role more attractive. Healthcare professionals should accurately represent the population that they serve, which is currently not the case. The prospective applicants, with diverse backgrounds and existing healthcare experience, can help to improve patient care through their diverse perspective and understanding of multidisciplinary team working. This article highlights the potential of medical-based apprenticeships to help address longstanding challenges in medical education and workforce diversity. Furthermore, there could be significant financial and practical benefits to the trust of upskilling enthusiastic staff. However, there is currently a lack of clarity regarding selection processes and entry criteria, which must be addressed. [ABSTRACT FROM AUTHOR]

A May 14, 1972 letter is provided, written by the American historian Natalie Zemon Davis to the British historian Edward (E.) P. Thompson, on the topic of Thompson's article on charivari, or rough music, in England's history. An overview of the social aspects of marriage in England, including the village crowd's role in rough music for those undertaking second marriages, is provided.

Community participation is a central concept for health promotion, covering a breadth of approaches, purposes and activities. This paper reports on a national knowledge translation project in England, UK, which resulted in a conceptual framework and typology of community-based approaches, published as national guidance. A key objective was to develop a conceptual framework linked to sources of evidence that could be used to support increased uptake of participatory methods across the health system. It was recognized that legitimacy of community participation was being undermined by a scattered evidence base, absence of a common terminology and low visibility of community practice. A scoping review, combined with stakeholder consultation, was undertaken and 168 review and conceptual publications were identified and a map produced. A 'family of community-centred approaches for health and wellbeing' was then produced as way of organizing the evidence and visually representing the range of intervention types. There are four main groups, with sub-categories: (i) strengthening communities, (ii) volunteer and peer roles, (iii) collaborations and partnerships and (iv) access to community resources. Each group is differentiated using key concepts and theoretical justifications around increasing equity, control and social connectedness. An open access bibliography is available to accompany the framework. The paper discusses the application of the family of community-centred approaches as a flexible planning tool for health promotion practice and its potential to be used as a framework for organizing and synthesizing evidence from a range of participatory methods. [ABSTRACT FROM AUTHOR]

This paper argues that contemporary child and family social work in England and some other states in Europe needs an ethical 'turn'. This paper considers the facts in the Re W judgment and identifies certain features in the case that can be understood as products resulting from a particular paradigm of social work in contemporary practice. National and international implications are considered and hopeful ways forward are proffered: epistemic humility, inner dialogue and cultivating our humanity. The key message of this paper is that Re W indicates that contemporary child and family social work is dominated by an 'automatic' thinking that tends not to 'hear' the voices of actual human beings and a refocusing on ethics work is needed to put humane practice back at the heart of the social work profession. [ABSTRACT FROM AUTHOR]

Social media applications are used daily by billions to communicate. Adolescents living in state care are no different, yet the potential implications of their social media use are. Despite the global use of social media and evidence highlighting their role in social capital cultivation, how adolescents living in state care make use of social media remains unknown, with discussions tending to focus exclusively on risk. Using data from a four-year Digital Life Story Work (DLSW) research programme, this paper explores adolescents' and social care professionals' (n =45) perspectives on the everyday use of social media by adolescents living in state care. Using an ethnographic multi-method approach, extracts of conversations from the four English residential homes engaged in the DLSW programme were thematically analysed. Three major themes emerged; contacts as currency, promoting and protecting the self and transitions. Analysis illustrates how adolescents living in state care use social media as active digital agents and the need to reframe this usage to enable benefits to be enacted. The paper concludes that urgent research is needed to enable practitioners and policy makers to show a deeper appreciation of the potentials of social media, enabling a more balanced approach to succeed in practice. [ABSTRACT FROM AUTHOR]

Biomolecular analysis of historical parchment legal documents is providing new insight into their production and use. Successful interpretation of this data is dependent on understanding if the location and date written on the document accurately reflect where the animal from which the parchment was produced was raised and when it died. Our analysis reveals that the location the deed concerns, or that of the stationer through whom it was sold, typically bears no relation to the animal's origin, but that the date the agreement was signed was probably only a few months after the animal's death. [ABSTRACT FROM AUTHOR]