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Information about the topics discussed during the Institute of Physics conference held at 76 Portland Place in London, England on June 2009 is presented. It states that the event was held in association with the publication of the British Nutrition Foundation's (BNF) Briefing Paper entitled "Satiation, satiety and their effects on eating behaviour." It notes the objective of the conference which is to emphasize the research on how satiation and satiety can affect eating behavior.

This paper describes the development and use of the Creative Learning Assessment (CLA) as a means of evidencing, supporting and promoting children's creative learning in arts-based contexts. The research team at the Centre for Literacy in Primary Education (CLPE) worked with a group of teachers in inner-city Lambeth primary schools to develop an assessment system to record the impact of a creative curriculum on children's achievement and to enable schools to justify a broad-based provision. The Assessing Learning and Communication in Creative Learning Contexts project, funded by CfBT Education Trust (CfBT), aimed to offer teachers a view of creative learning development and a framework for teacher assessment. It set out to provide a close focus on the learner and a valuable source of information for curriculum planning. This article discusses the effect of working with the CLA on children's learning and on teachers' practice through a case study of one project school, and the implications for schools and classrooms from the perspectives of the researcher and the teacher. [ABSTRACT FROM AUTHOR]

Information about several papers discussed at the Yakult UK Symposium at 76 Portland Place in London on October 21, 2008 is presented. Topics include the general information provided about probiotics and the summary of their health benefits for gastrointestinal health. The symposium featured several gastroenterologists including Ailsa Hart, Miranda Lomer, and Kevin Whelan.

Information about several papers discussed at the National Obesity Forum 6th Annual Conference at the Royal College of Physicians in London, England from October 6-7, 2008 is presented. Topics include the consequences of childhood and adolescent obesity and the effort required to tackle obesity by prevention and treatment. The conference featured several speakers from around the world including Luc Van Gaal, Andrew Brewster, and Karen Jewell.

Information about several papers discussed at the symposium "Food and Fitness Live 2008," at the ZSL, London Zoo in England on September 18, 2008 is presented. Topics include the sustainability of behavioural change in physical activity and eating behaviour and providing with the skill needed to aid the behavioural change among the patients. The symposium featured several health and education professionals including Chris Holmes, Colin Waine, and Ilona Bonniwell.

This paper presents an argument for considering issues of class in analyses of communicative planning projects. In these projects, class interests tend to be obscured by the contemporary preoccupation with the class-ambiguous category of “community”. Through a case study of a project of urban redevelopment at King's Cross in London, we conceptualize and map class interests in an urban redevelopment project. Three aspects of the planning process that contain clear class effects are looked at: the amount of office space, the flexibility of plans, and the appropriation of the urban environment as exchange or use value. These aspects structure the urban redevelopment but are external to the communicative planning process. The opposition to the redevelopment has in the planning discourse been articulated as “community”-based rather than in class-sensitive terms. We finally present three strategies for reinserting issues of class into planning theory and practice. [ABSTRACT FROM AUTHOR]

Background English policy argues that people with intellectual disabilities should be supported in their local communities. There is considerable evidence that this aspiration is not being achieved. This paper seeks to look at the subsection of people with intellectual disabilities who have expensive care needs because of challenging behaviour, to identify the decision-making processes that have led to current service provision and expenditure and to suggest improvements. Materials and Methods We carried out a survey within five North London boroughs to investigate the characteristics of a cohort of people with intellectual disabilities and challenging behaviour in high-cost accommodation (over £70 000/annum). Postal questionnaires and face-to-face interviews were conducted with stakeholders with intellectual disabilities and patterns of current costs were estimated from existing data provided by the commissioning authorities in the five boroughs. Results Two hundred and five individuals with intellectual disabilities and challenging behaviour were identified. They were accommodated in placements provided by 97 separate providers, both in and out-of-area. Those more likely to be placed out-of-area were younger, had multiple health problems, significant challenging behaviour and mental health problems including autistic spectrum disorders. The local community intellectual disabilities teams identified a number of difficulties in meeting the needs of those service users. Conclusions Expenditure on all placements for service users with intellectual disabilities is significant. There is a notable lack of investment in local service development. A coherent approach is required, often across service boundaries. The authors suggest a model for targeted investment aimed at supporting effective local services, and reducing the need for and expense of out-of-area placements. [ABSTRACT FROM AUTHOR]

In this paper we explore the impacts of the training programmes offered to lone mothers with young children on the Government's ‘New Deal for Lone Parents’ in one local labour market: West London. Our research suggests that regulatory workfare policies are (re)producing and reinforcing gendered inequalities in the labour market by encouraging lone mothers to undertake training in feminised occupational areas such as childcare. We will argue that in a local economy such as West London where more childcare workers are desperately needed to enable other more highly skilled workers to take up employment opportunities, such training programmes may be doing little more than exacerbating the already gendered and class-based polarisation of the labour market – embedding low-skilled, poorly qualified lone mothers into low-paid jobs. [ABSTRACT FROM AUTHOR]

Information about several papers discussed at the National Radiotherapy Advisory Group and the Academic Clinical Oncology and Radiobiology Research Network's conference on September 11, 2006 at Royal College of Physicians in London, England is presented. Steve Webb and Phil Evans from the Royal Marsden Hospital National Health Service Trust gave an overview of image-guided radiotherapy. David Nicholas and Chris Moore tackled the advantages and restrictions of tomotherapy and cone beam technology.

This paper draws on the experience of researching British South Asian women's lives in London as a female British Asian researcher to explore how cultural commonality and difference is shaped by agency and interaction in the research process. It examines these issues through a discussion of how the shared cultural identity of the researcher and the interviewees emerged as both a point of commonality and difference in the research process; with the researcher being `positioned' in terms of both as a result of the interviewees' agency in interpreting their cultural commonality. In particular, issues of ‘Indianness’ and religion emerged as points on which interviewees exercised agency and interpreted the researcher's cultural identity. This was the basis on which they claimed commonality or difference and this assessment consequently impacted on their interaction with the researcher. The article suggests that more attention needs to be given to how assumptions made by interviewees regarding the cultural identity of the researcher through their agency and interaction in the research process shapes interview dynamics. [ABSTRACT FROM AUTHOR]

AIM: This paper is a report of a study to develop a social outreach model of care, including the role of a link worker in developing collaborative care pathways, for marginalized groups with tuberculosis. BACKGROUND: Social risk factors such as homelessness and substance misuse are associated with poor treatment outcomes. Models of interprofessional practice to address the health and social care of patients are needed to improve outcomes. METHODS: A process evaluation involving a prospective cohort study of 100 patients and interviews with eight agencies involved in their care was conducted in London between January 2003 and April 2005. Outcome measures included a profile of patient need to guide service development; referrals to care providers; goal attainment; social improvement and treatment outcomes; and agencies' views on the benefits of link working. FINDINGS: The median age of the sample was 32.4 years and 62% were males. Reasons for referral to the link worker included housing need (56%); welfare benefits (42%); immigration (29%) and clinical management issues (28%). One-third of the patients were referred to other agencies. Goals, as agreed in the care plan, were attained totally or partially for 88% (59/67) of patients and 78% of patients successfully completed treatment. Barriers to attaining goals included service criteria which excluded some groups of patients and, in some cases, a patient's inability to follow a course of action. CONCLUSION: Link workers can mitigate some of the social risk factors that complicate the treatment of tuberculosis by enabling integrated health and social care. [ABSTRACT FROM AUTHOR]

Information about several papers discussed at the conference titled "Re-imagining Culture in the Russo-Japanese War" held in London, England in March 2004 is presented. Topics focus on the impact of the Russo-Japanese war on society. The conference featured several writers including Naoko Shimazu, Rosamund Bartlett, and David Crowley.

In this discussion paper, Suzanne Mackenzie, senior lecturer with responsibility for the special educational needs BA and MA programmes at the University of East London, reviews previous research in order to identify changes in the role of the special educational needs co-ordinator (SENCo) in schools in the UK. She provides an overview of the SENCo role from an historical perspective and discusses the diverse and challenging nature of the SENCo's work. She notes a marked lack of consistency, over time and across contexts, in interpretations of the SENCo role and examines variation in workload, status and position within school hierarchies. Suzanne Mackenzie highlights the gaps in current research on the work of SENCos and makes suggestions for future developments in the role. She focuses, in particular, on the ways in which SENCo ‘effectiveness’ can be determined. [ABSTRACT FROM AUTHOR]

The relationship between gentrification and globalisation has recently become a significant concern for gentrification scholars. This has involved developing an understanding of how gentrification has become a place-based strategy of class (re)formation during an era in which globalisation has changed sociological structures and challenged previously established indicators of social distinction. This paper offers an alternative reading of the relationship between gentrification and globalisation through examining the results of a mixed method research project which looked at new-build gentrification along the River Thames, London, UK. This research finds gentrification not to be distinguished by the gentrifer-performed practice of habitus within a ‘global context’. Rather, the responsibility for gentrification, and the relationship between globalisation and gentrification, is found to originate with capital actors working within the context of a neoliberal global city. In order to critically conceptualise this form of gentrification, and understand the role of globalisation within the process, the urban theory of Lefebvre is drawn upon. [ABSTRACT FROM AUTHOR]

Aim. This paper is a report of a study to examine the impact of social factors on the management of tuberculosis including engagement with services, hospitalization and extended treatment. Background. Rates of tuberculosis in major European cities have increased greatly in the last 10 years. The changing epidemiology of the disease, concentrated in marginalized groups, presents new challenges to the control of tuberculosis. Methods. A prospective cohort study of 250 newly diagnosed tuberculosis patients was conducted in London between January 2003 and January 2005. Data were collected by means of a risk assessment tool and from medical records. Outcome measures included missed appointments, frequency and duration of hospitalization and length of treatment. Results. The median age of the study sample was 33.82 (range 16.4-92.5) and 56.8% were male. Thirty-two per cent were hostel/street homeless or temporarily sharing accommodation with friends or relatives. Thirty-nine per cent were in receipt of welfare benefits and 13.2% had no income. Over a third anticipated difficulties taking their medicines and 30.3% had noone to remind them of this. Increased hospitalization was associated with hostel/street homelessness, drug or alcohol use and having noone to remind them to take their medicines (all P

Children’s services are currently undergoing their biggest changes in a generation. The government is seeking to create a more coherent, seamless configuration of services, with a view to securing improved outcomes for all children. However, there is a current crisis in the recruitment and retention of a range of child welfare professionals, including children’s social workers, which must be addressed in order for this ambitious agenda to be achieved. This paper discusses the findings of a series of focus group discussions with social workers undertaking the London Post Qualifying Child Care Award in response to the "Children’s Workforce Strategy" consultation process. These findings are then analysed within the context of the wider literature on social work practice and workforce development. It is argued that central to the debate on how to sustain a competent and stable social work workforce should be consideration of the consequences of initiatives to audit and assess performance; the promotion of relationship-based social work; and the wider role of social work in preventative and protective services for children. [ABSTRACT FROM AUTHOR]

This paper describes the impact of an oral retelling of Homer's Iliad on pupils' learning in Key Stage 2 classrooms (children aged 9–11) in schools in East London. We argue that the oral nature of the retelling and responses promoted high levels of engagement and inclusion, leading to enhanced understanding by the pupils. The use of a complex and emotionally powerful text also encouraged a changing of the nature of the discourse between teachers and pupils. Finally we argue for the use of texts like the Iliad as an integral part of the literacy curriculum. [ABSTRACT FROM AUTHOR]

Many educational psychology services across the country have changed or are in the process of changing to a consultation approach to service delivery. This paper outlines the experiences of an inner city service in the development of consultation particularly in the area of group consultation. Group consultation involves a pair of educational psychologists working with staff from three schools. The delivery of the service is described and the findings of two evaluations discussed. There is also a discussion as to future developments. The article does not claim to announce innovatory practice, but rather to illustrate a case study of Local Authority development. [ABSTRACT FROM AUTHOR]

In this paper we argue that a process of super-gentrification, similar to that first identified by Lees (2003 Urban Studies 40 2487–509) in Brooklyn Heights, New York City, is occurring in the already gentrified, inner London neighbourhood of Barnsbury. A new group of super wealthy professionals working in the City of London is slowly imposing its mark on this inner London housing market in a way that differentiates it and them both from traditional gentrifiers and from the traditional urban upper classes. We suggest that there is a close interaction between work in the newly globalizing industries of the financial services economy, elite forms of education, particularly Oxbridge, and residence in Barnsbury which is very different from other areas of gentrified inner London. [ABSTRACT FROM AUTHOR]

Aims and objectives: The aim of this two-part paper is to identify the main transferable lessons learned from both the quantitative and qualitative evaluations of the KA24 (Knowledge Access 24) service of online databases and selected full-text journals for health and social care staff in London and the south-east of England. The objectives of the qualitative evaluation were to assess the enablers and barriers to usage, and to assess the impact of the service on patient care. Methods: Telephone interviews ( n = 65) and a questionnaire survey ( n = 296) were conducted with various types of user, in various Trust settings. Some non-users were also contacted. Selection of interviewees and questionnaire recipients was not random, and aimed to cover all groups of users representatively. Results: Results show that policy goals were being delivered, with indications of changes to clinical practice, and improved clinical governance. Promotion, training and support needs to be extensive, and tailored to needs, but users are not always aware they need training. The sharing of passwords cast doubts on the reliability of some usage data. Conclusions: Digital health library services, delivered at the point of care, are changing the way some clinicians practise. A combination of qualitative and quantitative evaluation methods are needed to assess digital library services. [ABSTRACT FROM AUTHOR]

Aims and objectives: This two-part paper aims to identify the main transferable lessons learned from both the quantitative and qualitative evaluations of the Knowledge Access 24 (KA24) service of online databases and selected full-text journals for health and social care staff in London and the south-east of England. The quantitative evaluation analysed usage rates and user registration with the objective of measuring uptake by previously disadvantaged staff, and to inform the subsequent qualitative survey. Methods: User and usage data were analysed by type of NHS Trust, by type of user, and by what was being used. The evaluation assessed development in user registration and usage of both databases and journals over a 2-year period. Data were aggregated and analysed both monthly and quarterly. Results: Usage levels increased, but uptake in both the mental health and primary care sectors was comparatively slow. Nurses and allied professionals used the service more than doctors. The increase in usage of full-text journals over the usage of databases was marked. Conclusions: Previously disadvantaged staff used electronic resources. A qualitative survey was needed to identify the main enablers and barriers to uptake. [ABSTRACT FROM AUTHOR]

William Hewson has been called the father of haematology. Initially working alongside the Hunter brothers in London in the mid-18th century, he advanced our knowledge of red and white cells (but mistakenly thought some red cells started as white cells and could not recognise different varieties of white corpuscles), showed that it was fibrinogen and not the cells that led to coagulation, greatly advanced our knowledge of the lymphatic system in humans, fishes and amphibians, explored the functions of the thymus and spleen and, investigated pneumothorax and surgical emphysema. His life, cut short at 35 years, was often intertwined with those of the Hunters, Alexander Monro secundus and Benjamin Franklin. This paper reviews his work, his relationships and his impact on a nascent science. [ABSTRACT FROM AUTHOR]

This paper documents an initiative in Continuing Professional Development, conceived and carried out by London's Centre for Literacy in Primary Education (CLPE). The intention was to improve the teaching and learning of writing in Years 5 and 6 of the primary school (9–11-year-olds), through working with challenging literature. This teacher education project drew on CLPE's earlier research project, published as The Reader in the Writer ( Barrs and Cork, 2001 ). Classroom approaches developed through the initiative are described, and qualitative and quantitative changes in children's writing are discussed. Patterns of teaching in the classrooms that appear to have made a particular difference to the children's achievement are explored. [ABSTRACT FROM AUTHOR]

This article deals with the reception of antiquity in the second half of the eighteenth century. It engages with issues of replication by focusing on the collecting from Rome and exhibition in London of Charles Townley's ancient marble sculptures. Zoffany's famous painting of Townley's library forms a locus from which to investigate replication as artistic practice in the late eighteenth century and as cultural dynamic for the workings of the classical tradition. A close reading of Zoffany's painting reveals various modes of artistic reproduction at work between the collection and its painted portrait, between Zoffany's unique canvas and its proposed engraved series and life and art. Discussion of the copying conventions around Zoffany's painting leads on to a discussion of the cultural paradigms that Townley's collection invokes – shown to be as much (if not more) indebted to the Renaissance and the early modern period as to fifthcenturybce Greece or imperial Rome. The paper thus devises a conceptual framework for the classical tradition in which replication embodies the dialectic between continuity and discontinuity, confluence and divergence and sameness and difference. [ABSTRACT FROM AUTHOR]

Background Rates of suicide remain high among older people and those who deliberately self harm are believed to be at an increased risk of killing themselves in the future. If older people who deliberately harm themselves are to be helped by developments in services we need to understand what currently happens to them in terms of service provision and outcome. Methods A retrospective paper and electronic case note survey was carried out on all older people living in the London Borough of Barnet who presented to Accident & Emergency Departments with DSH over a two-year period. Ensuing actions and events were then tracked. Results Forty-three older people with DSH were identified. 18/43 (42%) had previous contact with local psychiatric services. The main method of DSH was overdose of medication (36/43 or 84%). Compared to the general population there were more women and widows. There were similar levels of physical ill-health. Thirty-seven of 43 (86%) received documented psychiatric input outside of hospital following the DSH. The mean follow-up period was 789.0 days (SD 419.8) and during this time 8/43 (19%) had a further documented episode of DSH, and 18/43 (40%) died from natural causes. Conclusions This study confirms the need for improved documentation of DSH and its coding; this needs to be reviewed at local and national level. The vast majority of older people who attempt suicide do have subsequent contact with psychiatric services. There is a strong likelihood of repeat DSH and a higher risk of death by natural causes, emphasising the need to conceptualise DSH as a risk factor relevant to all medical specialities. Copyright © 2005 John Wiley & Sons, Ltd. [ABSTRACT FROM AUTHOR]

AIM: This paper reports on the perceptions of experienced health visitors working with refugee families in Inner London. BACKGROUND: Women who are refugees and asylum seekers in the United Kingdom are more likely to experience depression than either non-refugee women or male asylum seekers. Health visitors provide a universal public health service to all women on the birth of a child, or with children aged under five, and as such are well placed to identify emotional and mental health problems of women who are refugees. Despite successive waves of refugees to the United Kingdom in the 20th century, there are no empirical studies of health visiting practice with this vulnerable group. There is also no body of evidence to inform the practice of health visitors new to working with asylum seekers and refugees. METHODS: An exploratory study was undertaken in Inner London in 2001. Semi-structured interviews were conducted with a purposive sample of 13 health visitors experienced in working with women and families who are refugees. FINDINGS: A range of structural challenges was identified that mediated against the development of a health-promoting relationship between health visitors and refugee women. With refugee families, who were living in temporary accommodation, health visitors were prioritizing basic needs that had to be addressed: in addition, they prioritized the needs of children before those of women. Health visitors were aware of the emotional needs of women and had strategies for addressing these with women in more settled circumstances. Health visitors considered themselves ill-prepared to deal with the complexities of working with women in these situations. CONCLUSIONS: This study identifies issues for further exploration, not least from the perspective of refugee women receiving health visiting services. Health visitors in countries receiving refugee women are framing their work with these women in ways that reflect Maslow's theory of a hierarchy of needs. This study suggests ways that public health nursing practice could be improved, and identifies issues for further study. [ABSTRACT FROM AUTHOR]

The promise to raise literacy standards significantly at age 11 in economically disadvantaged areas has been an important part of the present British Government's educational policy. Integral to this promise has been the introduction of official home/school ‘contracts’ or ‘agreements’, which oblige parents to engage in specific literacy activities with their children. However, evidence from a longitudinal study of family literacy practices in East London suggests that family and community members other than parents might play a crucial role in initiating young children into literacy. Siblings particularly have been found to be efficient ‘teachers’ of school literacy practices. In this paper, I investigate particularly ways in which an unspoken collusion takes place between teacher and older sibling revealed during ‘play school’ sessions in Bangladeshi British households in East London. [ABSTRACT FROM AUTHOR]

The international prominence of Young British art (YBa) in the 1990s gave London a contemporary art movement to match its role as one of the world's key centres of art exchange. Examining the rise of YBa in retrospect, this paper is concerned with the difference place makes in helping to shape the (hi)story of art. It is argued that London's established role as an international art centre was crucial in providing the density of networks, associations and facilities necessary to sustain an international art movement. At the same time, YBa's success can be linked to London's changing status as a cultural capital, as well as profound changes in the business of contemporary art. Attention is drawn to the ways in which the international art world is dominated by networks formed within and across a limited number of world art cities. [ABSTRACT FROM AUTHOR]

This paper reports a qualitative analysis of data from a study of masculinity in 11–14 year old boys attending twelve London schools. Forty–five group discussions (N = 245) and two individual interviews (N = 78) were conducted. The findings indicate that boys’ experiences of school led them to assume that interviews would expose them to ridicule and so threaten their masculinity. Boys were generally more serious and willing to reveal emotions in individual than in group interviews. A key theme in boys’ accounts was the importance of being able to present themselves as properly masculine in order to avoid being bullied by other boys by being labeled “gay.” The ways in which boys were racialized affected their experiences of school. [ABSTRACT FROM AUTHOR]

This paper considers the relative significance of social standing and gender in parish life within early modern London, and how this was expressed via their liturgical textiles up to 1552. The data are drawn from the 1552 parish inventories that recorded these textiles and the other appurtenances of worship. Vestments worn for communion, robes for boy choristers and the range of textiles associated with birth, christening, churching, marriage and death are evaluated to see how far they reveal distinctions between men and women, adults and children, rich and poor, laity and clergy. A range of differences can be seen, as can the way in which social and gender considerations interlink. [ABSTRACT FROM AUTHOR]

Presents a report on a conference of christian missions held in London, England between April 14-19, 2002. Background and objectives of the consultation; Discussion on aspects of identity and plurality and the areas they dealt with; Overview of the papers presented on challenges posed by HIV/AIDS to the church; Identification and analysis of factors destructive to missionary partnerships.

Background: This paper describes a primary care-based clinical psychology service operating in an inner London borough that provides psychological intervention for children with emotional or behavioural difficulties and their families, and consultation and support to the primary health care teams. Method: A comparison is made with a local secondary level child mental health service in terms of characteristics of referrals and clinical outcome. Referrers’ perceptions of the primary care-based service are described. Results and Conclusions: The findings demonstrate a useful child and adolescent mental health service for children and adolescents with a broad range of childhood difficulties within a primary care setting, which appears to overcome some of the problems often associated with referral to secondary level services. [ABSTRACT FROM AUTHOR]

Despite the widespread deployment of CCTV through most major cities and towns in great Britain, and the importance of surveillance to contemporary debates within the social sciences, there remains relatively little detailed research concerned with the practical use of these technologies in the workplace. In this paper, we examine how personnel in the operation rooms in London Underground use CCTV and related equipment to identify problems and events and to develop a co-ordinated response. In particular, we consider how personnel configure scenes to make sense of and interpret the conduct of the travelling public in organizationally relevant ways, and how they shape the ways in which both passengers and staff see and respond to each others' actions. In addressing how personnel constitute the sense and significance of CCTV images, we reflect on the development of information processing systems which are designed to automatically detect conduct and events. [ABSTRACT FROM AUTHOR]

In December 1932, police raided a private ballroom in Holland Park Avenue. They found almost sixty men dancing, many in female clothing and make–up. An ongoing encounter between the police and working–class queer social worlds drew the ballroom into a public domain within which masculine sexualities were contested, produced and consumed. The ensuing trial gripped metropolitan opinion, becoming the most notorious and widely reported ‘pansy case’ of the 1930s. This paper explores the complex nexus of spaces and practices that cohered in the case as a site at which the queer subject was definitionally produced. During the trial both legal authorities and newspapers and the defendants sought to produce a stable contradistinction between queer and normal, though the meanings they invested in that difference diverged radically. Yet focusing upon the intersecting sites through which this queer subject was constituted – the city, the body and the police/policed interface – suggests the unsettling ambiguities undermining the stability of that difference. Throughout the case, the difference between queer and normal often seemed anything but self–evident, and the arrested men appeared an electric threat to the metropolitan cultural landscape. [ABSTRACT FROM AUTHOR]

Public access to environmental information received much attention in the last decade. Recent developments promote access to this information through public telecommunication networks. This paper describes a Web-based survey that explored the requirements and needs of likely users of public environmental information systems for London: educated middle-class members of the public, with high interest in environmental issues and computer literacy. The survey demonstrated current information consumption patterns and the reasons to gather and use such information. [ABSTRACT FROM AUTHOR]

Considerable debate has occurred over whether ‘global cities’ are witnessing polarization of their labour forces into highly paid professionals and low paid personal service workers. This paper offers evidence on paid domestic labour in London, some of which occurs in the informal sector, and considers its potential significance for the polarization debate. [ABSTRACT FROM AUTHOR]

This paper examines the building that presently houses the Imperial War Museum, investigating the transformation of the archetypal ‘mad space’ of the Bethlem Royal Hospital into what has been described as the ‘biggest boy’s bedroom in London’. Following recent concerns in human geography with Imperial cities, it highlights the differing ways in which this transformation embodies a number of themes of degeneration and regeneration in early twentieth-century Britain. [ABSTRACT FROM AUTHOR]

This paper focuses on the production of introductory videos for gallery exhibitions through collaborations between young people, professional artists and gallery staff. Fundamental to this process is the quality of encounter young people involved have with original works of art, artists and gallery staff. Their enquiries about the work on show and critical response is valued by the gallery and its diverse audiences for its unique and individual perspective. Students are invited to explore and familiarise themselves with the work prior to articulating their ideas and views on video within the exhibition spaces. Recorded footage is then edited to a professional standard and shown in the gallery during the run of each show. The videos are also posted out to local schools, marketed as peer-led introductions to each exhibition, in order to offer up questions and ideas to students and teachers prior to their gallery visit. A commissioned, external evaluation of the videos, against their stated aims and objectives, was undertaken by Goldsmiths College's Art in Education team. [ABSTRACT FROM AUTHOR]

This paper presents the results from exploratory research which set out to investigate London children's perceptions and uses of river environments. Mainly qualitative, multi-method research was carried out in four primary schools with children aged 9-11, focusing on two rivers near to the schools. Rivers were found to be marginal to the children's everyday lives and outdoor play, being perceived as polluted, neglected, and initially dangerous places. However, when experienced on visits observed as part of the research, some of these perceptions changed and rivers were also found to afford many special activities and experiences for the children. The visits were generally seen to have a positive effect on the children's perceptions of rivers, at least in the short term. This suggests that, if managed appropriately, rivers could be potentially rewarding play areas for children. Moreover, children could provide valuable input for river managers in suggesting ways of improving suitable local rivers for increased recreational uses. [ABSTRACT FROM AUTHOR]

Highlights papers presented at the April 2000 meeting of the British Society for Matrix Biology (BSMB), held in London, England. Conference's focus on the theme 'Molecular Cell Biology of the Synovial Joint'; Stages of mammalian tendon development; Work on the changes in cell populations and the extracellular matrix of patients with chronic tendon pathology.

Summary In 1995, a new team was specifically created at the Tavistock Clinic, London, UK, to work with people with learning disability of all ages using psychodynamic ideas, principles and methods. This was a new organization, born out of the growing interest and work in this field, work that had been going on at the Tavistock Clinic for many years. The present paper describes the work of the organization, and provides two case examples to illustrate the team's way of working. [ABSTRACT FROM AUTHOR]

Recent controversy about the dangers of hypnosis came to a head in the summer of 1998 with the High Court trial in London of a stage hypnotist for allegedly inducing schizophrenia in one of his participants. In this paper a number of issues arising from the case are critically examined; included are the propositions put forward by the prosecution that the hypnotic state is similar, psychologically and neurophysiologically, to that of schizophrenia, and thereby, because of its very nature, hypnosis can increase vulnerability to psychotic illness and other forms of psychological damage; inadequate dehypnosis may lead to a person remaining in a pathological state; and a series of fairly routine stage hypnosis suggestions can act as a trigger for a schizophrenic reaction in certain individuals. It is concluded that hypnosis procedures must always be applied with due caution and regard to the rights of participants, but that there is no substantive scientific evidence to support any special link between hypnosis and the triggering of episodes of schizophrenia. [ABSTRACT FROM AUTHOR]

Introduction This paper presents information on the nutrient composition of commonly consumed traditional dishes eaten by the three major South Asian Muslim groups residing in Britain, namely Bangladeshi, Pakistani and East African Ismaili Muslims. Methods Information regarding the most common dishes consumed by South Asian Muslims originating from Bangladesh, Pakistan and East Africa (Ismailis) and living in London was obtained from 7-day menu records over two seasons. For each common dish, weighed recipes were collected in triplicate and the composition (energy and selected nutrients) was calculated from the ingredients and cooked weight of the dish. Results The three Muslim groups showed considerable variation in traditional foods commonly consumed as well as variation in fat and energy contents of similar recipes both within and between groups. Nutrient composition of commonly consumed dishes is presented calculated from the recipe nearest the average in terms of fat and energy for a particular dish. Discussion and conclusions The potential uses of the data, one of which would be to improve dietary compliance (especially to lower fat intakes) amongst the three diverse South Asian Muslim groups, are discussed. [ABSTRACT FROM AUTHOR]

In the light of current political and professional debate in the United Kingdom concerning preparing nurses for competence, this paper takes an historical perspective, and considers how nursing competence was defined historically through an analysis of statutory syllabuses and nursing textbooks 1874-1977. Competence was perceived by nursing textbook writers to have four facets. Firstly, it involved the moral character of the nurse; secondly, it required technical knowledge, practical skill and procedure; thirdly, it depended on the role of the ward sister; and fourthly, it relied on the professional etiquette of right relationships. The analysis shows that the traditional system of nursing competence presumed a clearly defined purpose: the production of the bedside nurse, whose function was to care for the sick person. This raises a fundamental question for nursing today: what is the purpose of the modern nurse? [ABSTRACT FROM AUTHOR]

Focuses on a conference titled 'Auditing Quality' organized by the Queen's Nursing Institute at the CBI Conference Centre in London, England on November 14, 1991. Facts put forth by project officer to Audit Commission Russ Philips in his paper 'Which Quality Matters'; Paper presented by regional nursing adviser to the South Thames Regional Health Authority Ami Davis.

Objective The measurement of health-related quality of life (HRQL) has become increasingly common in health services research. Whilst useful, its focus on behaviour, capacities and activities means that it remains relatively specific. This paper explores the possibility of extending the evaluation of health by considering the concept of patients’ expectations. Design In-depth and semi-structured interviews were used to explore the concept of expectations from the patients’ perspective. Patients’ expectations were then used in the construction of a two-part questionnaire. Settings and participants Expectations were explored with a group of 33 cardiac patients. The resulting questionnaire was given to 400 cardiac patients in a large teaching hospital in London. Results Patients identified a range of expectations which related to their health and seemed to represent the desired results of their hospital stay. Comparison of the content of patient expectations with a commonly used generic measure of HRQL, the Short-Form 36 (SF-36), found some overlap but indicated that patients seemed to adopt a broader approach to their health. Expectations that patients identified were used to construct two scales to measure expectations and their evaluation. The internal consistency of these scales was 0.82 and 0.88, respectively. Conclusion The study indicates the potential complexity of the concept of expectations and the need for further exploration. It also demonstrates the feasibility of constructing standardized scales to measure patient expectations. Whilst conceptually different from HRQL such standardized expectations scales could provide a useful adjunct to HRQL measurement and provide a meaningful context for the interpretation of HRQL data. [ABSTRACT FROM AUTHOR]

Wandsworth Local Education Authority first introduced baseline assessment for all 4-year-olds entering primary school reception classes in Autumn 1992. Assessment of early literacy skills forms a central part of this, and methods include both structured teacher observation and a standardised assessment (the LARR Test of Emergent Literacy). This paper reports the baseline results for over 11,000 children who were assessed between 1993 and 1997. Results indicate significant variations in baseline attainment associated with pupils’ age, sex, length of nursery education, economic disadvantage, ethnic group and home language. The results also reveal complex interactions between these factors which are important for a full understanding of pupils’ attainment at this early age. At the school level, baseline results varied widely across schools with similar proportions of pupils entitled to free school meals and English as an additional language. This result urges caution in the interpretation of the benchmark data published by the Qualifications and Curriculum Authority (QCA, 1998). Data on pupils’ progress from baseline to the end of Key Stage 1 are summarised and the implications discussed. [ABSTRACT FROM AUTHOR]

Absconding by patients from acute psychiatric wards is known to be linked to self harm and harm to others. Previous research has focused only on officially reported absconds, thus missing out many patients who although they abscond and pose a risk, are never officially processed. This paper reports the findings of a large prospective study of absconding in the East End of London using an objective definition of absconding not linked to official bureaucratic processes. Absconders are considered by staff to be high risk patients, and many have histories of violence and/or suicide attempts. Nevertheless nurses only request the aid of the police in returning patients on 47% of occasions. The actions of the police are very variable, and range from two policemen calling at the patient's house, to an entire team in riot gear appearing at the patient's door in the early hours of the morning. Most absconds result in no harm to anyone, and most absconders return by themselves. Relatives and carers also play a significant role in persuading the patient to return or bringing them back. Nurses should develop more sophisticated ways of working with the police and with relatives to maintain absconding patients' safety. [ABSTRACT FROM AUTHOR]

Information about how and when patients abscond from acute psychiatric wards may provide important clues to effective prevention strategies. This paper reports relevant findings from a large scale study of absconding conducted in the East End of London. In contrast to the findings in previous studies, the vast majority of absconders left from the ward directly, mostly via the front door. Some were known to be at risk of absconding, and although more than half had declared their intention to leave, they still succeeded in getting away. On some occasions they circumvented locked or guarded doors, or special nursing observation. Shift handovers were a peak time for absconds, possibly due to decreased nursing surveillance of the ward. Most absconds occur during the first few weeks of admission, and most absconders simply went home and engaged in normal, everyday activities. The findings indicate that physical security measures alone are not a sufficient answer to the problem of absconding, and nurses need to work harder to develop supportive alliances with patients. [ABSTRACT FROM AUTHOR]

Absconding by patients from acute psychiatric care poses a significant problem to professional staff, and can involve significant risks for patients and others. This paper describes the methodology of a major prospective study of absconding recently completed in the East End of London, and reports the findings on why patients abscond from hospital. Interviews with 52 patients who returned to their wards showed that they abscond because they are bored, frightened of other patients, feel trapped and confined, have household responsibilities they feel they must fulfil, feel cut off from relatives and friends, or are worried about the security of their home and property. Psychiatric symptoms also contribute to the decision to leave, but in nearly every case patients can give additional and rational reasons for their abscond. Some patients leave impulsively and in anger following unwelcome news about delayed permission for leave or discharge. Others leave specifically in order to carry out some activity outside the hospital. In order to reduce absconding and rejection of care, nurses may need to carefully consider the meaning admission has for patients, and the impact it can have upon their everyday lives. [ABSTRACT FROM AUTHOR]