181 results on '"Duncan Robertson"'
Search Results
2. Why We Need More Data before the Next Pandemic
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Nigel Gilbert, Edmund Chattoe-Brown, Christopher Watts, and Duncan Robertson
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covid-19 ,time use data ,epidemiological model ,social network ,social contacts ,Social Sciences ,Sociology (General) ,HM401-1281 - Abstract
Attempts to control the current pandemic through public health interventions have been driven by predictions based on modelling, thus bringing epidemiological models to the forefront of policy and public interest. It is almost inevitable that there will be further pandemics and controlling, suppressing and ameliorating their effects will undoubtedly involve the use of models. However, the accuracy and usefulness of models are highly dependent on the data that are used to calibrate and validate them. In this article, we consider the data needed by the two main types of epidemiological modelling (compartmental and agent-based) and the adequacy of the currently available data sources. We conclude that at present the data for epidemiological modelling of pandemics is seriously deficient and we make suggestions about how it would need to be improved. Finally, we argue that it is important to initiate efforts to collect appropriate data for modelling now, rather than waiting for the next pandemic.
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- 2022
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3. Advance decisions to refuse treatment and suicidal behaviour in emergency care: ‘it's very much a step into the unknown’
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Leah Quinlivan, Rebecca Nowland, Sarah Steeg, Jayne Cooper, Declan Meehan, Joseph Godfrey, Duncan Robertson, Damien Longson, John Potokar, Rosie Davies, Neil Allen, Richard Huxtable, Kevin Mackway-Jones, Keith Hawton, David Gunnell, and Nav Kapur
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Self-harm ,suicidal behaviour ,emergency services ,mental capacity ,Mental Capacity Act ,Psychiatry ,RC435-571 - Abstract
BackgroundComplex challenges may arise when patients present to emergency services with an advance decision to refuse life-saving treatment following suicidal behaviour.AimsTo investigate the use of advance decisions to refuse treatment in the context of suicidal behaviour from the perspective of clinicians and people with lived experience of self-harm and/or psychiatric services.MethodForty-one participants aged 18 or over from hospital services (emergency departments, liaison psychiatry and ambulance services) and groups of individuals with experience of psychiatric services and/or self-harm were recruited to six focus groups in a multisite study in England. Data were collected in 2016 using a structured topic guide and included a fictional vignette. They were analysed using thematic framework analysis.ResultsAdvance decisions to refuse treatment for suicidal behaviour were contentious across groups. Three main themes emerged from the data: (a) they may enhance patient autonomy and aid clarity in acute emergencies, but also create legal and ethical uncertainty over treatment following self-harm; (b) they are anxiety provoking for clinicians; and (c) in practice, there are challenges in validation (for example, validating the patient’s mental capacity at the time of writing), time constraints and significant legal/ethical complexities.ConclusionsThe potential for patients to refuse life-saving treatment following suicidal behaviour in a legal document was challenging and anxiety provoking for participants. Clinicians should act with caution given the potential for recovery and fluctuations in suicidal ideation. Currently, advance decisions to refuse treatment have questionable use in the context of suicidal behaviour given the challenges in validation. Discussion and further patient research are needed in this area.Declaration of interestD.G., K.H. and N.K. are members of the Department of Health's (England) National Suicide Prevention Advisory Group. N.K. chaired the National Institute for Health and Care Excellence (NICE) guideline development group for the longer-term management of self-harm and the NICE Topic Expert Group (which developed the quality standards for self-harm services). He is currently chair of the updated NICE guideline for Depression. K.H. and D.G. are NIHR Senior Investigators. K.H. is also supported by the Oxford Health NHS Foundation Trust and N.K. by the Greater Manchester Mental Health NHS Foundation Trust.
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- 2019
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4. Index
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Duncan Robertson
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- 2011
5. Title page, Copyright, Dedication
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Duncan Robertson
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- 2011
6. Contents
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Duncan Robertson
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- 2011
7. Chapter 8: The Book of Experience
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Duncan Robertson
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- 2011
8. Select Bibliography
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Duncan Robertson
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- 2011
9. Chapter 7: The Twelfth-Century Integration
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Duncan Robertson
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- 2011
10. Chapter 6: Reading the Song of Songs
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Duncan Robertson
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- 2011
11. Chapter 5: The Extension of Meditation
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Duncan Robertson
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- 2011
12. Chapter 4: Reading into Writing
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Duncan Robertson
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- 2011
13. Chapter 3: Reading and Meditation
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Duncan Robertson
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- 2011
14. Preface
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Duncan Robertson
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- 2011
15. List of Abbreviations
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Duncan Robertson
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- 2011
16. Chapter 1: Scholarly Contexts: Ressourcement and Research
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Duncan Robertson
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- 2011
17. Chapter 2: The Interpretation of the Scriptures
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Duncan Robertson
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- 2011
18. Effective use of the built environment to manage behavioural and psychological symptoms of dementia: a systematic review.
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Lesley J J Soril, Laura E Leggett, Diane L Lorenzetti, James Silvius, Duncan Robertson, Lynne Mansell, Jayna Holroyd-Leduc, Tom W Noseworthy, and Fiona M Clement
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Medicine ,Science - Abstract
To determine the effectiveness of built environment interventions in managing behavioural and psychological symptoms of dementia (BPSD) among residents in long-term care settings.Systematic review of literature published from 1995-2013. Studies were included if they: were randomized controlled trials, quasi-experimental trials, or comparative cohort studies; were in long-term or specialized dementia care; included residents with dementia and BPSD; and examined effectiveness of a built environment intervention on frequency and/or severity of BPSD. Quality of included studies was assessed using the Downs and Black Checklist. Study design, patient population, intervention, and outcomes were extracted and narratively synthesized.Five low to moderate quality studies were included. Three categories of interventions were identified: change/redesign of existing physical space, addition of physical objects to environment, and type of living environment. One of the two studies that examined change/redesign of physical spaces reported improvements in BPSD. The addition of physical objects to an existing environment (n = 1) resulted in no difference in BPSD between treatment and control groups. The two studies that examined relocation to a novel living environment reported decreased or no difference in the severity and/or frequency of BPSD post-intervention. No studies reported worsening of BPSD following a built environment intervention.The range of built environment interventions is broad, as is the complex and multi-dimensional nature of BPSD. There is inconclusive evidence to suggest a built environment intervention which is clinically superior in long-term care settings. Further high-quality methodological and experimental studies are required to demonstrate the feasibility and effectiveness of such interventions.
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- 2014
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19. Branch Memoranda re: Military Council of Independent Provinces, 1916
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(1925), Duncan Robertson, author and (1925), Duncan Robertson, author
20. An outbreak of tuberculosis in endangered northern pig‐tailed macaques ( Macaca leonina ) and milu deer ( Elaphurus davidianus ) from a zoo in China
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Yingyu Chen, Yu Yan, Yanhong Gao, Yurui Li, Kailun Zhang, Min Zhou, Liang Sun, Yu Wang, Ian Duncan Robertson, and Aizhen Guo
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General Veterinary - Published
- 2023
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21. A First Approach to Understanding and Measuring Naturalness in Driver-Car Interaction.
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Simon Ramm, Joseph Giacomin, Duncan Robertson, and Alessio Malizia
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- 2014
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22. Sustainability, transport and design: reviewing the prospects for safely encouraging eco-driving.
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Rich C. McIlroy, Neville A. Stanton, Catherine Harvey, and Duncan Robertson
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- 2013
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23. Author response for 'An outbreak of tuberculosis in endangered northern pig‐tailed macaques ( Macaca leonina ) and milu deer ( Elaphurus davidianus ) from a zoo in China'
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null Yingyu Chen, null Yu Yan, null Yanhong Gao, null Yurui Li, null Kailun Zhang, null Min Zhou, null Liang Sun, null Yu Wang, null Ian Duncan Robertson, and null Aizhen Guo
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- 2022
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24. A dynamic acoustic view of real-time change in word-final liquids in spontaneous Glaswegian.
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Jane Stuart-Smith, Robert Lennon, Rachel Macdonald, Duncan Robertson, Márton Sóskuthy, Brian José, and Ludger Evers
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- 2015
25. Prevalence of
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Jully, Gogoi-Tiwari, Harish Kumar, Tiwari, Nadeeka K, Wawegama, Chintha, Premachandra, Ian Duncan, Robertson, Andrew David, Fisher, Frank Karanja, Waichigio, Pete, Irons, and Joshua W, Aleri
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- 2022
26. 94 GHz Doppler radar for experimental validation of small UAV micro-Doppler
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Samiur Rahman, Matthew Moore, Duncan Robertson, Ranney, Kenneth I., Raynal, Ann M., and University of St Andrews. School of Physics and Astronomy
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MCC ,Simulation validation ,Applied Mathematics ,TK ,Micro-Doppler ,Radar simulation ,Unmanned aerial vehicle ,NS ,Condensed Matter Physics ,AC ,TK Electrical engineering. Electronics Nuclear engineering ,Computer Science Applications ,Electronic, Optical and Magnetic Materials ,QC Physics ,Radar design ,Electrical and Electronic Engineering ,QC - Abstract
Funding: The authors acknowledge the financial support of the Engineering and Physical Sciences Council and QinetiQ (PhD funding for MM). The micro-Doppler signature of a small unmanned aerial vehicle (UAV), resulting from the rotation of propeller blades, can be used to differentiate UAVs from other common confusing elements such as birds. Moreover, the micro-Doppler signature varies depending on the shape of individual UAV components such that these signatures can be used to differentiate between different UAV models. In order to investigate how different UAV components affect the signature, a high-fidelity micro-Doppler simulation has been developed previously, capable of generating micro-Doppler returns from 3D CAD models. This simulation requires experimental validation and so a 94 GHz radar has been designed and built for lab-based micro-Doppler measurements of UAV components in CW or FMCW Doppler modes. This allows for controlled experimental recreations of simulated scenarios in which the experimental micro-Doppler signatures of different UAV components can be measured and used for robust simulation validation. In this paper, the radar design will be explained in detail and the radar performance will be reviewed. Chirps are generated around 1 GHz using an Analog Devices AD9914 DDS board and upconverted onto a low phase noise STALO at 6.833 GHz. The upper sideband is filtered and frequency multiplied by 12 to 94 GHz. In FMCW mode the maximum chirp bandwidth is 3 GHz. The receiver is homodyne using a 94 GHz I-Q mixer to de-chirp to baseband. Feedhorn antennas are used for close range lab measurements, but larger antennas could be fitted for longer range outdoor data collection. Publisher PDF
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- 2022
27. G-band FMCW Doppler radar for sea clutter and target characterization
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Samiur Rahman, Duncan Robertson, Aleksanteri Benjamin Vattulainen, Ranney, Kenneth I., Raynal, Ann M., EPSRC, and University of St Andrews. School of Physics and Astronomy
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GC ,QC Physics ,G-band ,Doppler radar ,GC Oceanography ,Radar sea clutter ,SDG 14 - Life Below Water ,FMCW radar ,NS ,U Military Science ,Target characterisation ,QC - Abstract
Funding: UK Engineering and Physical Sciences Research Council under grant EP/S032851/1. Marine autonomy is a field receiving a high degree of interest for its many potential applications in terms of commerce, crew safety, and the military. A successful autonomous vessel depends on a sophisticated degree of situational awareness facilitated by sensors. We are investigating sub-THz radar sensors for this purpose, with the primary goal being the characterization of sea clutter and targets in terms of both amplitude and Doppler statistics at frequencies spanning 24 to 350 GHz, where presently there is a lack of data. Sub-THz frequencies are of particular interest due to improved range and Doppler resolutions, and reduced sensor size, factors expected to be critical in enabling anomaly detection in the dynamic marine environment. As part of this work, a new 207 GHz frequency modulated continuous wave (FMCW) radar is being developed for the collection of clutter and target phenomenology data. The architecture uses a direct digital synthesis (DDS) generated chirp which is upconverted onto a low phase noise microwave LO then frequency multiplied by 24 to the carrier frequency. Twin Gaussian optics lens antennas (GOLAs) are used for transmit and receive with beamwidths of 2° , with adjustable linear polarization. The radar head is gimbal mounted for raster scanning RCS maps or for use in staring mode Doppler measurements. A chirp bandwidth of 4 GHz enables range bins of a few centimeters and high speed chirps enable a maximum unambiguous velocity of ±5 m/s. Publisher PDF
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- 2022
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28. Quantitative Physiological Assessment of Stress Via Altered Immune Functioning Following Interaction With Differing Automotive Interface Technologies.
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Graham K. Shelton-Rayner, Rubina Mian, Simon Chandler, Duncan Robertson, and David W. Macdonald
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- 2011
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29. Assessing the effects of accent-mismatched reference population databases on the performance of an automatic speaker recognition system
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Duncan Robertson, Peter French, Almut Braun, Dominic Watt, Vincent Hughes, Philip Harrison, and Carmen Llamas
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050101 languages & linguistics ,Linguistics and Language ,education.field_of_study ,Automatic speaker recognition ,business.industry ,Computer science ,05 social sciences ,Population ,British English ,Speech technology ,computer.software_genre ,language.human_language ,Stress (linguistics) ,Similarity (psychology) ,language ,Reference database ,0501 psychology and cognitive sciences ,Reference population ,Artificial intelligence ,business ,education ,Law ,computer ,Natural language processing - Abstract
Automatic Speaker Recognition (ASR) systems are designed to provide the user with statistics relating to the similarity of two or more speech samples and to the typicality of those shared features in the wider population. When an ASR system is used as part of a forensic investigation, the user must decide what counts as the appropriate ‘wider population’ and select a reference database accordingly. While it has generally been held that the voices populating the reference database should be similar in accent to that of the samples under consideration, the degree to which the accents should correspond has until now not been investigated empirically. We report in this article on a study in which the composition of the reference database was systematically varied in terms of accent, using corpora of samples of Standard Southern British English and of three subvarieties spoken in North-East England (Newcastle, Sunderland, Middlesbrough).
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- 2020
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30. Amplitude Characteristics of Littoral Sea Clutter Data at K-band and W-band
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Samiur Rahman, Duncan Robertson, Aleksanteri Benjamin Vattulainen, EPSRC, and University of St Andrews. School of Physics and Astronomy
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MCC ,QC Physics ,Breaking waves ,TK ,Millimeter wave ,FMCW ,DAS ,Sea clutter ,Sea spikes ,QC ,TK Electrical engineering. Electronics Nuclear engineering - Abstract
Funding: UK Engineering and Physical Sciences Research Council under grant EP/S032851/1. Sea clutter data at millimeter wave frequencies are quite limited in the literature. Recent advancements in millimeter wave radar technology have created a potential for its use in maritime surveillance and autonomy. Hence, collecting data at this frequency range is of great interest to both academia and industry. This study reports on a field trial conducted at St Andrews in winter 2020 to collect littoral sea clutter data using K-band (24 GHz) and W-band (94 GHz) radar systems. Extensive data collection was done during the trial, where this work specifically concentrates on analysis of the amplitude characteristics of the sea clutter returns. Analysis of the dataset shows that the radar backscatter was heavily dominated by sea-spikes. The modal normalized radar cross section (NRCS) values for Bragg, burst and whitecap scattering are measured to be -47, -30 and -17 dB respectively at 24 GHz in horizontal polarization and -48, -26 and -12 dB respectively at 94 GHz in circular polarization, measured at grazing angles of 1-3°. The backscatter from the smooth surface is found to be below the noise floor equivalent NRCS (-65 dB). Also, the power spectrum analysis of range-time intensity plots is discussed, revealing information on the sea surface dynamics. Postprint
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- 2022
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31. Simulating UAV micro-Doppler using dynamic point clouds
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Samiur Rahman, Matthew Moore, and Duncan Robertson
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- 2022
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32. Epidemiological Survey and Risk Factor Analysis of 14 Potential Pathogens in Golden Snub-Nosed Monkeys at Shennongjia National Nature Reserve, China
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Mingpu Qi, Qiankun Wang, Yu Wang, Yingyu Chen, Changmin Hu, Wanji Yang, Feng Wu, Tianpeng Huang, Ali Sobhy Dawood, Muhammad Zubair, Xiang Li, Jianguo Chen, Ian Duncan Robertson, Huanchun Chen, and Aizhen Guo
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Microbiology (medical) ,Infectious Diseases ,General Immunology and Microbiology ,Immunology and Allergy ,golden snub-nosed monkey ,epidemiology ,tuberculosis ,adenovirus ,macacine herpesvirus 1 ,cytomegalovirus ,simian foamy virus ,hepatitis A virus ,Molecular Biology - Abstract
Golden snub-nosed monkeys (Rhinopithecus roxellanae) belong to Class A, the highest level of endangered primate species. Exploring the infection status of potential pathogens in golden snub-nosed monkeys is important for controlling associated diseases and protecting this species. The objective of this study was to investigate the seroprevalence for a number of potential pathogens and the prevalence of fecal adenovirus and rotavirus. A total of 283 fecal samples were collected from 100 golden snub-nosed monkeys in December 2014, June 2015, and January 2016; 26 blood samples were collected from 26 monkeys in June 2014, June 2015, January 2016 and November 2016 at Shennongjia National Reserve in Hubei, China. The infection of 11 potential viral diseases was examined serologically using an Indirect Enzyme-linked Immunosorbent Assay (iELISA) and Dot Immunobinding Assays (DIA), while the whole blood IFN-γ in vitro release assay was used to test tuberculosis (TB). In addition, fecal Adenovirus and Rotavirus were detected using Polymerase Chain Reaction (PCR). As a result, the Macacine herpesvirus-1 (MaHV-1), Golden snub-nosed monkey cytomegalovirus (GsmCMV), Simian foamy virus (SFV) and Hepatitis A virus (HAV) were detected with the seroprevalence of 57.7% (95% CI: 36.9, 76.6), 38.5% (95% CI: 20.2, 59.4), 26.9% (95% CI: 11.6, 47.8), and 7.7% (95% CI: 0.0, 84.2), respectively. Two fecal samples tested positive for Adenovirus (ADV) by PCR, with a prevalence of 0.7% (95% CI: 0.2, 2.5), and further, the amplification products were sequenced. Phylogenetic analysis revealed that they belonged to the HADV-G group. However, other pathogens, such as Coxsackievirus (CV), Measles virus (MeV), Rotavirus (RV), Simian immunodeficiency virus (SIV), Simian type D retroviruses (SRV), Simian-T-cell lymphotropic virus type 1 (STLV-1), Simian varicella virus (SVV), Simian virus 40 (SV40) and Mycobacterium tuberculosis complex (TB) were negative in all samples. In addition, a risk factor analysis indicated that the seroprevalence of MaHV-1 infection was significantly associated with old age (≥4 years). These results have important implications for understanding the health status and conservation of the endangered golden snub-nosed monkey population at Shennongjia Nature Reserve.
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- 2023
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33. Supporting wild pollinators in agricultural landscapes through targeted legume mixtures
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Christine A. Watson, Lorna J. Cole, Duncan Robertson, Cairistiona F.E. Topp, J. A. Baddeley, and Robin L. Walker
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Forage (honey bee) ,Ecology ,Pollination ,Pollinators ,Sustainable agriculture ,Biology ,Functional diversity ,biology.organism_classification ,Legumes ,Article ,Agronomy ,Agri-environment schemes ,Pollinator ,Animal Science and Zoology ,Hoverfly ,Species richness ,Monoculture ,Weed ,Agronomy and Crop Science ,Bumblebee ,Nitrogen-fixing crops - Abstract
Insect-pollinated legumes are rich in plant-based proteins making them a vital constituent of sustainable healthy diets for people and livestock. Furthermore, they deliver or support a range of ecosystem services that underpin agricultural production and their prevalence in agricultural landscapes is likely to increase. Under typical implementation and management, the value of legumes to pollinators has, however, been questioned. Through exploring a range of legume crops, grown as monocultures and mixtures, this study aims to identify multifunctional legume cropping systems that optimise forage availability for a diversity of wild pollinators whilst delivering a wide range of agronomic and environmental benefits. This study innovatively explores legume mixtures concurrently with monocultures of the component species using replicated small-plot field trials established in two geographical locations. Observational plots assessed the richness and abundance of floral resources, and wild pollinators (i.e. bumblebees and hoverflies) throughout the peak flowering period. Densely flowering, highly profitable legumes (e.g. Trifolium incarnatum and Trifolium mixes) supported abundant and rich pollinator assemblages. The functional makeup of floral visitors was strongly influenced by flower structure and hoverflies, with their shorter proboscises, were largely constrained to legumes with shallower corolla and open weed species. Floral richness was not a key driver of pollinator assemblages; however, clear intra-specific differences were observed in flowering phenology. Combining functionally distinct legumes with respect to flower structure and phenology, will support a wider suite of pollinating insects and help stabilise the temporal availability of forage. For highly competitive legumes (e.g. Vicia faba and Vicia sativa), planting in discrete patches is recommended to reduce the risk of less competitive species failing in mixtures. Legumes can provide valuable forage for pollinators; however, they fail to meet all resource requirements. They should therefore be used in combination with agri-environmental measures targeted to promote early-season forage (e.g. hedgerows and farm woodlands), open flowers for hoverflies, saprophytic hoverfly larval resources (e.g. ditches and ponds) and nesting habitats (e.g. undisturbed field margins)., Graphical Abstract ga1, Highlights • Legumes play a central role in enhancing the sustainability of agricultural systems. • Densely flowering, resource rich legumes, support bumblebees and hoverflies. • Flowering phenology and accessibility of floral rewards influence visiting pollinators. • Targeted mixtures maintain a consistent supply of floral resources and support a wider suite of pollinators. • Legumes don’t provide all resources pollinators require and should be combined with other agri-environmental options.
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- 2022
34. Prevalence of Mycoplasma bovis Infection in Calves and Dairy Cows in Western Australia
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Jully Gogoi-Tiwari, Harish Kumar Tiwari, Nadeeka K. Wawegama, Chintha Premachandra, Ian Duncan Robertson, Andrew David Fisher, Frank Karanja Waichigio, Pete Irons, and Joshua W. Aleri
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General Veterinary ,calves ,dairy cows ,Mycoplasma bovis ,seroprevalence ,Western Australia - Abstract
Mycoplasma bovis (M. bovis) can cause a multitude of diseases in cattle, with detrimental effects on the farm economy and the welfare of both adult and young cattle. The objective of this study was to determine the prevalence of M. bovis in adult cows and calves in the south-west region of Western Australia. A cross-sectional study was conducted on 29 dairy farms with 699 apparently healthy adult lactating cows and 495 young calves during 2019–2020. Nasal swabs and blood samples collected from the animals and bulk tank milk (BTM) samples were assessed for M. bovis-specific proteins and antibodies by using polymerase chain reaction (PCR) and Mycoplasma immunogenic lipase A- Enzyme-Linked Immune Sorbent Assay (MilA ELISA). A seroprevalence of 42.5% (95% CI: 38.9–46.2) and 61% (95% CI: 56.6–65.2) was found in adult lactating cows and calves, respectively. The herd-level seroprevalence of M. bovis ranged from 4% (95% CI: 07–19.5) to 92% (95% CI: 75.0–97.8) in adult lactating cows and 25% (95% CI: 10.2–49.5) to 87% (95% CI: 67.9–95.5) for calves in these farms. None of the BTM and nasal swab samples were positive for M. bovis, indicating an absence of any current active infections on the farms. The female calves and pure Holstein–Friesian animals are twice as likely to be seropositive for M. bovis compared to male calves (OR 2.4; 95% CI: 1.7–3.5) and Holstein–Friesian crossbred calves (OR 2.4; 95% CI: 1.7–3.5). The high seroprevalence in both adult and young cattle in the southwest dairy farms of Western Australia warrants more effective farm biosecurity measures and further evaluation of the current prevention and management measures practiced on the farms.
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- 2022
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35. Alternatives to direct emergency department conveyance of ambulance patients: a scoping review of the evidence
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Duncan Robertson, Joanna M Blodgett, Kenneth Rockwood, Elspeth Pennington, and David Ratcliffe
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Emergency Medical Services ,Scoping review ,Ambulances ,Sample (statistics) ,Review ,Critical Care and Intensive Care Medicine ,Ambulance ,Alternative care routes ,Patient safety ,Non-emergency medical care ,Intervention (counseling) ,Humans ,Operational efficiency ,Medicine ,Referral and Consultation ,business.industry ,lcsh:Medical emergencies. Critical care. Intensive care. First aid ,lcsh:RC86-88.9 ,Emergency department ,Patient data ,Grey literature ,Referrals ,medicine.disease ,Triage ,Pre-hospital emergency care ,Emergency Medicine ,Medical emergency ,Emergency Service, Hospital ,business - Abstract
Background The role of ambulance services is shifting, due in part to more intermediate, non-urgent patients who do not require direct emergency department conveyance, yet who cannot be safely left at home alone. Evidence surrounding the safety, effectiveness and efficiency of alternate care routes is not well known. Methods This scoping review sought to identify all studies that examined alternate routes of care for the non-urgent “intermediate” patient, as triaged on scene. Search terms for the sample (ambulances, paramedics, etc.) and intervention (e.g. referrals, alternate care route, non-conveyance) were combined. Articles were systematically searched using four databases and grey literature sources (February 2020). Independent researchers screened title-abstract and full text stages. Results Of 16,037 records, 41 examined alternate routes of care after triage by the on-scene paramedic. Eighteen articles considered quantitative patient data, 12 studies provided qualitative perspectives while 11 were consensus or opinion-based articles. The benefits of alternative schemes are well-recognised by patients, paramedics and stakeholders and there is supporting evidence for a positive impact on patient-centered care and operational efficiency. Challenges to successful use of schemes included: patient safety resulting from incorrect triage decisions, inadequate training, lack of formal partnerships between ambulance and supporting services, and insufficient evidence to support safe implementation or continued use. Studies often inaccurately defined success using proxies for patient safety (e.g. decision comparisons, rates of secondary contact). Finally, patients expressed willingness for such schemes but their preference must be better understood. Conclusions This broad summary offers initial support for alternate routes of care for intermediate, non-urgent patients. Even so, most studies lacked methodologically rigorous evidence and failed to evaluate safe patient outcomes. Some remedies appear to be available such as formal triage pathways, targeted training and organisational support, however there is an urgent need for more research and dissemination in this area.
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- 2021
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36. Piloting data linkage in a prospective cohort study of a GP referral scheme to avoid unnecessary emergency department conveyance
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Duncan Robertson, Kenneth Rockwood, Joanna M Blodgett, and David Ratcliffe
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Adult ,Male ,Non-conveyance ,medicine.medical_specialty ,Referral ,lcsh:Special situations and conditions ,Ambulances ,General Practice ,Crew ,Information Storage and Retrieval ,Pilot Projects ,Ambulance ,Risk Factors ,medicine ,Humans ,Prospective Studies ,Prospective cohort study ,Referral and Consultation ,Data Linkage ,Aged ,business.industry ,lcsh:RC952-1245 ,lcsh:Medical emergencies. Critical care. Intensive care. First aid ,Attendance ,Small sample ,lcsh:RC86-88.9 ,Emergency department ,Middle Aged ,United Kingdom ,Alternate route of care ,Cohort ,Emergency medicine ,Emergency Medicine ,Female ,Emergency care ,Emergency Service, Hospital ,business ,Research Article - Abstract
Background UK Ambulance services are under pressure to safely stream appropriate patients away from the Emergency Department (ED). Even so, there has been little evaluation of patient outcomes. We investigated differences between patients who are conveyed directly to ED after calling 999 and those referred by an ambulance crew to a novel GP referral scheme. Methods This was a prospective study comparing patients from two cohorts, one conveyed directly to the ED (n = 4219) and the other referred to a GP by the on-scene paramedic (n = 321). To compare differences in patient outcomes, we include follow-up data of a smaller subset of each cohort (up to n = 150 in each) including hospital admission, history of long-term illness, previous ED attendance, length of stay, hospital investigations, internal transfers, 30-day re-admission and 10-month mortality. Results Older individuals, females, and those with minor incidents were more likely to be referred to a GP than conveyed directly to ED. Of those patients referred to the GP, only 22.4% presented at ED within 30 days. These patients were more likely to be admitted then than were those initially conveyed directly to ED (59% vs 31%). Those conveyed to ED had a higher risk of death compared to those who were referred to the GP (HR: 2.59; 95% CI 1.14–5.89), however when analyses were restricted to those who presented at ED within 30 days, there was no difference in mortality risk (HR: 1.45; 95% CI 0.58–3.65). Conclusions Despite limited data and a small sample size, there were differences between patients conveyed directly to ED and those who were referred into GP care. Initial evidence suggests that referring individuals to a GP may provide an appropriate and safe alternative path of care. This pilot study demonstrated a need for larger scale, methodologically rigorous study to demonstrate the benefits of alternative conveyance schemes and recommend changes to the current system of urgent and emergency care.
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- 2020
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37. Sub-regional ‘other-accent’ effects on lay listeners’ speaker identification abilities
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Duncan Robertson, Dominic Watt, Peter French, Carmen Llamas, and Almut Braun
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060201 languages & linguistics ,Linguistics and Language ,Foreign language ,06 humanities and the arts ,North east ,Ingroups and outgroups ,Linguistics ,0602 languages and literature ,Stress (linguistics) ,Speaker identification ,In-group favoritism ,Line (text file) ,Psychology ,Law - Abstract
Previous studies have shown that listeners perform worse in speaker identification experiments when they are unfamiliar with the accents of the speakers. Such effects have been documented for listeners hearing unfamiliar foreign languages (language familiarity effect) and unfamiliar regional accents ('other-accent' effect). The present study investigates the 'other-accent' effect at a sub-regional level. Listeners from three different localities (Newcastle, Sunderland and Middlesbrough) within the same greater dialectal region (the North East of England) participated in one of three target-present voice line-ups using samples spoken by speakers from one of the three localities. Listeners who heard a voice line-up in their own local accent (ingroup listeners) missed the target speaker's voice significantly less often than listeners who heard a voice line-up comprised of speakers of one of the other two local accents (out-group listeners). The proportions of correct hits and false alarms were approximately similar across in-group and out-group listeners.
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- 2018
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38. The Life of Saint Clement: A Translation of La Vie de seint Clement The Life of the Seven Sleepers, The Life of St. Josaphaz and The Little Debate
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Duncan Robertson
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Linguistics and Language ,Literature and Literary Theory ,Language and Linguistics - Published
- 2018
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39. Visegrad : A Novel
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Duncan Robertson and Duncan Robertson
- Abstract
Visegrad is a satirical comedy set in a budding Eastern European autocracy. Its setting, the titular Visegrad, is an expatriate Mecca, a post-Soviet capital where the national sport is appearing to work as hard as possible while doing nothing at all. It is the story of Rye, an American millennial who becomes infatuated with a young couple in debt to a local bookie who has developed a secret method of purchasing outstanding student loans from the United States. Things get complicated when Rye agrees to work off the debt and signs on a battery of clients, including Colin Having, who believes that the world's dogs are in a conspiracy against him; H. Defer, an academic wunderkind who is developing a universal theory based on the wetness of feet; and the SEC man, who has been sent to Visegrad to determine how Rye and his boss acquire individual debts. Soon, Rye learns he is being followed. Customers start to disappear and he discovers he is no longer free to leave the country. Now he must sabotage the lucrative business he has helped build, or else abandon his friends to the machinations of a shady cabal within the Visegrad government. A series of comic digressions that branch from the central, tragic digression of choosing to live in a foreign country, Visegrad presents world at once familiar and preposterous--a world that is even historically accurate in its an amalgamation of Prague, Budapest, Warsaw, Krakow, and Berlin, even though it is a place that does not exist and therefore has no history. It is about getting away with something--being young, being cruel, falling in love. Of particular interest to readers who have travelled extensively or lived abroad, it is a must for fans of Prague (Arthur Phillips); The Sellout (Paul Beatty); Necessary Errors (Caleb Crain); All That Man Is (David Szalay); and Temporary People (Deepak Unnikrishnan).
- Published
- 2022
40. PP30 The Minnesota satisfaction questionnaire as a measure of advanced paramedic practitioner satisfaction with a three part rotational model of working
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Bryn Thomas, Duncan Robertson, Robyn Watson, Mark Timmins, Wyn Thomas, Bob Baines, Gemma Nosworthy, and Stella Wright
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Measure (data warehouse) ,medicine.medical_specialty ,Data collection ,Social work ,business.industry ,General Medicine ,Satisfaction questionnaire ,Critical Care and Intensive Care Medicine ,language.human_language ,Rotational model ,Welsh ,Family medicine ,Cohort ,Emergency Medicine ,language ,Medicine ,Raw score ,business - Abstract
BackgroundWelsh Ambulance Service NHS Trust (WAST) and Betsi Cadwaladr University Health Board (BCUHB) were jointly awarded Welsh Government Pacesetter funding to assess the viability of a rotational approach to the delivery of care. The three part rotation incorporates the WAST Clinical Contact Centre, solo responding and shifts in BCUHB primary care settings. Nine WAST Advanced Paramedic Practitioners (APPs) started their rotation in north Wales in June 2019, a further eight joined in September 2020. The Minnesota Satisfaction Questionnaire (MSQ) was one of a number of data collection items undertaken as part of a service evaluation to evaluate the impact of this Pacesetter project.MethodsAPP Satisfaction was measured using the Minnesota Satisfaction Questionnaire (MSQ), a standardised tool designed to measure an employee’s satisfaction with work and aspects of the workplace environment. It comprises a 100-item questionnaire, with each question aligned to one of 20 scales. The MSQ was completed by the first cohort of APPs nine months into their rotation, and by the second Cohort in their third month. APPs were asked to consider all aspects of the rotation.ResultsOverall, both cohorts demonstrated a high level of satisfaction, in particular questions associated with intrinsic satisfaction scored better than ones linked to extrinsic satisfaction. For both Cohorts, Social Service, Working Conditions and Activity were all in the top five scoring scales. Whereas, Authority and Supervision (Human Relations) were lower scoring scales for both Cohorts.The individual raw scores were slightly higher for Cohort II than I. Cohort II also demonstrated a wider range in standard deviation scores across the scales.ConclusionThe MSQ is a simple yet effective measure of assessing workplace satisfaction. For the current Cohorts of Pacesetter APPs, scores indicated a high level of satisfaction across all aspects of the rotation.
- Published
- 2021
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41. An alternative model of pre-hospital care for 999 patients who require non-emergency medical assistance
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David Ratcliffe, Joanna M Blodgett, Kenneth Rockwood, and Duncan Robertson
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Referral ,business.industry ,media_common.quotation_subject ,030208 emergency & critical care medicine ,Management Science and Operations Research ,medicine.disease ,03 medical and health sciences ,Critical appraisal ,Patient safety ,0302 clinical medicine ,Work (electrical) ,Originality ,Order (exchange) ,Health care ,Emergency medical services ,medicine ,030212 general & internal medicine ,Medical emergency ,business ,Safety Research ,media_common - Abstract
Purpose With the increasing demand on ambulance services, paramedics are tasked to arrange as much out of hospital care as possible, to develop integrated systems of care and work with hundreds of different providers – all in the 15 minutes allocated for assessment. A UK ambulance trust is navigating and leading much of this work as one of the first trusts to implement a general practitioner referral policy as an alternate to direct conveyance. The paper aims to discuss this issue. Design/methodology/approach Here the authors discuss the referral scheme, examine the limited evidence available and discuss what is needed to influence prospective success of implementing this scheme in other trusts. Findings Limited evidence for these schemes are described, however there is a clear gap in critical appraisal and methodologically rigorous evidence needed to implement these schemes in other ambulance schemes. Originality/value In order to facilitate collaboration of healthcare services and to minimize the burden of increasing numbers of patients, communication and discussion of alternate routes of care is crucial. This viewpoint piece is one of the first to emphasize the potential benefits of such schemes.
- Published
- 2017
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42. Exploring the interactions between resource availability and the utilisation of semi-natural habitats by insect pollinators in an intensive agricultural landscape
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David I. McCracken, Lorna J. Cole, William Harrison, Sarah Brocklehurst, and Duncan Robertson
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0106 biological sciences ,geography ,geography.geographical_feature_category ,Resource (biology) ,Ecology ,biology ,Pollination ,Riparian buffer ,Agroforestry ,010604 marine biology & hydrobiology ,Foraging ,Biodiversity ,biology.organism_classification ,010603 evolutionary biology ,01 natural sciences ,Spatial heterogeneity ,Pollinator ,Animal Science and Zoology ,Agronomy and Crop Science ,Bumblebee - Abstract
Intensification of agriculture and associated loss of habitat heterogeneity is a key driver of global declines in insect pollinators. Pollinators utilise different habitats to meet resource requirements throughout their life-span and it is widely accepted that their conservation requires a landscape-scale approach. Information on the mechanisms driving insect pollinators at the landscape scale is, however, lacking. To fill this knowledge gap, this novel study explores how pollinators utilise different habitats within a landscape and how utilisation changes over the season. Floral resources and insect pollinators (i.e. bumblebee, butterflies and hoverflies) were monitored during peak pollinator activity periods on a wide range of agricultural and semi-natural habitats in an intensive grassland landscape. The availability of key foraging resources differed between semi-natural habitats and this was strongly linked to their utilisation by pollinators. Floral resources were most abundant and diverse in road verges, riparian buffer strips and open scrub. These were key habitats for butterflies, with road verges and buffer strips also being important for hoverflies and bumblebees. The relative value of semi-natural habitats in providing floral resources changed throughout the season. Pollinators appeared to respond to changes in key floral resources, dynamically using different semi-natural habitats to meet their requirements. Maintaining landscape heterogeneity and improving the quality of semi-natural habitats to ensure resource diversity and continuity is fundamental to pollinator conservation. Regionally targeting agri-environment spending could result in the simplification of agricultural landscapes with consequences on insect pollinators and biodiversity as a whole.
- Published
- 2017
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43. Advance decisions to refuse treatment and suicidal behaviour in emergency care: ‘it's very much a step into the unknown’
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Declan Meehan, D Longson, Leah Quinlivan, Nav Kapur, Joseph Godfrey, Kevin Mackway-Jones, Rosie Davies, Keith Hawton, John Potokar, Duncan Robertson, Neil Allen, Richard Huxtable, Sarah Steeg, Jayne Cooper, Rebecca Nowland, and David Gunnell
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medicine.medical_specialty ,mental capacity act ,mental capacity ,B760 ,Poison control ,Context (language use) ,Suicide prevention ,03 medical and health sciences ,0302 clinical medicine ,suicidal behaviour ,Nursing ,treatment refusal ,medicine ,Self-harm ,030212 general & internal medicine ,Psychiatry ,emergency services ,Suicidal ideation ,Advance decisions ,Mental Capacity Act ,capacity ,B773 ,Mental health ,Focus group ,Health services ,3. Good health ,030227 psychiatry ,Psychiatry and Mental health ,Suicide ,Mental Capacity ,Suicidal behavior ,Papers ,Liaison psychiatry ,Legal document ,medicine.symptom ,Psychology ,qualitative research - Abstract
BackgroundComplex challenges may arise when patients present to emergency services with an advance decision to refuse life-saving treatment following suicidal behaviour.AimsTo investigate the use of advance decisions to refuse treatment in the context of suicidal behaviour from the perspective of clinicians and people with lived experience of self-harm and/or psychiatric services.MethodForty-one participants aged 18 or over from hospital services (emergency departments, liaison psychiatry and ambulance services) and groups of individuals with experience of psychiatric services and/or self-harm were recruited to six focus groups in a multisite study in England. Data were collected in 2016 using a structured topic guide and included a fictional vignette. They were analysed using thematic framework analysis.ResultsAdvance decisions to refuse treatment for suicidal behaviour were contentious across groups. Three main themes emerged from the data: (a) they may enhance patient autonomy and aid clarity in acute emergencies, but also create legal and ethical uncertainty over treatment following self-harm; (b) they are anxiety provoking for clinicians; and (c) in practice, there are challenges in validation (for example, validating the patient’s mental capacity at the time of writing), time constraints and significant legal/ethical complexities.ConclusionsThe potential for patients to refuse life-saving treatment following suicidal behaviour in a legal document was challenging and anxiety provoking for participants. Clinicians should act with caution given the potential for recovery and fluctuations in suicidal ideation. Currently, advance decisions to refuse treatment have questionable use in the context of suicidal behaviour given the challenges in validation. Discussion and further patient research are needed in this area.Declaration of interestD.G., K.H. and N.K. are members of the Department of Health's (England) National Suicide Prevention Advisory Group. N.K. chaired the National Institute for Health and Care Excellence (NICE) guideline development group for the longer-term management of self-harm and the NICE Topic Expert Group (which developed the quality standards for self-harm services). He is currently chair of the updated NICE guideline for Depression. K.H. and D.G. are NIHR Senior Investigators. K.H. is also supported by the Oxford Health NHS Foundation Trust and N.K. by the Greater Manchester Mental Health NHS Foundation Trust.
- Published
- 2019
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44. Creating a safety net for patients in crisis: paramedic perspectives towards a GP referral scheme
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David Ratcliffe, Joanna M Blodgett, Kenneth Rockwood, and Duncan Robertson
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Service (business) ,Referral ,Major trauma ,Safety net ,030208 emergency & critical care medicine ,medicine.disease ,Grounded theory ,Combat Medical Technician ,03 medical and health sciences ,0302 clinical medicine ,medicine ,030212 general & internal medicine ,Medical emergency ,Psychology ,Emergency Care Practitioner ,Qualitative research - Abstract
An innovative policy implemented by a UK Ambulance Service allows paramedics to refer patients to a GP Acute Visiting Service scheme. Initial evidence suggests that this alternate route of care can decrease hospital admission rates, decrease A&E waiting time and provide substantial savings for the NHS. However, there are many unrecognised barriers to referral that are not captured by the quantitative analysis. The goal of this qualitative-observational study was to gain insight into the GP referral scheme from a paramedic's perspective. All notes were transcribed, coded and analysed using a Grounded Theory approach. Four main themes emerged: 1) barriers to referral including wait time, process, and lack of confidence, experience and training 2) approaching the patient with the GP referral scheme in mind 3) frustrations with GP decision making and 4) awareness/understanding of the scheme's impacts. This study provided valuable insight into the paramedic's perspective of the GP referral scheme. Maximising understanding of the scheme, investigating the GP's perspective in decision making and ensuring knowledge and accountability of paramedics, GPs and the public were identified as solutions to strengthen and increase referral rates and scheme success.
- Published
- 2017
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45. Metropolitan Scurvy in the Shadow of the Cook Voyages
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Duncan Robertson
- Subjects
Cultural Studies ,History ,Sociology and Political Science ,060106 history of social sciences ,Context (language use) ,06 humanities and the arts ,General Medicine ,Print culture ,Scurvy ,medicine.disease ,Metropolitan area ,Pacific ocean ,060104 history ,Scholarship ,Popular music ,Law ,medicine ,Ethnology ,0601 history and archaeology ,Shadow (psychology) - Abstract
Recent scholarship on scurvy in 18th-century Britain has focused on the disease in the context of voyages of exploration, especially those bound for the Pacific Ocean. Using materials from quack physicians, print culture and popular song, this essay contends that the problem of scurvy was just as acute in metropolitan London and elsewhere in Britain. By studying representations of the disease and its markets at home in Britain, it aims to shed new light on the treatment and perception of the disease at sea, particularly during the voyages of James Cook (1768‒79).
- Published
- 2017
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46. PP35 Evaluation of a rotational model of advanced paramedic practice in north wales: a logic model approach to demonstrate effectiveness
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Duncan Robertson, Bob Baines, Stella Wright, Wyn Thomas, Mark Timmins, Robyn Watson, and Gemma Nosworthy
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Process management ,business.industry ,General Medicine ,Theory of change ,Critical Care and Intensive Care Medicine ,Logic model ,Project team ,Session (web analytics) ,Test (assessment) ,Formative assessment ,Summative assessment ,Economic evaluation ,Emergency Medicine ,Medicine ,business - Abstract
BackgroundUK Ambulance Services are under pressure to retain paramedics as diverse career options become increasingly available throughout the NHS for this valuable group of staff. Rotational working is one means of providing a varied clinical portfolio with the aim of sustaining an ambulance service based career over a longer work-span. Prior to implementing a test of an Advanced Paramedic Practitioner (APP) focussed three-part model of rotation which included Primary Care, Clinical Contact Centre and Solo Responding, an effective evaluation framework was required.MethodsThe aims of the project were refined during initial team planning and a project workshop which articulated the conditions for success. The theory of change was subsequently developed through a team-based facilitated session culminating in the development of a driver diagram. Due to the predominantly linear nature of the project and design, a Logic Model approach was selected to then map and construct the detailed evaluations required for each of the key areas identified.ResultsSeven individual elements for evaluation were identified through this design process. These comprised of four core areas including the impact of the rotation on Patients, Primary Care, The APPs and Welsh Ambulance Services NHS Trust which would be managed by the project team. In addition, the framework identified elements suitable for external evaluation which consisted of the economic evaluation, a deeper exploration of patient experiences and project effectiveness. External evaluation would test the validity of the overall approach to the project by the internal team and stakeholders. The derived Logic Models were designed to enable formative and summative evaluation throughout the opening phase of the rotation.ConclusionsUsing this approach, the project team have constructed a robust, but testable model of evaluation, with the flexibility to map changes as the evaluation yields specific learning points about the project.
- Published
- 2020
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47. A Comparative Study of Enumeration Techniques for Free-Roaming Dogs in Rural Baramati, District Pune, India
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Harish Kumar Tiwari, Abi Tamim Vanak, Mark O'Dea, Jully Gogoi-Tiwari, and Ian Duncan Robertson
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040301 veterinary sciences ,030231 tropical medicine ,Population ,Logit ,capture-recapture ,rabies ,dog counts ,enumeration ,0403 veterinary science ,Mark and recapture ,free-roaming dogs ,03 medical and health sciences ,0302 clinical medicine ,Statistics ,medicine ,education ,Original Research ,education.field_of_study ,dog population management ,lcsh:Veterinary medicine ,mass vaccination ,General Veterinary ,Population size ,Sampling (statistics) ,04 agricultural and veterinary sciences ,medicine.disease ,Regression ,Geography ,lcsh:SF600-1100 ,Veterinary Science ,Rabies ,Count data - Abstract
The presence of unvaccinated free-roaming dogs (FRD) amidst human settlements is a major contributor to the high incidence of rabies in countries such as India, where the disease is endemic. Estimating FRD population size is crucial to the planning and evaluation of interventions, such as mass immunisation against rabies. Enumeration techniques for FRD are resource intensive and can vary from simple direct counts to statistically complex capture-recapture techniques primarily developed for ecological studies. In this study we compared eight capture-recapture enumeration methods (Lincoln–Petersen’s index, Chapman’s correction estimate, Beck’s method, Schumacher-Eschmeyer method, Regression method, Mark-resight logit normal method, Huggin’s closed capture models and Application SuperDuplicates on-line tool) using direct count data collected from Shirsuphal village of Baramati town in Western India, to recommend a method which yields a reasonably accurate count to use for effective vaccination coverage against rabies with minimal resource inputs. A total of 263 unique dogs were sighted at least once over 6 observation occasions with no new dogs sighted on the 7th occasion. Besides this direct count, the methods that do not account for individual heterogeneity yielded population estimates in the range of 248–270, which likely underestimate the real FRD population size. Higher estimates were obtained using the Huggin’s Mh-Jackknife (437 ± 33), Huggin’s Mth-Chao (391 ± 26), Huggin’s Mh-Chao (385 ± 30), models and Application “SuperDuplicates” tool (392 ± 20) and were considered more robust. When the sampling effort was reduced to only two surveys, the Application SuperDuplicates online tool gave the closest estimate of 349 ± 36, which is 74% of the estimated highest population of free-roaming dogs in Shirsuphal village. This method may thus be considered the most reliable method for estimating the FRD population with minimal inputs (two surveys conducted on consecutive days).
- Published
- 2018
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48. Riparian buffer strips: Their role in the conservation of insect pollinators in intensive grassland systems
- Author
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Lorna J. Cole, David I. McCracken, William Harrison, Sarah Brocklehurst, and Duncan Robertson
- Subjects
geography ,geography.geographical_feature_category ,Ecology ,Pollination ,Riparian buffer ,Tussock ,Agroforestry ,Biodiversity ,Buffer strip ,Biology ,Nectar ,Animal Science and Zoology ,Species richness ,Agronomy and Crop Science ,Riparian zone - Abstract
There is growing concern that the global decline of insect pollinators will adversely influence the stability of pollination in agricultural and terrestrial ecosystems. By enhancing habitat heterogeneity and ecological connectivity, riparian buffer strips have the potential to promote insect pollinators in intensively managed landscapes. Insect pollinators and flowering plants were investigated on a range of riparian margins, and their adjacent grassland fields, to determine the main physical and botanical attributes driving pollinator diversity. Irrespective of whether they were fenced or not, riparian margins had richer plant assemblages and supported more pollinators than grassland fields. While the erection of fences did not enhance the richness or diversity of flowers, fenced riparian buffer strips supported more even and diverse assemblages of bumblebees and a greater number of butterflies than unfenced riparian margins. More bumblebees and butterflies were recorded in wide buffer strips (i.e. over 5 m wide) than in unfenced margins or narrow buffer strips (i.e. ≤3.5 m wide) and butterfly assemblages in wide buffer strips were richer and more diverse. There was a strong positive relationship between floral resources and the abundance, richness and diversity of bumblebee and butterfly assemblages. Pollinators only foraged on a small number of the flower species present and impacts of fencing and buffer strip width could not solely be attributed to the area and/or species richness of flowers. Fenced riparian buffer strips, particularly when over 5 m wide, have the potential to provide resources for insect pollinators in intensively grazed systems. Management to enhance floristic diversity (to provide a more continuous supply of pollen and nectar) and tussock forming grasses (to provide shelter for pollinators and nesting locations for bumblebees) could further increase their value to insect pollinators. In grassland systems, restricted grazing is easier to implement than mowing. It is, however, important that grazing management does not unduly interfere with other ecosystem services derived from riparian buffer strips (e.g. diffuse pollution mitigation). Widespread fencing of watercourses at the catchment level could result in the simplification of these inherently dynamic and complex habitats. Buffer strips should therefore be strategically placed to optimise benefits such as ecological connectivity and diffuse pollution mitigation.
- Published
- 2015
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49. Refining Architectures of Deep Convolutional Neural Networks
- Author
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Antonio Criminisi, Roberto Cipolla, Duncan Robertson, Sukrit Shankar, and Yani Ioannou
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FOS: Computer and information sciences ,Artificial neural network ,business.industry ,Computer science ,Computer Vision and Pattern Recognition (cs.CV) ,Deep learning ,Computer Science - Computer Vision and Pattern Recognition ,010501 environmental sciences ,01 natural sciences ,Convolutional neural network ,Facial recognition system ,03 medical and health sciences ,0302 clinical medicine ,Artificial intelligence ,Layer (object-oriented design) ,business ,cs.CV ,030217 neurology & neurosurgery ,0105 earth and related environmental sciences - Abstract
Deep Convolutional Neural Networks (CNNs) have recently evinced immense success for various image recognition tasks. However, a question of paramount importance is somewhat unanswered in deep learning research - is the selected CNN optimal for the dataset in terms of accuracy and model size? In this paper, we intend to answer this question and introduce a novel strategy that alters the architecture of a given CNN for a specified dataset, to potentially enhance the original accuracy while possibly reducing the model size. We use two operations for architecture refinement, viz. stretching and symmetrical splitting. Our procedure starts with a pre-trained CNN for a given dataset, and optimally decides the stretch and split factors across the network to refine the architecture. We empirically demonstrate the necessity of the two operations. We evaluate our approach on two natural scenes attributes datasets, SUN Attributes and CAMIT-NSAD, with architectures of GoogleNet and VGG-11, that are quite contrasting in their construction. We justify our choice of datasets, and show that they are interestingly distinct from each other, and together pose a challenge to our architectural refinement algorithm. Our results substantiate the usefulness of the proposed method., Comment: 9 pages, 6 figures, CVPR 2016
- Published
- 2017
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50. Iliac crest avulsion fracture and staged return to play: a case report in youth soccer
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Materne, Olivier, primary, Hani, Al Haddad, additional, and Duncan, Robertson, additional
- Published
- 2019
- Full Text
- View/download PDF
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