Coastal gentrification : the coastification of St Leonards-on-Sea

This thesis advances knowledge of the diverse spatialities of gentrification by examining processes of change in coastal towns, drawing upon the case-study location of St Leonards-on-Sea, in the South East of England. Based on rich, empirical findings from semi-structured interviews, content analyses of local media sources, 2001 census data, and a household survey of 173 respondents, it is shown that processes of gentrification are unfolding in St Leonards. The findings suggest that it is beneficial to distinguish between coastal gentrification, and urban/rural gentrification. To emphasise this point, it is argued that there is merit in utilising the term coastification , in order to conceptualise the socio-cultural and economic transformations tied to in-migrants seeking the coastal idyll . The thesis disrupts some dominant theorisations of contemporary gentrification, identifying the presence of pioneer gentrifiers in a coastal town setting. It is contended that simply transferring the representations of urban gentrification to other socio-spatial locations along the urban-rural hierarchy is not a straightforward process. Therefore, gentrification-based regeneration policies should not be transferred in taken-for-granted ways from one location to another. A representation of coastification allows for a fuller appreciation of the effects of gentrification on coastal regeneration policies.EThOS - Electronic Theses Online ServiceGBUnited Kingdo

Actinic cheilitis: guidance on monitoring and management in primary care

Actinic cheilitis is an oral potentially malignant disorder caused by UV radiation leading to damage to epithelial keratinocytes of the lips. It predominantly affects the vermillion border of the lower lip. Due to its association with chronic UV exposure, associated risk factors include geographic areas, outdoor occupations, and skin subtypes. A high proportion of lip squamous cell carcinomas arise from actinic cheilitis lesions, with histological examination usually showing a degree of dysplasia. This paper aims to review the existing literature regarding the clinical picture of actinic cheilitis, its prevalence, differential diagnoses, and consensus on management, for the education of the general dental practitioner in identifying and surveillance of this lesion

Mortality and pulmonary complications in patients undergoing surgery with perioperative SARS-CoV-2 infection: an international cohort study

Background: The impact of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) on postoperative recovery needs to be understood to inform clinical decision making during and after the COVID-19 pandemic. This study reports 30-day mortality and pulmonary complication rates in patients with perioperative SARS-CoV-2 infection. Methods: This international, multicentre, cohort study at 235 hospitals in 24 countries included all patients undergoing surgery who had SARS-CoV-2 infection confirmed within 7 days before or 30 days after surgery. The primary outcome measure was 30-day postoperative mortality and was assessed in all enrolled patients. The main secondary outcome measure was pulmonary complications, defined as pneumonia, acute respiratory distress syndrome, or unexpected postoperative ventilation. Findings: This analysis includes 1128 patients who had surgery between Jan 1 and March 31, 2020, of whom 835 (74·0%) had emergency surgery and 280 (24·8%) had elective surgery. SARS-CoV-2 infection was confirmed preoperatively in 294 (26·1%) patients. 30-day mortality was 23·8% (268 of 1128). Pulmonary complications occurred in 577 (51·2%) of 1128 patients; 30-day mortality in these patients was 38·0% (219 of 577), accounting for 81·7% (219 of 268) of all deaths. In adjusted analyses, 30-day mortality was associated with male sex (odds ratio 1·75 [95% CI 1·28–2·40], p\textless0·0001), age 70 years or older versus younger than 70 years (2·30 [1·65–3·22], p\textless0·0001), American Society of Anesthesiologists grades 3–5 versus grades 1–2 (2·35 [1·57–3·53], p\textless0·0001), malignant versus benign or obstetric diagnosis (1·55 [1·01–2·39], p=0·046), emergency versus elective surgery (1·67 [1·06–2·63], p=0·026), and major versus minor surgery (1·52 [1·01–2·31], p=0·047). Interpretation: Postoperative pulmonary complications occur in half of patients with perioperative SARS-CoV-2 infection and are associated with high mortality. Thresholds for surgery during the COVID-19 pandemic should be higher than during normal practice, particularly in men aged 70 years and older. Consideration should be given for postponing non-urgent procedures and promoting non-operative treatment to delay or avoid the need for surgery. Funding: National Institute for Health Research (NIHR), Association of Coloproctology of Great Britain and Ireland, Bowel and Cancer Research, Bowel Disease Research Foundation, Association of Upper Gastrointestinal Surgeons, British Association of Surgical Oncology, British Gynaecological Cancer Society, European Society of Coloproctology, NIHR Academy, Sarcoma UK, Vascular Society for Great Britain and Ireland, and Yorkshire Cancer Research

Prevalence, evaluation, and management of temporomandibular joint internal disc derangement in north Gujarat population

Background: Internal derangement is an intra-articular condition in which there is a disruption in the normal relationship of the articular disc of the TMJ. The present study was conducted to assess the prevalence and evaluation of the management of TMJ internal disc derangement. Materials & Methods: 78 patients having TMJ abnormality of both genders were enrolled. All underwent palpation of the TMJ and muscles of mastication for pain, palpation of joint sounds, and measurement of the range of motion. The diagnosis of anterior disk displacement with reduction was given to the patient after the following clinical signs were seen in the patient as pain is precipitated by joint movement, deviation during movement coinciding with a click, reproducible joint noise, usually at variable positions during opening and closing of the mandible and no restriction in mandibular movement. Results: Out of 78 patients, males were 48 and females were 30. Out of 78 patients, 52 (66.7%) had internal disc derangement. The type was disc displacement with reduction in 28, disc displacement with the reduction with intermittent locking in 10, disc displacement without reduction with the limited opening in 6, disc displacement without reduction without limited opening in 3, and posterior disc displacement in 5. The treatment given was medicinal (NSAIDs) in 42, physiotherapy in 20, and arthroscopic surgery in 16. The difference was significant (P< 0.05). Conclusion: Maximum patients had internal disc derangement. Medicinal treatment was employed in most of the patients

Actinic cheilitis: guidance on monitoring and management in primary care

Actinic cheilitis is an oral potentially malignant disorder caused by UV radiation leading to damage to epithelial keratinocytes of the lips. It predominantly affects the vermillion border of the lower lip. Due to its association with chronic UV exposure, associated risk factors include geographic areas, outdoor occupations, and skin subtypes. A high proportion of lip squamous cell carcinomas arise from actinic cheilitis lesions, with histological examination usually showing a degree of dysplasia. This paper aims to review the existing literature regarding the clinical picture of actinic cheilitis, its prevalence, differential diagnoses, and consensus on management, for the education of the general dental practitioner in identifying and surveillance of this lesion

Down by the sea: visual arts, artists and coastal regeneration

This paper takes a critical approach to the arts-led regeneration of Margate, south east England. It argues that regeneration policy has effectively utilised local characteristics to recreate Margate as an artful space, and has stimulated a local milieu of artistic and cultural activity. However, though the work of local artists is vital in producing Margate as a creative place, local artists are marginalised by policy interventions focussed on attracting new consumers and investors. Thus, this paper argues that a misplaced policy emphasis is failing to support the labour and social relations on which the interpretation of places as ‘creative’ is built, and arguably undermines the sustainability of an arts-based regeneration. This has implications for culture-led policy, calling for greater attention to be paid to the specific locations in which it is deployed, and to the networks of producers whose labour is critical to its success

Management of oral and maxillofacial trauma during the first wave of the COVID-19 pandemic in the United Kingdom

We assess the effect of coronavirus disease 2019 (COVID-19) on UK oral and maxillofacial (OMF) trauma services and patient treatment during the first wave of the pandemic. From 1 April 2020 until 31 July 2020, OMF surgery units in the UK were invited to prospectively record all patients presenting with OMF trauma. Information included clinical presentation, mechanism of injury, how it was managed, and whether or not treatment included surgery. Participants were also asked to compare the patient’s care with the treatment that would normally have been given before the crisis. Twenty-nine units across the UK contributed with 2,229 entries. The most common aetiology was mechanical fall (39%). The most common injuries were soft tissue wounds (52%) and, for hard tissues, mandibular fractures (13%). Of 876 facial fractures, 79 patients’ treatment differed from what would have been normal pre-COVID, and 33 had their treatment deferred. Therefore the care of 112 (14%) patients was at variance with normal practice because of COVID restrictions. The pattern of OMFS injuries changed during the first COVID-19 lockdown. For the majority, best practice and delivery of quality trauma care continued despite the on-going operational challenges, and only a small proportion of patients had changes to their treatment. The lessons learnt from the first wave, combined with adequate resources and preoperative testing of patients, should allow those facial injuries in the second wave to receive best-practice care