131 research outputs found

    Remembrance and ritual in English schools

    Get PDF
    This article explores war remembrance and ritual in English schools. The Remembrance in Schools project (2013–2020) investigated remembrance practices in schools in England through questionnaires, interviews and observations. Schools are unique as sites of remembrance because children constitute the majority of participants in rituals. School‐based rituals of remembrance might potentially reproduce dominant discourses of war‐normalisation that conflate military values and nationalism with morally ‘good’ values and an imagined community of the nation. They also provide a contested, ambivalent space in which ambiguities of practice and thinking may encourage the emergence, in small ways, of counter‐narratives about war and its remembrance

    Data-driven discovery of changes in clinical code usage over time: a case-study on changes in cardiovascular disease recording in two English electronic health records databases (2001-2015)

    Get PDF
    [EN] Objectives To demonstrate how data-driven variability methods can be used to identify changes in disease recording in two English electronic health records databases between 2001 and 2015. Design Repeated cross-sectional analysis that applied data-driven temporal variability methods to assess month-by-month changes in routinely collected medical data. A measure of difference between months was calculated based on joint distributions of age, gender, socioeconomic status and recorded cardiovascular diseases. Distances between months were used to identify temporal trends in data recording. Setting 400 English primary care practices from the Clinical Practice Research Datalink (CPRD GOLD) and 451 hospital providers from the Hospital Episode Statistics (HES). Main outcomes The proportion of patients (CPRD GOLD) and hospital admissions (HES) with a recorded cardiovascular disease (CPRD GOLD: coronary heart disease, heart failure, peripheral arterial disease, stroke; HES: International Classification of Disease codes I20-I69/G45). Results Both databases showed gradual changes in cardiovascular disease recording between 2001 and 2008. The recorded prevalence of included cardiovascular diseases in CPRD GOLD increased by 47%-62%, which partially reversed after 2008. For hospital records in HES, there was a relative decrease in angina pectoris (-34.4%) and unspecified stroke (-42.3%) over the same time period, with a concomitant increase in chronic coronary heart disease (+14.3%). Multiple abrupt changes in the use of myocardial infarction codes in hospital were found in March/April 2010, 2012 and 2014, possibly linked to updates of clinical coding guidelines. Conclusions Identified temporal variability could be related to potentially non-medical causes such as updated coding guidelines. These artificial changes may introduce temporal correlation among diagnoses inferred from routine data, violating the assumptions of frequently used statistical methods. Temporal variability measures provide an objective and robust technique to identify, and subsequently account for, those changes in electronic health records studies without any prior knowledge of the data collection process.VN is funded by a Public Health England PhD Studentship. RWA is supported by a Wellcome Trust Clinical Research Career Development Fellowship (206602/Z/17/Z). JMGG and CS contributions to this work were partially supported by the MTS4up Spanish project (National Plan for Scientific and Technical Research and Innovation 2013-2016, No. DPI2016-80054-R), the CrowdHealth H2020-SC1-2016-CNECT project (No. 727560) (JMGG) and the Inadvance H2020-SC1-BHC-2018-2020 project (No. 825750). PR and DA did not receive any direct funding for this project. Access to the Clinical Practice Research Datalink was supported by the UK Economic and Social Research Council (ES/P008321/1). Access to aggregated Hospital Episode Statistics was provided by Public Health England. This work was further supported by Health Data Research UK, which is funded by the UK Medical Research Council, Engineering and Physical Sciences Research Council, Economic and Social Research Council, Department of Health and Social Care (England), Chief Scientist Office of the Scottish Government Health and Social Care Directorates, Health and Social Care Research and Development Division (Welsh Government), Public Health Agency (Northern Ireland), British Heart Foundation and the Wellcome Trust.Rockenschaub, P.; Nguyen, V.; Aldridge, RW.; Acosta, D.; Garcia-Gomez, JM.; SĂĄez Silvestre, C. (2020). Data-driven discovery of changes in clinical code usage over time: a case-study on changes in cardiovascular disease recording in two English electronic health records databases (2001-2015). BMJ Open. 10(2):1-9. https://doi.org/10.1136/bmjopen-2019-034396S19102Hripcsak, G., & Albers, D. J. (2013). Next-generation phenotyping of electronic health records. Journal of the American Medical Informatics Association, 20(1), 117-121. doi:10.1136/amiajnl-2012-001145Burton, P. R., Murtagh, M. J., Boyd, A., Williams, J. B., Dove, E. S., Wallace, S. E., 
 Knoppers, B. M. (2015). Data Safe Havens in health research and healthcare. Bioinformatics, 31(20), 3241-3248. doi:10.1093/bioinformatics/btv279Cruz-Correia R , Rodrigues P , Freitas A . Chapter: 4, Data quality and integration issues in electronic health records. In: Information discovery on electronic health records. CRC Press, 2009: 55–95.Massoudi, B. L., Goodman, K. W., Gotham, I. J., Holmes, J. H., Lang, L., Miner, K., 
 Fu, P. C. (2012). An informatics agenda for public health: summarized recommendations from the 2011 AMIA PHI Conference. Journal of the American Medical Informatics Association, 19(5), 688-695. doi:10.1136/amiajnl-2011-000507Schlegel, D. R., & Ficheur, G. (2017). Secondary Use of Patient Data: Review of the Literature Published in 2016. Yearbook of Medical Informatics, 26(01), 68-71. doi:10.15265/iy-2017-032Weiskopf, N. G., & Weng, C. (2013). Methods and dimensions of electronic health record data quality assessment: enabling reuse for clinical research. Journal of the American Medical Informatics Association, 20(1), 144-151. doi:10.1136/amiajnl-2011-000681Herrett, E., Thomas, S. L., Schoonen, W. M., Smeeth, L., & Hall, A. J. (2010). Validation and validity of diagnoses in the General Practice Research Database: a systematic review. British Journal of Clinical Pharmacology, 69(1), 4-14. doi:10.1111/j.1365-2125.2009.03537.xSĂĄez, C., Zurriaga, O., PĂ©rez-PanadĂ©s, J., Melchor, I., Robles, M., & GarcĂ­a-GĂłmez, J. M. (2016). Applying probabilistic temporal and multisite data quality control methods to a public health mortality registry in Spain: a systematic approach to quality control of repositories. Journal of the American Medical Informatics Association, 23(6), 1085-1095. doi:10.1093/jamia/ocw010Tate AR , Dungey S , Glew S , et al . Quality of recording of diabetes in the UK: how does the GP's method of coding clinical data affect incidence estimates? cross-sectional study using the CPRD database. BMJ Open 2017;7:e012905.doi:10.1136/bmjopen-2016-012905Calvert M , Shankar A , McManus RJ , et al . Effect of the quality and outcomes framework on diabetes care in the United Kingdom: retrospective cohort study. BMJ 2009;338:b1870.doi:10.1136/bmj.b1870SĂĄez, C., Robles, M., & GarcĂ­a-GĂłmez, J. M. (2016). Stability metrics for multi-source biomedical data based on simplicial projections from probability distribution distances. Statistical Methods in Medical Research, 26(1), 312-336. doi:10.1177/0962280214545122Herrett, E., Gallagher, A. M., Bhaskaran, K., Forbes, H., Mathur, R., van Staa, T., & Smeeth, L. (2015). Data Resource Profile: Clinical Practice Research Datalink (CPRD). International Journal of Epidemiology, 44(3), 827-836. doi:10.1093/ije/dyv098Herbert, A., Wijlaars, L., Zylbersztejn, A., Cromwell, D., & Hardelid, P. (2017). Data Resource Profile: Hospital Episode Statistics Admitted Patient Care (HES APC). International Journal of Epidemiology, 46(4), 1093-1093i. doi:10.1093/ije/dyx015Chisholm J . The read clinical classification. BMJ 1990;300:1092.doi:10.1136/bmj.300.6732.1092Denaxas, S., Gonzalez-Izquierdo, A., Direk, K., Fitzpatrick, N. K., Fatemifar, G., Banerjee, A., 
 Hemingway, H. (2019). UK phenomics platform for developing and validating electronic health record phenotypes: CALIBER. Journal of the American Medical Informatics Association, 26(12), 1545-1559. doi:10.1093/jamia/ocz105Department for Communities and Local Government . The English Index of Multiple Deprivation (IMD) 2015 - Guidance. Available: https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/464430/English_Index_of_Multiple_Deprivation_2015_-_Guidance.pdf [Accessed 8 Dec 2019].SĂĄez, C., Rodrigues, P. P., Gama, J., Robles, M., & GarcĂ­a-GĂłmez, J. M. (2014). Probabilistic change detection and visualization methods for the assessment of temporal stability in biomedical data quality. Data Mining and Knowledge Discovery, 29(4), 950-975. doi:10.1007/s10618-014-0378-6Borg, I., & Groenen, P. (2003). Modern Multidimensional Scaling: Theory and Applications. Journal of Educational Measurement, 40(3), 277-280. doi:10.1111/j.1745-3984.2003.tb01108.xSĂĄez, C., & GarcĂ­a-GĂłmez, J. M. (2018). Kinematics of Big Biomedical Data to characterize temporal variability and seasonality of data repositories: Functional Data Analysis of data temporal evolution over non-parametric statistical manifolds. International Journal of Medical Informatics, 119, 109-124. doi:10.1016/j.ijmedinf.2018.09.015Conrad, N., Judge, A., Tran, J., Mohseni, H., Hedgecott, D., Crespillo, A. P., 
 Rahimi, K. (2018). Temporal trends and patterns in heart failure incidence: a population-based study of 4 million individuals. The Lancet, 391(10120), 572-580. doi:10.1016/s0140-6736(17)32520-5Herrett E , Shah AD , Boggon R , et al . Completeness and diagnostic validity of recording acute myocardial infarction events in primary care, hospital care, disease registry, and national mortality records: cohort study. BMJ 2013;346:f2350.doi:10.1136/bmj.f2350Pujades-Rodriguez M , Timmis A , Stogiannis D , et al . Socioeconomic deprivation and the incidence of 12 cardiovascular diseases in 1.9 million women and men: implications for risk prediction and prevention. PLoS One 2014;9:e104671.doi:10.1371/journal.pone.0104671Lee S , Shafe ACE , Cowie MR . Uk stroke incidence, mortality and cardiovascular risk management 1999-2008: time-trend analysis from the general practice research database. BMJ Open 2011;1:e000269.doi:10.1136/bmjopen-2011-000269Bhatnagar, P., Wickramasinghe, K., Williams, J., Rayner, M., & Townsend, N. (2015). The epidemiology of cardiovascular disease in the UK 2014. Heart, 101(15), 1182-1189. doi:10.1136/heartjnl-2015-307516Taylor, C. J., Ordóñez-Mena, J. M., Roalfe, A. K., Lay-Flurrie, S., Jones, N. R., Marshall, T., & Hobbs, F. D. R. (2019). Trends in survival after a diagnosis of heart failure in the United Kingdom 2000-2017: population based cohort study. BMJ, l223. doi:10.1136/bmj.l223Gho JMIH , Schmidt AF , Pasea L , et al . An electronic health records cohort study on heart failure following myocardial infarction in England: incidence and predictors. BMJ Open 2018;8:e018331.doi:10.1136/bmjopen-2017-018331Quint JK , MĂŒllerova H , DiSantostefano RL , et al . Validation of chronic obstructive pulmonary disease recording in the clinical practice research Datalink (CPRD-GOLD). BMJ Open 2014;4:e005540.doi:10.1136/bmjopen-2014-005540Bhaskaran K , Forbes HJ , Douglas I , et al . Representativeness and optimal use of body mass index (BMI) in the UK clinical practice research Datalink (CPRD). BMJ Open 2013;3:e003389.doi:10.1136/bmjopen-2013-003389Booth, H. P., Prevost, A. T., & Gulliford, M. C. (2013). Validity of smoking prevalence estimates from primary care electronic health records compared with national population survey data for England, 2007 to 2011. Pharmacoepidemiology and Drug Safety, 22(12), 1357-1361. doi:10.1002/pds.3537Booth H , Dedman D , Wolf A . CPRD aurum frequently asked questions (FAQs). CPRD 2019.Burns, E. M., Rigby, E., Mamidanna, R., Bottle, A., Aylin, P., Ziprin, P., & Faiz, O. D. (2011). Systematic review of discharge coding accuracy. Journal of Public Health, 34(1), 138-148. doi:10.1093/pubmed/fdr054Marmot, M. G., Stansfeld, S., Patel, C., North, F., Head, J., White, I., 
 Smith, G. D. (1991). Health inequalities among British civil servants: the Whitehall II study. The Lancet, 337(8754), 1387-1393. doi:10.1016/0140-6736(91)93068-kKivimĂ€ki, M., Batty, G. D., Singh-Manoux, A., Britton, A., Brunner, E. J., & Shipley, M. J. (2017). Validity of Cardiovascular Disease Event Ascertainment Using Linkage to UK Hospital Records. Epidemiology, 28(5), 735-739. doi:10.1097/ede.0000000000000688Crosignani, P. G. (2003). Breast cancer and hormone-replacement therapy in the Million Women Study. Maturitas, 46(2), 91-92. doi:10.1016/j.maturitas.2003.09.002Wright FL , Green J , Canoy D , et al . Vascular disease in women: comparison of diagnoses in hospital episode statistics and general practice records in England. BMC Med Res Methodol 2012;12:161.doi:10.1186/1471-2288-12-161Herrett, E., Smeeth, L., Walker, L., & Weston, C. (2010). The Myocardial Ischaemia National Audit Project (MINAP). Heart, 96(16), 1264-1267. doi:10.1136/hrt.2009.192328Silver LE , Heneghan C , Mehta Z , et al . Substantial underestimation of incidence of acute myocardial infarction by hospital discharge diagnostic coding data: a prospective population-based study. Heart 2009;95.Health and Social Care Information Centre . Coding clinic guidance. 5th edn, 2010.Health & Social Care Information Centre . National Clinical Coding Standards - ICD-10. 4th edn, 2013. https://hscic.kahootz.com/connect.ti/t_c_home/view?objectId=31445829Wang, R. Y., & Strong, D. M. (1996). Beyond Accuracy: What Data Quality Means to Data Consumers. Journal of Management Information Systems, 12(4), 5-33. doi:10.1080/07421222.1996.1151809

    Land Use and Habitat Conditions Across the Southwestern Wyoming Sagebrush Steppe: Development Impacts, Management Effectiveness and the Distribution of Invasive Plants

    Get PDF
    For the past several years, USGS has taken a multi-faceted approach to investigating the condition and trends in sagebrush steppe ecosystems. This recent effort builds upon decades of work in semi-arid ecosystems providing a specific, applied focus on the cumulative impacts of expanding human activities across these landscapes. Here, we discuss several on-going projects contributing to these efforts: (1) mapping and monitoring the distribution and condition of shrub steppe communities with local detail at a regional scale, (2) assessing the relationships between specific, land-use features (for example, roads, transmission lines, industrial pads) and invasive plants, including their potential (environmentally defined) distribution across the region, and (3) monitoring the effects of habitat treatments on the ecosystem, including wildlife use and invasive plant abundance. This research is focused on the northern sagebrush steppe, primarily in Wyoming, but also extending into Montana, Colorado, Utah and Idaho. The study area includes a range of sagebrush types (including, Artemisia tridentata ssp. tridentata, Artemisia tridentata ssp. wyomingensis, Artemisia tridentata ssp. vaseyana, Artemisia nova) and other semi-arid shrubland types (for example, Sarcobatus vermiculatus, Atriplex confertifolia, Atriplex gardneri), impacted by extensive interface between steppe ecosystems and industrial energy activities resulting in a revealing multiple-variable analysis. We use a combination of remote sensing (AWiFS (1 Any reference to platforms, data sources, equipment, software, patented or trade-marked methods is for information purposes only. It does not represent endorsement of the U.S.D.I., U.S.G.S. or the authors), Landsat and Quickbird platforms), Geographic Information System (GIS) design and data management, and field-based, replicated sampling to generate multiple scales of data representing the distribution of shrub communities for the habitat inventory. Invasive plant sampling focused on the interaction between human infrastructure and weedy plant distributions in southwestern Wyoming, while also capturing spatial variability associated with growing conditions and management across the region. In a separate but linked study, we also sampled native and invasive composition of recent and historic habitat treatments. Here, we summarize findings of this ongoing work, highlighting patterns and relationships between vegetation (native and invasive), land cover, landform, and land-use patterns in the sagebrush steppe

    Remembrance Day practices in schools: Meaning-making in social memory during the First World War centenary

    Get PDF
    Each November, commemoration of the First World War armistice (and subsequent military events and conflicts) is almost ubiquitous in UK schools and has been given increased importance during the centenary years of the First World War. Yet as seemingly isolated occasions outside the regular curriculum, school practices of remembrance, and the understandings and perceptions surrounding them, have been subject to surprisingly little scrutiny. The Remembrance in Schools project (2013–19) investigates armistice commemoration in primary and secondary schools in three counties in southern England. This paper considers the theorisation of public commemorative rituals and relates this to teachers’ reports of school-based events. It analyses teachers’ accounts and perceptions, from survey and interview data, of the ways in which the First World War and subsequent conflicts are remembered, presented and discussed through school commemoration events. We conclude that such events mirror the ‘social technologies’ of public remembrance rituals. However, behind almost ubiquitous practices (the two-minute silence) and symbols (the poppy), these accounts reveal nuanced variations in teachers’ views of the knowledge and values children gain from armistice commemoration in schools. These variations are inflected by individual schools’ histories, community contexts, and pupil demographics, as well as teachers’ own histories, values and ideals

    Predicting Successful Introduction of Novel Fruit to Preschool Children

    Get PDF
    Background: Few children eat sufficient fruits and vegetables despite their established health benefits. The feeding practices used by parents when introducing novel foods to their children, and their efficacy, require further investigation. Objective: We aimed to establish which feeding strategies parents commonly use when introducing a novel fruit to their preschool-aged children and assess the effectiveness of these feeding strategies on children’s willingness to try a novel fruit. Design Correlational design. Participants/setting Twenty-five parents and their children aged 2 to 4 years attended our laboratory and consumed a standardized lunch, including a novel fruit. Interactions between parent and child were recorded and coded. Statistical analyses performed Pearson’s correlations and multiple linear regression analyses. Results: The frequency with which children swallowed and enjoyed the novel fruit, and the frequency of taste exposures to the novel fruit during the meal, were positively correlated with parental use of physical prompting and rewarding/bargaining. Earlier introduction of solids was related to higher frequency of child acceptance behaviors. The child’s age at introduction of solids and the number of physical prompts displayed by parents significantly predicted the frequency of swallowing and enjoying the novel fruit. Age of introduction to solids and parental use of rewards/bargaining significantly pre- dicted the frequency of taste exposures. Conclusions: Prompting a child to eat and using rewards or bargains during a positive mealtime interaction can help to overcome barriers to novel fruit consumption. Early introduction of solids is also associated with greater willingness to consume a novel fruit.Peer reviewedFinal Accepted Versio

    What a girl’s gotta do: the labour of the biopolitical celebrity in austerity Britain

    Get PDF
    This article debunks the wide-spread view that young female celebrities, especially those who rise to fame through reality shows and other forms of media-orchestrated self-exposure, dodge ‘real’ work out of laziness, fatalism and a misguided sense of entitlement. Instead, we argue that becoming a celebrity in a neoliberal economy such as that of the United Kingdom, where austerity measures disproportionately disadvantage the young, women and the poor is not as irregular or exceptional a choice as previously thought, especially since the precariousness of celebrity earning power adheres to the current demands of the neoliberal economy on its workforce. What is more, becoming a celebrity involves different forms of labour that are best described as biopolitical, since such labour fully involves and consumes the human body and its capacities as a living organism. Weight gain and weight loss, pregnancy, physical transformation through plastic surgery, physical symptoms of emotional distress and even illness and death are all photographically documented and supplemented by extended textual commentary, usually with direct input from the celebrity, reinforcing and expanding on the visual content. As well as casting celebrity work as labour, we also maintain that the workings of celebrity should always be examined in the context of wider cultural and real economies
    • 

    corecore