Invalid party wall awards and how to avoid them

Considers the reasons for the invalidity of party wall awards. Examines decided cases under earlier party wall legislation in the context of the Party Wall etc. Act 1996. Explains invalidity on the basis of an excess of the surveyors’ statutory authority. Defines this authority in terms of jurisdiction and power. Demonstrates the limits of the surveyors’ authority and emphasises the importance of strict compliance with statutory procedures. Concludes that surveyors should adopt an inquisitive and analytical approach to the scope of their authority to avoid the possibility of invalid awards. Echoes John Anstey’s earlier warning that surveyors should avoid a broad-brush approach to their duties which will only leave them “covered in soot”

An unexpected disruption of the atmospheric quasi-biennial oscillation

This is the author accepted manuscript. The final version is available from AAAS via the DOI in this recordWe thank the European Centre for Medium-Range Weather Forecasts for providing ERA-Interim and Operational Analysis data (www.ecmwf.int/en/forecasts) and the Freie Universität Berlin for providing radiosonde data (www.geo.fu-berlin.de/en/met/ag/strat/produkte/qbo). The CMIP5 data was obtained from the British Atmospheric Data Centre (browse.ceda.ac.uk/browse/badc/cmip5). A summary of data used in the study is listed in table S1.One of the most repeatable phenomena seen in the atmosphere, the quasi-biennial oscillation (QBO) between prevailing eastward and westward wind jets in the equatorial stratosphere (approximately 16 to 50 kilometers altitude), was unexpectedly disrupted in February 2016. An unprecedented westward jet formed within the eastward phase in the lower stratosphere and cannot be accounted for by the standard QBO paradigm based on vertical momentum transport. Instead, the primary cause was waves transporting momentum from the Northern Hemisphere. Seasonal forecasts did not predict the disruption, but analogous QBO disruptions are seen very occasionally in some climate simulations. A return to more typical QBO behavior within the next year is forecast, although the possibility of more frequent occurrences of similar disruptions is projected for a warming climate.S.M.O. was supported by UK Natural Environment Research Council grants NE/M005828/1 and NE/P006779/1. A.A.S., J.R.K., and N.B. were supported by the Joint UK Business, Energy and Industrial Strategy/Defra Met Office Hadley Centre Climate Programme (GA01101). A.A.S. and J.R.K. were additionally supported by the EU Seventh Framework Programme SPECS (Seasonal-to-decadal climate Prediction for the improvement of European Climate Services) project

Intensive care doctors and nurses personal preferences for intensive Care, as compared to the general population: a discrete choice experiment

Background To test the hypothesis that Intensive Care Unit (ICU) doctors and nurses differ in their personal preferences for treatment from the general population, and whether doctors and nurses make different choices when thinking about themselves, as compared to when they are treating a patient. Methods Cross sectional, observational study conducted in 13 ICUs in Australia in 2017 using a discrete choice experiment survey. Respondents completed a series of choice sets, based on hypothetical situations which varied in the severity or likelihood of: death, cognitive impairment, need for prolonged treatment, need for assistance with care or requiring residential care. Results A total of 980 ICU staff (233 doctors and 747 nurses) participated in the study. ICU staff place the highest value on avoiding ending up in a dependent state. The ICU staff were more likely to choose to discontinue therapy when the prognosis was worse, compared with the general population. There was consensus between ICU staff personal views and the treatment pathway likely to be followed in 69% of the choices considered by nurses and 70% of those faced by doctors. In 27% (1614/5945 responses) of the nurses and 23% of the doctors (435/1870 responses), they felt that aggressive treatment would be continued for the hypothetical patient but they would not want that for themselves. Conclusion The likelihood of returning to independence (or not requiring care assistance) was reported as the most important factor for ICU staff (and the general population) in deciding whether to receive ongoing treatments. Goals of care discussions should focus on this, over likelihood of survival

Surface impacts of the Quasi Biennial Oscillation

Teleconnections between the Quasi Biennial Oscillation (QBO) and the Northern Hemisphere zonally averaged zonal winds, mean sea level pressure (mslp) and tropical precipitation are explored. The standard approach that defines the QBO using the equatorial zonal winds at a single pressure level is compared with the empirical orthogonal function approach that characterizes the vertical profile of the equatorial winds. Results are interpreted in terms of three potential routes of influence, referred to as the tropical, subtropical and polar routes. A novel technique is introduced to separate responses via the polar route that are associated with the stratospheric polar vortex, from the other two routes. A previously reported mslp response in January, with a pattern that resembles the positive phase of the North Atlantic Oscillation under QBO westerly conditions, is confirmed and found to be primarily associated with a QBO modulation of the stratospheric polar vortex. This mid-winter response is relatively insensitive to the exact height of the maximum QBO westerlies and a maximum positive response occurs with westerlies over a relatively deep range between 10 and 70hPa. Two additional mslp responses are reported, in early winter (December) and late winter (February/March). In contrast to the January response the early and late winter responses show maximum sensitivity to the QBO winds at  ∼ 20 and  ∼ 70hPa respectively, but are relatively insensitive to the QBO winds in between ( ∼ 50hPa). The late winter response is centred over the North Pacific and is associated with QBO influence from the lowermost stratosphere at tropical/subtropical latitudes in the Pacific sector. The early winter response consists of anomalies over both the North Pacific and Europe, but the mechanism for this response is unclear. Increased precipitation occurs over the tropical western Pacific under westerly QBO conditions, particularly during boreal summer, with maximum sensitivity to the QBO winds at 70hPa. The band of precipitation across the Pacific associated with the Inter-tropical Convergence Zone (ITCZ) shifts southward under QBO westerly conditions. The empirical orthogonal function (EOF)-based analysis suggests that this ITCZ precipitation response may be particularly sensitive to the vertical wind shear in the vicinity of 70hPa and hence the tropical tropopause temperatures

Coordinated analysis of age, sex, and education effects on change in MMSE scores

Objectives. We describe and compare the expected performance trajectories of older adults on the Mini-Mental Status Examination (MMSE) across six independent studies from four countries in the context of a collaborative network of longitudinal studies of aging. A coordinated analysis approach is used to compare patterns of change conditional on sample composition differences related to age, sex, and education. Such coordination accelerates evaluation of particular hypotheses. In particular, we focus on the effect of educational attainment on cognitive decline.Method. Regular and Tobit mixed models were fit to MMSE scores from each study separately. The effects of age, sex, and education were examined based on more than one centering point.Results. Findings were relatively consistent across studies. On average, MMSE scores were lower for older individuals and declined over time. Education predicted MMSE score, but, with two exceptions, was not associated with decline in MMSE over time.Conclusion. A straightforward association between educational attainment and rate of cognitive decline was not supported. Thoughtful consideration is needed when synthesizing evidence across studies, as methodologies adopted and sample characteristics, such as educational attainment, invariably differ. © 2012 The Author

Summary and Highlights of the SPARC-Reanalysis Intercomparison Project

The climate research community uses global atmospheric reanalysis data sets to understand a wide range of processes and variability in the atmosphere; they are a particularly powerful tool for studying phenomena that cannot be directly observed. Different reanalyses may give very different results for the same diagnostics. The Stratosphere troposphere Processes And their Role in Climate (SPARC) Reanalysis Intercomparison Project (S-RIP) is a coordinated activity to compare key diagnostics that are important for stratospheric processes and their tropospheric connections among available reanalyses. S-RIP has been identifying differences among reanalyses and their underlying causes, providing guidance on appropriate usage of reanalysis products in scientific studies (particularly those of relevance to SPARC), and contributing to future improvements in the reanalysis products by establishing collaborative links between reanalysis centres and data users. S-RIP emphasizes diagnostics of the upper troposphere, stratosphere, and lower mesosphere. The draft S-RIP final report is expected to be completed in 2018. This poster gives a summary of the S-RIP project and presents highlights including results on the Brewer-Dobson circulation, stratosphere/troposphere dynamical coupling, the extra-tropical upper troposphere / lower stratosphere, the tropical tropopause layer, the quasi-biennial oscillation, lower stratospheric polar processing, and the upper stratosphere/lower mesosphere

Treating tobacco dependence in older adults: a survey of primary care clinicians’ knowledge, attitudes, and practice

BACKGROUND: The benefits of smoking cessation among older people are well documented. Despite this, evidence suggests that older smokers are rarely engaged in smoking cessation efforts, and that existing tobacco dependence treatments require further tailoring to the specific needs of older smokers. This study assesses the knowledge, attitudes, and clinical practice of primary care clinicians in relation to addressing tobacco dependence among older people. METHODS: A cross-sectional survey of 427 NHS primary care clinicians in a large English city was conducted using modified version of a previously validated questionnaire. RESULTS: One hundred and seventy one clinicians (40 % response rate) completed the survey. While the majority (90.0 %) of respondents reported enquiring regularly about older patients’ smoking status, just over half (59.1 %) reported providing older patients with smoking cessation support. A lack of awareness in relation to the prevalence and impact of smoking in later life were apparent: e.g. only 47 % of respondents were aware of that approximately 10 life years are lost due to smoking related disease, and only 59 % knew that smoking can reduce the effectiveness of medication prescribed for conditions common in later life. Self-reported attendance at smoking-related training was significantly associated with proactive clinical practice. CONCLUSIONS: There is a need to improve clinicians’ knowledge, in relation to smoking and smoking cessation in older patients and to build clinician confidence in seizing teachable moments. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s12875-015-0317-7) contains supplementary material, which is available to authorized users