586 research outputs found
Notes on the biogeography of the free-living terrestrial invertebrate fauna of Macquarie island with an annotated checklist
The invertebrate fauna of Macquarie Island is examined and its size, composition, endemicity and biogeographical affinites are compared with those of other subantartic islands
"I am in other people's hands as regards my health" A sociological critique of health care encounters of people with cirrhosis. A secondary analysis
OBJECTIVES: People with cirrhosis are encouraged to participate in shared decision-making with their doctors, but studies suggest that doctors limit the amount of information that is shared. In this study we explore the presence of medical power in clinical encounters in 2015 from a patient perspective and highlight its effects on healthcare interactions. METHODS: Qualitative semi-structured interviews were conducted with ten people with cirrhosis attending a tertiary liver transplant centre in southern England. We explored their understanding of their disease and prognosis, and their participation in decision-making. Using the lens of medical power as a framework, we analysed findings into thematic sentences to summarise key ideas whilst preserving the complexity of identified concepts. RESULTS: Three key concepts explained patient perspectives of their communication with doctors: (1) portraying a positive image to doctors, (2) avoiding confrontation with doctors, (3) feeling powerless in the face of doctors' medical knowledge. These concepts show deeper dynamic issues of power during healthcare encounters, illustrated by participants' reluctance to voice their concerns and express themselves, challenge decisions, or seek information. CONCLUSION: People with cirrhosis struggle to articulate their concerns or challenge decisions on their care and treatment and may worry about potential consequences. Our findings demonstrate the continuing persistence of issues of power at play in contemporary health care
Impacts of local human activities on the Antarctic environment
We review the scientific literature, especially from the past decade, on the impacts of human activities on the Antarctic environment. A range of impacts has been identified at a variety of spatial and temporal scales. Chemical contamination and sewage disposal on the continent have been found to be long-lived. Contemporary sewage management practices at many coastal stations are insufficient to prevent local contamination but no introduction of non-indigenous organisms through this route has yet been demonstrated. Human activities, particularly construction and transport, have led to disturbances of flora and fauna. A small number of non-indigenous plant and animal species has become established, mostly on the northern Antarctic Peninsula and southern archipelagos of the Scotia Arc. There is little indication of recovery of overexploited fish stocks, and ramifications of fishing activity oil bycatch species and the ecosystem could also be far-reaching. The Antarctic Treaty System and its instruments, in particular the Convention for the Conservation of Antarctic Marine Living Resources and the Environmental Protocol, provide a framework within which management of human activities take place. In the face of the continuing expansion of human activities in Antarctica, a more effective implementation of a wide range of measures is essential, in order to ensure comprehensive protection of the Antarctic environment, including its intrinsic, wilderness and scientific values which remains a fundamental principle of the Antarctic Treaty System. These measures include effective environmental impact assessments, long-term monitoring, mitigation measures for non-indigenous species, ecosystem-based management of living resources, and increased regulation of National Antarctic Programmes and tourism activities
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Women reporting sport: Still a man’s game?
While it is generally known that sports journalism is an area of gender disparity, no major academic study has established the proportion of women sports writers in the UK press. Although female sports broadcasters have increased their visibility in the United Kingdom, the same is not true in the print media. This research first examines the current visibility of women sports journalists in the national UK press, by counting by-lines according to gender. Second, a study explores if the 2012 London Olympic Games had any effect on the proportion of female sports writers in the UK press, by comparing sports by-lines in a sample 6 months before and after the games. Furthermore, these results are compared to a decade earlier to see if the situation has improved. The findings indicate that the proportion of female sports writers in the UK press is lower than in comparable countries, with little improvement over time
Striving for excellence in maternity care: The Maternity Stream of the City of Sanctuary.
yesAsylum-seeking and refugee (AS&R) women living in the UK often have complex health and social care needs, with poor underlying mental and physical health and an increased risk of negative pregnancy outcomes. Despite this, AS&R women are less likely to attend for timely maternity care and when they do, care may be poor, with staff not understanding their specific needs and displaying poor attitudes. This article discusses the Maternity Stream of the City of Sanctuary and how this charity aims to work with statutory and voluntary sector maternity-related services and groups to develop services that are inclusive for AS&R women and meet their specific needs. Volunteer AS&R women are central to the activities of the Maternity Stream and this article discusses how they engage with midwives and other maternity workers to facilitate the development of services that may ultimately improve pregnancy outcomes for AS&R women
An extreme proto-cluster of luminous dusty starbursts in the early Universe
We report the identification of an extreme proto-cluster of galaxies in the
early Universe whose core (nicknamed Distant Red Core, DRC) is formed by at
least ten dusty star-forming galaxies (DSFGs), confirmed to lie at via detection of [CI](1-0), CO(6-5), CO(4-3),
CO(2-1) and emission lines, detected
using ALMA and ATCA. The spectroscopically-confirmed components of the
proto-cluster are distributed over a region
and have a collective obscured star-formation rate (SFR) of , considerably higher than has been seen before in any
proto-cluster of galaxies or over-densities of DSFGs at . Most of
the star formation is taking place in luminous DSFGs since no Ly
emitters are detected in the proto-cluster core, apart from a Ly blob
located next to one of the DRC dusty components and extending over . The total obscured SFR of the proto-cluster could rise to if all the members of an over-density
of bright DSFGs discovered around DRC in a wide-field LABOCA 870-m image
are part of the same structure. The total halo mass of DRC could be as high as
and could be the progenitor of a Coma-like
cluster at . The relatively short gas-depletion times of the DRC
components suggest either the presence of a mechanism able to trigger extreme
star formation simultaneously in galaxies spread over a few hundred kpc or the
presence of gas flows from the cosmic web able to sustain star formation over
several hundred million years.Comment: Submitted to ApJ. Minor updates added, including a change of the
source name. Comments welcom
PWE-084 Relationship between indices of frailty/disability with disease severity and nutritional status in patients with cirrhosis
Participatory politics, environmental journalism and newspaper campaigns
This is an Author's Accepted Manuscript of an article published in Journalism Studies, 13(2), 210 - 225, 2012, copyright Taylor & Francis, available online at: http://www.tandfonline.com/10.1080/1461670X.2011.646398.This article explores the extent to which approaches to participatory politics might offer a more useful alternative to understanding the role of environmental journalism in a society where the old certainties have collapsed, only to be replaced by acute uncertainty. This uncertainty not only generates acute public anxiety about risks, it has also undermined confidence in the validity of long-standing premises about the ideal role of the media in society and journalistic professionalism. The consequence, this article argues, is that aspirations of objective reportage are outdated and ill-equipped to deal with many of the new risk stories environmental journalism covers. It is not a redrawing of boundaries that is needed but a wholesale relocation of our frameworks into approaches better suited to the socio-political conditions and uncertainties of late modernity. The exploration of participatory approaches is an attempt to suggest one way this might be done
Paedophiles in the community: inter-agency conflict, news leaks and the local press
This article explores the leaking of confidential information about secret Home Office plans to house convicted paedophiles within a local community (albeit inside a prison). It argues that a politics of paedophilia has emerged in which inter-agency consensus on the issue of ‘what to do’ with high-profile sex offenders has broken down. Accordingly, the article situates newspaper ‘outing’ of paedophiles in the community in relation to vigilante journalism and leaked information from official agencies. The article then presents research findings from a case study of news events set in train following a whistle-blowing reaction by Prison Officers’ Association officials to Home Office plans. Drawing from a corpus of 10 interviews with journalists and key protagonists in the story, the article discusses both the dynamics of whistle blowing about paedophiles and also what happens after the whistle has blown
The utility of presentation and 4-hour high sensitivity troponin I to rule-out acute myocardial infarction in the emergency department
Objectives: International guidance recommends that early serial sampling of high sensitivity troponin be used to accurately identify acute myocardial infarction (AMI) in chest pain patients. The background evidence for this approach is limited. We evaluated whether on presentation and 4-hour high-sensitivity troponin I (hs-cTnI) could be used to accurately rule-out AMI. Design and methods: hs-cTnI was measured on presentation and at 4-hours in adult patients attending an emergency department with possible acute coronary syndrome. We determined the sensitivity for AMI for at least one hs-cTnI above the 99th percentile for a healthy population or alone or in combination with new ischemic ECG changes. Both overall and sex-specific 99th percentiles were assessed. Patients with negative tests were designated low-risk. Results: 63 (17.1%) of 368 patients had AMI. The median (interquartile range) time from symptom onset to first blood sampling was 4.8. h (2.8-8.6). The sensitivity of the presentation and 4. h hs-cTnI using the overall 99th percentile was 92.1% (95% CI 82.4% to 97.4%) and negative predictive value 95.4% (92.3% to 97.4%) with 78.3% low-risk. Applying the sex-specific 99th percentile did not change the sensitivity. The addition of ECG did not change the sensitivity. Conclusion: Hs-cTnI >. 99th percentile thresholds measured on presentation and at 4-hours was not a safe strategy to rule-out AMI in this clinical setting irrespective of whether sex-specific 99th percentiles were used, or whether hs-cTnI was combined with ECG results
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