Improving the public house in Britain, 1920-40: Sir Sydney Nevile and 'social work'

The ‘improved public house’ movement in the inter-war years was a central part of the shift towards retailing by the brewing industry. An important part of the reform movement was the alliance between certain brewers, notably Whitbread, and ‘social workers’, particularly those associated with the University settlement movement in London. Using the papers of Sydney Nevile, the importance of a particular social milieu is outlined, calling into question attempts to align the movement to improve public houses with transatlantic Progressivism. Rather, this alliance drew upon longstanding English traditions of public service and religious affiliation amongst a fraction of the gentry

Nevoid basal cell carcinoma syndrome (Gorlin syndrome)

Nevoid basal cell carcinoma syndrome (NBCCS), also known as Gorlin syndrome, is a hereditary condition characterized by a wide range of developmental abnormalities and a predisposition to neoplasms

Autologous microsurgical breast reconstruction and coronary artery bypass grafting: an anatomical study and clinical implications

OBJECTIVE: To identify possible avenues of sparing the internal mammary artery (IMA) for coronary artery bypass grafting (CABG) in women undergoing autologous breast reconstruction with deep inferior epigastric artery perforator (DIEP) flaps. BACKGROUND: Optimal autologous reconstruction of the breast and coronary artery bypass grafting (CABG) are often mutually exclusive as they both require utilisation of the IMA as the preferred arterial conduit. Given the prevalence of both breast cancer and coronary artery disease, this is an important issue for women's health as women with DIEP flap reconstructions and women at increased risk of developing coronary artery disease are potentially restricted from receiving this reconstructive option should the other condition arise. METHODS: The largest clinical and cadaveric anatomical study (n=315) to date was performed, investigating four solutions to this predicament by correlating the precise requirements of breast reconstruction and CABG against the anatomical features of the in situ IMAs. This information was supplemented by a thorough literature review. RESULTS: Minimum lengths of the left and right IMA needed for grafting to the left-anterior descending artery are 160.08 and 177.80 mm, respectively. Based on anatomical findings, the suitable options for anastomosis to each intercostals space are offered. In addition, 87-91% of patients have IMA perforator vessels to which DIEP flaps can be anastomosed in the first- and second-intercostal spaces. CONCLUSION: We outline five methods of preserving the IMA for future CABG: (1) lowering the level of DIEP flaps to the fourth- and fifth-intercostals spaces, (2) using the DIEP pedicle as an intermediary for CABG, (3) using IMA perforators to spare the IMA proper, (4) using and end-to-side anastomosis between the DIEP pedicle and IMA and (5) anastomosis of DIEP flaps using retrograde flow from the distal IMA. With careful patient selection, we hypothesize using the IMA for autologous breast reconstruction need not be an absolute contraindication for future CABG

C. Howard Tripp and brewery management: the emergence of service sector management 1850–1914

1892 saw the publication of Brewery Management by C. Howard Tripp, the first book in the sector to address problems of management, as opposed to the technical problems of brewing.This article explores the growth of management knowledge in this sector, correcting the tendency to focus on manufacturing when exploring the roots of management. An examination of Tripp's account also indicates some of the barriers to the spread of management practices. The analysis, informed by institutionalist perspectives, suggests that we pay careful attention to the structural and cultural influences on management practices

Habitus, social elevation, and the channel of shame-fear: the decision to expand Guinness advertising

This article explains the relationship between social habitus, social mobility and shame feelings using Elias’s theoretical frame of figurational sociology. Much work to date has centred on Bourdieu’s theoretical formulations and while there are clear parallels with Elias, significant differences exist. Elias identified how shame functions as a key channel for the transmission of social tensions generated by the structure of social relations into the social habitus of individuals. We explain how apparently rational decision-making in organisations obscures the emotional dynamics of shame and fear connected with processes of social elevation, habitus change and shifting power relations between social classes. Our empirical case concerns the brewer Arthur Guinness & Sons Ltd and the decision in 1927 to sanction a direct advertising campaign in Britain for the first time

‘Yobs’ and ‘Snobs’: Embodying Drink and the Problematic Male Drinking Body

This paper is in closed access.The cultural linkages between the drinking of alcohol and the assertion of masculinity have been well explored. In particular, drinking alcohol is still assumed to be a site where masculinity can be tested and proved. However, equally, drinking can be seen to undermine and discredit the male body. Further, older men's drinking practices are commonly overlooked. Through exploring two examples of cultural stereotypes relating to male drinking bodies, the lager lout and the real ale enthusiast, the article argues that persistent cultural assumptions about the appropriate way to embody masculinity. Both the lager lout and the bearded ale snob represent two alternative discourses of how alcohol undermines the bounded male body. Both cases exhibit a lack of control and restraint which is assumed to be desired of masculine bodies and, therefore, both become problematic and subject to social sanctions and cultural policing in the form of negative caricatured depictions. Finally, it is suggested that such stereotypes offer vivid examples of problematic male drinking bodies from which other embodiments can be normalised. © Sociological Research Online