Coal was our life

This study had its origins in a research proposal submitted to the Open University by Dr Eric Wade, the provisional title being 'The North East Coalfields Facing Change: the Social and Economic Consequences of Pit Closures". The proposal was accepted and an Open University Regional Research Studentship awarded. The research was conducted between October 1993 and November 1996. This study would not have been possible without the help and support of a number of people. In particular I would like to thank Mike Peel, Kel Beavan and Jim Perry of the Westoe Colliery Campaign Group; Eric and Marlene Wade, Kath Avery and Christine Clark for their support, help and friendship over the last three years. Finally, thanks to the men from Westoe who agreed to participate in the research. The study describes the experiences of a small sample of men from Westoe Colliery in South Shields within a comprehensive conceptual framework, that is rather than taking the closure as its starting point this study attempts to understand the importance and relevance of redundancy in terms of the men's life experience. For this reason the men's reasons for entering mining and their subsequent attachment to work are considered as is the increasing dissatisfaction with work experienced following the closure announcement. This study seeks to add to our understanding of the process of redundancy and the way in which redundancy was achieved with relative ease. As Wood and Dey (1983) have noted reactions to redundancy are, of course, affected by the current state of the labour market but they are also affected by other factors. The role of redundancy payments is examined and it is found that such payments have an extremely important role in easing the process of redundancy, however they cannot be considered in isolation from other factors that served to constrain the workers' choices. Redundancy is a far more complex process than many studies have suggested and cannot be understood without considering how previous experiences. influence workers' perceptions of events and their reaction to them. The labour market experiences of the redundant men and the role of British Coal Enterprise are also examined and this study, in common with others, questions BCE's claims of success in 'outplacing' redundant miners. The men's experiences are considered in the context of Government and employers' attempts to increase flexibility. It is found that redundant miners, like an increasing proportion of Britain's workforce, are experiencing increasing insecurity both in and out of employment

CD28- cells are increased in early rheumatoid arthritis and are linked with cytomegalovirus status

Objective: CD3+CD8+CD28− cells are higher in Rheumatoid Arthritis (RA). The aim of this study was to assess CD3+CD8+CD28− cells in patients with early RA and assess the effects of cytomegalovirus (CMV) seropositivity. Method: In this prospective observation study, 50 RA patients were recruited from Cardiff University Hospital of Wales (UHW) rheumatology outpatient, 25 patients with early disease (disease duration 0–6 months) and 25 patients with established disease (>2 years). These were compared with 25 healthy controls. Clinical and serological markers of inflammation were noted, and peripheral blood mononuclear cells were analyzed using flow cytometry. Results: The percentage of the CD8+CD28− T cells was increased in RA patients and was associated with disease duration. The percentage of CD8+CD28− T cells was increased in CMV positive early and established RA grouped and early RA patients in comparison to CMV negative patients (p < 0.05). There is a weak but statistically significant correlation between the percentage of CD3+CD8+CD28− cells and CRP in CMV positive RA patients (r = 0.227, p < 0.05). Conclusion: The percentage of CD8+CD28− T cells is higher in RA patients and correlates with disease duration, highlighting a potential role early in the disease process. These cells were also higher in CMV positive early RA patients which may suggest a role of CMV in disease development

Access to General Practice for People Sleeping Rough

The objectives of the research were simple. First, it was to produce maps of England showing those areas in which people sleeping rough were having persistent problems in gaining access to GP services. Second, it was to investigate why these problems in access were arising. Third, although the concentration of the research was to be on access to GPs, some assessment of the quality of care being received by people sleeping rough was to be undertaken. People sleeping rough generally need access to health services if their resettlement into housing is to be successful. The high prevalence of severe mental illness and drug or alcohol addiction among people sleeping rough often means that they will be unable to sustain themselves in a tenancy without medical and practical support. Access to GP services can therefore be a prerequisite for effective resettlement

Ten-Year Secular Changes in Selected Health and Fitness Parameters of 10-11 Years Old Swansea School Children – 2003-2013

Purpose: The aim of this study was to highlight the secular changes in selected health and fitness measures (body mass index, prevalence of overweight and obesity and grip strength) in 10-11 year old Swansea school children, using data obtained in 2003 and 2013.Methods: Stature, body mass and grip strength data were collected for 512 participants (n= 230 boys, n= 282 girls) in 2003 during a Crucial CrewDay and for 414 participants (n= 198 boys, n= 216 girls) in 2013 during the Swan-Linx programme. BMIs were calculated from this data and used to calculate BMI standard deviation scores. A two-way ANOVA was conducted to examine if there was a statistically significant difference in BMI z-score by gender and year of testing. A two-way ANCOVA was used to investigate if there were differences on grip strength by gender and year of testing, with BMI z-score as a covariate.Results: BMI z-scores decreased significantly (p = 0.001) between 2003 and 2013 for both boys (0.80 to 0.40) and girls (0.58 to 0.41). Prevalence of overweight and obesity decreased for both boys and girls from 31.7% to 23.8% and 33.8% to 29.7%, respectively. After BMI z-scores adjustment, grip strength decreased significantly for boys (18.43kg to 16.88kg, p < 0.001), but not for girls (16.53kg to 16.59kg).Conclusion: The study shows promising results in terms of BMI z-scores and prevalence of overweight and obesity. However, the prevalence of overweight and obesity recorded in 2013 is still high, therefore further decreases in prevalence should continue to be an aim. The study also shows that muscular strength, in boys in particular, should be a focus for future interventions regarding physical fitness, in addition to an area for further investigation