Myth and tragedy : representations of Joan of Arc in film and the twentieth century theatre.

SIGLEAvailable from British Library Document Supply Centre-DSC:DXN015160 / BLDSC - British Library Document Supply CentreGBUnited Kingdo

Protocol for a feasibility study of a cancer symptom awareness campaign to support the rapid diagnostic centre referral pathway in a socioeconomically deprived area: Targeted Intensive Community-based campaign To Optimise Cancer awareness (TIC-TOC)

Introduction Rapid diagnostic centres (RDCs) are being implemented across the UK to accelerate the assessment of vague suspected cancer symptoms. Targeted behavioural interventions are needed to augment RDCs that serve socioeconomically deprived populations who are disproportionately affected by cancer, have lower cancer symptom awareness and are less likely to seek help for cancer symptoms. The aim of this study is to assess the feasibility and acceptability of delivering and evaluating a community-based vague cancer symptom awareness intervention in an area of high socioeconomic deprivation. Methods and analysis Intervention materials and messages were coproduced with local stakeholders in Cwm Taf Morgannwg, Wales. Cancer champions will be trained to deliver intervention messages and distribute intervention materials using broadcast media (eg, local radio), printed media (eg, branded pharmacy bags, posters, leaflets), social media (eg, Facebook) and attending local community events. A cross-sectional questionnaire will include self-reported patient interval (time between noticing symptoms to contacting the general practitioner), cancer symptom recognition, cancer beliefs and barriers to presentation, awareness of campaign messages, healthcare resource use, generic quality of life and individual and area-level deprivation indicators. Consent rates and proportion of missing data for patient questionnaires (n=189) attending RDCs will be measured. Qualitative interviews and focus groups will assess intervention acceptability and barriers/facilitators to delivery. Ethics and dissemination Ethical approval for this study was given by the London—West London & GTAC Research Ethics (21/LO/0402). This project will inform a potential future controlled study to assess intervention effectiveness in reducing the patient interval for vague cancer symptoms. The results will be critical to informing national policy and practice regarding behavioural interventions to support RDCs in highly deprived population

There is no association between a measure of clinical care and the response rate of GPs to postal surveys:a methodological study

Background: There has been much research into factors that can be modified to improve the response rates of general practitioners to surveys and to the demographic characteristics of those who do and do not respond. However, response is yet to be considered with respect to the quality of clinical care provided by GPs. In the UK, one measure of quality of care is the Quality and Outcomes Framework (QOF) score achieved by a general practice. Objective: This study considers the association of QOF score with response to self-completion postal surveys of general practitioners. Methods: Data are taken from two postal surveys of general practitioners (GPs) in the UK regarding their attitudes to osteoarthritis (OA) and sickness certification respectively. Logistic regression was used to assess the association between survey response and QOF score (as a proxy for quality of clinical care), adjusting for other characteristics of GPs and their practices (list size, number of partners, geographical region). Results: There was no significant association of QOF score with survey response in either study, before or after adjustment for the other characteristics. Conclusion: There is no evidence of an association between QOF score and the response of GPs to postal surveys. This gives reassurance that samples for studies of GP attitudes and practices should not suffer from response bias in relation to this core characteristic that represents the clinical achievement of their practice

Prison Break general gabbery: extra-hyperdiegetic spaces, power, and identity in Prison Break

This article examines the interdependent relationship among the text, its producers, and "extra-hyperdiegetic space" constructed around the romantic relationship between Michael and Sara, the central protagonists of the Prison Break television series. The Prison Break creators have created extensive digital and analogue platforms to create an extended textual experience that constructs a close text-audience relationship. The digital and analogue platforms construct a space that is inhabitable by fans, one in which to express their own desires. This article explores the online material generated by fans (the most prevalent artifact of this extended space is the Prison Break fan fiction) as well as material released outside the story by producers on their blogs and official promo sites related the show and examines the interconnected (however mediated) relationship among these different spaces in relation to the increasingly romanticized and melodramatic relationship between Michael and Sara