39 research outputs found

    Great Expectations? Assessing the creation of national police organisations in Scotland and the Netherlands

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    Against a background of recent structural reforms to police organisations in northern and western Europe, this paper examines the experiences of Scotland and the Netherlands where national police forces were established in 2013. Taking a comparative perspective, an analysis of the police reform proposals is followed by a review of the arguments for reform, the challenges of implementation and the findings emerging from the evaluations of the police reforms in each country. The paper concludes by drawing out the contrast between the ‘great expectations’ of the two police reforms articulated by the governments and the realities of bringing about rapid and large-scale organisational change, arguing that institutionalist perspectives on police reform have much to offer in making sense of the challenges of the police reform process

    Reform, research and 're-invention'

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    In a piece on ‘Reinventing policing’, Peter Neyroud observes how fundamental changes are currently re-shaping police organisations in many states across the globe: ‘States both old and new, across the developed and developing world, are undertaking police reforms to transform policing. Sometimes this is because the money has run out, sometimes because the government recognizes a need to rebuild the legitimacy of police forces…. This is both an age of “austerity” and reform’ (Neyroud, 2012: 315). These comments are an important reminder that developments in Scotland are part of a broader set of reforms to policing that are occurring internationally. In this final contribution we place the changes in Scotland in this broader context, underlining the differences in the trajectories of reform across the UK but also the underlying similarities in terms of the pressure to mobilize research evidence to demonstrate the efficiency, effectiveness and professionalism of policing. Taking up Neyroud’s theme of ‘reinventing policing’, we conclude with some observations on the opportunities for the ‘re-invention’ of Scottish policing

    Evaluation of Police and Fire Reform:Year 1 Summary Report

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    Police Scotland and the Scottish Fire and Rescue Service (SFRS) became operational in 2013 following the passing of the Police and Fire Reform (Scotland) Act in 2012. In terms of policing, the Act brought together the eight regional Police forces, the Scottish Police Services Authority and the Scottish Crime and Drug Enforcement Agency into two new national bodies: Police Scotland and the Scottish Police Authority. In relation to Fire and Rescue services, the Act established the Scottish Fire and Rescue Service , replacing the eight former Fire and Rescue services and the Scottish Fire Services College. Both sets of reforms are set within a context of decreasing budgets and involve making significant financial savings in relatively short timescales. Both Police Scotland and SFRS are also experiencing important shifts in demand for their services. The aims of this evaluation are to: (i) assess if the three aims of reform (reduced duplication, more equal access to specialist expertise and greater engagement with communities) have been met; (ii) learn the lessons from the implementation of this reform to inform the process of future public service reform; (iii) evaluate the wider impact of reform on the Justice and the wider public sector. The evaluation began in February 2015 and will conclude in February 2019. This first report focuses on findings emerging from the initial two stages of this work: (i) a review of publically available evidence up to the end of November 2015 and (ii) national key informant interviews. The latter were undertaken with a sample of senior representatives across policing and fire in Scotland and a range of national bodies outwith the two services, including other criminal justice sector agencies, local authorities and third sector organisations. This will be complemented with local geographical case study work in years two and four of the evaluation by engaging with local stakeholders including police officers, firefighters, elected members and community representatives. The purpose of the interviews was to focus on perceptions of the processes and experiences of reform in order to help understand 'how' and 'why' the aims of reform have (or have not) been met. The interviews have also highlighted possible lessons for future public service reform processes and the wider impacts of police and fire reform on the justice system and public sector more broadly. No claims can be made for the representativeness of the views articulated by the interviewees but they do give an important if partial perspective on reform. A sample of these interviewees will be revisited at a later stage in the evaluation to capture perceptions of change over time. This Executive Summary section gives an overview of the key themes which have emerged from this first year of work. These are elaborated upon in the main body of the report which captures in greater detail important differences and distinctions in the experiences of reform for the two services

    Emplacement of the Little Minch Sill Complex, Sea of Hebrides Basin, NW Scotland

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    Acknowledgements The work contained in this paper contains work conducted during a PhD study undertaken as part of the Natural Environment Research Council (NERC) Centre for Doctoral Training (CDT) in Oil & Gas [grant number RG12649-12] and is fully funded by NERC whose support is gratefully acknowledged. We are also grateful to IHS Markit for provision of, and permission to publish an example from their 2D seismic data volumes and gravity and magnetics database, and to Schlumberger for the donation of Petrel seismic interpretation software licences to Aberdeen University. We acknowledge the UKOilandGasData.com website owned by UK National Data Repository administered by Schlumberger, for access to the seismic data volumes and released UK well database. Stephen Jones and Thomas Phillips are thanked for considered and constructive reviews which helped improved and broaden the appeal of the paper. Stephen Daly is thanked for giving helpful editorial steer and comments on how to improve paper. Funding This work was funded by the Natural Environment Research Council (RG12649-12). Dougal Jerram is partly supported by the Research Council of Norway through its Center of Excellence funding scheme, project 223272 (CEED)Peer reviewedPostprin

    Is tension band wiring technique the "gold standard" for the treatment of olecranon fractures? A long term functional outcome study

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    <p>Abstract</p> <p>Background</p> <p>Tension band wiring (TBW) remains the most common operative technique for the internal fixation of olecranon fractures despite the potential occurrence of subjective complaints due to subcutaneous position of the hardware. Aim of this long term retrospective study was to evaluate the elbow function and the patient-rated outcome after TBW fixation of olecranon fractures.</p> <p>Methods</p> <p>We reviewed 62 patients (33 men and 29 women) with an average age of 48.6 years (range, 18–85 years) who underwent TBW osteosynthesis for isolated olecranon fractures. All patients were assessed both clinically with measurement of flexion-extension and pronation-supination arcs and radiologically with elbow X-Rays. Functional outcome was estimated using the Mayo Elbow Performance Score (MEPS), Visual Analogue Scale (VAS) subjective pain score and VAS patient satisfaction score. Follow up: 6–13 years (average 8.2 years).</p> <p>Results</p> <p>There was a higher prevalence of fractures among men until the 5th decade of life and among women in elderly (p = 0.032). Slip or simple fall onto the arm was the main mechanism of injury for 38 fractures (61.3%) while high energy trauma, such as fall from a height (> 2 m) or road accident, was reported in 24 fractures (38.7%). Hardware removal performed in 51 patients (82.3%) but 34 of them (66.6% of removals) were still complaining for mild pain during daily activities. The incidence of pin migration and loosening was not statistically decreased when penetration of the anterior ulnar cortex was accomplished (p = 0.304). Supination was more often affected than pronation (p = 0.027). According to MEPS, 53 patients (85.5%) had a good to excellent result, 6 (9.7%) fair and 3 (4.8%) poor result. The average satisfaction rating was 9.3 out of 10 (range, 6–10) with 31 patients (50%) to remain completely satisfied from the final result. Degenerative changes recorded in 30 elbows (48.4%). However, no correlation could be found between radiographic findings and MEPS (p = 0.073).</p> <p>Conclusion</p> <p>Tension band wiring fixation remains the "gold standard" for the treatment of displaced and minimally comminuted olecranon fractures. In long term, low levels of pain may be evident regardless of whether the metalware is removed and degenerative changes have been developed.</p

    Convalescent plasma therapy for the treatment of patients with COVID‐19: Assessment of methods available for antibody detection and their correlation with neutralising antibody levels

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    Introduction The lack of approved specific therapeutic agents to treat coronavirus disease (COVID‐19) associated with severe acute respiratory syndrome coronavirus 2 (SARS‐CoV‐2) infection has led to the rapid implementation of convalescent plasma therapy (CPT) trials in many countries, including the United Kingdom. Effective CPT is likely to require high titres of neutralising antibody (nAb) in convalescent donations. Understanding the relationship between functional neutralising antibodies and antibody levels to specific SARS‐CoV‐2 proteins in scalable assays will be crucial for the success of a large‐scale collection. We assessed whether neutralising antibody titres correlated with reactivity in a range of enzyme‐linked immunosorbent assays (ELISA) targeting the spike (S) protein, the main target for human immune response. Methods Blood samples were collected from 52 individuals with a previous laboratory‐confirmed SARS‐CoV‐2 infection. These were assayed for SARS‐CoV‐2 nAbs by microneutralisation and pseudo‐type assays and for antibodies by four different ELISAs. Receiver operating characteristic (ROC) analysis was used to further identify sensitivity and specificity of selected assays to identify samples containing high nAb levels. Results All samples contained SARS‐CoV‐2 antibodies, whereas neutralising antibody titres of greater than 1:20 were detected in 43 samples (83% of those tested) and >1:100 in 22 samples (42%). The best correlations were observed with EUROimmun immunoglobulin G (IgG) reactivity (Spearman Rho correlation coefficient 0.88; p 1:100 with 100% specificity using a reactivity index of 9.1 (13/22). Discussion Robust associations between nAb titres and reactivity in several ELISA‐based antibody tests demonstrate their possible utility for scaled‐up production of convalescent plasma containing potentially therapeutic levels of anti‐SARS‐CoV‐2 nAbs
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