Haltemprice Household Flood Survey Winter 2019/2020 - Summary Report

Key FindingsThis report presents the results of the 2019/20 Haltemprice HouseholdFlood Survey and forms part of a baseline for the Living with WaterPartnership to monitor and evaluate its work to reduce the impacts offlooding and increase resilience. Haltemprice was severely impactedby surface water flooding in 2007, has suffered a number of subsequentflood events, and is vulnerable to further flooding. We used an on-linesurvey to reach 166 respondents: 31% were flooded in 2007, and another 35% were affected by flooding

Living with Water Hull Household Flood Survey Autumn 2018

Executive SummaryThis report presents the results of the 2018 Hull Household Flood Survey and feeds into the Living with Water Partnership’s work to reduce the impacts of flooding and increase resilience in Hull. Hull was severely impacted by surface water flooding in 2007 and is highly vulnerable to further flooding. We surveyed over 450 respondents, 37% were flooded and another 22% were affected by flooding, and many wanted to share their experiences for the first time

Tackling fuel poverty through household advice and support: Exploring the impacts of a charity-led project in a disadvantaged city in the United Kingdom

This article explores the impacts of a charity project which aimed to help people vulnerable to fuel poverty improve their energy efficiency and reduce energy costs, through providing energy monitors and advice at a household-level. The research makes an important contribution to emerging but scarce research on how charities can help households vulnerable to fuel poverty. Interviews were conducted with 40 participants and 32 participants described how the project helped them (through one or a combination of the following): reduce inefficient energy use; switch tariffs; change from pre-payment meters; apply for subsidies for vulnerable people; and/ or improve their confidence to manage their household energy needs. Nineteen of the participants were vulnerable to fuel poverty and fifteen of these estimated that the project helped them save money. While achieving financial savings was the key motivation for participants, 15 households described that they participated in the project to reduce their CO 2 emissions. However, the approach was limited and the impacts could have been increased through energy audits, property-level energy efficiency improvements, and support to raise issues with housing providers. The research argues that household-level face-to-face advice and support can help people vulnerable to fuel poverty and charities can operate effectively in a space between the government, energy companies, local authorities and households to provide this support. However, charities need access to technical expertise, reflexive funding, and effective coordination with local authorities to improve their long-term impact

"What influences how well householders living in previously flooded communities feel they are protected or could recover from future flooding?: Results of a survey"

In England, the Environment Agency (EA) estimates that over 3 million properties in England are at risk of surface water flooding. Heavy and prolonged rainfall that drives surface water flooding is projected to increase in the future due to climate change. This paper presents a quantitative secondary analysis of a cross-sectional household flood survey in a disadvantaged city in England heavily impacted by surface water flooding in 2007 and at severe risk of flooding in the future. The aim of this study was to examine how previous experience of flooding, demographic factors, and behaviours impact on feelings of protection against flooding and perceived ability to recover from flooding. Survey data were collected from residents in Hull in northern England in 2018, in areas impacted by major floods in 2007 when over 8,600 households were flooded. Valid responses were received from 453 households, of whom 37.3% were flooded or flooding damaged their house (n = 169), 14.6% had been disrupted by flooding (n = 66), 9.3% had been exposed to flooding (n = 42) and 176 (38.9%) had not experienced flooding. Over 22% felt they had very low protection against flooding, and over 25% would make a very slow recovery if they were flooded. Associations were found between gender and both low levels of protection against flooding. Females were less likely to feel confident in their recovery from flooding than males (OR 0.551). The findings support a need to focus on women's perceptions of flood vulnerability and capacity to cope and recover from flooding in flood and disaster management policy and practice, including providing effective support before, during and after flooding

Overall Objectives

Perform an independent assessment of technology in “real-world ” operation conditions, focusing on fuel cell systems and hydrogen infrastructure Leverage data processing and analysis capabilities developed under the Fuel Cell Vehicle Learning Demonstration Support market growth through reporting on technology status to key stakeholders and performing analyses relevant to the markets ’ value proposition Study fuel cell systems operating in material handling equipment (MHE), backup power, portable power, and stationary power applications; the project includes approximately 1,000 deployed fuel cell systems Fiscal Year (FY) 2013 Objectives Conduct quarterly analysis of operation and maintenance data for fuel cell systems and hydrogen infrastructure (x4) Prepare bi-annual technical composite data products (x2) Publish interim draft report of status and performance of fuel cell MHE and backup power systems Complete performance analyses on durability, reliability, and infrastructure utilizatio

Cross-sectional evaluation of a longitudinal consultation skills course at a new UK medical school

Background: Good communication is a crucial element of good clinical care, and it is important to provide appropriate consultation skills teaching in undergraduate medical training to ensure that doctors have the necessary skills to communicate effectively with patients and other key stakeholders. This article aims to provide research evidence of the acceptability of a longitudinal consultation skills strand in an undergraduate medical course, as assessed by a cross-sectional evaluation of students' perceptions of their teaching and learning experiences. Methods: A structured questionnaire was used to collect student views. The questionnaire comprised two parts: 16 closed questions to evaluate content and process of teaching and 5 open-ended questions. Questionnaires were completed at the end of each consultation skills session across all year groups during the 2006-7 academic year (5 sessions in Year 1, 3 in Year 2, 3 in Year 3, 10 in Year 4 and 10 in Year 5). 2519 questionnaires were returned in total. Results: Students rated Tutor Facilitation most favourably, followed by Teaching, then Practice & Feedback, with suitability of the Rooms being most poorly rated. All years listed the following as important aspects they had learnt during the session: • how to structure the consultation • importance of patient-centredness • aspects of professionalism (including recognising own limits, being prepared, generally acting professionally). All years also noted that the sessions had increased their confidence, particularly through practice. Conclusions: Our results suggest that a longitudinal and integrated approach to teaching consultation skills using a well structured model such as Calgary-Cambridge, facilitates and consolidates learning of desired process skills, increases student confidence, encourages integration of process and content, and reinforces appreciation of patient-centredness and professionalism

UK Parliament Environment, Food and Rural Affairs Select Committee Flooding Inquiry: Written Evidence from Dr Kate Smith et al. (FLO0043)

This submission presents the research conducted within the Energy and Environment Institute at the University of Hull. Our work demonstrates that hazards represented by flooding have multiple dimensions, and that solutions to them need to take these complex inter-relationships into account. The research described below covers both the physical and social impacts of flooding; the recommendations that follow from our work are based on our understanding that flood risk management needs to expand across land-water boundaries at the full range of spatial, temporal and societal scales. Responding to each of the terms of reference in turn, our data shows that the response to flooding needs to start changing now in order to ensure the resilience of our communities, businesses and infrastructure in the future

The evolution of lung cancer and impact of subclonal selection in TRACERx

Lung cancer is the leading cause of cancer-associated mortality worldwide. Here we analysed 1,644 tumour regions sampled at surgery or during follow-up from the first 421 patients with non-small cell lung cancer prospectively enrolled into the TRACERx study. This project aims to decipher lung cancer evolution and address the primary study endpoint: determining the relationship between intratumour heterogeneity and clinical outcome. In lung adenocarcinoma, mutations in 22 out of 40 common cancer genes were under significant subclonal selection, including classical tumour initiators such as TP53 and KRAS. We defined evolutionary dependencies between drivers, mutational processes and whole genome doubling (WGD) events. Despite patients having a history of smoking, 8% of lung adenocarcinomas lacked evidence of tobacco-induced mutagenesis. These tumours also had similar detection rates for EGFR mutations and for RET, ROS1, ALK and MET oncogenic isoforms compared with tumours in never-smokers, which suggests that they have a similar aetiology and pathogenesis. Large subclonal expansions were associated with positive subclonal selection. Patients with tumours harbouring recent subclonal expansions, on the terminus of a phylogenetic branch, had significantly shorter disease-free survival. Subclonal WGD was detected in 19% of tumours, and 10% of tumours harboured multiple subclonal WGDs in parallel. Subclonal, but not truncal, WGD was associated with shorter disease-free survival. Copy number heterogeneity was associated with extrathoracic relapse within 1 year after surgery. These data demonstrate the importance of clonal expansion, WGD and copy number instability in determining the timing and patterns of relapse in non-small cell lung cancer and provide a comprehensive clinical cancer evolutionary data resource