The application of GIS to analyse occupier chains and property market filtering

With funding from the RICS Education Trust, Paul Greenhalgh and Helen King of Northumbria University, UK sought to investigate whether using Geographic Information System (GIS) can enhance the representation and analysis of property occupier chaining data – the method used to analyse the chain of moves that take place when firms occupy new premises. The way that they tested this was by transferring a dataset of office and industrial occupier chains in Tyne and Wear that had been collected by Paul Greehalgh for his PhD study into a GIS to illustrate, measure and analyse the chaining data more effectively than had previously been possible. What they were able to show was that, although the process is time-consuming, it is a relatively straightforward and logical process to translate property occupier chaining data into a GIS. The resultant GIS representation was able to replicate and verify findings of the original research. For example, it confirmed the accuracy of the original calculation of the distances that occupiers move, but it also revealed that the average distance moved diminished the further that they occur along a chain. The team then used rateable value and VAT registration datasets to interpret the origin of occupiers of new office and industrial developments, and the location of vacant chain end property. Of the two, the strongest correlation was with new VAT registrations within a three year period. New VAT registrations are associated with levels of economic activity and enterprise which would generate new businesses or start-ups that would typically take up small office and industrial units, thus absorbing vacant accommodation and contributing to property market filtering. Although the work used the Tyne and Wear region as a practical example, the key objective of the work was to test the applicability and robustness of the approach. As such, the key findings from the work relate as much to the process involved as to any specific insights into the Tyne and Wear region: • The application of GIS to property occupier chaining data was successfully demonstrated and was able, not only to verify the findings of the original research, but was able to extend the breadth and depth of analysis • The GIS was used to produce maps of the Tyne and Wear conurbation, displaying occupier chaining data, to enable further interpretation and analysis • By exploiting existing datasets it was possible to characterise the locations where occupiers relocate from and where property voids persist; this enhances our understanding of the impact of occupier displacement on the dynamics of commercial property markets • a multi-criteria analysis Business Activity Score (BAS) was developed with which to measure the relative performance of Middle Super Output Areas within the conurbation • The property chaining GIS may be used, not only to evaluate previous property market interventions, but also to inform the development of spatial strategies that shape new ones. The detailed and comprehensive investigation of occupier chains, generated by occupiers relocating to new commercial and industrial developments, makes an important contribution to our understanding of the spatial impact of development on local property markets, in terms of the displacement of property occupiers, the operation of property market filtering and the side-effects of public sector intervention in land and property markets

Applying the trigger review method after a brief educational intervention: potential for teaching and improving safety in GP specialty training?

<p>Background: The Trigger Review Method (TRM) is a structured approach to screening clinical records for undetected patient safety incidents (PSIs) and identifying learning and improvement opportunities. In Scotland, TRM participation can inform GP appraisal and has been included as a core component of the national primary care patient safety programme that was launched in March 2013. However, the clinical workforce needs up-skilled and the potential of TRM in GP training has yet to be tested. Current TRM training utilizes a workplace face-to-face session by a GP expert, which is not feasible. A less costly, more sustainable educational intervention is necessary to build capability at scale. We aimed to determine the feasibility and impact of TRM and a related training intervention in GP training.</p> Methods We recruited 25 west of Scotland GP trainees to attend a 2-hour TRM workshop. Trainees then applied TRM to 25 clinical records and returned findings within 4-weeks. A follow-up feedback workshop was held. <p>Results: 21/25 trainees (84%) completed the task. 520 records yielded 80 undetected PSIs (15.4%). 36/80 were judged potentially preventable (45%) with 35/80 classified as causing moderate to severe harm (44%). Trainees described a range of potential learning and improvement plans. Training was positively received and appeared to be successful given these findings. TRM was valued as a safety improvement tool by most participants.</p> <p>Conclusion: This small study provides further evidence of TRM utility and how to teach it pragmatically. TRM is of potential value in GP patient safety curriculum delivery and preparing trainees for future safety improvement expectations.</p&gt

Internationalising the professional standards of the chartered British architect for socially responsible global development

non-peer-reviewedThe purpose of this opinion piece is to propose a method to translate the professional standards implemented in the delivery of construction projects in Dubai by certified British architects. It will achieve this by outlining an approach to analysing existing adherence to the prescribed standards in Dubai. This will identify the efficacy of applied British standards in their legislative and cultural context. Finally, it outlines how compliance might be improved by foregrounding human rights in building procurement through clean supply-chain structures

Learning to prescribe - pharmacists' experiences of supplementary prescribing training in England

Background: The introduction of non-medical prescribing for professions such as pharmacy and nursing in recent years offers additional responsibilities and opportunities but attendant training issues. In the UK and in contrast to some international models, becoming a non-medical prescriber involves the completion of an accredited training course offered by many higher education institutions, where the skills and knowledge necessary for prescribing are learnt. Aims: to explore pharmacists' perceptions and experiences of learning to prescribe on supplementary prescribing (SP) courses, particularly in relation to inter-professional learning, course content and subsequent use of prescribing in practice. Methods: A postal questionnaire survey was sent to all 808 SP registered pharmacists in England in April 2007, exploring demographic, training, prescribing, safety culture and general perceptions of SP. Results: After one follow-up, 411 (51%) of pharmacists responded. 82% agreed SP training was useful, 58% agreed courses provided appropriate knowledge and 62% agreed that the necessary prescribing skills were gained. Clinical examination, consultation skills training and practical experience with doctors were valued highly; pharmacology training and some aspects of course delivery were criticised. Mixed views on inter-professional learning were reported – insights into other professions being valued but knowledge and skills differences considered problematic. 67% believed SP and recent independent prescribing (IP) should be taught together, with more diagnostic training wanted; few pharmacists trained in IP, but many were training or intending to train. There was no association between pharmacists' attitudes towards prescribing training and when they undertook training between 2004 and 2007 but earlier cohorts were more likely to be using supplementary prescribing in practice. Conclusion: Pharmacists appeared to value their SP training and suggested improvements that could inform future courses. The benefits of inter-professional learning, however, may conflict with providing professionspecific training. SP training may be perceived to be an instrumental 'stepping stone' in pharmacists' professional project of gaining full IP status

Efficacy of Simple Short-Term in Vitro Assays for Predicting the Potential of Metal Oxide Nanoparticles to Cause Pulmonary Inflammation

Background: There has been concern regarding risks from inhalation exposure to nanoparticles (NPs). The large number of particles requiring testing means that alternative approaches to animal testing are needed. Objectives: We set out to determine whether short-term in vitro assays that assess intrinsic oxidative stress potential and membrane-damaging potency of a panel of metal oxide NPs can be used to predict their inflammogenic potency. Methods: For a panel of metal oxide NPs, we investigated intrinsic free radical generation, oxidative activity in an extracellular environment, cytotoxicity to lung epithelial cells, hemolysis, and inflammation potency in rat lungs. All exposures were carried out at equal surface area doses. Results: Only nickel oxide (NiO) and alumina 2 caused significant lung inflammation when instilled into rat lungs at equal surface area, suggesting that these two had extra surface reactivity. We observed significant free radical generation with 4 of 13 metal oxides, only one of which was inflammogenic. Only 3 of 13 were significantly hemolytic, two of which were inflammogenic. Conclusions: Potency in generating free radicals in vitro did not predict inflammation, whereas alumina 2 had no free radical activity but was inflammogenic. The hemolysis assay was correct in predicting the proinflammatory potential of 12 of 13 of the particles examined. Using a battery of simple in vitro tests, it is possible to predict the inflammogenicity of metal oxide NPs, although some false-positive results are likely. More research using a larger panel is needed to confirm the efficacy and generality of this approach for metal oxide NPs

The roared-at boys? Repertory casting and gender politics in the RSC's 2014 Swan season

This essay interrogates the loading of the “Roaring Girls” season by asking what it means to “roar” in both the early modern period and twenty-first century, unpacking the terms on which the women of these productions are empowered or undermined through their treatment by their male counterparts. Performed alongside the 2014 “Midsummer Mischief” new writing season, the plays reposition “roaring” as challenging male-centred modes of representation. Drawing on Marvin Carlson's influential work on “ghosting”, this essay addresses these questions through investigation of the practices and implications of ensemble casting. With Arden of Faversham, The Roaring Girl and The White Devil sharing a single ensemble, the iterated roles of actors across the ensemble become key to understanding the season's overall strategies for presenting and interrogating misogyny. The recycling of actors’ bodies throws into relief the individual roles of the main “roaring girls”, framing and articulating the role of mischievous disruption within the company's work

Lifetime cardiovascular management of patients with previous Kawasaki disease.

Kawasaki disease (KD) is an inflammatory disorder of young children, associated with vasculitis of the coronary arteries with subsequent aneurysm formation in up to one-third of untreated patients. Those who develop aneurysms are at life-long risk of coronary thrombosis or the development of stenotic lesions, which may lead to myocardial ischaemia, infarction or death. The incidence of KD is increasing worldwide, and in more economically developed countries, KD is now the most common cause of acquired heart disease in children. However, many clinicians in the UK are unaware of the disorder and its long-term cardiac complications, potentially leading to late diagnosis, delayed treatment and poorer outcomes. Increasing numbers of patients who suffered KD in childhood are transitioning to the care of adult services where there is significantly less awareness and experience of the condition than in paediatric services. The aim of this document is to provide guidance on the long-term management of patients who have vascular complications of KD and guidance on the emergency management of acute coronary complications. Guidance on the management of acute KD is published elsewhere

Inclusive growth in English cities: mainstreamed or sidelined?

<p>The concept of inclusive growth is increasingly presented as offering prospects for more equitable social outcomes. However, inclusive growth is subject to a variety of interpretations and lacks definitional clarity. In England, via devolution, cities are taking on new powers for policy domains that can influence inclusive growth outcomes. This opens up opportunities for innovation to address central issues of low pay and poverty. This paper examines the extent to which inclusive growth concerns form a central or peripheral aspect in this new devolution through the content analysis of devolution agreements. It concludes that inclusive growth concerns appear to be largely sidelined.</p

Beyond words: Aesthetic knowledge and knowing in design

Aesthetic knowledge comes from practitioners understanding the look, feel, smell, taste and sound of things. It is vital to work in many organizational contexts. In this paper, we explore aesthetic knowledge and knowing in organizations through detailed observation of design work in the architectural practice Edward Cullinan Architects. Through our research, we explore aesthetic knowledge in the context of architectural work, we unpack what it is, how it is generated, and how it is applied in design projects, shared between practitioners and developed at the level of the organization. Our analysis suggests that aesthetic knowledge plays an important part in organizational practice, not only as the symbolic context for work, but as an integral part of the work that people do. It suggests that aesthetic reflexivity, which involves an opening up and questioning of what is known, is experienced as part of practice as well as a `time out' from practice

A systematic review of the impact of educational programs on factors that affect nurses' post-operative pain management for children

Despite extensive research in the international arena into pain and its management, there is, as yet, little research on the topic of pain in children in Saudi Arabia and in the Gulf countries generally. A systematic review was conducted to explore the impact of education programs on factors affecting paediatric nurses’ postoperative pain management practice. This was done in order to advise the creation of an educational program for nurses in Saudi Arabia. Knowledge about pain, attitudes towards pain, beliefs about children’s pain, perceptions of children’s reports of pain, self-efficacy with regard to pain management, and perceptions of barriers to optimal practice were all considered to be relevant factors. The review was restricted to randomized controlled trials and quasi-experimental designs, excluding studies focussed on chronic pain or populations other than solely children. Studies published in English between 2000 and 2016 were identified using CINAHL, MEDLINE, Ovid SP, The Cochrane Library, ProQuest, and Google Scholar databases. Of 499 published studies identified by the search, 14 met the inclusion criteria and were included in the review. There was evidence of educational programs exerting a postive impact on enhancing pediatric nurses’ knowledge of pain and modifing their attitudes towards it, but only limited evidence was available about the impact on nurses’ beliefs and perceptions of children’s reports of pain, nurses’ self-efficacy, or barriers to optimal practice. None of the studies was conducted in Saudi Arabia. Studies were needed to address additional aspects of preparedness for effective postperative pain management. Details of educational programs used as experimental intervention must be included in reports