884 research outputs found
Sparrows can't sing : East End kith and kinship in the 1960s
Sparrows Canât Sing (1963) was the only feature film directed by
the late and much lamented Joan Littlewood. Set and filmed in
the East End, where she worked for many years, the film deserves
more attention than it has hitherto received. Littlewoodâs career
spanned documentary (radio recordings made with Ewan MacColl
in the North of England in the 1930s) to directing for the stage
and the running of the Theatre Royal in Londonâs Stratford East,
often selecting material which aroused memories in local audiences
(Leach 2006: 142). Many of the actors trained in her Theatre
Workshop subsequently became better known for their appearances
on film and television. Littlewood herself directed hardly any material
for the screen: Sparrows Canât Sing and a 1964 series of television
commercials for the British Egg Marketing Board, starring Theatre
Workshopâs Avis Bunnage, were rare excursions into an area of practice
which she found constraining and unamenable (Gable 1980: 32).
The hybridity and singularity of Littlewoodâs feature may answer,
in some degree, for its subsequent neglect. However, Sparrows Canât
Sing makes a significant contribution to a group of films made in
Britain in the 1960s which comment generally on changes in the
urban and social fabric. It is especially worthy of consideration,
I shall argue, for the use which Littlewood made of a particular
communityâs attitudes â sentimental and critical â to such changes and
for its amalgamation of an attachment to documentary techniques
(recording an aural landscape on location) with a preference for nonnaturalistic
delivery in performance
Antibiotic versus nonantibiotic products for the treatment of Papillomatous Digital Dermatitis (hairy heel wart) in dairy cattle
A field trial was conducted to compare oxytetracycline to three nonantibiotic therapies using bandage protocols for the treatment of hairy heel warts. Affected feet were bandaged for 4 days with either of the four products. Over a 28-day period following bandage removal, heel warts on 44 cows (11 per treatment group) were evaluated based on size, degree of pain, color, and lesion appearance. No differences were detected among treatments, suggesting that nonantibiotic therapies used in bandage protocols may be as effective as oxytetracycline.; Dairy Day, 2000, Kansas State University, Manhattan, KS, 2000
Explanation and Elaboration Document for the STROBE-Vet Statement: Strengthening the Reporting of Observational Studies in EpidemiologyâVeterinary Extension
The STROBE (Strengthening the Reporting of Observational Studies in Epidemiology) statement was first published in 2007 and again in 2014. The purpose of the original STROBE was to provide guidance for authors, reviewers and editors to improve the comprehensiveness of reporting; however, STROBE has a unique focus on observational studies. Although much of the guidance provided by the original STROBE document is directly applicable, it was deemed useful to map those statements to veterinary concepts, provide veterinary examples and highlight unique aspects of reporting in veterinary observational studies. Here, we present the examples and explanations for the checklist items included in the STROBE-Vet Statement. Thus, this is a companion document to the STROBE-Vet Statement Methods and process document, which describes the checklist and how it was developed
Low-level laser therapy for carpal tunnel syndrome
BACKGROUND: The role of low-level laser therapy (LLLT) in the management of carpal tunnel syndrome (CTS) is controversial. While some trials have shown distinct advantages of LLLT over placebo and some other non-surgical treatments, other trials have not.
OBJECTIVES: To assess the benefits and harms of LLLT versus placebo and versus other non-surgical interventions in the management of CTS.
SEARCH METHODS: On 9 December 2016 we searched CENTRAL, MEDLINE, Embase, and Science Citation Index Expanded for randomised controlled trials (RCTs). We also searched clinical trial registries for ongoing studies. We checked the references of primary studies and review articles, and contacted trial authors for additional studies.
SELECTION CRITERIA: We considered for inclusion RCTs (irrespective of blinding, publication status or language) comparing LLLT versus placebo or non-surgical treatment for the management of CTS.
DATA COLLECTION AND ANALYSIS: Two review authors independently identified trials for inclusion and extracted the data. For continuous outcomes, we calculated the mean difference (MD) or standardised mean difference (SMD) with a 95% confidence interval (CI) using the random-effects model, calculated using Review Manager. For dichotomous data, we reported risk ratio (RR) and 95% CI.
MAIN RESULTS: We identified 22 trials randomising 1153 participants that were eligible for inclusion; nine trials (525 participants, 256 randomised to LLLT) compared LLLT with placebo, two (150 participants, 75 randomised to LLLT) compared LLLT with ultrasound, one compared LLLT with placebo and LLLT with ultrasound, two compared LLLT with steroid injection, and one trial each compared LLLT with other non-surgical interventions: fascial manipulation, application of a pulsed magnetic field, transcutaneous electrical nerve stimulation (TENS), steroid injection, tendon gliding exercises, and applying a wrist splint combined with non-steroidal anti-inflammatory drugs. Three studies compared LLLT as part of multiple interventions. Risk of bias varied across the studies, but was high or unclear in most assessed domains in most studies. Most studies were small, with few events, and effect estimates were generally imprecise and inconsistent; the combination of these factors led us to categorise the quality of evidence for most outcomes as very low or, for a small number, low.
At short-term follow-up (less than three months), there was very low-quality evidence for any effect over placebo of LLLT on CTS for the primary outcome of Symptom Severity Score (scale 1 to 5, higher score represents worsening; MD -0.36, 95% CI -0.78 to 0.06) or Functional Status Scale (scale 1 to 5, higher score represents worsened disability; MD -0.56, 95% CI -1.03 to -0.09). At short-term (less than three months) follow-up, we are uncertain whether LLLT results in a greater improvement than placebo in visual analogue score (VAS) pain (scale 0 to 10, higher score represents worsening; MD -1.47, 95% CI -2.36 to -0.58) and several aspects of nerve conduction studies (motor nerve latency: higher score represents worsening; MD -0.09 ms, 95% CI -0.16 to -0.03; range 3.1 ms to 4.99 ms; sensory nerve latency: MD -0.10 ms, 95% CI -0.15 to -0.06; range 1.8 ms to 3.9 ms), as the quality of the evidence was very low. When compared with placebo at short-term follow-up, LLLT may slightly improve grip strength (MD 2.58 kg, 95% CI 1.22 to 3.95; range 14.2 kg to 25.23 kg) and finger-pinch strength (MD 0.94 kg, 95% CI 0.43 to 1.44; range 4.35 kg to 5.7 kg); however, the quality of evidence was low. Only VAS pain and finger-pinch strength results reached the minimal clinically important difference (MCID) as previously published.
We are uncertain about the effect of LLLT in comparison to ultrasound at short-term follow-up for improvement in VAS pain (MD 2.81, 95% CI 1.21 to 4.40) and motor nerve latency (MD 0.61 ms, 95% CI 0.27 to 0.95), as the quality of evidence was very low. When compared with ultrasound at short-term follow-up, LLLT may result in slightly less improvement in finger-pinch strength (MD -0.71 kg, 95% CI -0.94 to -0.49) and motor nerve amplitude (MD -1.90 mV, 95% CI -3.63 to -0.18; range 7.10 mV to 9.70 mV); however, the quality of evidence was low.
There was insufficient evidence to assess the long-term benefits of LLLT versus placebo or ultrasound. There was insufficient evidence to show whether LLLT is better or worse in the management of CTS than other non-surgical interventions. For all outcomes reported within these other comparisons, the quality of evidence was very low.
There was insufficient evidence to assess adverse events, as only one study reported this outcome.
AUTHORS' CONCLUSIONS: The evidence is of very low quality and we found no data to support any clinical effect of LLLT in treating CTS. Only VAS pain and finger-pinch strength met previously published MCIDs but these are likely to be overestimates of effect given the small studies and significant risk of bias. There is low or very low-quality evidence to suggest that LLLT is less effective than ultrasound in the management of CTS based on short-term, clinically significant improvements in pain and finger-pinch strength.
There is insufficient evidence to support LLLT being better or worse than any other type of non-surgical treatment in the management of CTS. Any further research of LLLT should be definitive, blinded, and of high quality
Systematic Review of the Effect of Perch Height on Keel Bone Fractures, Deformation and Injuries, Bone Strength, Foot Lesions and Perching Behavior
This report provides a summary of four systematic reviews on the impact of perch height on laying hen keel bone fractures, deformation and injuries, bone strength, foot lesions and perching behavior. After conducting a scoping review and identifying outcomes of interest, the review protocols were developed. An extensive literature search was conducted in information sources such as CABI, PUBMED and relevant conference proceedings. 1518 abstracts were assessed for relevance and 9 studies reported perch use and 1 reported keel injuries. No studies reported summary effect sizes; therefore it was not possible to conduct a meta-analysis. In lieu of a formal meta-analysis, a descriptive analysis was conducted, which plotted reported perch height against metrics of perch use. This descriptive analysis was not able to account for lack of independence, differences in sample size and other importance sources of heterogeneity such as cage height. The descriptive analysis suggested a positive association with metrics that measured perch use and height, i.e., increased usage was associated with increased height
Methods and Processes of Developing the Strengthening the Reporting of Observational Studies in Epidemiology â Veterinary (STROBE-Vet) Statement
BACKGROUND
Reporting of observational studies in veterinary research presents challenges that often are not addressed in published reporting guidelines.
OBJECTIVE
To develop an extension of the STROBE (Strengthening the Reporting of Observational Studies in Epidemiology) statement that addresses unique reporting requirements for observational studies in veterinary medicine related to health, production, welfare, and food safety.
DESIGN
Consensus meeting of experts.
SETTING
Mississauga, Canada.
PARTICIPANTS
Seventeen experts from North America, Europe, and Australia.
METHODS
Experts completed a pre-meeting survey about whether items in the STROBE statement should be modified or added to address unique issues related to observational studies in animal species with health, production, welfare, or food safety outcomes. During the meeting, each STROBE item was discussed to determine whether or not rewording was recommended and whether additions were warranted. Anonymous voting was used to determine consensus.
RESULTS
Six items required no modifications or additions. Modifications or additions were made to the STROBE items 1 (title and abstract), 3 (objectives), 5 (setting), 6 (participants), 7 (variables), 8 (data sources/measurement), 9 (bias), 10 (study size), 12 (statistical methods), 13 (participants), 14 (descriptive data), 15 (outcome data), 16 (main results), 17 (other analyses), 19 (limitations), and 22 (funding).
CONCLUSION
The methods and processes used were similar to those used for other extensions of the STROBE statement. The use of this STROBE statement extension should improve reporting of observational studies in veterinary research by recognizing unique features of observational studies involving food-producing and companion animals, products of animal origin, aquaculture, and wildlife
âA Friend in the Cornerâ: Supporting people at home in the last year of life via telephone and video consultation â an evaluation
YesObjective: To evaluate a 24/7, nurse led telephone and video-consultation support service for patients thought to be in the last year of life in Bradford, Airedale, Wharfedale and Craven.
Method: Activity and other data recorded at the time of calls were analysed. Interviews with 13 participants captured patients and carers perspectives.
Results: Between April 1st 2014 and March 31st 2015, 4648 patients were registered on the Gold Line. 42% had a non-cancer diagnosis and 46% were not known to specialist palliative care services. The median time on the caseload was 49 days (range 1-504 days). 4533 telephone calls and 573 video consultations were received from 1813 individuals. 39% of the 5106 calls were resolved by Gold Line team without referral to other services. 69% of calls were made outside normal working hours. Interviews with patients and carers reported experiences of support and reassurance and the importance of practical advice.
Conclusion: A nurse led, 24/7 telephone and video consultation service can provide valuable support for patients identified to be in the last year of life and their cares. The line enabled them to feel supported and remain in their place of residence, reducing avoidable hospital admissions and use of other services. Providing this service may encourage health care professionals to identify patients approaching the last year of life, widening support offered to this group of patients beyond those known to specialist palliative care services.Health Foundation adn Shared Purpos
The Change in Prevalence of Campylobacter on Chicken Carcasses During Processing: A Systematic Review
A systematic review was conducted to evaluate the change in prevalence of Campylobacter on chicken carcasses during processing. A structured literature search of 8 electronic databases using the key words for Campylobacter, chicken, and processing identified 1,734 unique citations. Abstracts were screened for relevance by 2 independent reviewers. Thirty-two studies described prevalence at more than one stage during processing and were included in this review. Of the studies that described the prevalence of Campylobacter on carcasses before and after specific stages of processing, the chilling stage had the greatest number of studies (9), followed by washing (6), defeathering (4), scalding (2), and evisceration (1). Studies that sampled before and after scalding or chilling, or both, showed that the prevalence of Campylobacter generally decreased immediately after the stage (scalding: 20.0 to 40.0% decrease; chilling: 100.0% decrease to 26.6% increase). The prevalence of Campylobacter increased after defeathering (10.0 to 72.0%) and evisceration (15.0%). The prevalence after washing was inconsistent among studies (23.0% decrease to 13.3% increase). Eleven studies reported the concentration of Campylobacter, as well as, or instead of, the prevalence. Studies that sampled before and after specific stages of processing showed that the concentration of Campylobacter decreased after scalding (minimum decrease of 1.3 cfu/g, maximum decrease of 2.9 cfu/mL), evisceration (0.3 cfu/g), washing (minimum 0.3 cfu/mL, maximum 1.1 cfu/mL), and chilling (minimum 0.2 cfu/g, maximum 1.7 cfu/carcass) and increased after defeathering (minimum 0.4 cfu/g, maximum 2.9 cfu/mL). Available evidence is sparse and suggests more data are needed to understand the magnitude and mechanism by which the prevalence and concentration of Campylobacter changes during processing. This understanding should help researchers and program developers identify the most likely points in processing to implement effective control efforts. For example, if contamination will occur during defeathering and likely during evisceration, critical control points postevisceration are likely to have a greater effect on the end product going to the consumer
The influence of the physical environment on self-recovery after disasters in Nepal and the Philippines
Following a disaster, the majority of families rebuild their homes themselves. In this paper, we consider how the physical environment influences such âself-recoveryâ by investigating disasters in the Philippines (typhoons Haiyan in 2013 and Haima in 2016) and Nepal (the Gorkha earthquake - 2015). Despite the many differences in the disaster contexts, there are some common barriers to self-recovery (and building back better) in a substantially changed and dynamic multi-hazard, post-disaster environment. These are related to changes in water supply (shortage or surplus), impacts of post-disaster geohazard events on infrastructure (particularly affecting transport) and the availability of technical advice. People face a broad spectrum of challenges as they recover and tackling these âgeo-barriersâ may help to create a more enabling environment for self-recovery. The findings point to what needs to be in place to support self-recovery in dynamic physical environments, including geoscience information and advice, and
restoration of infrastructure damaged by natural hazard events. Further research is necessary to understand the issues this raises for the shelter and geoscience communities, particularly around availability of geoscience expertise, capacity and information at a local scale
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