The use of technetium 99m hexa-methyl propylene amine oxime spect scanning in acute stroke management.

A short report submitted to the Faculty of Medicine, University of the Witwatersrand in partial fulfilment of the requirements for the degree of Master of Medicine in Nuclear Medicine19 patients were selected, from the patients screened, for investigation within 48 hours of the onset of an ischaemic cerebrovascular accident. Clinical neurulogical scoring, computerized tomography lCT) scans and single photon emission computed tomography (SPECT) scans were performed on day 1, day 10 and day 30. SPECT scan data was analysed by 5 semi-quantitative methods, and findings were compared with neuroloyical clinical scores on each respective day. It was found that day 1 SPECT scans are of value for early localization of the acute ischaemic infarction. A multiple regression model was developed using both the day 30 Defect Volume index and segmental analysis score which related to the day 30 clinical scores. The day 1 model was unsatisfactory and no such model was found relating day 10 SPECT semi-quantitative methods to day 10 clinical scoring. Changes in semi-quantitative scores from day 1 to day 30 did not correlate with clinical changes. Longer follow up may be required for there to be value in performing SPECT scans in stroke trials. A prognostic equation was derived by multiple regression analysis of day 1 SPECT scan scores and day 30 clinical scores.Andrew Chakane 201

Winterton C. Curtis Correspondence

Entries include brief biographical information and a handwritten letter on University of Missouri stationery

Understanding Labour Turnover in a Labour Intensive Industry: Evidence from the British Clothing Industry

The clothing industry is both a quintessential global industry and one that is inescapably labour intensive. Despite more and more production shifting to low wage economies in the past decades, there remains a significant amount of clothing manufacturing in high wage economies. This study examines the drivers of change that are forcing restructuring in one such country and the outcomes of such changes for the organization of production. Because the changes have involved treating workers as a resource to be developed rather than a cost, preventing labour turnover has become a crucial component of this strategic repositioning. In presenting the results of a national survey of UK clothing manufacturers we find that high labour turnover rates persist. We discuss the historical background to this phenomenon and current trends, and then explore the principal variables that might explain these trends. We conclude with a discussion of the outcomes facing firms in this industry and comment on why managers resist comprehensive changes in organizational routines and the effort bargain. Copyright Blackwell Publishing Ltd 2003.

Collaborating on collections : a structured approach

An outline of collaboration on law collections between three major law libraries in the United Kingdom

Widening participation in learning through adult residential provision An evaluation

SIGLEAvailable from British Library Document Supply Centre- DSC:7717. 45583(no RB 383) / BLDSC - British Library Document Supply CentreGBUnited Kingdo

Early impact of the new arrangements for adult and community learning with the Learning and Skills Council

Includes bibliographical referencesAvailable from British Library Document Supply Centre- DSC:7761. 34123(no 428) / BLDSC - British Library Document Supply CentreSIGLEGBUnited Kingdo

Widening participation in learning through adult residential provision An evaluation

Includes bibliographical referencesAvailable from British Library Document Supply Centre- DSC:7761. 34123(383) / BLDSC - British Library Document Supply CentreSIGLEGBUnited Kingdo