Consortium management of triple therapy cost pressures for HIV/AIDS in the North East of England

2001 ◽  
Vol 6 (4) ◽  
pp. 233-240
Author(s):  
David Tregoning ◽  
Barrie M. Craven

Reviews NHS policy for the introduction of new technology and drug developments into the NHS with reference to HIV therapy. Also reviews current policy issues related to NHS rationing and priority setting with reference to commissioning services for HIV infection and AIDS. Confirms the destabilisation of HIV contracts in the North East of England caused by the introduction of double therapy in 1996 and triple therapy in 1997 in relation to the above policy areas. Also reviews purchaser and provider contracting following the introduction of triple therapy for HIV infection. Finally, concludes by reviewing local policy and management arrangements and recommendations for change.

2005 ◽  
Vol 20 (2) ◽  
pp. 205-220 ◽  
Author(s):  
Pooran Wynarczyk ◽  
Arnold Raine

The creation of incubators is viewed by many local and regional strategic bodies in the UK and abroad as an effective way of nurturing and facilitating the success of new technology-based companies. Drawing on a survey of 17 incubators operating in the North East of England, based on original findings, this paper empirically examines the crucial role of existing incubators in the local economy in enterprise creation and attempts to identify areas of good practice that can be used as benchmarks for the creation of future Incubators.


Author(s):  
David Heffernan

The chapter begins in 1546 when a military incursion was launched by the Dublin government against the Irish lordships of the O’Mores and O’Connors in the Irish midlands of Laois and Offaly. I argue that this military venture was the first step in the Tudor conquest of Ireland. Eventually in the 1550s the plantation of this region was undertaken, thus initiating the general pattern whereby Ireland would be conquered and resettled down to the end of the seventeenth century. The chapter then goes on to examine the other major policy issues of the mid-Tudor period, specifically the growing threat posed to the Tudor state by Shane O’Neill’s ascendancy in Ulster and the incursion of Scottish settlers from the Outer Hebrides into the north-east of Ireland. Finally, consideration is given to the long viceregal administration of the third earl of Sussex and the criticism it drew from Irish officials in the late 1550s and early 1560s owing to its recourse to the ‘cess’ and other practices. Throughout the chapter how these issues arose in the treatises is discussed and the ideas put forward contextualised.


Antiquity ◽  
1976 ◽  
Vol 50 (200) ◽  
pp. 216-222
Author(s):  
Beatrice De Cardi

Ras a1 Khaimah is the most northerly of the seven states comprising the United Arab Emirates and its Ruler, H. H. Sheikh Saqr bin Mohammad al-Qasimi, is keenly interested in the history of the state and its people. Survey carried out there jointly with Dr D. B. Doe in 1968 had focused attention on the site of JuIfar which lies just north of the present town of Ras a1 Khaimah (de Cardi, 1971, 230-2). Julfar was in existence in Abbasid times and its importance as an entrep6t during the sixteenth and seventeenth centuries-the Portuguese Period-is reflected by the quantity and variety of imported wares to be found among the ruins of the city. Most of the sites discovered during the survey dated from that period but a group of cairns near Ghalilah and some long gabled graves in the Shimal area to the north-east of the date-groves behind Ras a1 Khaimah (map, FIG. I) clearly represented a more distant past.


1999 ◽  
Vol 110 (5-6) ◽  
pp. 455-463 ◽  
Author(s):  
S. Güvenç ◽  
Ş Öztürk
Keyword(s):  

Author(s):  
Valentina Tagliapietra ◽  
Flavia Riccardo ◽  
Giovanni Rezza

Italy is considered a low incidence country for tick-borne encephalitis (TBE) in Europe. Areas at higher risk for TBE in Italy are geographically clustered in the forested and mountainous regions and provinces in the north east part of the country, as suggested by TBE case series published over the last decade.


Italy is considered a low-incidence country for tick-borne encephalitis (TBE) in Europe.1 Areas at higher risk for TBE in Italy are geographically clustered in the forested and mountainous regions and provinces in the north east part of the country, as suggested by TBE case series published over the last decade.2-5 A national enhanced surveillance system for TBE has been established since 2017.6 Before this, information on the occurrence of TBE cases at the national level in Italy was lacking. Both incidence rates and the geographical distribution of the disease were mostly inferred from endemic areas where surveillance was already in place, ad hoc studies and international literature.1


Author(s):  
Sergey B. Kuklev ◽  
Vladimir A. Silkin ◽  
Valeriy K. Chasovnikov ◽  
Andrey G. Zatsepin ◽  
Larisa A. Pautova ◽  
...  

On June 7, 2018, a sub-mesoscale anticyclonic eddy induced by the wind (north-east) was registered on the shelf in the area of the city of Gelendzhik. With the help of field multidisciplinary expedition ship surveys, it was shown that this eddy exists in the layer above the seasonal thermocline. At the periphery of the eddy weak variability of hydrochemical parameters and quantitative indicators of phytoplankton were recorded. The result of the formation of such eddy structure was a shift in the structure of phytoplankton – the annual observed coccolithophores bloom was not registered.


On the basis of engineering and design surveys of the building, engineering-geological and geophysical studies of the soils of the territory conducted by the article authors, as well as with due regard for the results of studies conducted on this territory by other authors, the features of the foundations, soils of their foundation and engineering-geological conditions of the territory of the Melnikov House are established. It is shown that the Melnikov house is located under complex engineering-geological conditions on the territory of high geological risk, in the zone of influence of tectonic disturbance. To the North of the area there is a zone of intersection of the observed disturbance with a larger disturbance that can have an impact on geological processes. To the North-East of the site of the Melnikov House, a sharp immersion of the roof of carbon deposits was revealed. It promotes groundwater seepage into limestone of the carbonate strata from overlying water-bearing sands and activation of processes of suffusion removal and sinkhole phenomena of the soil. The surveyed area is assessed as potentially karst-hazardous and adjacent to it from the North-East territory as karst-dangerous. In this regard any construction on the adjacent territory can provoke activation of sinkhole phenomena on the surface. The foundations of the building are basically in working condition. Existing defects can be eliminated during repair. The foundation soils mainly have sufficient bearing capacity. Areas of the base with bulk soil can be reinforced. However, when developing a project for the reconstruction of the building and its territory, it should be taken into account that the design of the Melnikov House does not provide for its operation on the loads at the formation of sinkholes.


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