scholarly journals The TAPS Project. 2: Challenges and pitfalls of community interviewing

1990 ◽  
Vol 14 (11) ◽  
pp. 651-653 ◽  
Author(s):  
David Dayson
Keyword(s):  
Mentally Ill ◽  
Psychiatric Services ◽  
Hospital Services ◽  
Scientific Presentation ◽  
North East ◽  
The North ◽  
First Results ◽  
Subjective View

From November 1987 until March 1990 I worked as a researcher with the TAPS project. So far this project's task has been to evaluate the reprovision of hospital services for the long-term mentally ill from two hospitals in the North East Thames Region (Team for the Assessment of Psychiatric Services, 1988). My work involved gathering clinical and social data from over 250 patients and their carers after they had spent a year out of hospital. Most of these patients were suffering from schizophrenia. The design and first results (Team for the Assessment of Psychiatric Services, 1990) provide an objective account of this research. In contrast, this paper intends to put forth a subjective view of some of the problems encountered while obtaining these data in the community. This situation faced the researcher with unique and challenging circumstances that are not normally discussed in the scientific presentation of follow-up data. Its aim is to pre-empt similar difficulties for other community reserarch by providing guidelines. I am going to cover three areas: arranging interviews, conducting them safely, and handling situations that necessitate stepping out of the interviewer role.

Autoimmune Pancreatitis – Diagnosis, Management and Longterm Follow-up

2014 ◽  
Vol 23 (2) ◽  
pp. 179-185 ◽  
Author(s):  
Suvadip Chatterjee ◽  
Kofi W. Oppong ◽  
John S. Scott ◽  
Dave E. Jones ◽  
Richard M. Charnley ◽  
...  
Keyword(s):  
Autoimmune Pancreatitis ◽  
Rare Condition ◽  
Team Approach ◽  
Diagnostic Challenge ◽  
Multisystem Disorder ◽  
North East ◽  
The North ◽  
Work Up ◽  
Igg4 Level

Background & Aims: Autoimmune pancreatitis (AIP) is a fibroinflammatory condition affecting the pancreas and could present as a multisystem disorder. Diagnosis and management can pose a diagnostic challenge in certain groups of patients. We report our experience of managing this condition in a tertiary pancreaticobiliary centre in the North East of England.Methods: Patients were identified from a prospectively maintained database of patients diagnosed with AIP between 2005 and 2013. Diagnosis of definite/probable AIP was based on the revised HISORt criteria. When indicated, patients were treated with steroids and relapses were treated with azathioprine. All patients have been followed up to date.Results: Twenty-two patients were diagnosed with AIP during this period. All patients had pancreatic protocol CT performed while some patients had either MR or EUS as part of the work up. Fourteen out of 22 (64%) had an elevated IgG4 level (mean: 10.9 g/L; range 3.4 - 31 g/L). Four (18%) patients underwent surgery. Extrapancreatic involvement was seen in 15 (68%) patients, with biliary involvement being the commonest. Nineteen (86%) were treated with steroids and five (23%) required further immunosuppression for treatment of relapses. The mean follow up period was 36.94 months (range 7 - 94).Conclusion: Autoimmune pancreatitis is being increasingly recognized in the British population. Extrapancreatic involvement, particularly extrahepatic biliary involvement seems to be a frequent feature.Diagnosis should be based on accepted criteria as this significantly reduces the chances of overlooking malignancy. Awareness of this relatively rare condition and a multi-disciplinary team approach will help us to diagnose and treat this condition more efiectively thereby reducing unnecessary interventions.

Features of degenerative mitral valve prolapse in the North East of China: repair characteristics, and short-term follow-up results

2020 ◽  
Vol 68 (5) ◽  
Author(s):  
Silvia Corona ◽  
Paolo Barbier ◽  
Guangyu Liu ◽  
Osafo A. Annoh ◽  
Marcio Scorsin ◽  
...  
Keyword(s):  
Mitral Valve ◽  
Mitral Valve Prolapse ◽  
Short Term ◽  
North East ◽  
The North

In memory of Vera Antonovna Martynenko (1936-2018)

2018 ◽  
pp. 149-154
Keyword(s):  
Vascular Plants ◽  
Ussr Academy ◽  
Vascular Plant ◽  
Plant Cover ◽  
Komi Republic ◽  
Great Contribution ◽  
North East ◽  
The North ◽  
Natural Flora

Vera Antonovna Martynenko (17.02.1936–06.01.2018) — famous specialist in the field of studying vascular plant flora and vegetation of the Far North, the Honored worker of the Komi Republic (2006), The Komi Republic State Scientific Award winner (2000). She was born in the town Likhoslavl of the Kali­nin (Tver) region. In 1959, Vera Antonovna graduated from the faculty of soil and biology of the Leningrad State University and then moved to the Komi Branch of USSR Academy of Science (Syktyvkar). From 1969 to 1973 she passed correspondence postgraduate courses of the Komi Branch of USSR Academy of ­Science. In 1974, she received the degree of candidate of biology (PhD) by the theme «Comparative analysis of the boreal flora at the Northeast European USSR» in the Botanical Institute (St. Petersburg). In 1996, Vera Antonovna received the degree of doctor of biology in the Institute of plant and animal ecology (Ekaterinburg) «Flora of the northern and mid subzones of the taiga of the European North-East». The study and conservation of species and coenotical diversity of the plant world, namely the vascular plants flora of the Komi Republic and revealing its transformation under the anthropogenic influence, was in the field of V. A. Martynenko’ scientific interests. She made great contribution to the study of the Komi Republic meadow flora and the pool of medi­cinal plants. She performed inventorying and mapping the meadows of several agricultural enterprises of the Republic, revealed the species composition and places for harvesting medicinal plants and studied their productivity in the natural flora of the boreal zone. The results of her long-term studies were used for making the NPA system and the Red Book of the Komi Republic (1998 and 2009). Vera Antonovna participated in the research of the influence of placer gold mining and oil development on the natural ecosystems of the North, and developed the method of long-term monitoring of plant cover. Results of these works are of high practical value. V. A. Martynenko is an author and coauthor of more than 130 scientific publications. The most important jnes are «Flora of Northeast European USSR» (1974, 1976, and 1977), «Floristic composition of fodder lands of the Northeast Europe» (1989), «The forests of the Komi Republic» (1999), «Forestry of forest resources of the Komi Republic» (2000), «The list of flora of the Yugyd va national park» (2003), «The guide for vascular plants of the Syktyvkar and its vicinities» (2005), «Vascular plants of the Komi Republic» (2008), and «Resources of the natural flora of the Komi Republic» (2014). She also was an author of «Encyclopedia of the Komi Republic» (1997, 1999, and 2000), «Historical and cultural atlas of the Komi Republic» (1997), «Atlas of the Komi Republic» (2001, 2011). V. A. Martynenko made a great contribution to the development of the botanical investigations in the North. Since 1982, during more than 10 years, she was the head of the Department of the Institute of Biology. Three Ph. D. theses have been completed under her leadership. Many years, she worked actively in the Dissertation Council of the Institute of biology Komi Scientific Centre UrB RAS.  The death of Vera Antonovna Martynenko is a heavy and irretrievable loss for the staff of the Institute of Biology. The memory of Vera Antonovna will live in her numerous scientific works, the hearts of students and colleagues.

scholarly journals “The way things get done around here…” Exploring spatial biographies, social policy and governance in the North East of England

2017 ◽  
Vol 37 (11-12) ◽  
pp. 655-666 ◽  
Author(s):  
Jon Warren
Keyword(s):  
Social Policy ◽  
Empirical Work ◽  
Social Progress ◽  
Local Conditions ◽  
Content Type ◽  
North East ◽  
The North ◽  
Policy Interventions ◽  
Health Related

Purpose The purpose of this paper is to argue that the application of social policy in the North East of England is often characterised by tension and conflict. The agencies and professionals charged with implementation of Westminster driven policies constantly seek to deploy their knowledge of local conditions in order to make them both practical and palatable. Design/methodology/approach This paper examines the region via established literature from history, geography, sociology and social policy. The paper gives illustrations via empirical work which has evaluated initiatives to improve the health of long term health-related benefit recipients and to sustain individuals in employment in the region. Findings Central to the paper’s argument is the notion of “biographies of place”. The core of this idea is that places have biographies in the same way as individuals and possess specific identities. These biographies have been shaped by the intersections between environment, history, culture and economic and social policy. The paper identifies the region’s economic development, subsequent decline and the alliance of labour politics and industrial employers around a common consensus that sought economic prosperity and social progress via a vision of “modernisation” as a key component of this biography. Originality/value The paper argues that an appreciation of these spatial biographies can result in innovative and more effective social policy interventions with the potential to address issues that affect entire localities.

Northeast India

2019 ◽  
pp. 156-167
Author(s):  
Kaholi Zhimomi
Keyword(s):  
Identity Politics ◽  
Regional Identity ◽  
Northeast India ◽  
Way Of Life ◽  
North East ◽  
The North ◽  
Indigenous Groups ◽  
The Social ◽  
Military Violence

The north-east has a distinct regional identity, as the land of seven sisters, Assam, Arunachal Pradesh, Meghalaya, Manipur, Mizoram, Nagaland, Tripura and Sikkim; and yet, has been absorbed into the social, cultural and political scheme of the secular nation since independence. The identity politics resulted in dissatisfaction on the part of the indigenous people, which generated long-term military violence in Northeast India. Today, disempowerment among indigenous groups is enormous. For early missionaries, conversion to Christianity also entailed adoption of the Western way of life. Most of the missionaries in Northeast India were American or Welsh among the Protestants and German, Spanish or Italian among the Catholics. Despite exploitation by colonialists that attempted to replace indigenous customs, revivals paved the way for renaissance for those customs. Today, Christianity is the major religion in the states of Nagaland, Mizoram and Meghalaya, with significant growth of indigenous leaders, both secular and religious. Furthermore, there is a rapid growth of educated young tribals who are qualified administrators, educators, academicians, politicians and theologians. With the effects of globalization and modernisation, Christianity must not be assumed to be an agent of acculturation but an agent that helped in the metamorphosis of indigenous norms into authentic tradition.

scholarly journals Scottish rehabilitation services: eight year follow-up

1993 ◽  
Vol 17 (6) ◽  
pp. 341-344
Author(s):  
Robin G. McCreadie ◽  
Douglas J. Williamson ◽  
Lesley J. Robertson
Keyword(s):  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Mentally Ill ◽  
Support Services ◽  
Psychiatric Rehabilitation ◽  
Rehabilitation Services ◽  
Local Authorities

A survey of Scottish psychiatric rehabilitation and support services, carried out in 1983 (McCreadie et al, 1985), found that although there were wide between-hospital differences, the National Health Service in Scotland was making considerable efforts to provide services for the long-term mentally ill. However, services provided by local authorities were seriously deficient.

Prey switching by killer whales in the north-east Atlantic: observational evidence and experimental insights

2013 ◽  
Vol 94 (6) ◽  
pp. 1357-1365 ◽  
Author(s):  
Dag Vongraven ◽  
Anna Bisther
Keyword(s):  
Killer Whale ◽  
Large Population ◽  
Tooth Wear ◽  
Killer Whales ◽  
Prey Switching ◽  
Photo Identification ◽  
North East ◽  
The North ◽  
Spawning Stock

Studies in the Pacific have identified distinct killer whale ecotypes that are either specialized mammal- or fish-eaters. The different types have developed hunting strategies that would suggest specialization could be more advantageous than generalism. However, it has been suggested, based on long-term dietary markers of tooth wear and stable isotope values, that lineages in the North Atlantic are generalist, but with individual variation in the proportion of prey types consumed. Here, we present the results of ten years of observational and photo-identification data of a population of killer whales that follows the Norwegian spring-spawning stock of Atlantic herring. Although the whales were predominantly observed while feeding upon herring, one pod of herring-eating whales was also observed interacting with seals. This supports the hypothesis based on the long-term markers, of a degree of specialization, with a small number of groups persistently feeding upon mammals, but switching between herring and seals. We further investigated this prey switching by conducting playbacks of herring-eating killer whale sounds to harbour seals at haul-out sites on the herring spawning grounds. We recorded changes in behaviour consistent with an anti-predator response, suggesting the seals perceived the herring-eating killer whales as a potential predatory threat and had not habituated to their calls. This could be due to the risk of herring-eating killer whales switching to mammalian prey, or the difficulty of discriminating between killer whale pods due to the large population size and number of killer whale call dialects in this population, or a combination of both.

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