Why People of Bangladeshi Origin Are Most at Risk of Dying from COVID-19 in the UK, i.e., Why They Carry the Highest Level of Those Six Deleterious Neanderthal-Inherited Genes

2020 ◽  
Author(s):  
Dave Dalton
Keyword(s):  
At Risk ◽  
The Uk

scholarly journals Testing Times: The Place of the Citizenship Test in the UK Immigration Regime and New Citizens’ Responses to it

Sociology ◽  
2016 ◽  
Vol 51 (2) ◽  
pp. 323-338 ◽  
Author(s):  
Bridget Byrne
Keyword(s):  
At Risk ◽  
The State ◽  
The Uk ◽  
Equal Citizenship ◽  
Successful Integration

Citizenship tests are designed to ensure that new citizens have the knowledge required for successful ‘integration’. This article explores what those who have taken the test thought about its content. It argues that new citizens had high levels of awareness of debates about immigration and anti-immigration sentiment. Considering new citizens’ views of the test, the article shows how many of them are aware of the role of the test in reassuring existing citizens of their fitness to be citizens. However, some new citizens contest this positioning in ‘acts of citizenship’ where they assert claims to citizenship which are not necessarily those constructed by the state and implied in the tests. The article will argue that the tests and the nature of the knowledge required to pass them serve to retain new citizens in a position of less-than-equal citizenship which is at risk of being discursively (if less often legally) revoked.

scholarly journals Musculoskeletal Tuberculosis in Bradford – A 6-Year Review

2007 ◽  
Vol 89 (4) ◽  
pp. 405-409 ◽  
Author(s):  
JC Talbot ◽  
Q Bismil ◽  
D Saralaya ◽  
DAG Newton ◽  
RM Frizzel ◽  
...  
Keyword(s):  
At Risk ◽  
World Wide ◽  
Surgical Intervention ◽  
Indian Subcontinent ◽  
Anatomical Site ◽  
At Risk Populations ◽  
Recorded Data ◽  
The Uk ◽  
Ethnic Distribution ◽  
Radiological Intervention

INTRODUCTION Tuberculosis (TB) remains the most common cause of death from infectious disease world-wide. In the UK, the incidence of TB has risen by 25% over the last 10 years; extrapulmonary diagnosis remains challenging and can be delayed. This study evaluates the epidemiology of musculoskeletal tuberculosis in a large multi-ethnic UK city. PATIENTS AND METHODS A review of prospectively recorded data of incidence, anatomical site, ethnic distribution, treatment and drug resistance of musculoskeletal tuberculosis over a 6-year period was performed. RESULTS From January 1999 to December 2004, there were 729 TB notifications; 61 cases (8.4%) had musculoskeletal involvement. Of the patients, 74% were immigrants from the Indian subcontinent; nearly 50% had spinal involvement; 24 patients underwent surgical intervention; 29 were subjected to either diagnostic or therapeutic radiological intervention; and resolution of symptoms was achieved in 59 out of 61 cases. CONCLUSIONS This study highlights the high proportion of musculoskeletal TB in immigrant patients in an area with a relatively large at-risk population, but will also serve to alert physicians, in areas with smaller at-risk populations, of the possibility of musculoskeletal TB.

scholarly journals Iodine status of consumers of milk-alternative drinks v. cows’ milk: data from the UK National Diet and Nutrition Survey

2020 ◽  
pp. 1-9
Author(s):  
M. Dineva ◽  
M. P. Rayman ◽  
S. C. Bath
Keyword(s):  
At Risk ◽  
Iodine Deficiency ◽  
Urinary Iodine ◽  
Iodine Concentration ◽  
Iodine Intake ◽  
Urinary Iodine Concentration ◽  
Nutrition Survey ◽  
Iodine Status ◽  
Adults And Children ◽  
The Uk

Abstract Milk is the main source of iodine in the UK; however, the consumption and popularity of plant-based milk-alternative drinks are increasing. Consumers may be at risk of iodine deficiency as, unless fortified, milk alternatives have a low iodine concentration. We therefore aimed to compare the iodine intake and status of milk-alternative consumers with that of cows’ milk consumers. We used data from the UK National Diet and Nutrition Survey from years 7 to 9 (2014–2017; before a few manufacturers fortified their milk-alternative drinks with iodine). Data from 4-d food diaries were used to identify consumers of milk-alternative drinks and cows’ milk, along with the estimation of their iodine intake (µg/d) (available for n 3976 adults and children ≥1·5 years). Iodine status was based on urinary iodine concentration (UIC, µg/l) from spot-urine samples (available for n 2845 adults and children ≥4 years). Milk-alternative drinks were consumed by 4·6 % (n 185; n 88 consumed these drinks exclusively). Iodine intake was significantly lower in exclusive consumers of milk alternatives than cows’ milk consumers (94 v. 129 µg/d; P < 0·001). Exclusive consumers of milk alternatives also had a lower median UIC than cows’ milk consumers (79 v. 132 µg/l; P < 0·001) and were classified as iodine deficient by the WHO criterion (median UIC < 100 µg/l), whereas cows’ milk consumers were iodine sufficient. These data show that consumers of unfortified milk-alternative drinks are at risk of iodine deficiency. As a greater number of people consume milk-alternative drinks, it is important that these products are fortified appropriately to provide a similar iodine content to that of cows’ milk.

scholarly journals Development and Validation of a Novel Dementia Risk Score in the UK Biobank Cohort

2021 ◽  
Author(s):  
Melis Anatürk ◽  
Raihaan Patel ◽  
Georgios Georgiopoulos ◽  
Danielle Newby ◽  
Anya Topiwala ◽  
...  
Keyword(s):  
At Risk ◽  
Cardiovascular Risk ◽  
Risk Score ◽  
Disease Risk ◽  
Risk Index ◽  
Risk Scores ◽  
Uk Biobank ◽  
Dementia Risk ◽  
History Of ◽  
The Uk

INTRODUCTION: Current prognostic models of dementia have had limited success in consistently identifying at-risk individuals. We aimed to develop and validate a novel dementia risk score (DRS) using the UK Biobank cohort.METHODS: After randomly dividing the sample into a training (n=166,487, 80%) and test set (n=41,621, 20%), logistic LASSO regression and standard logistic regression were used to develop the UKB-DRS.RESULTS: The score consisted of age, sex, education, apolipoprotein E4 genotype, a history of diabetes, stroke, and depression, and a family history of dementia. The UKB-DRS had good-to-strong discrimination accuracy in the UKB hold-out sample (AUC [95%CI]=0.79 [0.77, 0.82]) and in an external dataset (Whitehall II cohort, AUC [95%CI]=0.83 [0.79,0.87]). The UKB-DRS also significantly outperformed four published risk scores (i.e., Australian National University Alzheimer’s Disease Risk Index (ANU-ADRI), Cardiovascular Risk Factors, Aging, and Dementia score (CAIDE), Dementia Risk Score (DRS), and the Framingham Cardiovascular Risk Score (FRS) across both test sets.CONCLUSION: The UKB-DRS represents a novel easy-to-use tool that could be used for routine care or targeted selection of at-risk individuals into clinical trials.

scholarly journals Repositioning UK Partnerships Post-Brexit

2018 ◽  
pp. 19
Author(s):  
Ludovic Highman
Keyword(s):  
At Risk ◽  
European Union ◽  
Research Collaboration ◽  
Student Mobility ◽  
Limited Resources ◽  
The European Union ◽  
The United Kingdom ◽  
Eu Membership ◽  
The Uk ◽  
Volunteer Abroad

On such divisive issues as EU membership and, consequently, the post-Brexit relationship between the United Kingdom and the European Union, it is unsurprising that Theresa May’s government has been torn between a “hard” and a “soft” Brexit. As of June 2018, there is still no indication of which approach will prevail, putting at risk UK universities’ participation in the Erasmus+ program, which has provided, among other things, opportunities for over four million Europeans to study, train, and volunteer abroad since its inception. Full access to EU research funds is also at risk. Universities cannot depend on the UK government’s help in securing the frameworks allowing for continuity. In such a context, universities have started to use their limited resources to secure bilateral international and European links to foster research collaboration and staff and student mobility, post-Brexit.

Healthcare workers and measles-mumps-rubella (MMR) status: how worried should we be about further outbreaks?

2013 ◽  
Vol 142 (8) ◽  
pp. 1688-1694 ◽  
Author(s):  
S. BASU ◽  
P. GIRI ◽  
A. ADISESH ◽  
R. McNAUGHT
Keyword(s):  
At Risk ◽  
Healthcare Workers ◽  
Age Groups ◽  
Positive Serology ◽  
Entry Level ◽  
Point Of Entry ◽  
The Uk

SUMMARYRecently, a number of outbreaks of measles and mumps have occurred within the UK and Europe. Healthcare workers (HCWs) are at risk of contracting and transmitting disease to patients and staff. To examine this risk at the point of entry to healthcare, we assessed the serological results of new HCWs presenting for pre-placement clearance without evidence of measles-mumps-rubella (MMR) immunity between 1 April 2010 and 31 March 2012. Overall rates of serological positivity to MMR across all age groups were 88·2%, 68·8% and 93·9%, respectively. With regard to measles and mumps, there were statistically significant decreases in the percentage of HCWs born after 1980 that had positive serology (P < 0·05). No such differences were seen between healthcare groups. Most seronegative HCWs accepted MMR vaccination. Despite our entry-level findings, the ongoing risk of a MMR outbreak within this cohort of HCWs appears low.

Barriers and facilitators to the administration of prehospital tranexamic acid: a paramedic interview study using the theoretical domains framework

2021 ◽  
pp. emermed-2020-210622
Author(s):  
Laura Goodwin ◽  
Helen Nicholson ◽  
Maria Robinson ◽  
Adam Bedson ◽  
Sarah Black ◽  
...  
Keyword(s):  
At Risk ◽  
Tranexamic Acid ◽  
Domain Knowledge ◽  
Theoretical Domains Framework ◽  
Evidence Base ◽  
Barriers And Facilitators ◽  
Trauma Patients ◽  
Risk Of Bleeding ◽  
Behavioural Theory ◽  
The Uk

BackgroundTranexamic acid (TXA) is an antifibrinolytic drug used to prevent bleeding. It was introduced as an intervention for post-traumatic haemorrhage across emergency medical services (EMS) in the UK during 2012. However, despite strong evidence of effectiveness, prehospital TXA administration rates are low. This study used the theoretical domains framework (TDF) to identify barriers and facilitators to the administration of TXA to trauma patients by EMS providers (paramedics) in the UK.MethodsInterviews were completed with 18 UK paramedics from a single EMS provider organisation. A convenience sampling approach was used, and interviews continued until thematic saturation was reached. Semistructured telephone interviews explored paramedics’ experiences of administering TXA to trauma patients, including identifying whether or not patients were at risk of bleeding. Data were analysed inductively using thematic analysis (stage 1). Themes were mapped to the theoretical domains of the TDF to identify behavioural theory-derived barriers and facilitators to the administration of TXA to trauma patients (stage 2). Belief statements were identified and assessed for importance according to prevalence, discordance and evidence base (stage 3).ResultsBarriers and facilitators to paramedics’ administration of TXA to trauma patients were represented by 11 of the 14 domains of the TDF. Important barriers included a lack of knowledge and experience with TXA (Domain: Knowledge and Skills), confusion and restrictions relating to the guidelines for TXA administration (Domain: Social/professional role and identity), a lack of resources (Domain: Environmental context and resources) and difficulty in identifying patients at risk of bleeding (Domain: Memory, attention and decision processes).ConclusionsThis study presents a behavioural theory-based approach to identifying barriers and facilitators to the prehospital administration of TXA to trauma patients in the UK. It identifies multiple influencing factors that may serve as a basis for developing an intervention to increase prehospital administration of TXA.

Infective endocarditis

2020 ◽  
pp. 115-128
Keyword(s):  
At Risk ◽  
Infective Endocarditis ◽  
Mortality Rate ◽  
Hospital Mortality ◽  
High Mortality ◽  
Clinical Management ◽  
Valve Disease ◽  
Educational Issues ◽  
The Uk

Infective endocarditis (IE) is a condition that most commonly occurs in patients with pre-existing valve disease. It affects one in 30 000 people in the UK and is associated with a high mortality rate (15–30% in hospital mortality). Nurses working in the cardiac arena should be aware of those patients who are at risk of developing IE and its clinical management. This chapter covers the aetiology, diagnosis, complications, treatment, nursing considerations, and specific educational issues that are relevant to the overall management and prevention of IE.

scholarly journals An international longitudinal registry of patients with atrial fibrillation at risk of stroke (GARFIELD): the UK protocol

2013 ◽  
Vol 13 (1) ◽  
Author(s):  
Patricia N Apenteng ◽  
◽  
Ellen T Murray ◽  
Roger Holder ◽  
F D Richard Hobbs ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
At Risk ◽  
The Uk

scholarly journals Prophylaxis of venous thromboembolism in general surgery: guidelines differ and we still need local policies

2011 ◽  
Vol 93 (5) ◽  
pp. 370-374
Author(s):  
D Veeramootoo ◽  
L Harrower ◽  
R Saunders ◽  
D Robinson ◽  
WB Campbell
Keyword(s):  
At Risk ◽  
Venous Thromboembolism ◽  
High Risk ◽  
Risk Groups ◽  
Low Risk ◽  
Vte Prophylaxis ◽  
Risk Patients ◽  
Local Policies ◽  
One Year ◽  
The Uk

INTRODUCTION Venous thromboembolism (VTE) prophylaxis has become a major issue for surgeons both in the UK and worldwide. Sev-eral different sources of guidance on VTE prophylaxis are available but these differ in design and detail. METHODS Two similar audits were performed, one year apart, on the VTE prophylaxis prescribed for all general surgical inpatients during a single week (90 patients and 101 patients). Classification of patients into different risk groups and compliance in prescribing prophylaxis were examined using different international, national and local guidelines. RESULTS There were significant differences between the numbers of patients in high, moderate and low-risk groups according to the different guidelines. When groups were combined to indicate simply ‘at risk’ or ‘not at risk’ (in the manner of one of the guidelines), then differences were not significant. Our compliance improved from the first audit to the second. Patients at high risk received VTE prophylaxis according to guidance more consistently than those at low risk. CONCLUSIONS Differences in guidance on VTE prophylaxis can affect compliance significantly when auditing practice, depending on the choice of ‘gold standard’. National guidance does not remove the need for clear and detailed local policies. Making decisions about policies for lower-risk patients can be more difficult than for those at high risk.

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