A Basic Course in Statistics.

Author(s):  
D. A. H. Thomas ◽  
G. M. Clarke ◽  
D. Cooke
Keyword(s):  
2008 ◽  
pp. 70-83 ◽  
Author(s):  
E. Bukhvald

Transformations in the sphere of federal relations concern the most important directions of the reforming processes in the country. However, not all proposed and actually developing components of the federal reform seem well-argued and corresponding to long-term, strategic interests of the Russian statehood. The basic course of reform should meet the objective requirements of further decentralization of governing economic and social processes and the need to ensure strengthening the responsibility of RF subjects’ executive bodies and local self-management for steady social and economic development of their territories. The solution of these problems calls for a new model of federal policy of regional development, specification of some important components of the municipal reform as well as inserting certain amendments into the system of intergovernmental fiscal relations in order to stir up their stimulating function.


2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
E Burke ◽  
P Balfe

Abstract Introduction The ongoing COVID-19 pandemic has presented unforeseen threats and stresses to healthcare systems around the world, most notably in the ability to provide critical care. Aim To assess surgical NCHD experience in providing critical care and working in an intensive care environment. Method An electronic survey was distributed amongst surgical trainees and then amongst individual surgical departments. Ten questions were included in the survey assessing the NCHD’s experience with aspects of critical care. Results 39 respondents including 16 specialist registrars, 3 senior registrars, 11 registrars and 9 senior house officers. 18% of respondents had previous experience in anaesthetics or intensive care. 23% self-reported being competent in performing endotracheal intubation. 15% self-reported being competent in the use of CPAP and BiPaP, 5% did not know what these were. 20% self-reported being competent in the use of AIRVO. 15% self-reported being competent in placing central and arterial lines. 15% self-reported being competent in starting and adjusting inotropes/vasopressors. 49% reported completing a CCRISP or BASIC course. 85% felt that a rotation in anaesthesia should be a routine part of surgical training. Conclusions Whilst there is critical care experience amongst the surgical NCHD cohort there remains room for further development.


1979 ◽  
Vol 63 (423) ◽  
pp. 73
Author(s):  
Rex Watson ◽  
G. M. Clarke ◽  
D. Cooke
Keyword(s):  

PEDIATRICS ◽  
1963 ◽  
Vol 32 (3) ◽  
pp. 444-452
Author(s):  
Margaret H. D. Smith

THE PRACTICAL ASPECTS of immunization have changed in the last few years, and are inevitably destined to change continuously. Not only does modern science keep producing newer and more potent vaccines, but the vaccines themselves alter the distribution of disease agents and thereby the epidemiologic pattern of disease. As Batson and Christie have expressed it: "Immunization procedure is a dynamic subject in need of constant evaluation." DIPHTHERIA Nowhere does this phenomenon seem more clearcut than in the case of diphtheria. Whereas 25 years ago a basic course of immunization against diphtheria was essential, repeated natural exposure could be relied upon to boost that immunity throughout later childhood and adolescence. Nowadays the disease itself has become so relatively uncommon in many areas that we need to be reminded by articles like that of Doege, Heath, and Sherman in a recent issue of Pediatrics that 900 cases of diphtheria do occur annually in the United States, and that these cases tend to be grouped in states where immunization programs lag. Because of the very scarcity, in most places, of opportunity for natural exposure, there is an appreciable number of adolescents and adults who, even though immunized in childhood, has again become fully susceptible to infection with Corynebacterium diphtheriae. This falling off of immunity with increasing age must account for small outbreaks of diphtheria among older people in institutions, and for cases in recent years among certain "skid row" groups. It is the reason behind the long schedule of diphtheria toxoid inoculations recommended in the so-called Red Book of the Academy of Pediatrics.


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