24 results on '"White, Andrew A."'
Search Results
2. Beyond the walls of Camden & Islington personality disorder service: a qualitative study of clinical consultation to external services.
- Author
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White, Andrew, Herbert, Abi, and Marshall, Pierise
- Subjects
- *
PERSONALITY disorders , *PSYCHOANALYTIC interpretation , *HEALTH services accessibility , *PSYCHIATRISTS , *INTERVIEWING , *PEER relations , *QUALITATIVE research , *RISK assessment , *FUNCTIONAL assessment , *PSYCHOSOCIAL factors , *MEDICAL referrals , *INTERPROFESSIONAL relations , *EMPLOYEES' workload , *THEMATIC analysis , *ANXIETY , *RISK management in business , *PATIENT-professional relations , *PSYCHIATRIC hospitals , *PSYCHOLOGICAL distress - Abstract
The Camden and Islington Personality Disorder Service (PDS) increasingly provides clinical consultation to external services. There is a dearth of research on the experience of clinicians delivering such consultation. Interviews were conducted with clinicians from the PDS, and a semantic Thematic Analysis was conducted on transcripts to answer the question, 'What is the experience of Personality Disorder Service staff providing input to staff in external services?' 13 sub-themes under four overarching themes were identified (these latter were: Anxiety, Fragmented Co-working, Task Difficulty, and Positive Outcome). These themes provide an overview of the experience of consulting clinicians. Themes are explored through Kleinian psychoanalytic theory, with reference to Bion's work on containment and groups. Findings suggest that staff need to retain thinking space to work effectively, to feel safe and recover a sense of competence when it is attacked, highlighting the need for access to structures such as supervision. The responsibility for trying to reduce distress, risk (to self, to and from others) and functional disability of people with a diagnosis of personality disorder cannot belong to one person or service but services need to be able to think together to gain a better understanding and have an agreed cross-service response. [ABSTRACT FROM AUTHOR]
- Published
- 2021
- Full Text
- View/download PDF
3. Antibiotic choice in UK general practice: rates and drivers of potentially inappropriate antibiotic prescribing.
- Author
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Nowakowska, Magdalena, Staa, Tjeerd van, Mölter, Anna, Ashcroft, Darren M, Tsang, Jung Yin, White, Andrew, Welfare, William, Palin, Victoria, and van Staa, Tjeerd
- Subjects
RESPIRATORY infections ,ANTIBIOTICS ,IMPLANTABLE cardioverter-defibrillators ,OTITIS externa ,OTITIS media ,URINARY tract infections - Abstract
Objectives: To identify the rates of potentially inappropriate antibiotic choice when prescribing for common infections in UK general practices. To examine the predictors of such prescribing and the clustering effects at the practice level.Methods: The rates of potentially inappropriate antibiotic choice were estimated using 1 151 105 consultations for sinusitis, otitis media and externa, upper respiratory tract infection (URTI) and lower respiratory tract infection (LRTI) and urinary tract infection (UTI), using the Clinical Practice Research Datalink (CPRD). Multilevel logistic regression was used to identify the predictors of inappropriate prescribing and to quantify the clustering effect at practice level.Results: The rates of potentially inappropriate prescriptions were highest for otitis externa (67.3%) and URTI (38.7%) and relatively low for otitis media (3.4%), sinusitis (2.2%), LRTI (1.5%) and UTI in adults (2.3%) and children (0.7%). Amoxicillin was the most commonly prescribed antibiotic for all respiratory tract infections, except URTI. Amoxicillin accounted for 62.3% of prescriptions for otitis externa and 34.5% of prescriptions for URTI, despite not being recommended for these conditions. A small proportion of the variation in the probability of an inappropriate choice was attributed to the clustering effect at practice level (8% for otitis externa and 23% for sinusitis). Patients with comorbidities were more likely to receive a potentially inappropriate antibiotic for URTI, LRTI and UTI in adults. Patients who received any antibiotic in the 12 months before consultation were more likely to receive a potentially inappropriate antibiotic for all conditions except otitis externa.Conclusions: Antibiotic prescribing did not always align with prescribing guidelines, especially for URTIs and otitis externa. Future interventions might target optimizing amoxicillin use in primary care. [ABSTRACT FROM AUTHOR]- Published
- 2019
- Full Text
- View/download PDF
4. Antibiotic prescribing for common infections in UK general practice: variability and drivers.
- Author
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Palin, Victoria, Mölter, Anna, Belmonte, Miguel, Ashcroft, Darren M, White, Andrew, Welfare, William, Staa, Tjeerd van, and van Staa, Tjeerd
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ANTIBIOTICS ,RESPIRATORY infections ,INFLUENZA vaccines ,ELECTRONIC health records ,PRIMARY care - Abstract
Objectives: To examine variations across general practices and factors associated with antibiotic prescribing for common infections in UK primary care to identify potential targets for improvement and optimization of prescribing.Methods: Oral antibiotic prescribing for common infections was analysed using anonymized UK primary care electronic health records between 2000 and 2015 using the Clinical Practice Research Datalink (CPRD). The rate of prescribing for each condition was observed over time and mean change points were compared with national guideline updates. Any correlation between the rate of prescribing for each infectious condition was estimated within a practice. Predictors of prescribing were estimated using logistic regression in a matched patient cohort (1:1 by age, sex and calendar time).Results: Over 8 million patient records were examined in 587 UK general practices. Practices varied considerably in their propensity to prescribe antibiotics and this variance increased over time. Change points in prescribing did not reflect updates to national guidelines. Prescribing levels within practices were not consistent for different infectious conditions. A history of antibiotic use significantly increased the risk of receiving a subsequent antibiotic (by 22%-48% for patients with three or more antibiotic prescriptions in the past 12 months), as did higher BMI, history of smoking and flu vaccinations. Other drivers for receiving an antibiotic varied considerably for each condition.Conclusions: Large variability in antibiotic prescribing between practices and within practices was observed. Prescribing guidelines alone do not positively influence a change in prescribing, suggesting more targeted interventions are required to optimize antibiotic prescribing in the UK. [ABSTRACT FROM AUTHOR]- Published
- 2019
- Full Text
- View/download PDF
5. Paediatric electroencephalograph: The benefits of guidelines.
- Author
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Thompson (nee Milner), Brooke E, Newsom, David, and White, Andrew
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NATIONAL health services ,GUIDELINES ,CLINICAL indications - Abstract
Aim: The electroencephalogram (EEG) is an important but often over-relied upon investigation in evaluating paroxysmal events of childhood. The UK National Institute for Health and Care Excellence (NICE) guidelines for epilepsy help clinicians decide which children should/should not have an EEG. Would introduction of these guidelines in our hospital change the ordering practices of our hospital clinicians? Would introduction reduce unnecessary tests and improve rapidity of obtaining an EEG?Methods: Paediatric EEG requests, results and, where possible, the patient hospital chart were reviewed before and after introduction of an EEG request form (Appendix I) which provided ordering advice as per the NICE epilepsy guideline. Patient age, sex, distance from hospital and ethnicity were reviewed. Also evaluated was clinical indication and time from ordering to performing the EEG.Results: Prior to the new EEG form, 56% of the EEG requests fulfilled the NICE criteria; after its introduction, this increased to 83%. EEGs ordered within the NICE guidelines were abnormal on 61% of occasions, but when ordered outside of the guidelines they were abnormal only 4% of the time (P < 0.0001). After its introduction there was poor use of the new form in practice (only 29% of requests). However, the EEGs were more likely to meet ordering criteria and fewer tests were required, leading to more rapid turn-around times.Conclusion: This study demonstrates the value of using guidelines to improve timeliness and reduce over-utilisation of EEGs in general paediatric practice. [ABSTRACT FROM AUTHOR]- Published
- 2019
- Full Text
- View/download PDF
6. Art for art’s sake? A critique of the instrumentalist turn in the teaching of media and communications in UK universities.
- Author
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Ramsey, Phil and White, Andrew
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INSTRUMENTALISTS , *TEACHING , *COMMUNICATION , *UNIVERSITIES & colleges , *SELF-insurance , *CULTURAL policy - Abstract
This paper charts the turn in the UK New Labour government’s (1997–2010) creative industries policy from an early focus on encouraging wider access to the arts to an increasingly instrumentalist emphasis on self-funding and the generation of wealth from intellectual property. The paper demonstrates the effect of this policy primarily through the case of the teaching of media and communications in UK universities. Focusing on the Skillset Media Academy Network, the authors ask whether this is both the best approach to teaching media and communications in UK universities and appropriate that many of these courses appear to be solely geared towards preparing graduates for jobs in the creative industries. [ABSTRACT FROM PUBLISHER]
- Published
- 2015
- Full Text
- View/download PDF
7. Soldier Modernisation - Funding Dependent but Huge Potential.
- Author
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White, Andrew
- Subjects
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MILITARY modernization (Equipment) , *MILITARY personnel , *AMERICAN military personnel - Abstract
The article offers information on the soldier modernization programme (SMP including Great Britain's Future Integrated Soldier Technology, the U.S. Land Warrior programme, Germany's Infanterist der Zukunft-ES, and France's FELIN system. Topics discussed include joint exercise between members of the French Army's Second Marines Infantry Regiment and the British Royal Marines, comments made by defense contractor Rheinmetall on German Army, and photovoltaic solar panel helmet designs.
- Published
- 2015
8. Digital Britain: New Labour's digitisation of the UK's cultural heritage.
- Author
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White, Andrew
- Subjects
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CULTURAL property , *DIGITIZATION , *ARCHIVAL materials , *METADATA ,BRITISH politics & government, 2007- - Abstract
This paper analyses the UK's approach to the digitisation of its cultural heritage during the New Labour administration from 1997 to 2010, with a specific emphasis on academic texts and archival documents. Focusing on the identification of common areas of concern across a range of programmes, the paper asks whether a national digitisation strategy is needed and, if so, what form it should take. It concludes with three recommendations for improving the coordination and practice of the digitisation of the UK's cultural heritage. [ABSTRACT FROM AUTHOR]
- Published
- 2011
- Full Text
- View/download PDF
9. A grey literature review of the UK Department for Culture, Media and Sport's Creative Industries Economic Estimates and Creative Economy research programme.
- Author
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White, Andrew
- Subjects
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ECONOMIC forecasting , *MASS media , *METHODOLOGY - Abstract
This is a review of the DCMS's annual estimates of the size, scope and activities of the UK's creative industries, with a particular focus on the latest publication in January 2009. Running parallel to these estimates is a research programme, latterly codified as the Creative Economy Programme (CEP), which constantly assesses and periodically modifies the methodologies used for collating statistics. This programme is also reviewed, primarily through two 2007 documents: a report commissioned from Frontier Economics and a DCMS overview of all the CEP's work in 2006-2007. The review also draws on primary sources in the form of national and international reports on methodologies for classifying and measuring the creative industries, as well as appropriate academic literature. [ABSTRACT FROM AUTHOR]
- Published
- 2009
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10. Disease effects on reproduction can cause population cycles in seasonal environments.
- Author
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Smith, Matthew J., White, Andrew, Sherratt, Jonathan A., Telfer, Sandra, Begon, Michael, and Lambin, Xavier
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BIOLOGICAL research , *REPRODUCTION , *ANIMAL populations , *PARASITES , *POPULATION dynamics , *FERTILITY , *VACCINIA , *INFECTION - Abstract
1. Recent studies of rodent populations have demonstrated that certain parasites can cause juveniles to delay maturation until the next reproductive season. Furthermore, a variety of parasites may share the same host, and evidence is beginning to accumulate showing nonindependent effects of different infections. 2. We investigated the consequences for host population dynamics of a disease-induced period of no reproduction, and a chronic reduction in fecundity following recovery from infection (such as may be induced by secondary infections) using a modified SIR (susceptible, infected, recovered) model. We also included a seasonally varying birth rate as recent studies have demonstrated that seasonally varying parameters can have important effects on long-term host–parasite dynamics. We investigated the model predictions using parameters derived from five different cyclic rodent populations. 3. Delayed and reduced fecundity following recovery from infection have no effect on the ability of the disease to regulate the host population in the model as they have no effect on the basic reproductive rate. However, these factors can influence the long-term dynamics including whether or not they exhibit multiyear cycles. 4. The model predicts disease-induced multiyear cycles for a wide range of realistic parameter values. Host populations that recover relatively slowly following a disease-induced population crash are more likely to show multiyear cycles. Diseases for which the period of infection is brief, but full recovery of reproductive function is relatively slow, could generate large amplitude multiyear cycles of several years in length. Chronically reduced fecundity following recovery can also induce multiyear cycles, in support of previous theoretical studies. 5. When parameterized for cowpox virus in the cyclic field vole populations ( Microtus agrestis) of Kielder Forest (northern England), the model predicts that the disease must chronically reduce host fecundity by more than 70%, following recovery from infection, for it to induce multiyear cycles. When the model predicts quasi-periodic multiyear cycles it also predicts that seroprevalence and the effective date of onset of the reproductive season are delayed density-dependent, two phenomena that have been recorded in the field. [ABSTRACT FROM AUTHOR]
- Published
- 2008
- Full Text
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11. To be beside THE SEASIDE.
- Author
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WHITE, ANDREW
- Subjects
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PIERS , *TOURIST attractions - Abstract
The article discusses trips in Great Britain's seaside piers including the Central Pier in Blackpool, Lancashire, Isle of Wight pier and Hastings Pier in Sussex.
- Published
- 2014
12. Scavenger hunt.
- Author
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White, Andrew and Batey, Angus
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DRONE aircraft ,ACQUISITION of data - Abstract
The article discusses the latest development in Great Britain's core programme Scavenger. According to the article, a finalised Scavenger requirement, version 1.0, will be made available to industry following the Ministry of Defence's (MoD) Planning Round 12. Moreover, a part of the Scavenger requirement deals with matters concerning data collection, production, and dissemination, which is a challenge for the organization, according to Squadron Leader Ben Sargent, a desk officer in MoD.
- Published
- 2012
13. No more dismounts?
- Author
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White, Andrew
- Subjects
REMOTELY piloted vehicles ,BRITISH military - Abstract
The article features unmanned ground vehicles (UGVs) as the British armed forces learn how unmanned systems can be used for force protection. With the reported success of the Talisman route-clearance and route-proving system in Afghanistan in June 2011, the Ministry of Defense (MoD) is said to be lining up Operation Concord using fully autonomous UGVs. It also talks about the mixed reviews of Operation Panama's unmanned Snatch Land Rover 4x4 vehicles deployed into the asset mix of the Talisman.
- Published
- 2011
14. Land of the giants.
- Author
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White, Andrew
- Subjects
REMOTELY piloted vehicles ,MILITARY intelligence ,MILITARY surveillance ,MILITARY reconnaissance ,BORDER security - Abstract
The article discusses the larger unmanned ground vehicle (UGV) platforms that are set to enter frontline military service in different parts of the world. It says that Israel has deployed large UGV platforms for intelligence, surveillance and reconnaissance (ISR) duties like border protection as Great Britain and the U.S. lead the charge for load carriage systems. The author adds that Great Britain is improving its plan to deploy an unmanned version of the Land Rover Snatch to Afghanistan. The Assisted Carriage System (ACS) from Boeing is also discussed.
- Published
- 2011
15. Continental counter-thrust.
- Author
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White, Andrew
- Subjects
DRONE aircraft - Abstract
The article reports on the efforts by European defence companies in countering the dominance of U.S. developers in the unmanned aerial vehicle (UAV) sector. The European Defence Agency (EDA) is planning to launch an ad hoc Category A UAV programme intended to establish standardisation in UAVs and certification to operate by 2012. Among the UAVs being developed are Great Britain's Watchkeeper and the Northrop Grumman/EADS Euro Hawk.
- Published
- 2010
16. The British Army Needs to Dominate the Information Space.
- Author
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White, Andrew
- Subjects
- *
TWENTY-first century , *INTERNATIONAL cooperation on counterterrorism , *MILITARY policy ,BRITISH foreign relations - Abstract
The article reports that British Secretary of State for Defense Michael Fallon has claimed that the results of the Brexit referendum will not change the British Ministry of Defense's (MoD) relationship with the North Atlantic Treaty Organization (NATO), the United Nations (UN) and the European Union (EU). Topics discussed include Fallon stating that the MoD will continue to collaborate with the agencies in fighting terrorism and counter-arms smuggling operations.
- Published
- 2016
17. Preparing for Future Operational Environments, Whatever and Wherever They May Be.
- Author
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White, Andrew
- Subjects
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MILITARY budgets , *ECONOMIC development ,BRITISH politics & government ,GREAT Britain. Parliament elections - Abstract
The author discusses the preparations being made by political parties in Great Britain ahead of the 2015 General Election concerning the defense budget. Topics discussed include the NATO Summit held in Wales in September 2014 that was focused on the same, estimates of no increase in the nation's defence budget despite growth in its economy and the views of NATO's Secretary General Jens Stoltenberg on the same.
- Published
- 2015
18. After the curtains close.
- Author
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White, Andrew
- Subjects
DRONE aircraft - Abstract
The article presents the insights of Phil Osborn, capability director of the Joint Forces Command of the Great Britain's Ministry of Defence (MoD), regarding the use of unmanned aerial systems (UAS). Topics discussed include remotely piloted aircraft system (RPAS), unmanned aerial vehicles (UAVs), and British Army's WK450 Watchkeeper programme.
- Published
- 2014
19. Resident trailblazers?
- Author
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White, Andrew
- Subjects
MASS surveillance ,REMOTELY piloted vehicles ,LICENSES - Abstract
The author expresses his view on the vote of Deer Trail residents to obtain a license to shoot unmanned vehicles or drones that are within 1,000 feet of their property. He reflects back on the issue of U.S. and Great Britain surveillance program which partly triggered the decision of the Deer Trail residents. He thought about the opportunity for the U.S. Department of Defense to test drive the drones in this area but he also cautions on the risk of harming innocent lives in the process.
- Published
- 2013
20. The global impact of climate change: a new assessment
- Author
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Hulme, Mike, Parry, Martin, White, Andrew, Martens, Pim, Arnell, Nigel, and Nicholls, Robert
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ATMOSPHERE ,ATMOSPHERIC chemistry ,CLIMATE change ,TAX assessment - Published
- 1999
21. Red tape delays Watchkeeper's Afghan debut.
- Author
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White, Andrew
- Subjects
DRONE aircraft ,MILITARY vehicles - Abstract
The article reports on the delay in the operation of the British Army's WK450 Watchkeeper Unmanned Aircraft Vehicle (UAV)programme. According to the article, the Watchkeeper is still awaiting its release from the Aircraft Test and Evaluation Centre (ATEC) before it can start operating in Afghanistan. Great Britan Minister for Defence Equipment and Support Peter Luff said that Watchkeeper will be the first UAV to acquire certification to fly in both civil and military environment.
- Published
- 2012
22. Unmanned uncertainty.
- Author
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White, Andrew
- Subjects
GLOBAL Hawk (Drone aircraft) ,DRONE aircraft ,RECONNAISSANCE aircraft - Abstract
The author reflects on the decision of the U.S. Department of Defense to stop the use of its fleet of RQ-4 Block 30 Global Hawk unmanned aerial vehicle (UAV) and make use of the U.S. Department of Defense U-2 high-altitude, all -weather surveillance and reconnaissance aircraft. He says that unmanned systems continue to baffle him and despite the failures of UAVs, he wonders why the U.S. and Great Britain have to keep UAVs for future use. He asserts that a decision on the UAVs should be made.
- Published
- 2012
23. Israel's Vanishing Narrative in British Public Life.
- Author
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White, Andrew
- Subjects
INTELLECTUALS ,ZIONISTS ,ISRAELIS - Abstract
The article discusses the growing hostility of Great Britain's intellectuals toward Israel. According to the author, several intellectuals have criticized Israel in various forms including the Israel Apartheid Weeks on college campuses, depiction of Zionist control of the media in cartoons, picketing of Israeli retail outlets, and intimidation of Israel speakers on campus. He adds that these criticisms have shown British liberal intellectuals' rejection of ideas about Israel. Examples of declining narrative from British public life are presented.
- Published
- 2010
24. Zephyr HALE stepped up for military tests.
- Author
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White, Andrew
- Subjects
FLIGHT testing of airplanes ,DRONE aircraft ,WEAPONS testing sites - Abstract
The article reports on the planned first military capability tests to be conducted on the solar-powered high-altitude long-endurance (HALE) unmanned aerial vehicle (UAV) Zephyr in June 2010. The tests will be done at Yuma Proving Ground, Arizona, according to manufacturer QinetiQ. The carriage of a British Ministry of Defence (MoD) payload will be incorporated into the tests. An airframe made out of ultra-light carbon will also be used.
- Published
- 2010
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