144 results on '"Peter Kerr"'
Search Results
2. Current status of health systems financing and oversight for end-stage kidney disease care: a cross-sectional global survey
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Fergus Caskey, Vlado Perkovic, David Johnson, Vladimir Tesar, Adeera Levin, Csaba Kovesdy, Kamyar Kalantar-Zadeh, Peter Kerr, Mohamed A Osman, Natasha Wiebe, Ikechi G Okpechi, Kailash Jindal, Marcello Tonelli, Scott Klarenbach, Eric Rondeau, Meaghan Lunney, Feng Ye, Ezequiel Bellorin-Font, Mohammed Benghanem Gharbi, Mohammad Ghnaimat, Paul Harden, Shahrzad Ossareh, Jeffrey Perl, Emily See, Syed Saad, Laura Sola, Irma Tchokhonelidze, Kriang Tungsanga, Rumeyza Turan Kazancioglu, Angela Yee-Moon Wang, Chih-Wei Yang, Alexander Zemchenkov, Kitty J Jager, John Feehally, Sara Davison, Donal O'Donoghue, Gloria Ashuntantang, Emily Yeung, AK Bello, Valerie Luyckx, Brendon Neuen, Harun Ur Rashid, Minhui Zhao, and David CH Harris
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Medicine - Abstract
Objectives The Global Kidney Health Atlas (GKHA) is a multinational, cross-sectional survey designed to assess the current capacity for kidney care across all world regions. The 2017 GKHA involved 125 countries and identified significant gaps in oversight, funding and infrastructure to support care for patients with kidney disease, especially in lower-middle-income countries. Here, we report results from the survey for the second iteration of the GKHA conducted in 2018, which included specific questions about health financing and oversight of end-stage kidney disease (ESKD) care worldwide.Setting A cross-sectional global survey.Participants Key stakeholders from 182 countries were invited to participate. Of those, stakeholders from 160 countries participated and were included.Primary outcomes Primary outcomes included cost of kidney replacement therapy (KRT), funding for dialysis and transplantation, funding for conservative kidney management, extent of universal health coverage, out-of-pocket costs for KRT, within-country variability in ESKD care delivery and oversight systems for ESKD care. Outcomes were determined from a combination of desk research and input from key stakeholders in participating countries.Results 160 countries (covering 98% of the world’s population) responded to the survey. Economic factors were identified as the top barrier to optimal ESKD care in 99 countries (64%). Full public funding for KRT was more common than for conservative kidney management (43% vs 28%). Among countries that provided at least some public coverage for KRT, 75% covered all citizens. Within-country variation in ESKD care delivery was reported in 40% of countries. Oversight of ESKD care was present in all high-income countries but was absent in 13% of low-income, 3% of lower-middle-income, and 10% of upper-middle-income countries.Conclusion Significant gaps and variability exist in the public funding and oversight of ESKD care in many countries, particularly for those in low-income and lower-middle-income countries.
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- 2021
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3. ‘A sword of Damocles’: patient and caregiver beliefs, attitudes and perspectives on presymptomatic testing for autosomal dominant polycystic kidney disease: a focus group study
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Angela Ju, Allison Tong, Armando Teixeira-Pinto, David Johnson, Jonathan Craig, Martin Howell, Ron T Gansevoort, Talia Gutman, Karine E Manera, Peter Kerr, Gopala K Rangan, Curie Ahn, Tess Harris, Charlotte Logeman, Yeoungjee Cho, Benedicte Sautenet, Albert Ong, Arlene Chapman, Helen Coolican, Juliana Tze-Wah Kao, Ronald Perrone, Vincent Torres, Kevin Fowler, York Pei, Jessica Ryan, Andrea Viecelli, Clair Geneste, Hyunsuk Kim, Yaerim Kim, and Gayathri Parasivam
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Medicine - Abstract
Background and objectives Presymptomatic testing is available for early diagnosis of hereditary autosomal dominant polycystic kidney disease (ADPKD). However, the complex ethical and psychosocial implications can make decision-making challenging and require an understanding of patients’ values, goals and priorities. This study aims to describe patient and caregiver beliefs and expectations regarding presymptomatic testing for ADPKD.Design, setting and participants 154 participants (120 patients and 34 caregivers) aged 18 years and over from eight centres in Australia, France and Korea participated in 17 focus groups. Transcripts were analysed thematically.Results We identified five themes: avoiding financial disadvantage (insecurity in the inability to obtain life insurance, limited work opportunities, financial burden); futility in uncertainty (erratic and diverse manifestations of disease limiting utility, taking preventive actions in vain, daunted by perplexity of results, unaware of risk of inheriting ADPKD); lacking autonomy and support in decisions (overwhelmed by ambiguous information, medicalising family planning, family pressures); seizing control of well-being (gaining confidence in early detection, allowing preparation for the future, reassurance in family resilience); and anticipating impact on quality of life (reassured by lack of symptoms, judging value of life with ADPKD).Conclusions For patients with ADPKD, presymptomatic testing provides an opportunity to take ownership of their health through family planning and preventive measures. However, these decisions can be wrought with tensions and uncertainty about prognostic implications, and the psychosocial and financial burden of testing. Healthcare professionals should focus on genetic counselling, mental health and providing education to patients’ families to support informed decision-making. Policymakers should consider the cost burden and risk of discrimination when informing government policies. Finally, patients are recommended to focus on self-care from an early age.
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- 2020
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4. Comprehensive evaluation of a prospective Australian patient cohort with suspected genetic kidney disease undergoing clinical genomic testing: a study protocol
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Stephanie Best, Melissa Martyn, Chirag Patel, Kushani Jayasinghe, Zornitza Stark, Amali Mallawaarachchi, Hugh McCarthy, Randall Faull, Aron Chakera, Madhivanan Sundaram, Matthew Jose, Peter Kerr, You Wu, Louise Wardrop, Ilias Goranitis, Catherine Quinlan, and Andrew J Mallett
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Medicine - Abstract
Introduction Recent advances in genomic technology have allowed better delineation of renal conditions, the identification of new kidney disease genes and subsequent targets for therapy. To date, however, the utility of genomic testing in a clinically ascertained, prospectively recruited kidney disease cohort remains unknown. The aim of this study is to explore the clinical utility and cost-effectiveness of genomic testing within a national cohort of patients with suspected genetic kidney disease who attend multidisciplinary renal genetics clinics.Methods and analysis This is a prospective observational cohort study performed at 16 centres throughout Australia. Patients will be included if they are referred to one of the multidisciplinary renal genetics clinics and are deemed likely to have a genetic basis to their kidney disease by the multidisciplinary renal genetics team. The expected cohort consists of 360 adult and paediatric patients recruited by December 2018 with ongoing validation cohort of 140 patients who will be recruited until June 2020. The primary outcome will be the proportion of patients who receive a molecular diagnosis via genomic testing (diagnostic rate) compared with usual care. Secondary outcomes will include change in clinical diagnosis following genomic testing, change in clinical management following genomic testing and the cost-effectiveness of genomic testing compared with usual care.Ethics and dissemination The project has received ethics approval from the Melbourne Health Human Research Ethics Committee as part of the Australian Genomics Health Alliance protocol: HREC/16/MH/251. All participants will provide written informed consent for data collection and to undergo clinically relevant genetic/genomic testing. The results of this study will be published in peer-reviewed journals and will also be presented at national and international conferences.
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- 2019
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5. Abstracts from The College of Podiatry Annual Conference 2016
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John Ingram, Scott Cawley, Angela Jones, Elinor Coulman, Clive Gregory, Tim Pickles, Him Shun Hinson Kei, Paul Fletcher, Mike Curran, Trevor Prior, Cynthia Formosa, Simon Otter, Keith Rome, Peter Gow, Nicola Dalbeth, Maheswaran Rohan, Sarah Stewart, Ashok Aiyer, Sam Glasser, Joanne Paton, Richard Collings, Jonathan Marsden, David Torgerson, Sarah Cockayne, Sara Rodgers, Lorraine Green, Caroline Fairhurst, Joy Adamson, Arabella Clark, Belen Corbacho, Catherine Hewitt, Kate Hicks, Robin Hull, Anne‐Maree Keenan, Sarah Lamb, Hylton Menz, Anthony Redmond, Zoe Richardson, Wesley Vernon, Judith Watson, Lisa Farndon, Arabella Clarke, Caroline McIntosh, Stephen Mizzi, Lucianne Cutajar, Annabelle Mizzi, Owen Falzon, Ian Swaine, Kate Springett, Andrea Bachand, Ben Avison, Jessica Leitch, Jennifer Scott, Gordon Hendry, Jackie Locke, Carla McArdle, Katie Lagan, David McDowell, Michelle Kaminski, Anita Raspovic, Lawrence McMahon, Katrina Lambert, Bircan Erbas, Peter Mount, Peter Kerr, Karl Landorf, Louis Mamode, Catherine Bowen, Malcolm Burnett, Lucy Gates, Ann Ashburn, Mark Cole, Margaret Donovan‐Hall, Ruth Pickering, Dan Bader, Judy Robison, Dorit Kunkel, Saed Al Bimani, Martin Warner, Jane Murchie, Rachel Hannigan, Mairghread Ellis, Aimie Patience, Sophie Slater, Kirsten Wallace, Katherine Edwards, Alan M. Borthwick, Louise McCulloch, Anthony C. Redmond, Rafael Pinedo‐Villanueva, Nigel K. Arden, Catherine J. Bowen, Heidi Siddle, Peter Mandl, Daniel Aletaha, Thea Vliet Vlieland, Marina Backhaus, Patricia Cornell, Maria Antonietta D'Agostino, Karen Ellegaard, Annamaria Iagnocco, Bente Jakobsen, Tiina Jasinski, Nina Kildal, Michaela Lehner, Ingrid Moller, Gabriela Supp, Philip O'Connor, Esperanza Naredo, and Richard Wakefield
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Gout ,National Health Service ,Diabetic Peripheral Neuropathy ,Health Assessment Questionnaire Score ,Ankle Foot Orthos ,Diseases of the musculoskeletal system ,RC925-935 - Published
- 2017
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6. The sequoia-loving sprite, a new genus and species of fungus gnat (Diptera, Mycetophilidae) from California
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Peter Kerr
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Zoology ,QL1-991 - Abstract
California is one of the most biologically diverse regions of the world, yet the diversity of fungus gnats (Mycetophilidae) remains largely undocumented within the state. A modest survey of these flies has led to the discovery of a new genus and species of gnat that lives alongside one of the most iconic trees in the world, the giant sequoia (Sequoiadendron giganteum). Spritella sequoiaphila gen. et sp. n. is described and illustrated and its status among other mycetophilid genera is analyzed and discussed.
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- 2014
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7. The Megophthalmidia (Diptera, Mycetophilidae) of North America including eight new species
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Peter Kerr
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Zoology ,QL1-991 - Abstract
Megophthalmidia Dziedzicki is a small leiine genus (Mycetophilidae) with seven species described from the Neotropics and ten species from the Palearctic region. Two species of Megophthalmidia have been reported for North America. Recent collecting of Mycetophilidae in California and Arizona, however, shows current North American diversity of Megophthalmidia is at least on par to other regions of the world. Eight new species of Megophthalmidia are described here, increasing the number of Nearctic Megophthalmidia species to nine. Included is a particularly atypical member of the genus, M. saskia sp. n., which expands the genus concept of Megophthalmidia. Of the two species previously recorded for North America, only one actually belongs in the genus. Megophthalmidia occidentalis Johannsen, is fully described and illustrated. The other named species, M. marceda (Sherman) is illustrated and transferred to the genus Ectrepesthoneura Enderlein. A lectotype is designated for this species. A key to the species of Megophthalmidia of North America is provided. The biology of these flies is not yet known. Three of the new Megophthalmidia species – M. lenimenta, M. misericordia, and M. radiata – are only known to occur within small protected areas within the California State Park and UC Natural Reserve systems.
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- 2014
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8. Six new species of Acomoptera from North America (Diptera, Mycetophilidae)
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Peter Kerr
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Zoology ,QL1-991 - Abstract
Six new species are described, raising the number of North American Acomoptera species to seven and the genus total to ten, and nearly doubling the number of species within the putative clade containing Acomoptera, Drepanocercus, and Paratinia. These novel species forms have implications for the concept of Acomoptera that in turn, may impact our understanding of its generic relationships and the evolution and composition of Gnoristinae and Sciophilinae. The new species, A. crispa, A. digitata, A. echinosa, A. forculata, A. nelsoni, and A. vockerothi, are compared with the type species of the genus, A. plexipus (Garrett), whose diagnostic features are imaged and illustrated for the first time. The European species, A. difficilis (Dziedzicki) is also illustrated and compared. Acomoptera spinistyla (Søli) comb. nov is transferred from Drepanocercus. A key to species is provided. Future work will seek to incorporate this knowledge into a systematic phylogenetic study of relationships between these species and their sister taxa.
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- 2011
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9. Robust Innate Immunity of Young Rabbits Mediates Resistance to Rabbit Hemorrhagic Disease Caused by Lagovirus Europaeus GI.1 But Not GI.2
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Matthew J. Neave, Robyn N. Hall, Nina Huang, Kenneth A. McColl, Peter Kerr, Marion Hoehn, Jennifer Taylor, and Tanja Strive
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rabbit ,rabbit hemorrhagic disease virus ,RHDV ,RHDV-2 ,GI.1 ,GI.2 ,RNA-Seq ,transcriptome ,lagovirus ,calicivirus ,Microbiology ,QR1-502 - Abstract
The rabbit caliciviruses Lagovirus europaeus GI.1 and GI.2 both cause acute necrotizing hepatitis in European rabbits (Oryctolagus cuniculus). Whilst GI.2 is highly virulent in both young and adult rabbits, rabbits younger than eight weeks of age are highly resistant to disease caused by GI.1, although they are still permissive to infection and viral replication. To investigate the underlying mechanism(s) of this age related resistance to GI.1, we compared liver transcriptomes of young rabbits infected with GI.1 to those of adult rabbits infected with GI.1 and young rabbits infected with GI.2. Our data suggest that kittens have constitutively heightened innate immune responses compared to adult rabbits, particularly associated with increased expression of major histocompatibility class II molecules and activity of natural killer cells, macrophages, and cholangiocytes. This enables them to respond more rapidly to GI.1 infection than adult rabbits and thus limit virus-induced pathology. In contrast, these responses were not fully developed during GI.2 infection. We speculate that the observed downregulation of multiple genes associated with innate immunity in kittens during GI.2 infection may be due to virally-mediated immunomodulation, permitting fatal disease to develop. Our study provides insight into the fundamental host–pathogen interactions responsible for the differences in age-related susceptibility, which likely plays a critical role in defining the success of GI.2 in outcompeting GI.1 in the field.
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- 2018
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10. Cancer Informatics in the U.K.: The NCRI Informatics Initiative
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Fiona Reddington, J. Max Wilkinson, Robin Clark, Helen Parkinson, Peter Kerr, and Richard Begent
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Data sharing ,information integration ,infrastructure ,multi-disciplinary ,Neoplasms. Tumors. Oncology. Including cancer and carcinogens ,RC254-282 - Abstract
The arrival of high-throughput technologies in cancer science and medicine has made the possibility for knowledge generation greater than ever before. However, this has brought with it real challenges as researchers struggle to analyse the avalanche of information available to them. A unique U.K.-based initiative has been established to promote data sharing in cancer science and medicine and to address the technical and cultural issues needed to support this.
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- 2006
11. Telegram from Marquess of Lothian re: Apparent Opposition of State Department to Restrictive Amendment on Labour in Panama, March 14, 1940
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(1922), Peter Kerr, author and (1922), Peter Kerr, author
12. Evaluating PRP : a case study of Thames Water
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Thomson, Gregory Peter Kerr
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658.3225 - Abstract
Performance Related Pay (PRP) explicitly links the level of pay an employee receives to that employee's performance. Intuitively, it would appear likely that employees would increase their work effort in order to maximise their earnings from PRP. However, there is now a substantial body of research evidence, which suggests that PRP is not particularly effective in increasing employee motivation in practice. Despite this research evidence, PRP continues to remain popular as a payment system amongst firms. This Thesis uses a case study of Thames Water, a large utility company, to examine the paradox between the continuing popularity of PRP and its apparent ineffectiveness as a tool for increasing employee motivation. Evidence from an employee survey and interviews with key managers, together with information from internal company documentation, is brought together to explore five related questions: 1. Why did Thames Water use PRP. 2 How effective has PRP been in Thames Water as a motivator for employees. 3. Why was PRP not more effective as a motivator for employees. 4. How effective was PRP in delivering the other objectives it was originally intended to achieve. 5. Why does Thames Water continue to use PRP. The analytical approach adopted, using three theories of motivation as a framework against which to examine the motivational effectiveness of PRP, provides a new way of looking at the possible limitations on the motivational effect of PRP. This thesis touches on the question of whether and how PRP brings about cultural change; this in turn raises complex questions of causation, which call into question the effectiveness of PRP as a mechanism for bringing about cultural change.
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- 2004
13. The Impact of Performance Measurement Diversity on Customer-Oriented Selling Behavior
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Peter Kerr and Monica Franco-Santos
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History ,Polymers and Plastics ,Business and International Management ,Industrial and Manufacturing Engineering - Published
- 2023
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14. In Situ single-crystal synchrotron X-ray Diffraction Studies of Biologically Active Gases in Metal-Organic Frameworks
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Russell Main, Simon Vornholt, Cameron Rice, Caroline Elliott, Samantha Russell, Peter Kerr, Mark Warren, and Russell Morris
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Metal-organic frameworks (MOFs) are well known for their ability to adsorb various gases. The use of MOFs for the storage and release of biologically active gases, particularly nitric oxide (NO) and carbon monoxide (CO), has been a subject of interest. To elucidate the binding mechanisms and geometry of these gases, an in situ single crystal X-ray diffraction (scXRD) study using synchrotron radiation at Diamond Light Source has been performed on a set of MOFs that display promising gas adsorption properties. NO and CO, were introduced into dehydrated Ni-CPO-27 and the related Co-4,6-dihydroxyisophthalate (Co-4,6-dhip). Both MOFs show strong binding affinity towards CO and NO, however CO suffers more from competitive co-adsorption of water. Additionally, we show that morphology can play an important role in the ease of dehydration for these two systems.
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- 2022
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15. Comparing Sensor Solutions in Practice: Philips Interact and Siemens Enlighted
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Peter Kerr
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Urban Studies ,Engineering ,Visual Arts and Performing Arts ,business.industry ,Computer graphics (images) ,Architecture ,Siemens ,business - Published
- 2021
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16. The interplay between objective and subjective measures of salesperson performance: toward an integrated approach
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Peter Kerr and Javier Marcos-Cuevas
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professional selling ,Management of Technology and Innovation ,performance management ,Human Factors and Ergonomics ,sales control ,performance measurement ,sales performance - Abstract
The frameworks to measure salesperson performance have not advanced in parallel with the degree of transformation of professional selling. To address this issue, research in organizational performance advocates for the use of more comprehensive and integrated measurement frameworks, incorporating both objective and subjective measures. However, in sales research, this integrated approach is rare, with most studies using either objective or subjective measurement. Thus, in this article, we explore the combined use of objective and subjective measures of salesperson performance. We conduct a systematic review of sales performance and then investigate empirically, through a survey of 207 salespeople and 39 interviews with sales leaders, the specific role played by subjective measures of individual sales performance. A key finding of the study is the widespread use of diverse measures of performance in practice and the limited measurement approaches used in sales research. We contribute by articulating the differences in the conceptualization and operationalization of salesperson performance between industry practice and scholarly research. We propose a set of principles for selecting measures of performance in sales and present a framework that extends current conceptualizations of effectiveness and efficiency by incorporating a third dimension, competency, that also needs to be measured.
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- 2022
17. Guided by the science (de)politicising the UK government’s response to the coronavirus crisis
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Peter Kerr and Steven Kettell
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JN101 ,2019-20 coronavirus outbreak ,Government ,Coronavirus disease 2019 (COVID-19) ,Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) ,JA ,Management, Monitoring, Policy and Law ,Public administration ,medicine.disease_cause ,Scientific expertise ,RA0421 ,Political science ,Political Science and International Relations ,medicine ,Coronavirus - Abstract
This article sets out to examine the politicising and depoliticising effects of the various stories that were deployed by the UK government in its response to the coronavirus crisis during its daily press briefings over a 2-month period between 16 March and 16 May 2020. In doing so, we identify four key narratives: (1) unprecedented government activism; (2) working to plan; (3) national security, wartime unity and sacrifice; and (4) scientific guidance. Through a quantitative and qualitative study of the deployment of these narratives, we attempt to further recent theoretical insights on depoliticisation by noting that the COVID-19 crisis produced a particular type of crisis moment in which the government was forced to respond in ‘real time’ to a set of circumstances which were rapidly changing. As such, this made it much more difficult to control the various stories they wanted to tell and therefore find a coherent ‘anchor’ for their politicising and depoliticising strategies. This led to some deft discursive footwork as the government sought to pass the ball of responsibility between various groups of actors in order to rapidly and continually shift the balance between avoiding blame and taking credit.
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- 2022
18. Diptera of the Middle Eocene Kishenehn Formation II
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Dale Greenwalt, Dalton Amorim, Martin Hauser, Peter Kerr, Scott Fitzgerald, Shaun Winterton, Jeffrey Cumming, Neal Evenhuis, and Bradley Sinclair
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DIPTERA ,Paleontology ,Oceanography - Published
- 2022
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19. The ghost in the machine : Brexit, populism, and the sacralisation of politics
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Steve Kettell and Peter Kerr
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Philosophy ,BL ,Religious studies ,JC ,Molecular Biology - Abstract
The current global wave of populism has fuelled a surge in scholarly interest but the links between populism and religion remain under-researched and most studies have centred on cases where religion remains socially and politically influential. This paper contributes to developing studies in this area by analysing the use of religious tropes and themes in a comparatively non-religious context, examining the populist discourse that was constructed to promote Britain’s withdrawal from the European Union (‘Brexit’). Drawing on neo-Durkheimian ideas about the endurance of the ‘sacred’ in social organisation, it identifies three core themes: (1) a framing of the EU as a ‘folk devil’ and an existential threat to the liberty and prosperity of the British nation, (2) a presentation of Brexit as a source of national rebirth and salvation, underpinned by an exceptionalist view of the British people who were said to possess a unique global destiny, and (3) a sacralisation of ‘the People’ into an homogenous mass whose Will was to be enacted at all costs in the aftermath of the referendum. The study shows how populists are able to draw on a religious repertoire to mobilise voters, even in contexts that are largely non-religious.
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- 2022
20. CORBYNISM
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Bradley Ward and Peter Kerr
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- 2021
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21. From eating cake to crashing out: constructing the myth of a no-deal Brexit
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Peter Kerr and Steven Kettell
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Floating signifier ,JA ,05 social sciences ,JN ,Comparative politics ,Context (language use) ,050601 international relations ,0506 political science ,Brexit ,Political economy ,Political science ,Political Science and International Relations ,Referendum ,Elite ,050602 political science & public administration ,Mandate ,media_common.cataloged_instance ,European union ,media_common - Abstract
This article traces the emergence and development of claims that the 2016 referendum on the UK’s membership of the European Union delivered a mandate for a so-called no-deal Brexit. Utilising Lacanian ideas about group mobilisation combined with a detailed content analysis and evidence drawn from polling data, it shows that this no deal narrative should be viewed as a discursive project that was constructed by a section of Leave campaigners relatively late into the Brexit process amidst growing disillusionment with the direction that negotiations with the EU were taking. By emphasising the role of Brexit as an ‘empty signifier’, the article shows that Brexit was initially successful in mobilising and uniting a disparate, but often unconnected, range of discontent to its cause. However, over time the complexities of the Brexit process triggered a discursive ‘war of position’ as competing visions of Brexit attempted to vie for dominance amongst the Leave camp. It is within this context that the myth of no deal emerged as an attempt by an elite group of actors to re-mobilise support for their cause.
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- 2019
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22. International Society of Nephrology Global Kidney Health Atlas: structures, organization, and services for the management of kidney failure in Oceania and South East Asia
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Isabelle Ethier, David W. Johnson, Aminu K. Bello, Feng Ye, Mohamed A. Osman, Adeera Levin, David C.H. Harris, Peter Kerr, Adrian Liew, Muh Geot Wong, Meaghan Lunney, Syed Saad, Deenaz Zaidi, Maryam Khan, Vivekanand Jha, Marcello Tonelli, Ikechi G. Okpechi, and Andrea K. Viecelli
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Nephrology ,ISN Public Affairs - Abstract
Oceania and South East Asia (OSEA) is a socioeconomically, culturally, and ethnically diverse region facing a rising epidemic of noncommunicable diseases, including chronic kidney disease (CKD). The second iteration of the International Society of Nephrology Global Kidney Health Atlas aimed to provide a comprehensive evaluation of kidney care in OSEA. Of the 30 countries/territories in OSEA, 15 participated in the survey, representing 98.5% of the region's population. The median prevalence of treated kidney failure in OSEA was 1352 per million population (interquartile range, 966-1673 per million population), higher than the global median of 787 per million population. Although the general availability, access, and quality of kidney replacement therapy (i.e., dialysis and transplantation) was high in OSEA, inequalities in accessibility and affordability of kidney replacement therapy across the region resulted in variability between countries. According to the survey results, in a third of the participating countries (mostly lower-income countries), less than half the patients with kidney failure were able to access dialysis, whereas it was readily available to all with minimal out-of-pocket costs in high-income countries; similar variability in access to transplantation was also recorded. Limitations in workforce and resources vary across the region and were disproportionately worse in lower-income countries. There was little advocacy for kidney disease, moderate use of registries, restricted CKD detection programs, and limited availability of routine CKD testing in some high-risk groups across the region. International collaborations, as seen in OSEA, are important initiatives to help close the gaps in CKD care provision across the region and should continue receiving support from the global nephrology community.
- Published
- 2021
23. The Brexit Religion and the Holy Grail of the NHS
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Peter Kerr and Steven Kettell
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JF ,JN101 ,Sociology and Political Science ,05 social sciences ,JC ,050601 international relations ,0506 political science ,Holy Grail ,Populism ,Politics ,Political myth ,Brexit ,Political science ,Political economy ,Political Science and International Relations ,Referendum ,050602 political science & public administration ,media_common.cataloged_instance ,European union ,RA ,Social policy ,media_common - Abstract
The role of populism in mobilising support for Britain’s withdrawal from the European Union has been well noted. But a key feature of populist politics – the use of religious discourses – has been largely overlooked. This article addresses this gap by exploring the way in which the Leave campaign framed Brexit in quasi-religious and mythological terms. Three core themes are identified: (1) that the British ‘people’ had a unique role to play in global affairs; (2) that the sanctity of this special status was threatened by elites and migrants; (3) that the referendum gave voice to the sacred ‘will of the people’. These narratives were underpinned by a strategic discourse centring on claims that EU membership was exacerbating a crisis in health and social care. This myth was encapsulated by the so-called ‘Brexit bus’ campaign.
- Published
- 2021
24. Importance of perioperative planning in an impalement injury of neck highlighted by an aberrant right subclavian artery
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Pankaj Saxena, Daniel Nour, Emma Kanaganayagam, Matheus G. Carelli, Raghvendra Malghan, David Cameron Wright, and Peter Kerr
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Chest Pain ,medicine.diagnostic_test ,business.industry ,Cardiovascular Abnormalities ,Subclavian Artery ,Bike accident ,Glasgow Coma Scale ,Aberrant right subclavian artery ,Physical examination ,General Medicine ,Perioperative ,Blood pressure ,Anesthesia ,medicine ,Humans ,Surgery ,Sinus rhythm ,Anhidrosis ,medicine.symptom ,business ,Neck - Abstract
[Extract] An otherwise well 42-year-old male presented to the emergencydepartment by ambulance with an impalement injury to the rightside of the neck by a 5-cm diameter and 27-cm length tree branchfollowing a motor bike accident. Physical examination on arrivalrevealed a Glasgow Coma Scale of 15, peripheral capillary oxygensaturation 96% on room air, blood pressure 110/70 mmHg andheart rate of 110 sinus rhythm. Besides an evident anhidrosis on theright side of his face, there were no obvious signs of neurovascularcompromise.
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- 2020
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25. Political parties in Britain
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Peter Kerr and Alexander Oaten
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Politics ,Political system ,Political economy ,Political science - Abstract
An exploration of the main national political parties that have dominated the contemporary British political system.
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- 2020
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26. Association Between Results of a Gene Expression Signature Assay and Recurrence-Free Interval in Patients With Stage II Colon Cancer in Cancer and Leukemia Group B 9581 (Alliance)
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Robert J. Mayer, Donna Niedzwiecki, Wendy L. Frankel, Eamonn J. O'Brien, Richard M. Goldberg, Paula N. Friedman, Peter Kerr, Timothy Davison, Patrick G. Johnston, Alan P. Venook, Xing Ye, Federico Innocenti, Thomas A. Colacchio, D. Paul Harkin, Richard L. Schilsky, Monica M. Bertagnolli, Richard D. Kennedy, Jude M. Mulligan, and Robert S. Warren
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Male ,0301 basic medicine ,Oncology ,Cancer Research ,Edrecolomab ,Kaplan-Meier Estimate ,Group B ,Cohort Studies ,Antibodies, Monoclonal, Murine-Derived ,0302 clinical medicine ,Stem Cell Research - Nonembryonic - Human ,Monoclonal ,Multicenter Studies as Topic ,Oligonucleotide Array Sequence Analysis ,Randomized Controlled Trials as Topic ,Cancer ,Antibodies, Monoclonal ,ORIGINAL REPORTS ,Middle Aged ,Colo-Rectal Cancer ,Phase III as Topic ,Leukemia ,Local ,030220 oncology & carcinogenesis ,Colonic Neoplasms ,Female ,medicine.drug ,Cohort study ,Murine-Derived ,medicine.medical_specialty ,Clinical Sciences ,Oncology and Carcinogenesis ,Antibodies ,Disease-Free Survival ,03 medical and health sciences ,SDG 3 - Good Health and Well-being ,Clinical Research ,Internal medicine ,medicine ,Humans ,Clinical Trials ,Oncology & Carcinogenesis ,Neoplasm Staging ,Aged ,business.industry ,Gene Expression Profiling ,Stem Cell Research ,medicine.disease ,Surgery ,Gene expression profiling ,Clinical trial ,Neoplasm Recurrence ,030104 developmental biology ,Clinical Trials, Phase III as Topic ,Neoplasm Recurrence, Local ,Digestive Diseases ,business - Abstract
Purpose Conventional staging methods are inadequate to identify patients with stage II colon cancer (CC) who are at high risk of recurrence after surgery with curative intent. ColDx is a gene expression, microarray-based assay shown to be independently prognostic for recurrence-free interval (RFI) and overall survival in CC. The objective of this study was to further validate ColDx using formalin-fixed, paraffin-embedded specimens collected as part of the Alliance phase III trial, C9581. Patients and Methods C9581 evaluated edrecolomab versus observation in patients with stage II CC and reported no survival benefit. Under an initial case-cohort sampling design, a randomly selected subcohort (RS) comprised 514 patients from 901 eligible patients with available tissue. Forty-nine additional patients with recurrence events were included in the analysis. Final analysis comprised 393 patients: 360 RS (58 events) and 33 non-RS events. Risk status was determined for each patient by ColDx. The Self-Prentice method was used to test the association between the resulting ColDx risk score and RFI adjusting for standard prognostic variables. Results Fifty-five percent of patients (216 of 393) were classified as high risk. After adjustment for prognostic variables that included mismatch repair (MMR) deficiency, ColDx high-risk patients exhibited significantly worse RFI (multivariable hazard ratio, 2.13; 95% CI, 1.3 to 3.5; P < .01). Age and MMR status were marginally significant. RFI at 5 years for patients classified as high risk was 82% (95% CI, 79% to 85%), compared with 91% (95% CI, 89% to 93%) for patients classified as low risk. Conclusion ColDx is associated with RFI in the C9581 subsample in the presence of other prognostic factors, including MMR deficiency. ColDx could be incorporated with the traditional clinical markers of risk to refine patient prognosis.
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- 2016
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27. Implementing core outcomes in kidney disease: report of the Standardized Outcomes in Nephrology (SONG) implementation workshop
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Allison Tong, Braden Manns, Angela Yee Moon Wang, Brenda Hemmelgarn, David C. Wheeler, John Gill, Peter Tugwell, Robert Pecoits-Filho, Sally Crowe, Tess Harris, Wim Van Biesen, Wolfgang C. Winkelmayer, Adeera Levin, Aliza Thompson, Vlado Perkovic, Angela Ju, Talia Gutman, Amelie Bernier-Jean, Andrea K. Viecelli, Emma O’Lone, Jenny Shen, Michelle A. Josephson, Yeoungjee Cho, David W. Johnson, Bénédicte Sautenet, Marcello Tonelli, Jonathan C. Craig, Jonathan Craig, Angela Wang, David Wheeler, Roberto Pecoits-Filho, Wim van Biesen, Wolfgang Winkelmayer, Aditi Sinha, Albert Ong, Alexis Denny, Allison Dart, Allison Eddy, Amy Kelly, Andrea Viecelli, Andrew Davenport, Andrew Narva, Ankit Sharma, Anthony Warrens, Arlene Chapman, Armando Teixeira-Pinto, Ayano Kelly, Barbara Murphy, Benedicte Sautenet, Benita Padilla, Bernard Canaud, Brian Pullin, Brigitte Schiller, Bruce Robinson, Camilla Hanson, Carmel Hawley, Charlotte Logeman, Charmaine Lok, Christoph Wanner, Chuck Herzog, Claudia Rutherford, Curie Ahn, Daniel Sumpton, David Rosenbloom, David Harris, David Baron, David Johnson, David White, Debbie Gipson, Denis Fouque, Denise Eilers, Detlef Bockenhauer, Donal O'Donoghue, Dongping Chen, Dyke Dunning, Edwina Brown, Elena Bavlovlenkov, Elinor Mannon, Emilo Poggio, Emma O'Lone, Eric Chemla, Fabienne Dobbels, Faiez Zannad, Fergus Caskey, Francesca Tentori, Frank Hurst, Franz Schaefer, Germaine Wong, Gillian Brunier, Giovanni Strippoli, Gopala Rangan, Greg Knoll, Gregorio Obrador, Harold Feldman, Helen Coolican, Hui-Kim Yap, Jaap Groothoff, James Sloand, Jane Tan, Jayme Locke, Jeffrey Perl, Jeremy Chapman, Jie Dong, Jolanta Malyszko, Jonathan Fox, Juan Dapueto, Juliana Tze-Wah Kao, Kai Ming Chow, Karine Manera, Karolis Azukaitis, Kevan Polkinghorne, Kevin Fowler, Kim Linh Van, Klemens Budde, Krista Lentine, Krister Cromm, Lai-Seong Hooi, Laura James, Laura Dember, Li Zuo, Lionel Rostaing, Liz Lightstone, Lorna Marson, Lorraine Hamiwka, Mahesh Krishnan, Marinella Ruospo, Mark Unruh, Martin Wilkie, Martin Howell, Mary Amanda Dew, Meg Jardine, Melissa West, Michael Zappitelli, Michael Germain, Michelle Josephson, Mike Rocco, Myra Kleinpeter, Nichole Jefferson, Nick Webb, Nicole Evangelidis, Nieltje Gedney, Pam Duquette, Peter Kerr, Patrick Rossignol, Peter Reese, Peter J. Blankestijn, Prabir Roy-Chaudhury, Priti Patel, Quinetta Taylor, Rachel Perlman, Rainer Oberbauer, Rajnish Mehrotra, Raymond Vanholder, Richard Fluck, Richard McGee, Rob Quinn, Robert Lee, Ron Gansevoort, Ronald Perrone, Ronke Apata, Roslyn Mannon, Sajeda Youssouf, Sara Davison, Sarah Bernays, Sarala Naiker, Sharon Teo, Sheila Jowsey-Gregoire, Simon Carter, Stefano Stuard, Stephen Alexander, Stephen McDonald, Steve Chadban, Stuart Goldstein, Susan Furth, Susan Samuel, Tariq Shafi, Tazeen Jafar, Thomas Hiemstra, Tim Pruett, Timmy Lee, Tushar Vachharajani, Vanita Jassal, Vera Krane, Vicente Torres, Vivekanand Jha, Will Herrington, Yoonkyu Oh, York Pei, Zeeshan Butt, MethodS in Patients-centered outcomes and HEalth ResEarch (SPHERE), Université de Tours (UT)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Nantes - UFR des Sciences Pharmaceutiques et Biologiques, Université de Nantes (UN)-Université de Nantes (UN), Paediatric Nephrology, APH - Methodology, AGEM - Inborn errors of metabolism, APH - Quality of Care, ARD - Amsterdam Reproduction and Development, and Université de Tours-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Nantes - UFR des Sciences Pharmaceutiques et Biologiques
- Subjects
Research design ,HEMODIALYSIS ,Comparative Effectiveness Research ,Kidney Disease ,kidney disease ,[SDV]Life Sciences [q-bio] ,030232 urology & nephrology ,Disease ,patient-centered care ,outcomes ,law.invention ,0302 clinical medicine ,Randomized controlled trial ,law ,030212 general & internal medicine ,Renal Insufficiency ,Chronic ,implementation ,Randomized Controlled Trials as Topic ,SETS ,trials ,core outcome sets ,Urology & Nephrology ,3. Good health ,Treatment Outcome ,CONSENSUS WORKSHOP ,Nephrology ,Research Design ,General partnership ,HEALTH ,Life Sciences & Biomedicine ,CLINICAL-TRIALS ,PRIORITIES ,medicine.medical_specialty ,DOMAINS ,Consensus ,Endpoint Determination ,education ,Clinical Trials and Supportive Activities ,Clinical Sciences ,Renal and urogenital ,SONG Implementation Workshop Investigators ,PATIENT ,Article ,CONSISTENCY ,03 medical and health sciences ,Quality of life (healthcare) ,Stakeholder Participation ,Clinical Research ,medicine ,Humans ,Renal Insufficiency, Chronic ,Science & Technology ,TRANSPLANTATION ,business.industry ,1103 Clinical Sciences ,Usability ,Guideline ,medicine.disease ,Good Health and Well Being ,Family medicine ,Generic health relevance ,business ,Kidney disease - Abstract
There are an estimated 14,000 randomized trials published in chronic kidney disease. The most frequently reported outcomes are biochemical endpoints, rather than clinical and patient-reported outcomes including cardiovascular disease, mortality, and quality of life. While many trials have focused on optimizing kidney health, the heterogeneity and uncertain relevance of outcomes reported across trials may limit their policy and practice impact. The international Standardized Outcomes in Nephrology (SONG) Initiative was formed to identify core outcomes that are critically important to patients and health professionals, to be reported consistently across trials. We convened a SONG Implementation Workshop to discuss the implementation of core outcomes. Eighty-two patients/caregivers and health professionals participated in plenary and breakout discussions. In this report, we summarize the findings of the workshop in two main themes: socializing the concept of core outcomes, and demonstrating feasibility and usability. We outline implementation strategies and pathways to be established through partnership with stakeholders, which may bolster acceptance and reporting of core outcomes in trials, and encourage their use by end-users such as guideline producers and policymakers to help improve patient-important outcomes. ispartof: pages:1053-1068 ispartof: Kidney Int vol:94 issue:6 pages:1053-1068 ispartof: location:United States status: published
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- 2018
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28. Getting back in the DeLorean: modernization vs. anti-modernization in contemporary British politics
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Neema Begum, Emma Foster, Alexander Oaten, and Peter Kerr
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Focus (computing) ,05 social sciences ,Modernization theory ,050601 international relations ,0506 political science ,Populism ,Politics ,Scholarship ,L200 Politics ,Political economy ,Political science ,Political Science and International Relations ,050602 political science & public administration ,Mainstream - Abstract
This article highlights a growing clash between mainstream modernizing and populist anti-modernizing forces in the UK. Whilst scholarship on UK party politics has, for the past three decades, focussed on processes of party modernization, little attention has been paid to the countervailing processes of resistance towards modernization. This contrasts with comparative studies, which show that throughout much of Europe modernization processes have worked to produce populist backlashes from anti-modernizing forces seeking to reassert various types of traditional values and practices. Drawing on the comparative literature on modernization, our argument here is that a similar populist backlash against modernization is occurring across the political spectrum in the UK and has been a factor in: the rise of nationalism associated with UKIP and the SNP; the 2016 BREXIT vote and the efforts of both Labour leader Jeremy Corbyn and Conservative PM Theresa May to distance their parties from the legacies of their modernizing predecessors. Empirically, we show how this increasingly prevalent line of conflict is playing out in the UK, whilst theoretically we argue that a discourse theoretical approach can provide significant advantages over existing approaches for understanding the dynamic interplay between modernizing and anti-modernizing discourses.
- Published
- 2018
29. 17. Questioning the Government
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Peter Kerr, Ruxandra Serban, and Stephen Bates
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Government ,Political science ,Public administration - Abstract
This chapter examines how accountability is carried out in the UK Parliament through various questioning procedures which enable ministers and the government to explain and defend their decisions. Questioning the government provides an important means for Members of Parliament (MPs) and peers to hold the government, the prime minister, ministers, and departments to account. There are two main types of parliamentary questions: oral questions and written questions. Oral questions are both asked and answered on the Floor of the House of Commons or the House of Lords, whereas written questions are ‘often used to obtain detailed information about policies and statistics on the activities of government departments’. The chapter first explains these two types of parliamentary questions before discussing their purposes. It also considers debates over the issue of reforming parliamentary questions, and more specifcally Prime Minister's Questions (PMQs).
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- 2018
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30. Establishing a Core Outcome Measure for Fatigue in Patients on Hemodialysis: A Standardized Outcomes in Nephrology-Hemodialysis (SONG-HD) Consensus Workshop Report
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Angela Ju, Mark Unruh, Sara Davison, Juan Dapueto, Mary Amanda Dew, Richard Fluck, Michael Germain, Sarbjit V. Jassal, Gregorio Obrador, Donal O’Donoghue, Michelle A. Josephson, Jonathan C. Craig, Andrea Viecelli, Emma O’Lone, Camilla S. Hanson, Braden Manns, Benedicte Sautenet, Martin Howell, Bharathi Reddy, Caroline Wilkie, Claudia Rutherford, Allison Tong, Adeera Levin, Andrew Narva, Angela Wang, Angelique Ralph, Annette Montalbano Moffat, Barry Bell, Brenda Hemmelgarn, Brigitte Schiller, Carmel Hawley, Christen Perry, Christoph Wanner, Daniel Cukor, Daniel Perez, David Cella, David Harris, David Johnson, David Roer, David Van Wyck, David Wheeler, Deborah Deyhle, Derrick Gill, Dori Schatell, Elena Bavlovlenkov, Eric Weinhandl, Fergus Caskey, Francesca Tentori, Giorgos Sakkas, Harvey Saver, Harvey Wells, James Wadee, Jamilah Akbar, Jane Carter, Jennifer Flythe, Jenny Shen, John Kusek, John Gill, Joyce Beverly, Jule Pinter, Kirsten Johansen, Klemens Meyer, Leonard Lirtzman, Linda Wagner-Weiner, Luigi Costabile, Manisha Jhamb, Marcello Tonelli, Marinella Ruospo, Maurizio Bossola, Michael Thomas, Nadia Mendez, Neil Powe, Nieltje Gedney, Noah Rouse, Pamela Kaden, Peter Kerr, Peter Tugwell, Quinetta Taylor, Rachel Sand, Roberto Pecoits-Filho, Sally Crowe, Sarah Gill, Sheila Jowsey-Gregoire, Stephen Fadem, Stephen McDonald, Steven Weisbord, Suetonia Palmer, S. Susan Hedayati, Tess Harris, Thomas F. Hiemstra, Uthma Muhammed, Vanessa McNorton, Vanja Sikirica, Vivek Jha, William Herrington, Wim Van Biesen, Wolfgang Winkelmayer, Zeeshan Butt, MethodS in Patients-centered outcomes and HEalth ResEarch (SPHERE), Université de Tours (UT)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Nantes - UFR des Sciences Pharmaceutiques et Biologiques, Université de Nantes (UN)-Université de Nantes (UN), and Université de Tours-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Nantes - UFR des Sciences Pharmaceutiques et Biologiques
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Nephrology ,Research Report ,medicine.medical_specialty ,Consensus ,Outcome Assessment ,medicine.medical_treatment ,kidney disease ,[SDV]Life Sciences [q-bio] ,030232 urology & nephrology ,Outcome (game theory) ,core outcome ,End stage renal disease ,Education ,tiredness ,03 medical and health sciences ,0302 clinical medicine ,Quality of life (healthcare) ,Clinical trials ,nephrology research ,Renal Dialysis ,Internal medicine ,Surveys and Questionnaires ,Health care ,Outcome Assessment, Health Care ,Medicine ,Humans ,030212 general & internal medicine ,Fatigue ,hemodialysis ,outcome measure ,business.industry ,patient-reported outcome (PRO) ,Cognition ,dialysis symptoms ,3. Good health ,Clinical trial ,Health Care ,quality of life ,end-stage renal disease (ESRD) ,Family medicine ,outcome ,Hemodialysis ,life participation ,business ,patient-centered research - Abstract
International audience; Fatigue is one of the most highly prioritized outcomes for patients and clinicians, but remains infrequently and inconsistently reported across trials in hemodialysis. We convened an international Standardized Outcomes in Nephrology-Hemodialysis (SONG-HD) consensus workshop with stakeholders to discuss the development and implementation of a core outcome measure for fatigue. 15 patients/caregivers and 42 health professionals (clinicians, researchers, policy makers, and industry representatives) from 9 countries participated in breakout discussions. Transcripts were analyzed thematically. 4 themes for a core outcome measure emerged. Drawing attention to a distinct and all-encompassing symptom was explicitly recognizing fatigue as a multifaceted symptom unique to hemodialysis. Emphasizing the pervasive impact of fatigue on life participation justified the focus on how fatigue severely impaired the patient's ability to do usual activities. Ensuring relevance and accuracy in measuring fatigue would facilitate shared decision making about treatment. Minimizing burden of administration meant avoiding the cognitive burden, additional time, and resources required to use the measure. A core outcome measure that is simple, is short, and includes a focus on the severity of the impact of fatigue on life participation may facilitate consistent and meaningful measurement of fatigue in all trials to inform decision making and care of patients receiving hemodialysis.
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- 2018
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31. Whatever happened to Conservative Party modernisation?
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Peter Kerr and Richard Hayton
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History ,Sociology and Political Science ,media_common.quotation_subject ,Psephology ,Comparative politics ,Context (language use) ,Thatcherism ,Politics ,Political science ,Political economy ,Political Science and International Relations ,Financial crisis ,Ideology ,Political philosophy ,media_common - Abstract
By way of an introduction to this special issue, our aim here is to bring together and interpret some of the main themes and issues to come out of the selection of articles presented below in order to make sense of the overall fate of David Cameron’s attempted modernisation of the Conservative Party. On the basis of the evidence highlighted by each of the contributors to this issue, we make a number of arguments. First, that Cameron’s early attempts to steer the party into the centre ground of British politics can be judged to have been reasonably effective. Second, that in 2007–2008, in the context of the emergence of economic difficulties leading to the financial crisis, the party found itself at a crossroads, and it chose to exit that crossroads with a turn, across a number of policy areas, back towards a more traditional Thatcherite or neo-liberal agenda. Third, we argue that the financial crisis and the political instability it generated is not enough on its own to explain this turn to the right. Rather, these events should be seen as having acted as a catalyst for the exposure of three main fault lines in the party’s modernisation strategy: (i) its lack of ideological coherence; (ii) its potential for serious performance deficits because of a lack of consistency in the political leadership displayed by Cameron; and (iii) its vulnerability to party management problems.
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- 2015
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32. One Mallorcan Summer
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Peter Kerr and Peter Kerr
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Having battled and succumbed to the mañana pace of rural Mallorca, spring sees Peter Kerr and family relaxing into a supposedly simpler way of life, growing oranges on their little valley farm, Ca's Mayoral.However, even after the trials, tribulations and triumphs of their initiation, Spain has not yet finished with them. Embarrassing subtleties of the language, brushes with the local police, the unfortunate outcome of a drinking session… surprises aplenty await this venturesome émigré family.A colourful account of tranquilo life from the author of Snowball Oranges, here's all the charm of Mallorca: where you seldom do today what can be more judiciously put off till mañana!
- Published
- 2017
33. Snowball Oranges : One Mallorcan Winter
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Peter Kerr and Peter Kerr
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- Oranges--Spain--Majorca
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‘I could hardly believe my eyes. A cold mantle of white was rapidly transforming our sunny paradise into a bizarre winterscape of citrus Christmas trees, cotton wool palms and snowball oranges.'When the Kerr family leave Scotland to grow oranges in a secluded valley on the island of Mallorca they are surprised to be greeted by the same freezing weather they have left behind. Then they realise that their new orange farm is a bit of a lemon… Laughter, finds Peter Kerr, is the best medicine when faced with a local dish of rats and the live-chicken-down-a-chimney technique of household maintenance. But their Mallorcan neighbours help them adapt to their new life. ‘Snowball Oranges'is hilarious and revealing, full of life and colour, set against the breathtaking beauty of the Mediterranean.
- Published
- 2017
34. Rolling back to roll forward: depoliticisation and the extension of government
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Emma Foster, Peter Kerr, and Christopher Byrne
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Government ,Extension (metaphysics) ,Public Administration ,Sociology and Political Science ,Political science ,Management, Monitoring, Policy and Law ,Public administration - Abstract
Premised on the assumption that depoliticisation is a crucial aspect of neo-liberal governmentality, this paper attempts to synergise these two, previously disparate, concepts. Borrowing from Foucault’s theorisation of governmentality and drawing from inclusive definitions of politics/ the political, this paper argues for a reformulation of our understanding of depoliticisation and politicisation. The paper contends that depoliticisation is best understood as a technique of governing which works to legitimise neo-liberalism as the dominant political rationality. As such, we argue that depoliticisation acts as a tool for masking the ‘rolling forward’ of the state and the proliferation of new forms of neo-liberal governmentality.
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- 2014
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35. Low versus high dialysate calcium concentration in alternate night nocturnal hemodialysis: A randomized controlled trial
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Rosemary, Masterson, Susan, Blair, Kevan R, Polkinghorne, Kenneth K, Lau, Michael, Lian, Boyd J, Strauss, John G, Morgan, Peter, Kerr, and Nigel D, Toussaint
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Adult ,Male ,Time Factors ,Renal Dialysis ,Humans ,Calcium ,Female ,Middle Aged ,Pulse Wave Analysis ,Aged - Abstract
Higher calcium dialysate is recommended for quotidian nocturnal hemodialysis (NHD) (≥6 nights/week) to maintain bone health. It is unclear what the optimal calcium dialysate concentration should be for alternate night NHD. We aimed to determine the effect of low calcium (LC) versus high calcium (HC) dialysate on cardiovascular and bone parameters in this population.A randomized controlled trial where participants were randomized to LC (1.3 mmol/L, n = 24) or HC dialysate (1.6 or 1.75 mmol/L, n = 26). Primary outcome was change in mineral metabolism markers. Secondary outcomes included change in vascular calcification (VC) scores [CT abdominal aorta (AA) and superficial femoral arteries (SFA)), pulse wave velocity (PWV), bone mineral density (BMD) and left ventricular mass index (LVMI) over 12 months.In the LC group, pre-dialysis ionised calcium decreased -0.12 mmol/L (-0.18-0.06, P = 0.0001) and PTH increased 16 pmol/L (3.5-28.5, p = 0.01) from baseline to 12 months with no significant change in the HC group. In both groups, there was no progression of VC in AA or SFA and no change in PWV, LVMI or BMD. At 12 months, calcimimetics were prescribed in a higher percentage in the LC vs. HC groups (45.5% vs. 10.5%) with a lower proportion of the HC group being prescribed calcitriol (31.5% vs. 72%).Although dialysate calcium prescription influenced biochemical parameters it was not associated with difference in progression of VC between HC and LC groups. An important finding was the potential impact of alternate night NHD in attenuating progression of VC and inducing stabilisation of LVMI and PWV.
- Published
- 2016
36. Steam-Flood Production Optimization Using an Innovative Steam Quality Sensor
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Robert Peter Kerr, Brian D. Gleason, and Mason M. Medizade
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Flood myth ,business.industry ,Heat recovery steam generator ,Vapor quality ,Production optimization ,food and beverages ,Environmental science ,Feedwater heater ,Process engineering ,business ,complex mixtures ,humanities - Abstract
Many oilfields operators across California and the world use steam as an injection fluid to recover high viscosity heavy oils. The steam injection process is done intermittently in cyclic steam injection and continuously in steam drive or Steam Assisted Gravity Drainage, SAGD, applications. The latent heat of vaporization of steam plays an important role in transferring heat to the oil, water, and reservoir rock and as a result reducing the oil viscosity making the oil trapped by viscosity, capillary and permeability effects, mobile. In cyclic steam injection, since the injection and production takes place in the same well, determining the optimum soak time at which flow back needs to be initiated is very critical, specifically in low permeability reservoirs such as California's diatomite having small well spacing and needing hundreds of short steam cycles. In this case, the overall success depends on ultimate oil recovery at the end of each flow back cycle. Additionally, knowing steam quality on the injection and on the production sides contributes to better heat management and better production practices, improving economics of the steam injection process. In this study, development and laboratory testing of a novel steam quality sensor, a tuning fork densitometer, are presented. This non-nuclear density sensor technology is adaptable to high temperature operation and has high sensitivity, making it ideally suited to measuring the small changes in density that occur due to varying steam quality. The application of this technology for cyclic steam injection, steam drive, and geothermal steam production are discussed. The sensor can be packaged for use down hole and at surface for continuous measurements of steam quality on injection as well as production applications.
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- 2016
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37. Stroke rehabilitation and discharge planning
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Peter Kerr
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Rehabilitation ,Nursing ,business.industry ,Discharge planning ,medicine.medical_treatment ,medicine ,General Medicine ,business ,medicine.disease ,Stroke - Published
- 2012
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38. The Personal is Not Political: At Least in the UK's Top Politics and IR Departments
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Linda Åhäll, Emma Foster, Peter Kerr, Christopher Byrne, and Anthony Hopkins
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International relations ,Politics ,business.industry ,Political Science and International Relations ,Human sexuality ,Sociology ,Management, Monitoring, Policy and Law ,Mainstreaming ,Social science ,Public relations ,business ,Curriculum - Abstract
Through mapping the provision of teaching gender and sexuality studies on politics/political science and international relations (IR) programmes, this article asserts that the top-ranked politics and IR departments in the UK offer very little provision of such teaching. We argue that this lack of gender and, more so, sexuality teaching is highly problematic for the discipline. Moreover, we suggest that the lack of such provision is not reflective of staff research interests, potentially not reflective of the market (i.e. students), works against the trend of mainstreaming gender, and is problematic in the wider sense in that gender and sexuality are rendered invisible or as trivial matters. Overall, then, this article contends that curricula in politics and IR departments work to perpetuate the idea that the ‘personal is not political’, thereby defining the parameters of the discipline in both a narrow and inaccurate way.
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- 2012
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39. Reply to L. Casadaban et al
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Xing Ye, Patrick G. Johnston, Eamonn J. O'Brien, Federico Innocenti, Alan P. Venook, Wendy L. Frankel, Thomas A. Colacchio, Monica M. Bertagnolli, Paula N. Friedman, D. Paul Harkin, Robert J. Mayer, Peter Kerr, Richard L. Schilsky, Richard D. Kennedy, Jude M. Mulligan, Timothy Davison, Robert S. Warren, Donna Niedzwiecki, and Richard M. Goldberg
- Subjects
Cancer Research ,business.industry ,Extramural ,MEDLINE ,Bioinformatics ,Transcriptome ,03 medical and health sciences ,0302 clinical medicine ,Text mining ,Neoplasm Recurrence ,Oncology ,030220 oncology & carcinogenesis ,Colonic Neoplasms ,Humans ,Medicine ,Neoplasm Recurrence, Local ,business ,030215 immunology - Published
- 2017
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40. Development and Independent Validation of a Prognostic Assay for Stage II Colon Cancer Using Formalin-Fixed Paraffin-Embedded Tissue
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Vitali Proutski, Karl Mulligan, John L. Marshall, Eamonn J. O'Brien, Max Bylesjö, Eduardo J. Leon, Oliver F. Bathe, Chandrakumar Shanmugam, William I. Smith, Sridhar Ramaswamy, Patrick G. Johnston, Peter Hey, Richard D. Kennedy, Jude M. Mulligan, Peter Kerr, Gavin R. Oliver, D. Paul Harkin, Rajiv Dhir, Hugh Mulcahy, V. M. Farztdinov, Steven Walker, Ultan McDermott, Claire Wilson, Julie Mussen, Andreas Winter, John Hyland, Nicolas Goffard, Richard H. Wilson, Upender Manne, Jacintha O'Sullivan, Julie Black, Daniel B. Longley, Robert Cummins, Timothy Davison, Diarmuid O'Donoghue, Daniel J. Sargent, F. A. McDyer, Ola Winqvist, Elaine W. Kay, Miika Ahdesmaki, Robert J Holt, and Kieran Sheahan
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Oncology ,Cancer Research ,medicine.medical_specialty ,Pathology ,Microarray ,Formalin fixed paraffin embedded ,business.industry ,Hazard ratio ,Retrospective cohort study ,Disease ,Gene expression profiling ,Text mining ,Internal medicine ,medicine ,business ,Stage ii colon cancer - Abstract
Purpose Current prognostic factors are poor at identifying patients at risk of disease recurrence after surgery for stage II colon cancer. Here we describe a DNA microarray–based prognostic assay using clinically relevant formalin-fixed paraffin-embedded (FFPE) samples. Patients and Methods A gene signature was developed from a balanced set of 73 patients with recurrent disease (high risk) and 142 patients with no recurrence (low risk) within 5 years of surgery. Results The 634–probe set signature identified high-risk patients with a hazard ratio (HR) of 2.62 (P < .001) during cross validation of the training set. In an independent validation set of 144 samples, the signature identified high-risk patients with an HR of 2.53 (P < .001) for recurrence and an HR of 2.21 (P = .0084) for cancer-related death. Additionally, the signature was shown to perform independently from known prognostic factors (P < .001). Conclusion This gene signature represents a novel prognostic biomarker for patients with stage II colon cancer that can be applied to FFPE tumor samples.
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- 2011
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41. Theorising Cameronism
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Peter Kerr, Christopher Byrne, and Emma Foster
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Sociology and Political Science ,Political Science and International Relations - Abstract
This article represents an early and, largely speculative, attempt to make sense of Cameronism as a distinctive political project. Herein, we present three separate, but potentially overlapping, narratives that could be employed to locate the significance of Cameronism within broader trends in British and global party politics. In this respect, we view Cameronism as: a continuation of Thatcherism; a development in the unfolding of forms of neo-liberal governmentality, linked to the process of depoliticisation; and as a movement towards the cartelisation of political parties. We conclude the article by arguing that these three potential interpretations of Cameronism are compatible with one another and, taken in combination, can provide a starting point towards a more holistic understanding of the type of politics characteristic of David Cameron's leadership of the Conservative party.
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- 2011
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42. One Year On: The Decline and Fall of Gordon Brown
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Peter Kerr and Steven Kettell
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History ,Politics ,Government ,Sociology and Political Science ,Political economy ,Political science ,Political Science and International Relations ,Psephology ,Comparative politics ,Institutional analysis ,Unpopularity ,Political philosophy ,Modernization theory - Abstract
The first 12 months of Gordon Brown's tenure as prime minister have witnessed an unprecedented collapse in his political fortunes. Examining the reasons for this decline, this paper sets out to achieve three reasonably modest ambitions. Firstly, the principal aim is to provide a detailed summary of Brown's record throughout his first year at the helm. Secondly, utilising evidence drawn from poll data and media commentaries during the period June 2007–June 2008, it argues that Brown's problems cannot be explained by the type of factors that normally help elucidate government unpopularity, such as economic instability, party disunity, voter weariness, or indeed, significant policy failure. Thirdly, the paper sets out to suggest, in a manner which is candidly reflective rather than theoretically rigorous, that Brown's unpopularity owes more to his failure to measure up on two key aspects of contemporary political leadership in Britain; namely, what we term here as the twin values of ‘Westminsterism’ and ‘modernality’. Whereas the former, stemming from the historically constructed confines of the Westminster Model, demands strong, decisive, and resolute decision making; the latter, which has its roots in the more recent discourse of party modernisation, demands the need for a media-savvy, ‘celebrity’ persona and a ceaseless drive for modernisation.
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- 2008
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43. Cameron Chameleon and the Current State of Britain's ‘Consensus’
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Peter Kerr
- Subjects
Politics ,Sociology and Political Science ,Law ,Political economy ,media_common.quotation_subject ,Opposition (politics) ,Consensus theory ,Sociology ,Ideology ,Speculation ,media_common - Abstract
David Cameron's election as leader of the Conservative Party has already made a significant impact upon the electoral dynamics between the three major parties in Britain. Whilst the new leader has made serious attempts to redefine his party's policy and ideological stance on a number of issues, Cameron has also been hailed, particularly by key sections of the media, as a serious contender for No. 10. As such, Cameron's leadership of the Conservatives is likely to provoke a significant degree of academic speculation about his impact, both on the Conservative Party and the wider contemporary political context in Britain. In light of this, the purpose of this article is to attempt to address both of these questions. The article begins with a brief examination of Cameron's first few months as leader of the opposition and the impact this has had upon both Conservative Party policy and ideology. This is followed by a discussion of the likely impact Cameron's leadership may have upon the relationship between the two main parties through a critique of theories of ‘consensus’. The article attempts to anticipate a likely desire amongst academics to place Cameron's transformation of the Conservatives in the context of an ongoing party consensus between Labour and the Conservatives. Whilst this part of the article is, to some extent, speculative, I will argue that there are a number of precedents to suggest that the application of a consensus theory to explain the current relationship between Labour and the Conservatives is likely to be tempting to several authors. Overall, I attempt to argue that such a view only serves to hamper, rather than help our understanding of the contemporary political scene.
- Published
- 2007
- Full Text
- View/download PDF
44. Genetic Diversity of Bactrocera dorsalis (Diptera: Tephritidae) on the Hawaiian Islands: Implications for an Introduction Pathway Into California
- Author
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Norman B, Barr, Lisa A, Ledezma, Luc, Leblanc, Michael, San Jose, Daniel, Rubinoff, Scott M, Geib, Brian, Fujita, David W, Bartels, Daniel, Garza, Peter, Kerr, Martin, Hauser, and Stephen, Gaimari
- Subjects
Electron Transport Complex IV ,Haplotypes ,Tephritidae ,Animals ,Genetic Variation ,Insect Proteins ,Sequence Analysis, DNA ,Introduced Species ,Animal Distribution ,Insect Control ,California ,Hawaii - Abstract
Population genetic diversity of the oriental fruit fly, Bactrocera dorsalis (Hendel), on the Hawaiian islands of Oahu, Maui, Kauai, and Hawaii (the Big Island) was estimated using DNA sequences of the mitochondrial cytochrome c oxidase subunit I gene. In total, 932 flies representing 36 sampled sites across the four islands were sequenced for a 1,500-bp fragment of the gene named the C1500 marker. Genetic variation was low on the Hawaiian Islands with96% of flies having just two haplotypes: C1500-Haplotype 1 (63.2%) or C1500-Haplotype 2 (33.3%). The other 33 flies (3.5%) had haplotypes similar to the two dominant haplotypes. No population structure was detected among the islands or within islands. The two haplotypes were present at similar frequencies at each sample site, suggesting that flies on the various islands can be considered one population. Comparison of the Hawaiian data set to DNA sequences of 165 flies from outbreaks in California between 2006 and 2012 indicates that a single-source introduction pathway of Hawaiian origin cannot explain many of the flies in California. Hawaii, however, could not be excluded as a maternal source for 69 flies. There was no clear geographic association for Hawaiian or non-Hawaiian haplotypes in the Bay Area or Los Angeles Basin over time. This suggests that California experienced multiple, independent introductions from different sources.
- Published
- 2015
45. Coiled Tubing Inverted Gas-lift System Installation on the Norwegian Continental Shelf
- Author
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Scott Peter Kerr, Rufat Babayev, Britt Sliper, Kjell Ivar Grindheim, and Bjorn Sirevaag
- Subjects
Norwegian continental shelf ,Coiled tubing ,Engineering ,Petroleum engineering ,business.industry ,Gas lift ,business ,Marine engineering - Abstract
The Statfjord field was the first, and one of the largest, fields developed so far with Statoil as operator. The field was discovered by Mobil in 1974 and Statoil took over operatorship in 1987. The field was developed with Statfjord A, B and C production platforms, which all have concrete gravity base structures incorporating storage cells. Statfjord A began production in 1979. The field will remain in production until 2025 and possibilities to further expand the lifetime are being looked into. One of the techniques that are being applied to rejuvenate some of the older wells is retrofit gas lift solutions. In this paper detailed information on an Inverted Gas Lift System (IGLS) applied to a well on the Statfjord A platform will be presented. The IGLS solution included a solution to retain downhole safety valve functionality in the well and required qualification of a new type of coiled tubing material. The following aspects of the project will be discussed in detail in this paper: Background and objectives.Method selection, planning and equipment qualificationOffshore operations for installation of the systemFollow up and results
- Published
- 2015
- Full Text
- View/download PDF
46. Viral Hemorrhagic Fevers of Animals Caused by Positive-Stranded RNA Viruses
- Author
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Hana Van Campen, Guillermo Risatti, Manuel Borca, Peter Kerr, Tanja Strive, Peter B. Jahrling, Jens H. Kuhn, Charles E. Lewis, Christina M. Loiacono, and David White
- Published
- 2015
- Full Text
- View/download PDF
47. In Our Own Defence: A Reply to Johnston
- Author
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Peter Kerr and Steven Kettell
- Subjects
History ,Sociology and Political Science ,Psephology ,Comparative politics ,Policy analysis ,Global politics ,Politics ,Political science ,Law ,Political Science and International Relations ,Institutional analysis ,Political philosophy ,Law and economics ,Social policy - Abstract
Johnston argues that our original article on the field of British politics contained a major lacuna, namely, the omission of electoral studies. We argue that this critique is overly narrow and ignores the broader and more substantive issues that we sought to raise. In response, we re-emphasise the main arguments contained in our article concerning what we regard to be the key problems that currently affect the study of British politics.
- Published
- 2006
- Full Text
- View/download PDF
48. In Defence of British Politics: The Past, Present and Future of the Discipline
- Author
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Steven Kettell and Peter Kerr
- Subjects
History ,Politics ,Sociology and Political Science ,Political economy ,Political science ,Political Science and International Relations ,Psephology ,Institutional analysis ,Comparative politics ,Political philosophy ,Policy analysis ,Discipline ,Social policy - Abstract
In recent years the study of British politics has come under increasing pressure from a variety of developments within academia, most notably a growing trend towards analyses which take the international arena as the main focus of inquiry. This article argues that such changes have had a detrimental effect upon the status and cohesion of the study of British politics as a self-contained discipline, but that the recent decline of academic interest in ‘British politics’ has also been accelerated by the failure of British politics’ scholars themselves to overcome the historical problems associated with the Westminster model. As such, this article traces the evolution of British politics as a field of study, and highlights some of the main challenges that it presently faces. Primarily, these are based around a lack of disciplinary coherence, an insufficient integration between theoretical and empirical, as well as historical and contemporary analyses, and an inadequate conceptualisation of continuity and change.
- Published
- 2006
- Full Text
- View/download PDF
49. Letters to the Editor: Iron sucrose
- Author
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Peter Kerr
- Subjects
Chemistry ,medicine ,Pharmacology (medical) ,Food science ,Iron sucrose ,medicine.drug - Published
- 2005
- Full Text
- View/download PDF
50. Human Rights in a Big Yellow Taxi
- Author
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Peter Kerr and Peter Kerr
- Subjects
- Human rights--United States, Human rights--Great Britain, Freedom of speech--United States, Freedom of speech--Great Britain
- Abstract
A twelve-year-old schoolchild was arrested at his school and questioned by an antiterrorist police squad, because he was organising a picket of the offices of his member of parliament, who happened to be the current prime minister of Great Britain. He was protesting against the closure of a youth club. Starting with this absurd example of overzealous antiterrorist legislation, Kerr, who has a nose for both the absurd and the shocking, develops his concerning arguments about the gradual erosion of our human rights, particularly in Great Britain and the United States. He backs up his arguments with plenty of examples, including legislation introduced under the American presidents since Reagan, including Barack Obama. He also examines the various philosophical movements that have either enhanced or undermined human rights, and he never loses sight of the social and political forces in play. This is essential reading for anyone interested in these disturbing developments in the fundamental law of our countries.
- Published
- 2013
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