Rowley Regis Hospital

Abstract The origin of the thermal springs of Bath (England) remains unknown. As part of a programme of research into the structure of the thermal aquifer, the Carboniferous Limestone, an urban reflection seismic survey has been carried out to explore the deep geology of the Bath area. Existing gravity data have been used to provisionally identify the seismic reflectors and to map the depth of the (interpreted) Carboniferous Limestone in the area around the springs. The new seismic data show that at a distance of 2.1 km south-west of the springs, the depth of the (interpreted) Carboniferous Limestone surface increases from 0.4 km below Ordnance Datum (OD) to 1.35 km below OD within a distance of 1.8 km, an average apparent dip of nearly 30 degrees. In all other directions from the springs, the Carboniferous Limestone surface is at a depth of 300 m or less below OD. The work described in this paper is part of a continuing research programme.

BACKGROUND: Diagnosing heart failure and left ventricular systolic dysfunction is difficult on clinical grounds alone. We sought to determine the accuracy of a heart failure register in a single primary care practice, and to examine the usefulness of b-type (or brain) natriuretic peptide (BNP) assay for this purpose. METHODS: A register validation audit in a single general practice in the UK was carried out. Of 217 patients on the heart failure register, 56 of 61 patients who had not been previously investigated underwent 12-lead electrocardiography and echocardiography within the practice site. Plasma was obtained for BNP assay from 45 subjects, and its performance in identifying echocardiographic abnormalities consistent with heart failure was assessed by analysing area under receiver operator characteristic (ROC) curves. RESULTS: 30/217 were found to have no evidence to suggest heart failure on notes review and were probably incorrectly coded. 70/112 who were previously investigated were confirmed to have heart failure. Of those not previously investigated, 24/56 (42.9%) who attended for the study had echocardiographic left ventricular systolic dysfunction. A further 8 (14.3%) had normal systolic function, but had left ventricular hypertrophy or significant valve disease. Overall, echocardiographic features consistent with heart failure were found in only 102/203 (50.2%). BNP was poor at discriminating those with and without systolic dysfunction (area under ROC curve 0.612), and those with and without any significant echocardiographic abnormality (area under ROC curve 0.723). CONCLUSION: In this practice, half of the registered patients did not have significant cardiac dysfunction. On-site echocardiography identifies patients who can be removed from the heart failure register. The use of BNP assay to determine which patients require echocardiography is not supported by these data.

During the early 1920s the Communist Party of Canada (CPC) established a significant presence in industrial Cape Breton, based on support from the militant minority of the district's unusually combative coal mining union, UMWA District 26, and its charismatic Secretary-Treasurer James Bryson McLachlan. The latter's early recruitment was centrally important in forging what would become enduring political links with rank-and-file militants; it was largely thanks to McLachlan that, through all the ebb and flow of social context and human agency, the party survived the vicissitudes of deteriorating structural conditions and its own tactical blunders (most notably during the third period), to emerge in the mid-1930s with genuinely optimistic prospects. The Scot did not always lead his forces well: like many revolutionary contemporaries his bolshevik temperament was ill-suited to defensive struggle. He nevertheless perceived, and to a limited extent acted upon, the need to construct a defensive communist counter-culture within the struggle for workers' power in the community and the workplace. The embodiment of bolshevik intransigence, McLachlan offered a fixed rallying-point for class fighters, especially those who shared his internationalist perspective. Having drawn a new layer of younger militants towards him in 1934-35 — and having seen off the CCF in the process - McLachlan could claim to have placed the CPC in its strongest position for a decade. Resume Au debut des annees 1920, le Parti communiste du Canada (PCC) s'implante de facon significative dans les centres industriels du Cap Breton grâce a l'appui d'une minorite militante au sein du syndicat regional des mineurs de charbon, l'UMWA District 26, et de James Bryson McLachlan, son charismatique secretaire-tresorier. L'enrolement rapide de McLachlan dans le PCC se revela capital a la formation de liens politiques durables avec les militants de la base; c'est surtout grâce a McLachlan que le parti survecut aux vicissitudes de la deterioration des conditions structurelles regionales et de ses propres erreurs de strategie (particulierement au cours de la troisieme periode), pour pouvoir enfin envisager l'avenir du parti avec un optimisme veritable au milieu des annees 1930. Tout comme plusieurs revolutionnaires contemporains dont le temperament bolcheviste supportait mal une strategie defensive, le leader ecossais n'a pas toujours su bien mener ses forces. Il a neanmoins reconnu le besoin et parfois meme contribue a l'essor d'une contre-culture communiste defensive dans la lutte pour le pouvoir ouvrier au sein de la communaute et du milieu de travail. Ayant attire dans son orbite une nouvelle generation de militants, tout en abandonnant le part: CCF, McLachlan pouvait se feliciter d'avoir place le PCC, en 1934-35, dans sa plus forte position politique depuis une decennie.

ABSTRACT The Asian tiger mosquito, Aedes albopictus , is currently the most widespread invasive mosquito species in the world. It poses a significant threat to human health, as it is a vector for several arboviruses. We used a SNP chip to genotype 748 Ae. albopictus mosquitoes from 41 localities across Europe, 28 localities in the native range in Asia, and 4 in the Americas. Using multiple algorithms, we examined population genetic structure and differentiation within Europe and across our global dataset to gain insight into the origin of the invasive European populations. We also compared results from our SNP data to those obtained using genotypes from 11 microsatellite loci ( N = 637 mosquitoes from 25 European localities) to explore how sampling effort and the type of genetic marker used may influence conclusions about Ae. albopictus population structure. While some analyses detected more than 20 clusters worldwide, we found mosquitoes could be grouped into 7 distinct genetic clusters, with most European populations originating in East Asia (Japan or China). Interestingly, some populations in Eastern Europe did not share genetic ancestry with any populations from the native range or Americas, indicating that these populations originated from areas not sampled in this study. The SNP and microsatellite datasets found similar patterns of genetic differentiation in Europe, but the microsatellite dataset could not detect the more subtle genetic structure revealed using SNPs. Overall, data from the SNP chip offered a higher resolution for detecting the genetic structure and the potential origins of invasions.

A nurse-led general practice adapted its services to reflect patient feedback and avoid unnecessary referrals to acute care. Changes included planned extended services delivered collaboratively with other practices. The work by Rowley Healthcare to redesign services comes at a time when the NHS is keen to promote and spread innovation in service delivery. In April, health minister Lord Darzi said that strategic health authorities would receive funding to support innovative local projects. An Innovation EXPO where NHS staff can learn about innovations is being held this month in London on 18 and 19 June (NHS Institute for Innovation and Improvement, 2009).

The resignation of J.B. McLachlan from the Communist Party of Canada in 1936 is one of the more controversial episodes in the biography of a well-known Canadian labour radical. He was one of the few party leaders to enjoy wide recognition and popular support. His resignation was a difficult personal decision as well as a significant episode in the history of the party. In previous accounts his resignation has been presented alternately as a repudiation of labour radicalism generally and the Communist Party in particular, as a protest against the adoption of the united front in 1935, or as a form of local and personal political exceptionalism. McLachlan himself made no formal public announcement of his resignation and, except for an impromptu speech at a public meeting in September 1936, he remained largely silent. In response to a letter from party general secretary Tim Buck he prepared a personal explanation of his withdrawal from the party in June 1936. This document, which is reproduced at the end of this article, remains the most important single piece of evidence concerning his resignation. An analysis of the circumstances leading to McLachlan's resignation shows that he did not regard his resignation as a repudiation of basic principles. He had supported the move towards the united front both internationally and domestically but disagreed with the implementation of the policy by the party leadership, especially as demonstrated in the case of the Amalgamated Mine Workers of Nova Scotia. McLachlan's view of the united front, which he considered to be consistent with the position of the Communist International, stressed the principles of internal democracy and local autonomy in the construction of the united front. In McLachlan's view there were already enough indications to show that leaders such as John L. Lewis had not been fundamentally transformed and that in the long run the decision to endorse an alliance of convenience with the established labour bureaucracy was an ambiguous legacy for the class struggle. In 1936 McLachlan was overtaken by events, but given his own history he was in a position to perceive the difficulties ahead more clearly than most of his contemporaries. Resume La demission de J.B. McLachlan du Parti communiste du Canada, en 1936, constitue l'une des episodes les plus controverses de la biographie d'un militant radical celebre au Canada. Il etait pourtant l'une des rares dirigeants du parti a beneficier de l'attention du public et de la faveur populaire. Sa demission fut un choix personnel difficile de meme qu'un developpement important dans l'evolution du parti. Elle a ete interpretee dans les travaux precedents soit comme la repudiation du radicalisme ouvrier en general et du Parti communiste en particulier, comme un geste de protestation contre l'adoption du front commun en 1935, ou comme une forme de derogation (d''exceptionnalisme') politique locale et personnelle. Pour sa part, McLachlan ne livra aucun discours formel sur sa demission et, sauf pour son allocution improvisee lors d'une seance publique tenue en septembre 1936, il garda largement le silence sur ce sujet. En reponse a une lettre de Tim Buck, le secretaire-general du parti, il redigea un document expliquant son retrait du parti en juin 1936. Ce document, reproduit en fin d'article, represente la principale source d'information concernant sa demission. L'analyse des circonstances entourant le demission de McLachlan revele qu'il ne la voyait aucunement comme une repudiation de principes fondamentaux. Il avait appuye la strategie du front commun, tant sur le plan domestique qu'international, mais ne partageait pas l'opinion du leadership du parti sur la facon d'executer cette strategie, surtout lorsqu'elle fut appliquee a l'Amalgamated Mine Workers de la Nouvelle-Ecosse. Considerant sa vision du front commun conforme a la position de l'Internationale communiste, McLachlan insista sur les principes de democratie interne et d'autonomie locale dans la creation du front commun. Selon lui, nombre d'indices permettaient deja de croire que plusieurs dirigeants ouvriers, dont John L. Lewis, n'avaient pas vraiment ete transformes par les evenements et que la decision d'endosser un tel mariage de convenance avec la bureaucracie syndicale prouverait, a long terme, une tradition ambigue pour la lutte de classe. McLachlan fut depasse par les evenements en 1936, mais fort de sa propre experience il pouvait entrevoir les problemes a l'horizon avec plus de lucidite que la plupart de ses contemporains.

Calverley: Charade IV Get access A. F. Dauglish A. F. Dauglish 1The Vicarage, Rowley Regis, Birmingham Search for other works by this author on: Oxford Academic Google Scholar Notes and Queries, Volume s12-II, Issue 33, 12 August 1916, Page 128, https://doi.org/10.1093/nq/s12-II.33.128 Published: 12 August 1916

A psychology clinical health service located across two sites in the West Midlands uses a self-administered postal satisfaction survey to capture service users’ views post discharge. This article analyses the low response rates and provides recommendations for increasing feedback.

This article discusses how grief influenced my ‘self’, and how the similar feelings of a trainee helped me to think about my own difficulties in working in a multidisciplinary Community Mental Health Team with people with traumatic histories and long-term emotional difficulties.

Journal Article BOOK REVIEWS Get access Beauty and Revelation in the Thought of Saint Augustine. By CAROL HARRISON. CLARENDON Press, Oxford, 1992. pp. 393. £35.00. JOHN PYMM JOHN PYMM Rowley Regis College Search for other works by this author on: Oxford Academic Google Scholar The British Journal of Aesthetics, Volume 33, Issue 4, October 1993, Pages 393–394, https://doi.org/10.1093/bjaesthetics/33.4.393 Published: 01 October 1993

Abstract Focal points

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