British National Research Articles

‘What about Us?’ The Rise and Rise of English Nationalism?

Much has been made of the rise of English nationalism, reflected in the strong association of ‘being English’ and voting Leave in the Brexit referendum in 2016. This article examines recent books on Englishness, arguing that this is a complex and nuanced matter embedded in accreted myths. If there is a thoroughgoing ‘nationalism’ emerging in England, it requires not only significant and long-lasting shifts in national identity, but a conception of ‘England’ as an imagined community which is robust and relevant to modern social and cultural life. Furthermore, it requires a nationalism which is part of wider and ongoing political project, rather than a short-term political expedient such as Conservative mobilisation post-Brexit. The article argues that an older debate in the 1960s and 1970s, between Tom Nairn and E.P. Thompson sheds significant light on the origins and nature of Englishness, such that it has progressive rather than reactionary potential.

A Corpus-Based Study of Interpersonal Metaphors of Modulation in Academic English

This article presents a study on the synchronic distributions of interpersonal metaphors of modulation based on the British National Corpus (BNC). The synchronic research reveals that interpersonal metaphors of modulation are mode-sensitive to written texts. Regarding genre distribution, metaphorical obligations driven by the explicit orientation dominate fiction texts. In contrast, the objective orientation drives obligations to be more prevalent in academic texts or more technical genres. The objective orientation of metaphorical inclinations is notably prevalent in newspapers and magazines other than academic texts. Besides, the findings highlight that the inherent personal and subjective characteristics of interpersonal modulations remain unchanged in their metaphorical forms, demonstrating less objectivity compared to ideational metaphors in highly technical disciplines.

Comparative Assessment of Reimbursement Recommendations by NICE and HAS for Oncology New Medicines Indicated for the Treatment of Solid Tumors from 2015 to 2021.

This study aimed to compare reimbursement recommendations by the British National Institute for Health and Care Excellence (NICE) and the French National Authority for Health (Haute Autorité de Santé; HAS) for oncology new medicines indicated for the treatment of solid tumors. Public assessment reports published on NICE and HAS Web sites between January 1, 2015, and December 31, 2021, describing appraisals for public reimbursement for oncology new medicines indicated for the treatment of solid tumors were searched and systematically reviewed. Biosimilars and generic drugs were excluded from the analysis. Overall, 119 public assessment reports published by NICE and 134 by HAS were identified, with 101 interventions assessed by both agencies. Of 101, 38 (38%) interventions received similar recommendations, 38 (38%) were recommended for different populations, and 25 (25%) were endorsed by one agency but rejected by the other. The main reason NICE would not recommend a drug was due to lack of cost-effectiveness, whereas HAS would primarily reject a drug on the grounds of insufficient clinical evidence. The major divergence between agencies is the key criterion used for reimbursement recommendations. NICE mainly considers cost-effectiveness, whereas HAS primarily focuses on the clinical value of interventions. This contributes to the variability in reimbursement recommendations and leads to differential access to oncology new medicines indicated for the treatment of solid tumors among patients in France, and England and Wales. Both the National Institute for Health and Care Excellence (NICE) and the National Authority for Health (Haute Autorité de Santé; HAS) have established formal health technology assessment (HTA) processes and offer universal public health care coverage. However, both agencies diverge in the weight given to different elements of evidence during HTA evaluations. NICE uses cost-effectiveness as key criterion for recommendations on drug reimbursement, while HAS mostly limits its assessment to clinical value.For oncology new medicines indicated for treating solid tumors between 2015 and 2021, recommendations differed 62% of the time between NICE and HAS, primarily due to the distinct key decision-making criteria each HTA agency uses.For 4 interventions not endorsed by NICE, HAS saw these drugs as providing a substantial enhancement in clinical value over existing treatments, potentially providing an edge in price negotiations. Conversely, NICE deemed these drugs as not delivering adequate value for money in comparison with current therapies.A key difference between the 2 agencies is HAS's insistence on methodological rigor in efficacy results, compared with NICE's more flexible approach, considering descriptive efficacy results in cost-effectiveness modeling.

Adolescent development and the math gender gap

This paper investigates the determinants of the gap between girls and boys in mathematics performance (the ‘math gap’). We are particularly interested in the role played by pubertal development in explaining the widening of the math gap over adolescence. We estimate rich production function models of math skills, using data from the 1958 British National Child Development Study (NCDS), a longitudinal survey of all British children born in a single week in March 1958 which contains unique information on pubertal development and educational outcomes. Using (cumulative) value-added models, we show that the impact of puberty varies by the age and gender of the child, and that this heterogeneity can explain about two thirds of the math gap that emerges between the ages of 11 and 16. We find also that the widening of the math gap during adolescence is driven by markers of pubertal development which are publicly evident, rather than by markers which are only privately evident; and that the relationship between puberty and math scores is strongly associated with children's self-perceived ability in math. Taken together, these results suggest that the mechanisms underlying the relationship between pubertal development and the math gender gap are socially rather than biologically driven.

The Rise and Rise of English Nationalism?

AbstractThis article reviews myths about English identity, using ‘myth’ in a social scientific way, a truth held to be self‐evident; not something which is patently untrue. It argues that there must be three defining dimensions of English ‘nationalism’ if it is to be treated as such: first, whether there has been a significant increase in the proportion of people claiming ‘English’ as their national identity; second, how ‘England’ is treated as an ‘imagined community’; and third, the degree to which the Conservative Party is the political vehicle for English nationalism. These dimensions are labelled the social, the cultural and the political. Only if there is sustained evidence for all three aspects might we consider English nationalism to be a significant phenomenon.

Spatially consistent physical characteristics of UK rivers: 1‐km data

AbstractThe physical river characteristics datasets described here provide spatially consistent information to support hydrological and inundation modelling at a 1 km × 1 km resolution across the United Kingdom, on the British National Grid. The datasets of physical river characteristics provide gridded datasets (outflow drainage directions, catchment areas, widths of bankfull rivers and depths of bankfull rivers) and a comma‐separated table of NRFA (National River Flow Archive) gauging station locations. These datasets are derived from a range of sources: outflow drainage directions, catchment area and bankfull river widths are derived from existing higher resolution datasets, whereas bankfull river depths were harder to source and instead are derived from sparse historical measurements. The new gridded datasets provide a derived value for each UK land cell on the British National Grid (BNG). The comma‐separated NRFA gauging station locations table provides the most appropriate locations of 1,499 river flow gauging stations on the 1 km resolution grids, together with the approximate error in the 1 km × 1 km gridded delineation of the upstream catchment area. This article explains how UK‐wide 1‐km grids of these variables were estimated, their format and how to use them. The data are available from the Environmental Information Data Centre (EIDC).

The Syntactic Pasts of Nouns Shape Their Prosodic Future: Lexico-Syntactic Effects on Position and Duration.

Phrasal prosody is often viewed as a level of linguistic representation at which the phonetic profile of an utterance varies independently of the lexical items it contains. For example, the same word, when produced at the edges of prosodic phrases, will take longer to produce than when it is produced within the edges of a phrase. Lengthening effects have also been found for words when placed in different syntactic or lexical contexts. Recent evidence suggests that lexico-syntactic information-for example, the global syntactic distributions of words-affects phonetic duration in production, irrespective of other factors. The present study asks whether these lexico-syntactic effects on duration interact with prosodic position within the phrase. Specifically, we ask whether (a) the lexico-syntactic information of a word determines its prosodic position, and (b) whether, beyond any categorical effects on positioning, lexico-syntactic factors affect duration within prosodic positions. We address these questions using the Santa Barbara Corpus of Spoken American English. We operationalize syntactic information as the diversity and the typicality of the syntactic distributions of nouns based on a dependency parse of the British National Corpus. We find that earlier positions in the prosodic phrase generally prefer words with higher syntactic diversity. In addition, diversity and typicality modulate duration more reliably in nonfinal positions. Together, our results point to an early influence of lexico-syntactic considerations on prosodic planning.

The Passive across Two Registers of Present-Day British English: A Corpus-Based Lexico-Grammatical Perspective

Abstract This paper explores the use of the passive in present-day British English, focusing on its register-specific lexico-grammatical patterns. The interaction of the grammatical structure, lexis, phraseology and register is examined on the basis of two sub-corpora of the British National Corpus 2014 – academic prose and informal conversation. The results have corroborated the findings of previous studies in that the pattern ‘BE / GET V-ed’ is populated by verbal participial forms which create a cline with departicipial adjectives. The communicative needs of registers have been shown to have a decisive impact on the frequency of passive patterns and the specific lexical choices associated with the patterns. In both registers, the ‘BE / GET V-ed’ patterns appear to constitute the core of larger fixed phraseological units, e.g., can’t be bothered to/with, or it should be noted that.

A case study of delexical nouns in an EFL setting

This paper demonstrates the relevance of delexical nouns (way, end, case and point) based on corpus findings, course book analyses and classroom experiments. To this end, first, delexical noun functions and frequencies have been studied in-depth in two large English language corpora: Corpus of Contemporary American English (COCA) and British National Corpus (BNC). Additionally, the study reviewed the compound nouns' dictionary meanings. Two coursebooks, namely New English File and Face2Face, have been investigated to determine if delexical nouns are addressed in English language coursebooks to provide ideas to guide the learners in the classroom. Finally, a data-driven learning (DDL) experiment was carried out to assess the participants’ familiarity with the delexical nouns and their collocations. The results of the quantitative analysis from the study demonstrate that delexical nouns are introduced in the course books but are not explicitly explained. Consequently, there are no actual exercises to practise them. The classroom experiment findings reveal the participants’ positive attitude towards how the four delexical nouns, way, end, case and point, were introduced and taught.

PA16 Gynaecomastia associated with isotretinoin

Abstract Isotretinoin routinely causes mucocutaneous side-effects, such as cheilitis. Endocrine side-effects are not well documented, although reduced libido has been recognized recently. A 19-year-old male (weighing 60 kg and with a body mass index of 20.4 kg m−2) with no previous medical history developed unilateral left-sided gynaecomastia while taking oral isotretinoin for acne vulgaris (daily dose 20 mg for 1 month, 30 mg for 1 month, then 40 mg). He was taking no other medication or supplements, had never taken anabolic steroids and exercised daily. After 3 months of treatment, he noticed a firm, tender, left-sided subareolar mass, enlarging to 4.5-cm diameter, causing the areola to protrude approximately 5 mm above the level of the contralateral areola. Serum testosterone was 35.9 nmol L−1 (reference interval 8.7–29); a-fetoprotein and human chorionic gonadotropin were normal. Isotretinoin was discontinued, and the breast tissue returned to normal within 2 months, with no recurrence after 3 years of follow-up. Gynaecomastia in young adult males is uncommon, usually bilateral and is typically idiopathic in origin. Potential causes include hypogonadism and medications such as oestrogens, cimetidine, methyldopa, ketoconazole, spironolactone and tricyclic antidepressants. Obesity may lead to a similar appearance (pseudogynaecomastia). Isotretinoin has recently been linked to sexual dysfunction in both sexes, but a link is not proven: symptoms may have started after discontinuing isotretinoin and be long-lasting. Erectile dysfunction, loss of libido, anorgasmia and genital anaesthesia are reported; a minority of male patients have reduced testosterone. Gynaecomastia appears to be a very rare complication of isotretinoin use; only four previous cases have been reported in the literature. It is not listed as a potential side-effect in the Summary of Product Characteristics (SPC) leaflets for generic forms of isotretinoin, only being mentioned in the Roaccutane® SPC. The Medicines and Health products Regulatory Authority, in its updated online information leaflet (March 2022), lists gynaecomastia as a potential side-effect. The British National Formulary’s listing and the British Association of Dermatologists’ isotretinoin patient information leaflet do not mention gynaecomastia; however, reduced libido is stated. The European Medicines Agency and the National Health Service’s isotretinoin information webpage mention no endocrine side-effects. Cessation of isotretinoin was associated with resolution of the gynaecomastia; hence, we believe that it was responsible for it, although the mechanism of induction is unclear. An androgen–oestrogen imbalance has been suggested, leading to relative androgen deficiency. However, our patient had a high level of endogenous androgen, thought to be due to a high muscle mass, and entirely normal sexual function. Although uncommon, we would like to alert colleagues to the possibility of gynaecomastia resulting from isotretinoin treatment.

From Needs Analysis to the Establishment of a University Vocabulary List for English Majors

This paper concerns the academic vocabulary needs of undergraduate English majors in a tertiary context in Azerbaijan. Based on the results of the previous studies, it is suggested that developing an appropriate course material to meet the specific learning needs of these students will be beneficial for them. Thus, this study aims to identify the percentage of the running words and high-frequency word families beyond the 2,000 most-frequent words in the university textbook corpus to help the students to attain 98% lexical coverage. To address English majors’ scant academic vocabulary knowledge, a University Vocabulary List has been created. First, a university textbook corpus comprising the words used in 11 subject-specific course textbooks across subject areas taught at Azerbaijan University of Languages was compiled. Next, the range and frequency distribution of the words beyond the British National Corpus scale 2,000-word families was examined. Finally, the 396 most frequently occurring word families in the corpus were chosen; these formed the proposed University Vocabulary List for English majors, accounting for a 6.96% lexical coverage. The University Vocabulary List for English majors and the British National Corpus 2,000 high-frequency word families, including proper nouns, provide a text coverage of 97.28%, which is only marginally lower than the suggested lexical threshold of 98% suggested by Laufer and Ravenhorst-Kalovski (2010) and Nation (2006). It is, therefore, argued that the University Vocabulary List represents a sufficiently frequent and relevant vocabulary load for English majors whose secondary educational background and first-year general English textbooks have not equipped them for the linguistic challenges they face at the initial stages of their tertiary education. The article concludes by stating the pedagogical implications for developing these learners’ knowledge and use of the most frequent word families.

Ethambutol and visual assessment in England: current practice and recommendations.

Standard treatment for tuberculosis (TB) in children and adults includes an initial two-month course of ethambutol, a drug that in rare cases can cause optic neuropathy and irreversible vision loss. There is a lack of clear guidance on what vision assessments are needed before and during treatment with ethambutol, with the Royal College of Ophthalmologists, National Institute for Health and Care Excellence, British National Formulary and British Thoracic Society offering different guidance. We aimed to assess how vision is routinely tested in patients treated with ethambutol in TB services across England. An online survey developed by Public Health England was sent to all TB services in England in 2018 to assess current practice and inform the development of best practice recommendations for visual assessment of patients treated with ethambutol for TB. Sixty-six TB professionals from across England responded, a response rate of 54%. The results showed variations in practice, including when to omit ethambutol from treatment, the timing and frequency of visual assessment, the type of visual assessment, referral processes and management of visual changes. This national survey highlights the need for clear guidelines on the testing of vision for patients taking ethambutol at recommended doses, before and during treatment. We suggest a pragmatic approach to visual assessment to reduce variation in practice, proposing a stepwise pathway for patients on standard TB treatment for local adaptation.

India, the United Nations Human Rights Commission, and the 1979 Virginity Testing Scandal

Abstract This article looks at India’s complaint at the United Nations Human Rights Commission in 1979 about the ‘virginity test’ performed on a migrant Indian woman at Heathrow. It examines the use of arguments about race and racial discrimination by India to compel Britain to discuss immigration on a bilateral basis. The article argues that the pivot to a race-based argument was deliberately patriarchal and India’s main concern in these negotiations was the impending British Nationality Act of 1981, which would prevent men from moving to Britain in search of an overseas wife. Using the virginity testing scandal, the article re-examines the changing role of discourses about race in postcolonial institutions of global governance.

British Imperialism, National Identity, and Scotland’s Built Environment

British Imperialism, National Identity, and Scotland’s Built Environment

Examining the performance and political influence of far right vanguard leaders: the case of Jonathan Bowden

ABSTRACT This article examines the life, work, and influence of right-wing artist, writer, and orator Jonathan Bowden. During his life, Bowden was an obscure figure, holding a token position in the British National Party and speaking mostly in front of small gatherings. Since his death in 2012, however, he has become increasingly influential within far-right movements on both sides of the Atlantic. While he remains relatively obscure outside of the far-right, his work has been highly praised by leading voices of the American Alt-Right movement, as well as identitarian leaders throughout Europe. In this article, we not only discuss the importance of Bowden’s ideas, such as those related to anti-liberalism, and how they have shaped and inspired the far right in many countries; but we also attend to the importance of the way in which he communicated those ideas through video, further bolstering his overall influence as a vanguard leader.

THE COMPARATIVE ASPECT OF THE VALUE OF CONSENT IN PHRASEOLOGY (EVIDENCE FROM THE ENGLISH, GERMAN AND RUSSIAN LANGUAGES)

The article deals with the comparative aspect of the semantics of English, German and Russian idioms, representing the value of consent as the basis for successful interaction and communication. Th e material of research is English, German and Russian idioms, expressing consent and their contexts of use from the British National Corpus, the Corpus of Contemporary American English, the National Corpus of the Russian Language. The results of research show that the basis for agreement in different languages is understanding, mutual understanding, friendly relations, the ability to build communication, trust, the state of mind. In different languages, a figurative variation of consent in idioms and their different use as functional correspondences in translation are found. So, the inner form of similar in meaning idioms imposes restrictions on their use in contexts and accordingly affects the possibility of using them as equivalents.

The semantics of noun-to-verb zero-derivation in English and Spanish

AbstractThe semantics of zero-derivation/conversion has attracted renewed interest both as a subject of description and as a means towards refined descriptions of the process. This paper takes the latter stance and compares which semantic categories occur in zero-derivation/conversion and in overt affixation in two languages with a different morphological model: English and Spanish. For attestation and distribution of the semantic categories, the paper relies on a stratified sample of denominal verbs collected from two comparable corpora: theBritish National Corpusand theCorpus de Referencia del Español Actual. The sample consists in sets of ca. 50 denominal verb-forming resources, one per affixation process, namely affixation by -ate, -(i)fy, -ize/-ise, -en,en- in English,a-…-ar,en-…-ar, -ear, -ecer, -(i)ficar, -izarin Spanish, and zero-derivation/conversion in both languages. The results are contrasted within and across affixes/processes, within each language and across the two languages for the adequacy of a description as zero-derivation or as conversion. Statistical analysis shows that the process/affixes form a cline with overlaps and closer associations between specific affixes/processes and semantic categories, but no clear divide between zero-derivation/conversion and the rest of processes as far as the semantic categories are concerned.

Assessment of Frequency and Severity of ADRS Related with CHOP Therapy in Lymphoma Treatment

Background: Lymphoma a blood related cancer usually treated by using combination of various chemotherapeutic agents, one of the common treatments is CHOP (Cyclophosphamide, Doxorubicin, Vincristine, Prednisone). Objective: Objective of this study was to identify frequency and severity of ADRs affecting various systems due to CHOP therapy from which patients are suffering, so that proper health strategy can be designed to overcome them. Methodology: study conducted was a prospective, observational enrolled 100 patients suffering from Non-Hodgkin Lymphoma and receiving CHOP combination therapy from November 2015 to April 2018 at Cancer Hospital Jamshoro, sampling technique used was purposive. The response on ADRs was recorded and these were verified by comparing against British National Formulary (2017) ad Lexi Comp Drug Information Handbook (2015). Results: Among 100 patients enrolled aged 18-65 years in which females comprise the majority. The common ADRs reported were nausea 71%, fatigue 69% and alopecia 68% The patients who responded about high severity ADRs also tend to stay longer as compared to those with less severity one. Conclusion: The study results show that patients receiving lymphoma treatment suffers from high severity ADRs require supportive medical care as this lead to prolong effects after dose cycle. These patients must be counselled for supportive medication and food intake to prevent additional health risks to achieve maximum therapeutic benefits. Keywords: Cancer, Anticancer Drugs, Chemotherapy, CHOP Therapy, ADRs

Preventing the overdiagnosis of chest sepsis in children: A quality improvement project.

Respiratory infections in children are one of the most common causes of hospital attendances and a common cause of sepsis. Most of these infections turn out to be viral in nature. However, the overuse of antibiotics is common and with increasing problems with antimicrobial resistance, changes to antibiotic prescribing practices need to be implemented urgently. To test our hypothesis that a significant number of children and young people are diagnosed with and treated for 'chest sepsis' unnecessarily by evaluating adherence to British Thoracic Society and National Institute of Clinical Excellence sepsis guidelines, and to implement measures to prevent overdiagnosis. A baseline audit undertaken, stratified patient risk as per NICE sepsis guidelines. Data were analysed to assess adherence to these guidelines following presentation of possible lower respiratory tract infection. Questionnaires were sent to Paediatric doctors in local hospitals and focus groups were held to qualitatively evaluate the barriers and facilitators to preventing overdiagnosis. These informed implemented measures. The baseline audit showed 61% of children under two, who are more likely to have a viral chest infection were treated with intravenous antibiotics. Seventy-seven percentof children had blood tests and 88% had chest X-rays (CXRs) which are not routinely recommended. A total of 71% with a normal CXRhad been treated with intravenous antibiotics. Barriers to preventing overdiagnosis included the over-sensitivity of the sepsis tool, anxiety and drug prescribing habits. Facilitators included visual cues and team work. Implemented changes including a revised sepsis pathway and raising awareness led to some positive changes. However, upon re-auditing there was no significant change in the number of children being overdiagnosed. Initial audit results supported our hypothesis that children were being overdiagnosed, over-investigated and over-treated. Despite multimodal interventions aimed at understanding the drivers underpinning these issues, the re-audit results mirrored the baseline audit despite a transient improvement following our campaign to raise awareness and further work to change physician behaviour is required.

Jewish population trajectories between the Jordan River and the Mediterranean Sea

ABSTRACT This article re-examines Jewish population in what is now Israel using historical estimates from Ottoman, Mandatory British and United Nations sources and recent data from the Israeli census bureau. A logistic model generates backward extrapolations and forward projections. The model quantifies three waves of Jewish immigration totalling about 3.5 million. Subtracting immigrant data from total population numbers gives the main empirical trajectory for non-immigrant native-born population. A multi-logistic model combining migrant and native populations projects a Jewish population of about 10 million in 2050, a level low in the range of estimates made by others.