Five-yearly Intervals Research Articles

Dynamic Changes in Melbourne’s Urban Vegetation Cover—2001 to 2016

Understanding changes in urban vegetation is essential for ensuring sustainable and healthy cities, mitigating disturbances due to climate change, sustaining urban biodiversity, and supporting human health and wellbeing. This study investigates and describes the distribution and dynamic changes in urban vegetation over a 15-year period in Greater Melbourne, Australia. The study investigates how vegetation cover across Melbourne has changed at five-yearly intervals from 2001 to 2016 using the newly proposed dynamic change approach that extends the net change approach to quantify the amount of vegetation gain as well as loss. We examine this question at two spatial resolutions: (1) at the municipal landscape scale to capture broadscale change regardless of land tenure; and (2) at the scale of designated public open spaces within the municipalities to investigate the extent to which the loss of vegetation has occurred on lands that are intended to provide public access to vegetated areas in the city. Vegetation was quantified at four different times (2001, 2006, 2011, 2016), using the normalized difference vegetation index (NDVI). Dynamic changes of gain and loss in urban vegetation between the three periods were quantified for six local government areas (LGAs) and their associated public open spaces using a change matrix. The results showed an overall net loss of 64.5 square kilometres of urban vegetation from 2001 to 2016 in six LGAs. When extrapolated to the Greater Melbourne Area, this is approximately equivalent to 109 times the size of Central Park in New York City.

Changes in Added Sugar Intake and Body Weight in a Cohort of Older Australians: A Secondary Analysis of the Blue Mountains Eye Study.

Background: The evidence regarding the association between added sugar (AS) intake and obesity remains inconsistent. The aim of this study was to investigate the association between changes in the percentage of energy intake from AS (EAS%) and changes in body weight in a cohort study of older Australians during 15 years of follow-up. In addition, associations were assessed according to whether EAS% intake was provided from beverage or non-beverage sources.Methods: Data were analyzed from the participants of the Blue Mountains Eye Study Cohort. Dietary data were collected at baseline (1992–94) and three five-yearly intervals using a 145-item food frequency questionnaire. Participants' body weight was measured at each time point. Five-yearly changes in EAS% intake and body weight were calculated (n = 1,713 at baseline). A generalized estimating equation (GEE) model was used to examine the relationship between the overall five-yearly changes in EAS% intake and body weight, adjusted for dietary and lifestyle variables.Results: In each time interval, the EAS% intake decreased by ~5% in the lowest quartile (Q1) and increased by ~5% in the highest quartile (Q4). The mean (SD) body weight change in Q1 and Q4 were 1.24 (8.10) kg and 1.57 (7.50) kg (first time interval), 0.08 (6.86) kg and −0.19 (5.63) kg (second time interval), and −1.22 (5.16) kg and −0.37 (5.47) kg (third time interval), respectively. In GEE analyses, the overall five-yearly change in EAS% intake was not significantly associated with body weight change (Ptrend = 0.837). Furthermore, no significant associations were observed between changes in EAS% intake from either beverage or non-beverage sources and changes in body weight (Ptrend for beverage sources = 0.621 and Ptrend for non-beverage sources = 0.626).Conclusion: The findings of this older Australian cohort do not support the association between changes in EAS% intake and body weight, regardless of AS food sources (beverage or non-beverage).

Global Britain in a competitive age: strategy and the Integrated Review

Since 2010, the UK government has conducted a strategic review at five-yearly intervals, a pattern which it has maintained, at least formally, despite the strategically destabilising effects of Brexit and the Trump administration. Accordingly, on 26 February 2020 the Prime Minister announced the next iteration, albeit one which would he maintained go �beyond the parameters of a traditional review�. COVID-19 understandably delayed the publication of the Integrated Review until March 2021. This article examines the results, using the prism of strategy to examine the review�s coherence. Global Britain in a Competitive Age is as aspirational as its original ambition suggested it should be, but is light on specific policies and their delivery. The accompanying publications from the Ministry of Defence contain more substance, but their implications are not sufficiently aligned with either foreign policy or the possible eventuality of armed conflict, nor do they allow for capabilities commensurate with the scale of the task which �Global Britain� anticipates.

A multi-level institutional perspective of corporate social responsibility reporting: A mixed-method study

This paper examines the institutionalisation of corporate social responsibility reporting among listed companies in Pakistan. First, we identify the influence of industry type; regulatory pressures; the presence of CSR promoting institutions; business size; and, ownership on the extent of CSR reporting. Second, we explore the managerial perceptions on CSR reporting. In so doing, the paper extends the existing literature on the debate over accountability, regulation, international standards, sustainability and the influence or otherwise of other stakeholders by exploring organisational and external institutional drivers of CSR reporting in developing countries. The quantitative content analysis of annual reports from 29 listed companies across a range of industries is used to identify the nature and scope of CSR reporting. Four annual reports from each company (2001, 2006, 2011 & 2017 – five-yearly intervals) were selected as the reporting horizon. The content analysis demonstrated considerable growth in CSR reporting, potentially enabled by various organisational and institutional factors. To explore the perceptions, motivation, and authenticity of these reports, on-site interviews with 15 managers are then conducted. The interviews highlight that public image and company recognition are the primary motivation for CSR reporting, rather than the pursuit of improved tangible outcomes. We discuss the contributions to research of institutional theory on CSR reporting and pose recommendations to both managers and regulators.

Virtual arthroplasty follow-up: five-year data from a district general hospital.

Follow-up after hip and knee arthroplasty is advocated to identify asymptomatic loosening and improve patient satisfaction. There are, however, financial and time implications associated with regular clinic appointments. Assessment through virtual means has been suggested as an alternative. At the West Suffolk Hospital, following arthroplasty surgery of the lower limb, patients are followed-up via a questionnaire at one and five years postoperatively, then subsequently at five-yearly intervals. Patients are recalled based on the outcome of these assessments. Using a locally compiled data base we identified all patients reviewed between 2011 and 2015 using this virtual assessment process and examined their outcomes. During the five years of follow-up, 5,380 patients were eligible for assessment. Compliance varied from 77% follow up for hips and 83% for knees. Ten patients were recalled following total hip replacement, eight for x-ray changes and one for a poor satisfaction score. Five went on to undergo revision surgery. Some 56 recalls to clinic following knee arthroplasty were seen; 42 due to a poor Oxford Knee Score, 6 with associated x-ray abnormalities and 6 isolated abnormal x-rays. Five subsequently underwent revision surgery; 30 (54%) were discharged after initial review and 18 (32%) were referred to different subspecialties.As a result of the virtual review process, 4,219 clinic appointments were avoided, with no documented admissions as a result of a missed complication from virtual review. A virtual arthroplasty clinic significantly reduces the number of patients attending regular follow-up clinics, without compromising safe practice.

An examination of changing patterns in Lean Six Sigma research

Purpose The purpose of this study was to examine patterns in the research contributions from individuals in the field to detect whether they reflect the evolution of academic discussion concerning integration of Lean and Six Sigma methodology over a fixed time period. Design/methodology/approach Data was gathered from a keyword search of articles in the SCOBUS data base to determine the most frequent contributors in the areas of Lean, Six Sigma and Lean Six Sigma research. Searches were carried out over five-yearly intervals from 2000 to 2015 and the twenty-one top contributors in each time period were identified. Findings The findings show that research contributions have moved away from looking at the single methodologies of Lean and Six Sigma and towards research based on the integrated Lean Six Sigma approach. The analysis also suggested that researchers may be publishing papers using different methodologies in response to different challenges in selecting the most appropriate tools to meet the needs of the specific issues they are addressing rather than advocating a particular approach. Practical implications For organizations to optimize performance a flexible approach would be beneficial with consideration being given to the specific issue and the correct tools and methodology selected from an integrated system or from Lean or Six Sigma systems alone. Originality/value This paper has originality in its’ consideration of the patterns of research contributions over a fixed time period as a reflection of the shift in debate from exclusive Lean or Six Sigma approaches to a more integrated Lean Six Sigma system.

The National Resuscitation Council, Singapore, and 34 years of resuscitation training: 1983 to 2017.

Training in the modern form of cardiopulmonary resuscitation (CPR) started in Singapore in 1983. For the first 15 years, the expansion of training programmes was mainly owing to the interest of a few individuals. Public training in the skill was minimal. In an area of medical care where the greatest opportunity for benefit lies in employing core resuscitation skills in the prehospital environment, very little was being done to address such a need. In 1998, a group of physicians, working together with the Ministry of Health, set up the National Resuscitation Council (NRC). Over the years, the NRC has created national guidelines on resuscitation and reviewed them at five-yearly intervals. Provider training manuals are now available for most programmes. The NRC has set up an active accreditation system for monitoring and maintaining standards of life support training. This has led to a large increase in the number of training centres, as well as recognition and adoption of the council's guidelines in the country. The NRC has also actively promoted the use of bystander CPR through community-based programmes, resulting in a rise in the number of certified providers. Improving the chain of survival, through active community-based training programmes, will likely lead to more lives being saved from sudden cardiac arrest.

OP67 Cost-Effectiveness of Human Papillomavirus-based Primary Cervical Screening In Ireland

INTRODUCTION:The cost-effectiveness of Human papillomavirus (HPV)-based primary cervical screening in the Irish healthcare setting is assessed using a decision-analysis approach to inform a decision around changes to the national screening program. Current practices comprises primary screening with liquid-based cytology (LBC) followed by HPV triage, at 3-yearly intervals for ages 25 to 45 years and 5-yearly until age 60 years.METHODS:This study assessed changing the primary screening test from LBC to HPV testing, in both an unvaccinated and a vaccinated (against HPV 16/18) cohort. It considered extending the screening interval (to 5-yearly for all), the upper age limit (from 60 to 65 years) and different test sequences (four possible tests were included: HPV, LBC, partial genotyping for HPV16 or HPV 18 and the molecular biomarker p16INK4a/Ki67). A Markov-model for HPV-infection and cervical cancer was developed based on a German cervical screening model (1). The perspective of the healthcare system was adopted and a 5 percent discount rate used.RESULTS:Strategies using HPV as the primary screening test are more effective than LBC-based strategies. The optimal strategy, at a willingness-to-pay threshold of EUR45,000 per quality-adjusted life year (QALY), for the unvaccinated cohort was HPV-based primary screening with a LBC triage test, at five-yearly intervals from age 25 to 60 years. This strategy is cost saving compared with current practice and cost effective when compared to no screening, with an Incremental cost-effectiveness ratio (ICER) of EUR18,164 per QALY. The optimal strategy for the vaccinated cohort was also HPV primary screening with a LBC triage test, at five-yearly intervals from age 25 to 60 years. While more effective and cost saving compared with current practice, it would not be considered cost effective compared with no screening (ICER of EUR58,745/QALY).CONCLUSIONS:Based on our analyses, HPV-based cervical screening is more effective and cost saving compared with LBC-based screening for both vaccinated and unvaccinated cohorts in an Irish setting.

Heavy metal and nitrogen concentrations in mosses are declining across Europe whilst some “hotspots” remain in 2010

In recent decades, naturally growing mosses have been used successfully as biomonitors of atmospheric deposition of heavy metals and nitrogen. Since 1990, the European moss survey has been repeated at five-yearly intervals. In 2010, the lowest concentrations of metals and nitrogen in mosses were generally found in northern Europe, whereas the highest concentrations were observed in (south-)eastern Europe for metals and the central belt for nitrogen. Averaged across Europe, since 1990, the median concentration in mosses has declined the most for lead (77%), followed by vanadium (55%), cadmium (51%), chromium (43%), zinc (34%), nickel (33%), iron (27%), arsenic (21%, since 1995), mercury (14%, since 1995) and copper (11%). Between 2005 and 2010, the decline ranged from 6% for copper to 36% for lead; for nitrogen the decline was 5%. Despite the Europe-wide decline, no changes or increases have been observed between 2005 and 2010 in some (regions of) countries.

Article Commentary: Screening for cardiovascular disease using age alone: reflections on a paper Peer-Reviewed as both ‘radical’ and ‘unsurprising’

Article Commentary: Screening for cardiovascular disease using age alone: reflections on a paper Peer-Reviewed as both ‘radical’ and ‘unsurprising’

Linking a Microsimulation Model to a Dynamic CGE Model: Climate Change Mitigation Policies and Income Distribution in Australia

This paper extends the 'top-down' framework developed by Robilliard et al. (2001) to link a computable general equilibrium (CGE) model to a microsimulation (MS) model. The proposed approach allows for the linking of an MS model to a dynamic (rather than static) CGE model. The approach relies on altering the sample weights in order to reproduce long-term population projections and changes in employment as estimated by the CGE model. The approach is applied to assess the effects of climate- change mitigation policies in Australia from 2005 to 2030 at five-yearly intervals.

Mosses as biomonitors of atmospheric heavy metal deposition: Spatial patterns and temporal trends in Europe

In recent decades, mosses have been used successfully as biomonitors of atmospheric deposition of heavy metals. Since 1990, the European moss survey has been repeated at five-yearly intervals. Although spatial patterns were metal-specific, in 2005 the lowest concentrations of metals in mosses were generally found in Scandinavia, the Baltic States and northern parts of the UK; the highest concentrations were generally found in Belgium and south-eastern Europe. The recent decline in emission and subsequent deposition of heavy metals across Europe has resulted in a decrease in the heavy metal concentration in mosses for the majority of metals. Since 1990, the concentration in mosses has declined the most for arsenic, cadmium, iron, lead and vanadium (52–72%), followed by copper, nickel and zinc (20–30%), with no significant reduction being observed for mercury (12% since 1995) and chromium (2%). However, temporal trends were country-specific with sometimes increases being found.

The Unofficial Commonwealth Relations Conferences, 1933–59: Precursors of the Tri-sector Commonwealth

One of the unique features of the Commonwealth as an international association is the width and depth of its non-political manifestations. At recent Commonwealth conferences political and official consultations have been held in parallel with large civil society, business and youth forums and, in some cases, inter-faith dialogues. Growing collaboration between the political, civil society and business elements gives rise to the notion of the ‘tri-sector Commonwealth’. The concept of an ‘association of peoples’ as well as one of nations, does, however, have a long pedigree. Between 1933 and 1959 a series of Unofficial Commonwealth Relations Conferences, organised by Chatham House and its overseas affiliates, were held at roughly five-yearly intervals to analyse the implications of the most recent Imperial Conferences. Politicians and civil servants joined with lawyers, academics, editors, military men, agriculturalists and trade unionists. In contrast to the political Commonwealth, women had a part in the unofficial conferences. And among more than 400 participants at Toronto 1933, Lapstone 1938, London 1945, Bigwin 1949, Lahore 1954 and Palmerston North 1959 were fifty-five academic historians and other writers of history, who included most of the leading authorities on the Commonwealth of the 1930s and 1940s.

Temporal trends (1990–2000) in the concentration of cadmium, lead and mercury in mosses across Europe

The European heavy metals in mosses survey provides data on the concentration of 10 heavy metals in naturally growing mosses. The survey has been repeated at five-yearly intervals and in this paper we report on the temporal trends in the concentration of cadmium, lead and mercury between 1990 and 2000. Metal- and country-specific temporal trends were observed. In general, the concentration of lead and cadmium in mosses decreased between 1990 and 2000; the decline was higher for lead than cadmium. For mercury not enough data were available to establish temporal trends between 1990 and 1995, but between 1995 and 2000 the mercury concentration in mosses did not change across Europe. The observed temporal trends for the concentrations in mosses were similar to the trends reported for the modelled total deposition of cadmium, lead and mercury in Europe.

Temporal trends in the concentration of arsenic, chromium, copper, iron, nickel, vanadium and zinc in mosses across Europe between 1990 and 2000

The European heavy metals in mosses biomonitoring network provides data on the concentration of 10 heavy metals in naturally growing mosses and is currently coordinated by the UNECE ICP Vegetation (United Nations Economic Commission for Europe International Co-operative Programme on Effects of Air Pollution on Natural Vegetation and Crops). The technique of moss analysis provides a surrogate, time-integrated measure of metal deposition from the atmosphere to terrestrial systems. It is easier and cheaper, less prone to contamination and allows a much higher sampling density than conventional precipitation analysis. Moss surveys have been repeated at five-yearly intervals and in this paper we report on the temporal trends in the concentration of arsenic, chromium, copper, iron, nickel, vanadium and zinc between 1990 and 2000. Maps were produced of the metal concentration in mosses for 1990, 1995 and 2000, showing the mean concentration per metal per 50 km × 50 km EMEP grid square. Metal- and country-specific temporal trends were observed. Although the metal concentration in mosses generally decreased with time for all metals, only the decreases for arsenic, copper, vanadium and zinc were statistically significant. The observed temporal trends were compared with emission trends for Europe reported by EMEP (Co-operative Programme for Monitoring and Evaluation of the Long-range Transmission of Air Pollutant in Europe).

Heavy Metal Concentrations in European Mosses: 2000/2001 Survey

The heavy metals in mosses survey was originally established in 1980 as a joint Danish- Swedish initiative under the leadership of ˚ Ake Ruhling, Sweden and has, since then, been repeated at five-yearly intervals with an increasing number of countries and individuals participating. Twenty- eight European countries, almost 7000 sites and about 100 individuals have been involved in the most recent survey in 2000/2001. The survey provides data on concentrations of 10 heavy metals (arsenic, cadmium, chromium, copper, iron, lead, mercury, nickel, vanadium, zinc) in naturally growing mosses throughout Europe. The technique of moss analysis provides a surrogate measure of the spatial patterns of heavy metal deposition from the atmosphere to terrestrial systems, and is easier and cheaper than conventional precipitation analysis. The aims of the survey are to determine patterns of variation in the heavy metal concentration of mosses across Europe, identify the main polluted areas, produce regional maps and further develop the understanding of long-range transboundary pollution. As in previous surveys, there was an east/west decrease in heavy metal concentrations in mosses, related in particular to industrial emissions. Former industrial sites and historic mines accounted for the location of some high concentrations in areas without contemporary industries. Long-range transboundary transport appears to account for elevated concentrations of heavy metals in areas without emission sources, such as lead in southern Scandinavia (presumably from emission sources elsewhere in Europe). Ke yw ords: atmospheric deposition, heavy metals, long-range transboundary air pollution, mosses, trace elements

The 4th quinquennial national community mental health nursing census of England and Wales.

Since 1980, a survey of community mental health nursing has been conducted in the United Kingdom, at five-yearly intervals. These three data sets have been uniquely useful in plotting trends in Community Mental Health Nursing (CMHN) activity over time. Substantial administrative changes to the National Health Service have taken place in England and Wales since 1990, however, and these have impacted on the nature of mental health service provision. These changes have implications for all mental health service personnel and, in particular, the work of community mental health nurses. This article presents selected findings from the national census, conducted between 1996 and 1997. It sets these findings within the context of data derived from the three previous national studies in the series and within the contemporary national policy context and discusses the substantive implications which flow from the changes detected over time in the practice, organisation and management, and education of community mental health nurses in England and Wales.

Psychological predictors of single and recurrent major depressive episodes

Aim: To examine for differential psychological risk factors in a nonclinical sample having single or recurrent episodes of major depression. Methods: A cohort of 164 subjects was assessed initially in 1978 in their last year of teacher training, and at five-yearly intervals in 1983, 1988 and 1993. Experience of episodes of DSM major depression and anxiety disorders from each wave were summed and three groups (nil, one, and two or more episodes of major depression) were derived. The cohort also completed a series of self-report measures including neuroticism, state and trait depression, self-esteem, dependency, childhood parental environment and social support. Results: The group with two or more episodes were distinctly more likely to have met lifetime criteria for an anxiety disorder and to have had multiple anxiety disorder diagnoses over their lifetime. Groups with one or more episodes reported higher mean scores for trait depression, neuroticism and maternal overprotection and lower mean scores for paternal care and self esteem at baseline in 1978, but these variables did not predict differences between groups with single and recurrent episodes. At 1993, those with two or more episodes differed from those with none and single episodes in reporting lower trait depression scores and decreased perception of satisfactory social support over time, suggesting a psychological scarring effect for those with repeated episodes.

Land use changes and inputs of nitrogen to Loch Leven, Scotland: A desk study

Published and unpublished data were used to examine land use changes in the Loch Leven catchment and to estimate annual inputs of N to the loch for five-yearly intervals between 1950 and 1985. Agricultural land (38% grass, 31% arable and 31% rough grazing) was identified as the major source of N entering the loch. The input from this source was estimated to have increased from 171 t N yr −1 in 1950 to 321 t N yr −1 in 1985. This increase was primarily a result of increased usage of N fertiliser. Nitrogen from livestock wastes and that released following ploughing of grassland also made a significant contribution but only that from the former increased during the study period. The greatest increase in fertiliser use was in the quantities applied to grassland but because of the relatively low leaching losses associated with this land use, losses from arable land in all years were higher than those from grassland. Total inputs of N to the loch were estimated to have increased from 208 to 368 t N yr −1 between 1950 and 1985, equivalent to an increase in the average concentration in drainage water from 1.7 to 3.0 mg N l −1. There was approximate agreement between the estimates for later years of the study period and corresponding values derived from field measurements.

The growth of the pottery industry in England, 1660–1815

SUMMARYThis paper summarizes the author's attempts to quantify the growth of the pottery industry in England before 1815. It begins by considering the nature and limitations of the large body of miscellaneous data about trade, including the exports of glass and earthware and the imports of china-ware. It continues by presenting some new calculations of the growth of the industry based on a count, at five-yearly intervals, of the numbers of potteries at work and their sizes. The results of these estimates are presented in nine tables in the appendix. The third part of the article uses this new evidence to analyse the patterns of growth from 1660–1815 and concludes that this provides a framework for further, and more detailed, studies.