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Paul Cosford
Sir Paul Anthony Cosford (20 May 1963 – 5 April 2021) was a British emeritus medical director at Public Health England (PHE), the UK's public health agency, later replaced by the UK Health Security Agency. He had executive roles from 2010 at PHE's predecessor, the Health Protection Agency. From April 2013 to 2019 he was PHE's Medical Director and Director for Health Protection, making him responsible for advising on services to prevent and control infectious diseases and for preparations and responses to public health emergencies. He led the MMR vaccine catch-up campaign in response to the resurgence of measles following the MMR Scare, and contributed to the response to the 2014 Ebola outbreak, the Grenfell disaster in 2017, and the 2018 Novichok poisonings in Salisbury and Amesbury. Over the course of his career in public health he led programmes to reduce hospital-acquired infections and tuberculosis, and oversaw ways of dealing with health inequalities, tobacco, obesity, ...
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Thornbury, Gloucestershire
Thornbury is a market town and civil parish in the South Gloucestershire unitary authority area of England, about 12 miles (19 km) north of Bristol. It had a population of 12,063 at the 2011 Census. The population has risen to 14,496 in the 2021 Census. Thornbury is a Britain in Bloom award-winning town, with its own competition: Thornbury in Bloom. The earliest documentary evidence of a village at "Thornbyrig" dates from the end of the 9th century. Domesday Book noted a manor of "Turneberie" belonging to William the Conqueror's consort, Matilda of Flanders, with 104 residents. History There is evidence of human activity in the Thornbury area in the Neolithic and Bronze Ages, but evidence of the Roman presence is confined to the Thornbury hoard of 11,460 Roman coins dating from 260–348 CE, found in 2004 during the digging of a fishpond. The earliest documentary evidence of a village at "Thornbyrig" dates from the end of the 9th century. Domesday Book noted a manor of "Turn ...
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Hospital-acquired Infection
A hospital-acquired infection, also known as a nosocomial infection (from the Greek , meaning "hospital"), is an infection that is acquired in a hospital or other health care facility. To emphasize both hospital and nonhospital settings, it is sometimes instead called a healthcare–associated infection. Such an infection can be acquired in hospital, nursing home, rehabilitation facility, outpatient clinic, diagnostic laboratory or other clinical settings. Infection is spread to the susceptible patient in the clinical setting by various means. Health care staff also spread infection, in addition to contaminated equipment, bed linens, or air droplets. The infection can originate from the outside environment, another infected patient, staff that may be infected, or in some cases, the source of the infection cannot be determined. In some cases the microorganism originates from the patient's own skin microbiota, becoming opportunistic after surgery or other procedures that compromis ...
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Abdominal Aortic Aneurysm
Abdominal aortic aneurysm (AAA) is a localized enlargement of the abdominal aorta such that the diameter is greater than 3 cm or more than 50% larger than normal. They usually cause no symptoms, except during rupture. Occasionally, abdominal, back, or leg pain may occur. Large aneurysms can sometimes be felt by pushing on the abdomen. Rupture may result in pain in the abdomen or back, low blood pressure, or loss of consciousness, and often results in death. AAAs occur most commonly in those over 50 years old, in men, and among those with a family history. Additional risk factors include smoking, high blood pressure, and other heart or blood vessel diseases. Genetic conditions with an increased risk include Marfan syndrome and Ehlers–Danlos syndrome. AAAs are the most common form of aortic aneurysm. About 85% occur below the kidneys with the rest either at the level of or above the kidneys. In the United States, screening with abdominal ultrasound is recommended for mal ...
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Cochrane Review
Cochrane (previously known as the Cochrane Collaboration) is a British international charitable organisation formed to organise medical research findings to facilitate evidence-based choices about health interventions involving health professionals, patients and policy makers. It includes 53 review groups that are based at research institutions worldwide. Cochrane has approximately 30,000 volunteer experts from around the world. The group conducts systematic reviews of health-care interventions and diagnostic tests and publishes them in the Cochrane Library. According to the Library, articles are available via one-click access, but some require paid subscription or registration before reading. A few reviews, in occupational health for example, incorporate results from non-randomised observational studies as well as controlled before–after (CBA) studies and interrupted time-series studies. History Cochrane, previously known as the Cochrane Collaboration, was founded in 1 ...
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Public Health
Public health is "the science and art of preventing disease, prolonging life and promoting health through the organized efforts and informed choices of society, organizations, public and private, communities and individuals". Analyzing the determinants of health of a population and the threats it faces is the basis for public health. The ''public'' can be as small as a handful of people or as large as a village or an entire city; in the case of a pandemic it may encompass several continents. The concept of ''health'' takes into account physical, psychological, and social well-being.What is the WHO definition of health?
from the Preamble to the Constitution of WHO as adopted by the International Health Conference, New York, 19 June - 22 July 1946; signed on ...
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Eating Disorders
An eating disorder is a mental disorder defined by abnormal eating behaviors that negatively affect a person's physical or mental health. Only one eating disorder can be diagnosed at a given time. Types of eating disorders include binge eating disorder, where the patient eats a large amount in a short period of time; anorexia nervosa, where the person has an intense fear of gaining weight and restricts food or overexercises to manage this fear; bulimia nervosa, where individuals eat a large quantity (binging) then try to rid themselves of the food (purging); pica, where the patient eats non-food items; rumination syndrome, where the patient regurgitates undigested or minimally digested food; avoidant/restrictive food intake disorder (ARFID), where people have a reduced or selective food intake due to some psychological reasons (see below); and a group of other specified feeding or eating disorders. Anxiety disorders, depression and substance abuse are common among people w ...
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Serious Mental Illness
Serious mental illness or severe mental illness (SMI) is characterized as any mental health condition that seriously impairs anywhere from one to several significant life activities including day to day functioning. Common diagnoses associated with SMI include bipolar disorder, psychotic disorders (i.e. schizophrenia), post-traumatic stress disorder Post-traumatic stress disorder (PTSD) is a mental and behavioral disorder that can develop because of exposure to a traumatic event, such as sexual assault, warfare, traffic collisions, child abuse, domestic violence, or other threats on a ..., and major depressive disorder. People experiencing SMI experience symptoms that can prevent them from having successful experiences that contribute to a good quality of life, due to social, physical, and psychological limitations of their illnesses. In 2017, there was a 4.5% prevalence rate of U.S. adults diagnosed with SMI, the highest percentage being the young adult population. In ...
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Learning Difficulty
Learning disability, learning disorder, or learning difficulty (British English) is a condition in the brain that causes difficulties comprehending or processing information and can be caused by several different factors. Given the "difficulty learning in a typical manner", this does not exclude the ability to learn in a different manner. Therefore, some people can be more accurately described as having a "learning difference", thus avoiding any misconception of being disabled with a lack of ability to learn and possible negative stereotyping. In the United Kingdom, the term "learning disability" generally refers to an intellectual disability, while difficulties such as dyslexia and dyspraxia are usually referred to as "learning difficulties". While ''learning disability'' and ''learning disorder'' are often used interchangeably, they differ in many ways. Disorder refers to significant learning problems in an academic area. These problems, however, are not enough to warrant ...
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Psychiatry
Psychiatry is the medical specialty devoted to the diagnosis, prevention, and treatment of mental disorders. These include various maladaptations related to mood, behaviour, cognition, and perceptions. See glossary of psychiatry. Initial psychiatric assessment of a person typically begins with a case history and mental status examination. Physical examinations and psychological tests may be conducted. On occasion, neuroimaging or other neurophysiological techniques are used. Mental disorders are often diagnosed in accordance with clinical concepts listed in diagnostic manuals such as the '' International Classification of Diseases'' (ICD), edited and used by the World Health Organization (WHO) and the widely used '' Diagnostic and Statistical Manual of Mental Disorders'' (DSM), published by the American Psychiatric Association (APA). The fifth edition of the DSM ( DSM-5) was published in May 2013 which re-organized the larger categories of various diseases and expanded up ...
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NW Postcode Area
The NW (North Western) postcode area, also known as the London NW postcode area, is a group of 13 postcode districts covering around 13,895 live postcodes within part of northwest London, England. It is the successor of the NW sector, originally created as part of the London postal district in 1856. Postal administration London postal arrangements were refined in 1917 when all its postcode districts (seven radial which are large and two innermost, much smaller) became publicly sub-divided; these were named after the location of the delivery office in each district. As London is one post town, district names are deprecated, in favour of the post town LONDON to be written/typed. Within each NW postcode district, PO boxes are allocated to a unique postcode sector, except for two districts which use all available sectors for ordinary addresses and therefore have their separate non-geographic districts: NW1W for PO boxes in NW1 and NW26 for PO boxes in NW10. List of postcode distric ...
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Influenza Pandemic
An influenza pandemic is an epidemic of an influenza virus that spreads across a large region (either multiple continents or worldwide) and infects a large proportion of the population. There have been six major influenza epidemics in the last 140 years, with the 1918 flu pandemic being the most severe; this is estimated to have been responsible for the deaths of 50–100 million people. The most recent, the 2009 swine flu pandemic, resulted in under 300,000 deaths and is considered relatively mild. These pandemics occur irregularly. Influenza pandemics occur when a new strain of the influenza virus is transmitted to humans from another animal species. Species that are thought to be important in the emergence of new human strains are pigs, chickens and ducks. These novel strains are unaffected by any immunity people may have to older strains of human influenza and can therefore spread extremely rapidly and infect very large numbers of people. Influenza A viruses can occasionall ...
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Obesity
Obesity is a medical condition, sometimes considered a disease, in which excess body fat has accumulated to such an extent that it may negatively affect health. People are classified as obese when their body mass index (BMI)—a person's weight divided by the square of the person's height—is over ; the range is defined as overweight. Some East Asian countries use lower values to calculate obesity. Obesity is a major cause of disability and is correlated with various diseases and conditions, particularly cardiovascular diseases, type 2 diabetes, obstructive sleep apnea, certain types of cancer, and osteoarthritis. Obesity has individual, socioeconomic, and environmental causes. Some known causes are diet, physical activity, automation, urbanization, genetic susceptibility, medications, mental disorders, economic policies, endocrine disorders, and exposure to endocrine-disrupting chemicals. While a majority of obese individuals at any given time are attemptin ...
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