Romsey Hospital

I worked as a general practitioner (GP) for 29 years before taking up my current salaried post in musculoskeletal medicine. This move has allowed me to reflect on the obvious fatigue that I felt during my last years as a GP.1 I propose that the appropriate measure of workload in general practice is …

When the Taruga site in central Nigeria was excavated in the 1960s, it revealed evidence of elaborate terracotta figurines and iron-smelting (in the form of furnaces and iron objects) dating to the first millennium bc. This made Taruga a widely known key site for early iron technology in sub-Saharan Africa. Some general excavation and furnace information were published in 1969 and 1975 respectively, connecting Nok terracotta art and early iron production. More than 40 years later, in 2005, a new research project on the Nok Culture and its archaeological context was begun at Goethe University in Frankfurt, Germany. The project recorded more than 300 sites in the central distribution area west of the Jos Plateau, of which 80 were examined or excavated. It allowed significant advances in the understanding of chronology, site structure, terracotta figurines, pottery, iron production, stone artefacts, subsistence and environment. In the light of these new results, the archived Taruga material has been reinvestigated. Besides information about excavation and selected features, this paper presents new insights into the site’s stratigraphy, chronology and furnace design, as well as information on pottery and terracotta material. These results can now be put into the wider context of early West African iron metallurgy and of new knowledge gained in 10 years of Nok research, which suggests that the Nok development began in the mid-second millennium bc and that iron technology only emerged around the mid-first millennium bc. In addition, the new results point to another, second phase of iron production at Taruga in the middle of the second millennium ad.

Atrial fibrillation (AF) is a major risk factor for stroke, requiring monitoring and treatment. If there are no significant risk factors, warfarin therapy may be prescribed for some types of AF, but necessitates compliance, careful monitoring and dose adjustment. Many factors influence the effectiveness of warfarin therapy, including alcohol consumption, dietary constituents, herbal supplements, and prescribed or over-the-counter medicines. Compliance, in turn, can be affected by factors such as the presence of dementia or cognitive impairment. As exemplified in this case study, a structured approach for the management of warfarin should be adopted, ensuring factors affecting compliance or drug effectiveness may be identified and appropriate action can be taken.

Coming towards the final phase of a career in general practice I had hardly expected the ghost of Margot Jefferys to return to haunt me. Jefferys was a distinguished professor of sociology at London University and lectured at the Diploma of Public Health courses at the London School of Hygiene and Tropical Medicine in the 1960s. > Something very relevant and still very special is being destroyed She was a good and thought provoking lecturer, but I have never forgiven her for the derisory mark given for an essay she had set with the approximate title, “Targeting of health care—universal or personal provision.” The DPH, then about to be replaced by an MSc in health care, was a marvellous course for any budding general practitioner, but by the end of it I was convinced, despite the best efforts of Professor Jefferys, that one of the principal roles of a general practitioner was to try to harness and coordinate all the appropriate strands of support for …

The outcome and predictors of stroke rehabilitation were studied prospectively in 96 patients (mean age 81.3 +/- 5.4 years) admitted to geriatric wards from a well-defined area over one year. Of these, 32 (33%) died (median survival 11 days), 52 (54%) returned home (median hospital stay 69 days) and 12 (13%) required long-term care (median hospital stay 164 days). Deaths and discharges showed a bimodal pattern; nearly 40% of the patients died or were discharged within 2 weeks of admission. Early death correlated with level of consciousness (P = 0.02), neurological deficit (P = 0.01) and prestroke Barthel scores (P = 0.04) on admission. Patients with right- rather than left-sided hemiparesis (P = 0.02), good motor power (P = 0.002) and without sensory deficit/inattention (P = 0.002) were discharged early. Discharge home was adversely affected by poor awareness of deficit (P = 0.02), hemianopia (P = 0.03) and incontinence (P = 0.02) assessed at 2 weeks. Stroke survivors with Barthel score < 6 and Mental Test Score < 4 at 2 weeks after stroke required long-term care.

1 Introduction to Vibration.- 1. Introductory Remarks.- 2. Single Degree of Freedom Systems: Equations of Motion and Types of Problem.- 3. Response.- 4. General Structures: Equations of Motion.- 5. Response.- 6. Dynamic Interaction Problems.- 2 Free Vibration, Resonance and Damping.- 1. Introduction.- 2. Spring-Mass System.- 3. Simple Pendulum.- 4. Beam with Central Load.- 5. Rolling of a Ship.- 6. Springs in Parallel.- 7. Springs in Series.- 8. Free Vibration.- 9. Energy of Vibrating System.- 10. Damped Free Vibration.- 11. Undamped Forced Response.- 12. Damped Forced Response.- 13. Undamped Transient Vibration.- 14. Damped Transient Vibration.- 15. Summary of Results.- 3 Vibrations of Multi-Degree of Freedom Systems.- 1. Introduction.- 2. Free Vibrations of Two Degree of Freedom Systems.- 3. Free Vibrations of a Multi-Degree of Freedom System.- 4. Orthogonality of Mode Shapes.- 5. Modal Decomposition.- 6. Damped Free Vibrations of Multi-Degree of Freedom Systems.- 7. Forced Vibrations of Multi-Degree of Freedom Systems.- 4 Eigenvalue-Eigenvector Solution.- 1. Introduction.- 2. Three Degree of Freedom System.- 3. Zeros of Determinants.- 4. Banded and Symmetric Matrices.- 5. Reduction of Eigenvalue Equation to Standard Form.- 6. Solution of Standard Eigenvalue Equations by Sturm Sequence Technique.- 7. Solution of the Original Equations using Sturm Sequence Technique.- 8. Simultaneous Iteration.- 9. Comparison of Eigenvalue Solution Methods.- 10. Node Condensation.- 11. Substructure Analysis.- 12. Rate of Change of Eigenvalues.- 5 Approximate Methods for Calculating Natural Frequencies and Dynamic Response of Elastic Systems.- 1. Equivalent One Degree of Freedom Systems.- 2. Continuous Beams.- 3. Distribution Methods.- 4. Multi-Storey Frames.- 6 Determination of Response.- 1. Introductory Remarks.- 2. Steady State Response.- 3. Damping.- 4. Truncation of Series Solution.- 5. Response Spectrum Methods.- 7 The Finite Element Technique.- 1. Introduction.- 2. The Principle of Virtual Displacements.- 3. Finite Element Discretization and Element Matrices.- 4. System Equations.- 5. Solution.- 8 Two Dimensional and Plate Bending Applications.- 1. Introduction.- 2. In-Plane Plate Elements.- 3. In-Plane Vibration of Plates.- 4. Plate Bending Elements.- 5. Transverse Vibration of Plates.- 6. Combination of Plate and Beam Elements.- 9 Transient Response of Structures.- 1. Introduction.- 2. Transient Response without Damping.- 3. Damping.- 4. Damped Transient Response.- 5. Numerical Methods.- 10 Machine Foundations.- 1. Introduction.- 2. Transmissibility of a Foundation on a Rigid Base.- 3. Transmissibility of a Foundation on a Flexible Base.- 4. Low Tuned and High Tuned Foundations.- 5. Dynamic Absorber.- 6. Damped Dynamic Absorber.- 7. Design Codes.- 8. Steel Foundations for Turbo-Alternators.- 9. Conclusions.- 11 Vibration of Axi-Symmetric Shells.- 1. Introduction.- 2. Novozhilov's Thin Shell Theory.- 3. Finite Element Displacement Method applied to Axi-Symmetric Shells.- 4. Vibration Applications.- 5. Example.- Appendix. Matrices used in the Text.- 12 Some Recent Advances in Structural Vibration.- 1. Introductory Remarks.- 2. Direct Integration Methods.- 3. Accuracy.- 4. Non-linear Problems.- 5. Partitioning.- 13 Fluid Structure Interaction Problems.- 1. Introduction.- 2. The Mechanics of Drag, Inertia and Lift.- 3. Total Hydrodynamic Forces.- 4. Final Remarks.- 14 Introduction to Random Vibrations.- 1. Random Processes.- 2. Spectral Density Function.- 3. The Weiner-Khinchin Relationship.- 4. Response of a Single Spring System to Random Load.- 15 Earthquake Response of Structures.- 1. Introduction.- 2. Beam Analysis.- 3. Spectral Density of Response.- 16 Response of Structures to Wind Loading.- 1. Introduction.- 2. Response of Shells.- 17 Random Response Analysis of Off-Shore Structures.- 1. Introduction.- 2. One Degree of Freedom System.- 3. Multi-Degree of Freedom System.- 4. Closing Remarks.

Journal Article John Hardy and Samuel Gauntlett, Vicars of Hursley, Hants Get access F. H. Suckling F. H. Suckling 1Highwood, Romsey Search for other works by this author on: Oxford Academic Google Scholar Notes and Queries, Volume s11-VI, Issue 145, 5 October 1912, Page 270, https://doi.org/10.1093/nq/s11-VI.145.270b Published: 05 October 1912

Nelson's Birthplace Get access F. H. Suckling F. H. Suckling 1Highwood, Romsey Search for other works by this author on: Oxford Academic Google Scholar Notes and Queries, Volume s11-II, Issue 31, 30 July 1910, Page 91, https://doi.org/10.1093/nq/s11-II.31.91c Published: 30 July 1910