Wilson Hospital

Dynamic Interpersonal Therapy (DIT) is a 16–session structured and goal–oriented psychodynamic approach, usually employed for the treatment of depression and anxiety (Lemma et al., 2010, 2011a). DIT has also proven useful for reducing distress associated with medically unexplained symptoms (Selders et al., 2015). Currently, we have found no literature concerning the application of DIT to work with older people. We propose that DIT has usefulness as a treatment model for complex needs within an older people NHS context. The paper will link theory to the application of DIT with older people, for the treatment of mood difficulties and medically unexplained physical and cognitive symptoms.

In AE 20(6), December 2011, the first AE Discussion was published. This comprised three parts, all focussing on the impacts of journal quality rankings on accounting education scholarship and on th...

The Pan-Thames Haemophilia Consortium was established to provide coherent regional planning of haemophilia services. The Expert Advisory Group is a clinical reference point for the consortium and was established to consider specifically elective high cost treatment programmes. An audit of the first year of consortium activity demonstrated that patients receiving high cost therapy represented 1.6% of the patient population and received 16% of the entire treatment budget. The Pan-Thames Consortium provides focused commissioning expertise and a model for national commissioning of haemophilia services.

Following basic science experiments, improvement of precision micromechanics and electronics design, and development of different prototypes, a contactless electromagnetic hearing device has been successfully implanted in cats (acute experiments). Chronic animal experiments using the cat as well as the rabbit are ongoing to test the components of the device. A highly efficient air core coil is used to vibrate a neodymium-iron-boron magnet cemented to the body of the incus. The parts of the system, including implanted electronics (hybrid circuit, solid state), are laser welded and hermetically sealed. The system allows for the generation of enough force which vibrates the magnet implanted on the incus. It would be suitable for the treatment of moderate to severe sensorineural hearing loss.

Underpinning of the historic Round Tower at Windsor Castle was required following foundation movements. This involved the installation, with tripod rigs, of 600mm diameter bored cast-in-place piles typically 22.5m in length. There was considerable concern at the design stage that vibration during piling may cause damage to the Tower and vibration limits were specified. Comprehensive monitoring was carried out to verify compliance with these limits and to identify any evidence of distress to the Tower. The monitoring included vibration measurements at up to 25 positions and precision levelling at 24 points. Compliance with the specified limits was achieved by careful workmanship and the piling was successfully completed without causing undue distress to the Tower. Details of the work undertaken, including the installation of a 42.2m long pile required to accommodate unforeseen ground conditions, are given together with a summary of the monitoring results and a review of their applicability to similar future projects.

This paper describes a method for calculating the bearing capacity of rigid and flexible pavements, which is based on the theory of layered elastic systems. Graphs are presented from which the required pavement thickness can be obtained directly, if the loading and the physical properties of the pavement and subgrade materials are known; It is shown how these stresses can be allowed for in cohesive and in cohesionless soils.