Artigos de revistas: "England, general"

1

Razai, Mohammad S., e Azeem Majeed. "General Practice in England". Journal of Ambulatory Care Management 45, n.º 2 (abril de 2022): 135–39. http://dx.doi.org/10.1097/jac.0000000000000410.

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Langbauer, Laurie. "Young England: Part One". Journal of Juvenilia Studies 2, n.º 2 (27 de dezembro de 2019): 77–101. http://dx.doi.org/10.29173/jjs33.

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“Young England: Part One” pursues central questions for juvenilia studies: how did the turn-of-the-century juvenile tradition influence succeeding generations of Victorian writers, and what new questions does scholarly understanding of juvenile writing in Britain allow literary critics to ask now? The Romantic-era juvenile tradition gets reconstituted through its influence on the 1840s Tory splinter movement, Young England. I argue that this contradictory, conservative group of titled young writers paradoxically reveals how the marginalized juvenile tradition calls its writers into being—and asks us to revise our ideas of literary traditions and of history in general. The young Romantics Byron and Shelley symbolized youthful writing to Young Englanders, but so did another lesser-known juvenile writer, Percy Smythe, Sixth Lord Strangford. That Strangford was father to a prominent Young Englander: George Smythe, later Seventh Lord Strangford. In recovering both Strangfords’ literary juvenilia, Part One considers the rethinking of genealogy and succession within writing by young authors—arguing it underlies Young England as youth movement, especially its sense of history as ultimately inaccessible but vital nonetheless in its construction. Part Two (JJS 3.2, June 2020) will look more closely at how Young England’s shaping fantasy of history depends on youth. It focuses on the self-fashioning within its contradictions of one-time juvenile writer and Young England’s mentor, Benjamin Disraeli (later Prime Minister and Earl of Beaconsfield)—contradictions employing signifiers of youth that were generative of his virtuoso performance as writer, celebrity, and statesman.

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Walker, Ian F., Paul A. Lord e Tracey M. Farragher. "Variations in dementia diagnosis in England and association with general practice characteristics". Primary Health Care Research & Development 18, n.º 03 (6 de março de 2017): 235–41. http://dx.doi.org/10.1017/s146342361700007x.

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Objectives Improving dementia diagnosis rates in England has been a key strategic aim of the UK Government but the variation and low diagnosis rates are poorly understood. The aim of this study was to explore the variation in actual versus expected diagnosis of dementia across England, and how these variations were associated with general practice characteristics. Method A cross-sectional, ecological study design using secondary data sources and median regression modelling was used. Data from the year 2011 for 7711 of the GP practices in England (92.7%). Associations of dementia diagnosis rates (%) per practice, calculated using National Health Service England’s ‘Dementia Prevalence Calculator’ and various practice characteristics were explored using a regression model. Results The median dementia diagnosis rate was 41.6% and the interquartile range was 31.2–53.9%. Multivariable regression analysis demonstrated positive associations between dementia diagnosis rates and deprivation of the population, overall Quality and Outcomes Framework performance, type of primary care contract and size of practice list. Negative associations were found between dementia diagnosis rates and average experience of GPs in the practice and the proportion of the practice caseload over 65 years old. Conclusion Dementia diagnosis rates vary greatly across GP practices in England. This study has found independent associations between dementia diagnosis rates and a number of patient and practice characteristics. Consideration of these factors locally may provide targets for case-finding interventions and so facilitate timely diagnosis.

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4

The Lancet. "Fixing emergency general surgery in England". Lancet 387, n.º 10028 (abril de 2016): 1592. http://dx.doi.org/10.1016/s0140-6736(16)30247-1.

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Kirk, Gordon. "The General Teaching Council for England". School Leadership & Management 20, n.º 2 (maio de 2000): 234–45. http://dx.doi.org/10.1080/13632430050011452.

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Норец, М. В., e Н. Н. Кислицына. "The theme of civilization crisis in the short story "England, My England" by D. H. Lawrence". Cherepovets State University Bulletin, n.º 1(112) (15 de fevereiro de 2023): 169–77. http://dx.doi.org/10.23859/1994-0637-2023-1-112-13.

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Раскрытию проблемы разрушения цивилизации посвящена новелла Д. Г. Лоуренса “England, My England”. Поиск направлений самоопределения в литературе встречается довольно часто: личностного самоопределения, себя в этом мире и идеального общества. Новелла Д. Г. Лоуренса “England, My England” была написана автором в тяжелые времена Британской истории: Первая мировая война, разруха и бедность населения, формирование Соединенного Королевства Великобритании и Северной Ирландии. Все эти процессы волновали не только историков и политологов, а также нашли свое отражение в литературе этого периода. D. H. Lawrence's short story "England, My England" considers the problem of the civilization destruction. The search for directions of self-determination in literature is quite common: personal self-determination, finding oneself in this world and an ideal society. D. H. Lawrence's short story "England, My England" was written by the author during the difficult times of British history: the First World War, devastation and poverty of the population, the formation of the United Kingdom of Great Britain and Northern Ireland. All these processes were of concern not only to historians and political scientists, but were also reflected in the literature of this period.

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Lamont, PM, G. Griffiths e L. Cochrane. "National Selection into General Surgery: A Pilot Study". Bulletin of the Royal College of Surgeons of England 93, n.º 9 (1 de outubro de 2011): 1–10. http://dx.doi.org/10.1308/147363511x580394.

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General surgery training in England ceased to run through to completion of training from specialty training level one (ST1) as of August 2010. Instead, a second competitive interview to enter ST3 has been introduced. As a result, up to 180 ST3 vacancies in general surgery should become available for recruitment each year in England, according to figures obtained from Medical Specialty Training (England), the successor to Modernising Medical Careers (MMC) (personal communication). The general surgery specialist advisory committee (SAC) was asked in 2008 by MMC to consider how best to appoint to these ST3 posts. Experience from other surgical specialties has shown that a national selection process offers the potential to recruit the best core surgical trainees.

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8

Dobson, Edward. "General Synod of the Church of England". Ecclesiastical Law Journal 24, n.º 1 (janeiro de 2022): 87–88. http://dx.doi.org/10.1017/s0956618x21000594.

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Cowling, T. E., M. J. Harris, M. A. Soljak e A. Majeed. "Opening hours of general practices in England". BMJ 347, dec23 18 (23 de dezembro de 2013): f7570. http://dx.doi.org/10.1136/bmj.f7570.

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10

Slack, Stephen. "General Synod of the Church of England". Ecclesiastical Law Journal 12, n.º 1 (janeiro de 2010): 86–89. http://dx.doi.org/10.1017/s0956618x09990457.

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11

Slack, Stephen. "General Synod of the Church of England". Ecclesiastical Law Journal 13, n.º 1 (13 de dezembro de 2010): 84–86. http://dx.doi.org/10.1017/s0956618x10000840.

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The single most important piece of legislative business considered by the Synod in 2010 was, of course, the draft legislation relating to women in the episcopate. Having been given First Consideration by the Synod in February 2009, the draft legislation was the subject of detailed consideration by a Revision Committee between May 2009 and April 2010. The Revision Committee received 297 submissions, of which 114 were from individual Synod members or groups including Synod members and others. In consequence, it met on 16 occasions and its report ran to 142 pages.

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12

Slack, Stephen. "General Synod of the Church of England". Ecclesiastical Law Journal 14, n.º 1 (5 de dezembro de 2011): 100–103. http://dx.doi.org/10.1017/s0956618x11000792.

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This report covers both the sessions held in November 2010 (the inaugural group of sessions of the new Synod that came into being following the quinquennial elections in the autumn of 2010) and those held in February and July 2011.

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13

Slack, Stephen. "General Synod of the Church of England". Ecclesiastical Law Journal 15, n.º 1 (13 de dezembro de 2012): 85–87. http://dx.doi.org/10.1017/s0956618x1200083x.

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14

Slack, Stephen. "General Synod of the Church of England". Ecclesiastical Law Journal 16, n.º 1 (13 de dezembro de 2013): 77–79. http://dx.doi.org/10.1017/s0956618x13000859.

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The report on the Synod's proceedings published in the January 2013 issue of this Journal reported the defeat – by a narrow majority – at the November 2012 group of sessions of the motion for the final approval of the draft measure intended to allow the consecration of women to the episcopate. As is well known, the Synod's decision was received with shock and dismay by many – both inside and outside the Church of England. But a response came quickly. In December the House of Bishops committed itself to bringing the elements of a new legislative package to the Synod in July 2013 and to that end established a working group, drawn from all three Houses.

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15

Arlow, Ruth. "Haye v General Teaching Council for England". Ecclesiastical Law Journal 16, n.º 1 (13 de dezembro de 2013): 117–18. http://dx.doi.org/10.1017/s0956618x13001026.

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16

Slack, Stephen. "General Synod of the Church of England". Ecclesiastical Law Journal 17, n.º 1 (11 de dezembro de 2014): 70–74. http://dx.doi.org/10.1017/s0956618x14000945.

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The most significant business – legislative or otherwise – conducted at these three groups of sessions was without doubt that relating to the consecration of women to the episcopate. The report on the Synod's proceedings published in the January 2014 edition of this Journal recounted the Synod's decision in July 2013 to call for draft legislation to be introduced giving effect to one of the options which had been identified by the working group established by the House of Bishops in 2012, immediately following the defeat of the previous legislation.

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17

Slack, Stephen. "General Synod of the Church of England". Ecclesiastical Law Journal 18, n.º 1 (10 de dezembro de 2015): 83–86. http://dx.doi.org/10.1017/s0956618x15000897.

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18

Slack, Stephen. "General Synod of the Church of England". Ecclesiastical Law Journal 19, n.º 01 (20 de dezembro de 2016): 66–69. http://dx.doi.org/10.1017/s0956618x16001125.

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This report covers the first three groups of sessions of the new General Synod elected in 2015. The previous Synod having completed its legislative business and the inaugural group of sessions of a new Synod customarily being short, legislative business only really got under way at the February 2016 group of sessions.

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19

Slack, Stephen. "General Synod of the Church of England". Ecclesiastical Law Journal 20, n.º 1 (janeiro de 2018): 64–67. http://dx.doi.org/10.1017/s0956618x17000904.

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This report covers the groups of sessions held in February 2017 and July 2017. Both groups of sessions saw significant amounts of legislative business, with earlier items being completed and new items being introduced. A number of them gave effect to proposals emerging from the simplification strand of the Archbishops’ Council's ‘Renewal and Reform’ programme or were in other ways intended to simplify or streamline the Church's substantial body of statute law; in a related area, one was directed towards simplifying the procedures for changing that law.

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20

Slack, Stephen. "General Synod of the Church of England". Ecclesiastical Law Journal 21, n.º 2 (12 de abril de 2019): 221–24. http://dx.doi.org/10.1017/s0956618x19000097.

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This report covers the groups of sessions held in February 2018 and July 2018. Both meetings again saw significant amounts of legislative business, with a number of items giving effect to proposals emerging from the simplification strand of the Archbishops’ Council's ‘Renewal and Reform’ programme or directed in other respects at simplifying or streamlining the Church's substantial body of statute law. Indeed, such has been the level of legislative activity over the last two years that in the course of 2018 no fewer than nine Measures have been enacted – the highest number in a single year since the Church acquired the ability to make Measures having the force and effect of an Act of Parliament under the Church of England Assembly (Powers) Act 1919.

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Cranmer, Frank. "General Synod of the Church of England". Ecclesiastical Law Journal 22, n.º 1 (31 de dezembro de 2019): 76–79. http://dx.doi.org/10.1017/s0956618x19001819.

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This report covers the groups of sessions held in February 2019 and July 2019. After the spate of legislation in 2018, when nine Measures were enacted – the highest number in a single year since the Church was empowered by the Church of England Assembly (Powers) Act 1919 to make Measures having the force and effect of statute – 2019 saw the enactment of just a single Measure.

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22

Thompson, Matthew, e Fiona Walter. "Increases in general practice workload in England". Lancet 387, n.º 10035 (junho de 2016): 2270–72. http://dx.doi.org/10.1016/s0140-6736(16)00743-1.

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23

Slack, Stephen. "General Synod of the Church of England". Ecclesiastical Law Journal 8, n.º 38 (janeiro de 2006): 351–53. http://dx.doi.org/10.1017/s0956618x00006517.

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Slack, Stephen. "General Synod of the Church of England". Ecclesiastical Law Journal 9, n.º 1 (janeiro de 2007): 105–8. http://dx.doi.org/10.1017/s0956618x07000117.

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25

Slack, Stephen. "General Synod of the Church of England". Ecclesiastical Law Journal 10, n.º 1 (3 de dezembro de 2007): 103–6. http://dx.doi.org/10.1017/s0956618x08000938.

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26

Slack, Stephen. "General Synod of the Church of England". Ecclesiastical Law Journal 11, n.º 1 (10 de dezembro de 2008): 88–91. http://dx.doi.org/10.1017/s0956618x09001690.

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In February, the Synod revised the draft legislation on clergy terms of service. Attention was chiefly focused on the parts of the draft Ecclesiastical Offices (Terms of Service) Measure dealing with the vesting of parsonage houses; in the event, the Synod voted to reject those provisions under which ownership of parsonage houses would have been transferred from the incumbent to the diocesan parsonages board. In contrast, the draft of the Regulations to be made under the Measure, which will specify the detailed terms of service, was accepted without amendment.

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Gillam, S. "Future shape of general practice in England". BMJ 349, oct21 2 (21 de outubro de 2014): g6268. http://dx.doi.org/10.1136/bmj.g6268.

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Morris, Stephen, Rosalind Goudie, Matt Sutton, Hugh Gravelle, Robert Elliott, Arne Risa Hole, Ada Ma, Bonnie Sibbald e Diane Skåtun. "Determinants of general practitioners' wages in England". Health Economics 20, n.º 2 (11 de janeiro de 2011): 147–60. http://dx.doi.org/10.1002/hec.1573.

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29

Dobson, Edward. "General Synod of the Church of England". Ecclesiastical Law Journal 26, n.º 1 (janeiro de 2024): 82–83. http://dx.doi.org/10.1017/s0956618x23000595.

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The first item of business at the February group of sessions was to revive the General Synod (Remote Meetings) (Temporary Standings Orders) Measure 2020, which enabled Synod to conduct hybrid meetings. Previously in operation during the COVID-19 pandemic, the standing order had lapsed and was brought back into operation until 5 February 2026.

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30

Dobson, Edward. "General Synod of the Church of England". Ecclesiastical Law Journal 25, n.º 1 (janeiro de 2023): 91–93. http://dx.doi.org/10.1017/s0956618x22000783.

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31

Akhtar, Noshad, Syed Shahzad Hasan e Zaheer-Ud-Din Babar. "Evaluation of general practice pharmacists’ role by key stakeholders in England and Australia". Journal of Pharmaceutical Health Services Research 13, n.º 1 (1 de março de 2022): 31–40. http://dx.doi.org/10.1093/jphsr/rmac002.

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Abstract Objectives This study aims to measure expectations and perceptions about the general practice pharmacists’ (GPPs) roles in England and Australia. Methods The study is based on the interviews conducted with key stakeholders from England and Australia, including general practitioners, nurses, GPPs, organizational lead and academics. There were a total of 14 participants, 7 each from England and Australia. The participants were involved in a semi-structured, audio-recorded interview, which was later transcribed verbatim, coded and underwent a thematic analysis to extract the general themes, raised by participants’ views and experiences about GPPs’ role. Key findings From the transcribed data, the main themes extracted were initial expectations and reservations by key stakeholders, barriers and facilitators, working collaboration, GPPs’ skillset, views on key performance indicators (KPIs), patients’ feedback and the stakeholders’ views on the future of GPPs in England and Australia. The participants from both England and Australia did acknowledge the growing role of GPPs. Few concerns were raised by some participants about aspects like role description, training pathways, prescribing protocols and funding. Despite these concerns, all participants strongly believed that by taking steps to overcome main barriers like funding in Australia and training pathways in England, GPPs could be an ideal professional to bridge the gaps in the general practice framework. Conclusions GPPs could be an ideal professional to bridge the gaps in the general practice framework, but steps need to be taken to overcome barriers. Based on the comparative data, recommendations were made on funding structure, role description, prescribing qualification, training pathways and KPIs. These recommendations can be used as guidance for both England and Australia while implementing relative policies in these countries.

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England, P. D., e R. J. Verrall. "Predictive Distributions of Outstanding Liabilities in General Insurance". Annals of Actuarial Science 1, n.º 2 (setembro de 2006): 221–70. http://dx.doi.org/10.1017/s1748499500000142.

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ABSTRACTThis paper extends the methods introduced in England & Verrall (2002), and shows how predictive distributions of outstanding liabilities in general insurance can be obtained using bootstrap or Bayesian techniques for clearly defined statistical models. A general procedure for bootstrapping is described, by extending the methods introduced in England & Verrall (1999), England (2002) and Pinheiro et al. (2003). The analogous Bayesian estimation procedure is implemented using Markov-chain Monte Carlo methods, where the models are constructed as Bayesian generalised linear models using the approach described by Dellaportas & Smith (1993). In particular, this paper describes a way of obtaining a predictive distribution from recursive claims reserving models, including the well known model introduced by Mack (1993). Mack's model is useful, since it can be used with data sets which exhibit negative incremental amounts. The techniques are illustrated with examples, and the resulting predictive distributions from both the bootstrap and Bayesian methods are compared.

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33

Broadbent, Pete. "Reflections on the Workings of General Synod". Ecclesiastical Law Journal 25, n.º 1 (janeiro de 2023): 19–31. http://dx.doi.org/10.1017/s0956618x22000618.

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This article is based on a paper delivered to the Ecclesiastical Law Society's day conference in 2022. It is a reflection on the workings of General Synod from the perspective of an author who has been a member of Synod for around 36 years. The article examines three discrete themes: (i) the problem of authority in the Church of England, (ii) the shortcomings of Synodical government, and (iii) the urgency of mission. It examines these themes by considering, among other things, the Church of England's response to a number of contemporary issues: its response to the COVID-19 pandemic, proposed reform of its governance structures, its ability to respond to issues concerning sexuality and racial justice, and the proposals for reforming the Mission and Pastoral Measure 2011, as set out in GS 2222.

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Beardsley, Christina. "‘On Consulting the Faithful’ in Matters of Human Identity, Sexuality and Gender". Modern Believing 62, n.º 1 (1 de janeiro de 2021): 37–47. http://dx.doi.org/10.3828/mb.2021.4.

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This article considers a perceived gap between Church of England House of Bishops’ statements on human identity, sexuality and gender, and the outlook of many congregations. It does this under five headings suggested by a brief study of St John Henry Newman’s On Consulting the Faithful in Matters of Doctrine. Topics are the bishops’ teaching responsibilities, how doctrinal consultation works in the Church of England, the tendency to prioritise church unity and the role of formation and of emotion. It concludes that the Church of England’s protracted conversations on sexuality should be resolved in a General Synod debate on equal marriage.

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Hagard, Spencer. "England". Promotion & Education 2, n.º 2-3 (setembro de 1995): 45–52. http://dx.doi.org/10.1177/102538239500200213.

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Hanson, Brian. "The General Synod of the Church of England". Ecclesiastical Law Journal 4, n.º 20 (janeiro de 1997): 681–83. http://dx.doi.org/10.1017/s0956618x00002908.

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Hanson, Brian. "The General Synod of the Church of England". Ecclesiastical Law Journal 5, n.º 22 (janeiro de 1998): 64–65. http://dx.doi.org/10.1017/s0956618x00003331.

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Hanson, Brian. "The General Synod of the Church of England". Ecclesiastical Law Journal 5, n.º 24 (janeiro de 1999): 209–10. http://dx.doi.org/10.1017/s0956618x00003537.

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Hanson, Brian. "The General Synod of the Church of England". Ecclesiastical Law Journal 5, n.º 26 (janeiro de 2000): 382–83. http://dx.doi.org/10.1017/s0956618x00003938.

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Hanson, Brian. "The General Synod of the Church of England". Ecclesiastical Law Journal 5, n.º 27 (julho de 2000): 482–83. http://dx.doi.org/10.1017/s0956618x00004154.

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Hanson, Brian. "The General Synod of the Church of England". Ecclesiastical Law Journal 6, n.º 28 (janeiro de 2001): 89. http://dx.doi.org/10.1017/s0956618x00004403.

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42

Slack, Stephen. "The General Synod of the Church of England". Ecclesiastical Law Journal 6, n.º 30 (janeiro de 2002): 298–99. http://dx.doi.org/10.1017/s0956618x00004646.

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Slack, Stephen. "The General Synod of the Church of England". Ecclesiastical Law Journal 7, n.º 32 (janeiro de 2003): 78–80. http://dx.doi.org/10.1017/s0956618x00004981.

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The principal item of legislative business at the July Group of Sessions was the Church of England (Pensions) Measure, which had received final approval in November 2001 (see 6 Ecc LJ 298). On its submission to the Ecclesiastical Committee of Parliament, the Committee indicated that it opposed the inclusion of a power (exercisable by statutory instrument passed under the negative resolution procedure) to extend beyond 2011 the power enjoyed by the Church Commissioners under the Pensions Measure 1997 to spend capital to meet their pre-1998 pensions liabilities. The Ecclesiastical Committee preferred that any further extension of that power should be achieved by a fresh Measure.

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Slack, Stephen. "The General Synod of the Church of England". Ecclesiastical Law Journal 7, n.º 34 (janeiro de 2004): 339–41. http://dx.doi.org/10.1017/s0956618x00005433.

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Slack, Stephen. "The General Synod of the Church of England". Ecclesiastical Law Journal 8, n.º 36 (janeiro de 2005): 84–86. http://dx.doi.org/10.1017/s0956618x00006049.

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The July group of sessions saw final approval being given to a group of items, including an Amending Canon, giving effect to the more contentious aspects of the Bridge Review of Synodical Government. In addition to making a number of technical changes to the Church Representation Rules relating to PCCs and deanery synods, the legislation will also alter the size and composition of the General Synod itself: among other changes, overall numbers will fall by 104 to 467 and the archdeacons' special constituency will be removed (their route to membership of the Synod being restricted to the diocesan clergy elections). There will also be reductions in the size of the special constituencies for deans and suffragan bishops.

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King, Michael, James Nazroo, Scott Weich, Kwame McKenzie, Kam Bhui, Saffron Karlson, Stephen Stansfeld et al. "Psychotic symptoms in the general population of England". Social Psychiatry and Psychiatric Epidemiology 40, n.º 5 (maio de 2005): 375–81. http://dx.doi.org/10.1007/s00127-005-0900-7.

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King, Michael, James Nazroo, Scott Weich, Kwame McKenzie, Kam Bhui, Saffron Karlsen, Stephen Stansfeld et al. "Psychotic symptoms in the general population of England". Social Psychiatry and Psychiatric Epidemiology 40, n.º 6 (junho de 2005): 509. http://dx.doi.org/10.1007/s00127-005-0962-6.

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Fieldhouse, E. A., C. J. Pattie e R. J. Johnston. "Tactical Voting and Party Constituency Campaigning at the 1992 General Election in England". British Journal of Political Science 26, n.º 3 (julho de 1996): 403–18. http://dx.doi.org/10.1017/s0007123400007511.

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Tactical voting has become increasingly salient in recent elections in England. However, it is not only voters who behave tactically. Political parties may also act tactically by focusing their election campaigns on marginal seats. This Note provides a unique exploration of the relationship between local campaigning and tactical voting in England, at the 1992 general election.

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Podberezkina, O. A. "Russian Advancement in Central Asia in the Works of Russian Lieutenant-General and Orientalist M.A. Terentyev". Governance and Politics 3, n.º 2 (26 de junho de 2024): 69–86. http://dx.doi.org/10.24833/2782-7062-2024-3-2-69-86.

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Mikhail Afrikanovich Terentyev was a Russian lieutenant general, military orientalist and historian, linguist, lawyer, who 150 years before the current events described geopolitics in Central Asia, the relations between Russia, England, Persia, and Muslim states, which still remain as controversial and complex as they were in the XIX century. He was surprisingly accurate in his assessment of the importance of public opinion in England and its press, so that Russia should have been careful when its power was exaggerated. The same image of Russia as an extremely strong and immoderate in appetite rival is persistently imposed by the British press on its society today, as well as on Europeans and Americans. He very accurately foreshadowed Russophobia and showed how members of the British parliament set tasks for the press and how the “sixth great power” worked. In his writings on Central Asia, M.A. Terentyev took into account economics, politics, military, individual qualities of leaders, public opinion, culture, language and national peculiarities. His writings shed light on the interdependencies and politics of states and there is no doubt that researchers will continue to refer to his works in the future. This article offers the reader useful remarks by M.A. Terentyev from his major works: “Russia and England in the Struggle for Markets” and “Russia and England in Central Asia”, which were highly appreciated in Russia, England and Europe. They shed light on the world economy and politics of the XIX century: the importance of cotton at the time to the world market, the importance of Central Asia to England, and they even link the assassination of Paul I to Russia’s attempt to control the route to India.

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Walsh, A., J. Olivier e O. Old. "Emergency general surgery: a ‘state of the nation’ survey". Bulletin of the Royal College of Surgeons of England 106, n.º 4 (junho de 2024): 228–33. http://dx.doi.org/10.1308/rcsbull.2024.75.

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INTRODUCTION Many projects seek to improve emergency general surgery (EGS) care across England. However, no study to date has examined how EGS is currently organised or how this is evolving. The aim of this study was to determine the current status of EGS organisation in England, whether this correlates with measures of hospital activity and changes proposed in the future. METHODS Surveys were sent to all NHS trusts in England via freedom of information requests. Trusts were given eight weeks to reply. Trust characteristics were ascertained by asking their organisational structure as well as acute bed numbers, number of admissions under general surgery, number of cases submitted to the National Emergency Laparotomy Audit in 2021 and whether they planned to start an EGS service within the next five years. Organisational structures were categorised as: a) mixed general surgical take; b) daily allocation to a subspecialty; c) dedicated EGS consultants/service covering weekdays; d) dedicated EGS consultants/service covering weekdays and weekends; or e) other. RESULTS A total of 101 organisations responded. There were 36 organisations in group A, 16 in group B, 10 in group C, 30 in group D and 5 in group E. Four organisations declined to supply information on organisational structure. No trust characteristic was significantly different between organisational structures. Two-fifths (41%) of the organisations reported having an EGS service in place (groups C and D). Almost a quarter (23%) of those without an EGS service reported plans to implement one within the next five years. CONCLUSIONS Our results indicate a growing trend towards implementing EGS services in England, with over 50% of trusts expected to offer such a service in five years’ time. It is important to pursue a collaborative definition of best practice for EGS to ensure high quality care for patients.

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