ObjectiveTo understand decision-making when bringing a child to an emergency department.DesignA cross-sectional survey of parents attending with children allocated a minor triage category.SettingEmergency department in South West England, serving 450,000 people per annum.ParticipantsAll English-speaking parents/caregivers whose children attended the emergency department and were triaged as minor injury/illness.Main outcome measuresParental and child characteristics, injury/illness characteristics, advice seeking behaviour, views regarding emergency department service improvement, GP access and determinants of emergency department use.ResultsIn sum, 373 responses were analysed. The majority of attendances were for minor injury, although illness was more common in <4 year olds. Most presentations were within 4 h of injury/illness and parents typically sought advice before attending. Younger parents reported feeling more stressed. Parents of younger children perceived the injury/illness to be more serious, reporting greater levels of worry, stress, helplessness and upset and less confidence. Parents educated to a higher level were more likely to administer first-aid/medication. Around 40% did not seek advice prior to attending and typically these were parents aged <24 and parents of <1 year olds. The main determinants of use were: advised by someone other than a GP; perceived urgency; perceived appropriateness. The need for reassurance also featured.ConclusionsThe findings suggest that it is difficult for parents to determine whether their child’s symptoms reflect minor conditions. Efforts should focus on building parental confidence and self-help and be directed at parents of younger children and younger parents. This is in addition to appropriate minor injury/illness assessment and treatment services.
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Most people think of the Oxford English Dictionary (OED) as a distinctly British product. Begun in England 150 years ago, it took more than 60 years to complete and, when it was finally finished in 1928, the British prime minister heralded it as a 'national treasure'. It maintained this image throughout the twentieth century, and in 2006 the English public voted it an 'Icon of England', alongside Marmite, Buckingham Palace and the bowler hat. However, this book shows that the dictionary is not as 'British' as we all thought. The linguist and lexicographer, Sarah Ogilvie, combines her insider knowledge and experience with impeccable research to show that the OED is in fact an international product in both its content and its making. She examines the policies and practices of the various editors, applies qualitative and quantitative analysis, and finds new OED archival materials in the form of letters, reports and proofs. She demonstrates that the OED, in its use of readers from all over the world and its coverage of World English, is in fact a global text.
Many of the world's languages have diminishing numbers of speakers and are in danger of falling silent. Around the globe, a large body of linguists are collaborating with members of indigenous communities to keep these languages alive. Mindful that their work will be used by future speech communities to learn, teach and revitalise their languages, scholars face new challenges in the way they gather materials and in the way they present their findings. This volume discusses current efforts to record, collect and archive endangered languages in traditional and new media that will support future language learners and speakers. Chapters are written by academics working in the field of language endangerment and also by indigenous people working 'at the coalface' of language support and maintenance. Keeping Languages Alive is a must-read for researchers in language documentation, language typology and linguistic anthropology.
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