Patients consistently identified 11 factors falling in the supraordinate themes of self, others and process, and these influenced their self-efficacy to participate in neurological rehabilitation. Patients consider rehabilitation in terms of either an 'adaptation' or 'recovery' model.
This study is seeking to establish the factors influencing foundation doctors' decision-making when applying for speciality training. A questionnaire was sent to all foundation doctors in Scotland (n = 1602, response rate 34%) asking them about their career intention in relation to General Practice, whether they received career advice and the extent to which certain factors influenced their career choice. For the majority of trainees, General Practice was not their first choice but just under half were considering it as a career. There were significant differences in career choices between the four Scottish regions and between the medical schools, with a greater proportion of those who studied in Aberdeen and Dundee Medical Schools opting for a career in General Practice. Undergraduate GP placement was reported as the strongest influence in favour of a career in General Practice followed by discussion with family and friends and discussion with speciality trainees. There were differences between medical schools in the way hospital placements, General Practice placements and role models influenced career choices. Career advice on General Practice was reported to be less available and more difficult to find.
In December 2015, northern England experienced two major flooding events with extreme, even in some locations unprecedented, rainfalls and flooding. New 24-, 36-, and 48-hour UK rainfall records were created of 341.4, 401.4, and 405.2 mm, respectively. Three river-flow gauging stations, with flows of around 1,700 m3/s exceeded the previous peak flow record for England and Wales. There was widespread flooding, including major towns and cities, some of which had recent flood alleviation schemes. In Cumbria, the flood events in 2005, 2009 and 2015 compared with previous and historical events raise questions about the stationarity of the flood data and flood-producing mechanisms. These possible effects are less apparent elsewhere in northern England. This paper discusses whether present methods of estimating flood risk are able to cope with such extreme events and suggests topics for future research. In the meantime, for studies where flood estimates are important, practical hydrologists are faced with the difficult task of producing design flood estimates which fit with our understanding of these events.
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