The palynology of carboniferous strata in Northumberland off-shore boreholes

The work described represents a palynological study of Carboniferous coal seams of Upper Westphallan. A and Westphalian B age from eight off-shore boreholes sunk by the National Coal Board in Northumberland. When treated chemically the majority of the coal samples yielded well-preserved miospores which were studied by means of the optical and scanning electron microscopes. Systematic descriptions of 151 miospore species belonging to 57 genera, and including 18 new types, are given. One miospore assemblage is recognised from the coals of Upper Westphalian A age and two fUrther assemblages from those of Westphalian B age, These compare with assemblages described by earlier workers from strata of similar age elsewhere, but there are differences in the distributions of some of the more abundant taxa, and some of the stratigraphically significant species are not present. Correlations based on miospore distributions between the coal seams encountered in the eight off-shore boreholes agree fairly closely with those established by the National Coal Board on lithological criteria. Relations are discussed between palynology and palaeoecology and detailed comparisons made with the work of Smith and Butterworth 1967 from the adjacent on-shore area. It is concluded that the miospore assemblages described are restricted in that they contain very low representation of Smith's (1962) Densospore phase. This restriction, due to the relatively rapid subsidence of the depositional area, is reflected in the distributions of some of the less common spores as · well as in the abundances of species such as Densosporites sphaerotriangularis, Lycospora pusilla and Apiculatisporis irregularis.

Perceptions and attitudes of Jordanian paediatricians towards off-label paediatric prescribing

Objective To assess current experiences and attitudes of hospital based paediatricians towards off-label medicine prescribing. Setting Paediatric hospital wards and out-patient clinics. Design A prospective, questionnaire based study. Results A 30 item questionnaire was sent to 300 hospital based paediatricians and 250 (83%) were returned completed. Over 69% of responders were familiar with the term off-label medicines. However, only 28% were knowingly prescribing off-label medicines to children. The majority of respondents (90%) expressed concerns about the safety and efficacy of off-label medicines. Only 15% had observed Adverse Drug Reactions, and 31% a treatment failure. The vast majority of respondents (83%) did not obtain informed consent or tell parents they were prescribing off label medicines to their children. Conclusions Off-label prescribing of medicines to children is a familiar concept to the majority of paediatricians in Jordan although only a smaller number are aware that it is common in their practice. Respondents showed concern about off label prescribing, although the majority do not consider it necessary to inform parents. More comprehensive research is needed in this area in Jordan and other Middle Eastern countries.