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Articles by David Strain
The CLOUD Act: NHS data must be safeguarded from US interests
The potential for foreign access to NHS data reminds us why sovereignty must underpin the federated data platform, writes David Strain The NHS is on the brink of something important. The federated data platform (FDP), combined with the accelerating use of artificial intelligence (AI), offers the possibility of a health system that’s more coordinated, predictive, and efficient.
AI, private platforms, and the risk to NHS data sovereignty
AI (artificial intelligence) is being presented as the technology that will transform the NHS – reducing administrative burden, improving diagnosis, and enabling population-level care. But the central issue is not what AI can do; it is who will control the data that AI learns from – and therefore who ultimately controls the knowledge generated by NHS care. The NHS holds one of the most valuable longitudinal health datasets in the world.
BLOG: AI, private platforms, and the risk to NHS data sovereignty
AI (artificial intelligence) is being presented as the technology that will transform the NHS – reducing administrative burden, improving diagnosis, and enabling population-level care. But the central issue is not what AI can do; it is who will control the data that AI learns from – and therefore who ultimately controls the knowledge generated by NHS care. The NHS holds one of the most valuable longitudinal health datasets in the world.
Crucial action is needed to improve our food environment
As doctors, we see daily the effects poor diet has on health, with levels of obesity and diet-related illnesses continually rising. In England alone 10.5% of children starting primary school are classed as obese, rising to 22% per cent by the time they are leaving primary school. This tracks into adulthood with more than 64% of adults aged over 18 years estimated to be overweight or living with obesity.
The global implications of US health policy shifts
As a medical academic, clinician, and chair of the BMA board of science, I don’t usually comment on the politics of another country. But what’s happening right now in the USA – particularly around healthcare and scientific policy – is too significant, and frankly too alarming, to ignore. The USA plays a huge role in setting the tone for global health policy, funding, and research.
The UK is rapidly losing medical academics and without them the NHS 10 year plan is at risk
David Strain, co-chair, Jonathan Gibb, co-chair BMA Medical Academic Staff Committee, London, UK DS is associate professor of cardiometabolic health at the University of Exeter. JG is a doctoral clinical research fellow at Kings College London.
NHS winter preparedness
Winter remains a critical stress point for the NHS in England, especially for accident and emergency (A&E) and ambulance services. Cold weather increases the risk of heart attacks, strokes, hypothermia and falls, and may exacerbate long-term conditions like asthma and diabetes. As people congregate indoors, viruses such as influenza, respiratory syncytial virus (RSV), norovirus and covid-19 spread more readily, which can lead to surges in hospitalisation.
Annual Twin Lakes Fellowship Lecture
Transcript Let me just begin by adding my own welcome. I think I've said in this room before that I owe a huge personal debt to many of you, to the Twin Lakes Fellowship. I have friends in this room who are as dear to me as anyone under heaven, and I know them because of Twin Lakes Fellowship. And so, It's an enormous privilege for me to serve you and to be with you today. I'm so glad you're here.
'The Cross in the Experience of Our Lord' - Psalm 22 (Worship 2)
Transcript Would you take your Bibles in hand and turn with me to Psalm 22? Then when you have your copies of God's Word open, would you bow your heads with me as we pray? Our Father, we come to you praying that you would send us the Holy Spirit. by whom the words before us were inspired and have been preserved, that he might enlighten our sin-benighted understandings. Help us to understand and to see and to weep again as we behold the wounds of our Redeemer.
From Heaven He Came and Sought Her - Twin Lakes Fellowship Convener Lecture
Transcript of the Fellowship, I have the privilege of addressing a few words of explanation why we're here and exhortation to you as we begin our time together.
Isaiah 6 “Glory and Grace” (Worship 2)
Transcript Brothers, would you take your Bibles please and turn with me to the prophecy of Isaiah chapter 6. Before we read God's Word, let me say how humbled and thankful I am to have the privilege of opening God's Word to you. Now you're all awake. I've sat at the feet of many of you and been blessed by your ministries here. I wanted to say to you that I first came here when I was serving in London. at a time in my own ministry when things were extremely difficult and painful.
Twin Lakes Fellowship Lecture
Transcript Brothers, allow me to welcome you all once again on behalf of the session of First Presbyterian Church in Jackson. It is the purpose of the elders at First Church that this annual gathering be a blessing and an encouragement to you and your ministries. That's been our prayer for you in the weeks leading up to these days and for our time together.
TLF Lecture
Transcript Every year I have the responsibility, opportunity, burden to present a little Twin Lakes Fellowship, we call it Twin Lakes Fellowship lecture. It sounds awfully grand and ostentatious, but it's really just an attempt to set out the stall, as it were. of the Twin Lakes Fellowship. Who are we? Why are we here? What are we about?
End violence against women
We all agree, violence against women and girls is not just a personal tragedy or a policing issue. It is a public health emergency. It is a societal injustice. And it is, in part, a cultural failure – one which has been allowed to persist for too long, including within our own workplaces, institutions and professions. Yet, too often, the burden of tackling it is placed on women alone. This motion seeks to change that.
Putting quarries on the Technidrive radar
There’s an “imperative for the Top 40 mining companies to focus on productivity,” reports PwC, and accurate level measurement is particularly essential in efficient operations. However, the harsh environment of quarries — filled with dust, moisture and noise — poses significant challenges to traditional measurement technologies.
Cass Review: insight from the front line
The Cass Review of gender identity services for children and young people has garnered controversy since its publication in April. While welcomed by some, others – including patients, their families, academics, scientists, legal experts, and some members of the British Medical Association – have voiced concerns. In August, the BMA council voted for the BMA to evaluate the Cass Review. More recently, it voted for the BMA to retain a neutral position on the Review until that evaluation has concluded.
Embracing automation for feeder control
David Strain | August 6, 2024 | 12:27 pm The ancient Egyptians built monumental structures like the Great Pyramids, where huge limestone and granite blocks were carved by hand after being extracted from local quarries. Today, as the demand for construction materials persists, mining remains indispensable but transformed by technological advancements. With a focus on automation, modern mining operations are seeing a surge in efficiency and safety measures.
Marital Faithfulness and Witness Bearing
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Time to create a smokefree generation – now | BMA blogs
National No Smoking Day takes place on 13 March and comes at a particularly relevant time this year due to the recent developments in the attempt to tackle smoking rates in the UK. Last year the Government took one of the boldest steps over the last decade, since smoking was banned in public places, by setting out new plans to create a ‘smokefree generation’.
Gen Z’s Biggest Obstacles May Be Their Greatest Gospel Opportunities
By now, you’ve seen the headlines: Gen Z is the least religious generation in America. after study has shown this to be true. However, most don’t reject religion outright. They simply don’t think about it. With the surge of the “nones” (religiously unaffiliated) and the dechurching phenomenon in the U.S. (the largest and fastest religious shift in our history), Gen Z’s indifference toward religion shouldn’t surprise us. But it shouldn’t discourage us either. It should motivate us.
Uitgenodigd voor een bruiloft: waarom we soms ”nee” moeten zeggen om Jezus’ wil
„Als we naar een huwelijk gaan, zijn we niet slechts toeschouwers. We zijn getuigen die de rechtmatigheid van de verbintenis die voor onze ogen wordt gesloten, bevestigen.” beeld Unsplash
Ready for Church: 5 Ways to Be Present in Worship
I exercise several days a week in a downtown park with a group of men. One day, I complained to my workout partner that I didn’t get much out of it. He responded, “Well, it’s possible you didn’t get much out of it because you didn’t put much into it.” Advertise on TGC The way we experience corporate church worship can follow the same pattern. We can get so little out of it because, frankly, we put so little in. We’re physically present but spiritually disengaged.
Review: ‘The Kingdom, the Power, and the Glory’ by Tim Alberta
A few hours after he laid his dad to rest in 2019, Tim Alberta recounts, a family friend and elder at his father’s church wrote him a handwritten letter accusing him of treason. He was allegedly part of an evil plot to undermine God’s ordained leader. The explicit suggestion of the letter was that he could restore himself by using his journalistic talents to expose “the deep state.” It wasn’t just the timing of the letter that felt inappropriate but the certainty and strength of the position.
God’s Instruction in the Wilderness
More Episodes God’s Instruction in the Wilderness God’s Provision in the Wilderness God’s Rescue Through the Wilderness God’s Sacrifice in the Wilderness God’s Mediator for the Wilderness “The preaching of the law is the schoolmaster that brings us to Christ again and again.” – J. D. Greear In his keynote message at TGC’s 2023 National Conference, J. D.
Courageous Pastors or Overbearing Leaders: How Do We Tell the Difference?
This generation needs courageous pastors. Every generation does. Shepherds are charged with guarding and protecting the flock of God from harm, and there’s plenty of that out there, whether in the form of wolves or thieves—predators within or bullies without. Faced with threats to the church and with an Enemy who always seeks to kill and destroy, pastors need to lead clearly and bravely. We need courageous shepherds. This generation has suffered under overbearing leaders.
The Unknown Printer Who Shaped Modern Missions
Many Christians have heard of William Carey. Fewer are familiar with his partner in India, William Ward. While overshadowed by Carey’s fame even in his lifetime, Ward played a vital role with the Serampore mission team as a printer, preacher, pastor, and trainer.
‘That Thing Is Alive’: How the Bible Affected Its 6 Newest Narrators
A few years ago, as Crossway staff were considering whether to invest in new ESV Bible recordings, they spoke with an expert in the audio publishing industry. “You may not want to get into audio Bible production,” the expert told Crossway chief publishing officer Don Jones. “Audio Bibles are really complicated and time consuming.” Advertise on TGC “An audio Bible involves around 70 to 75 hours of listening time,” Jones said.
How a Seminary Professor Forgave His Son’s Killer
When the restaurant staff saw the four young men walk in wearing masks, they knew it was a robbery. They took off running—all except the cook in the back. He was wearing earbuds and didn’t hear them come in. The cook—Tony Smith—wasn’t even supposed to be working that night. He was planning to watch the Giants play the Rangers in the 2010 World Series with his grandma. But someone asked him to cover the shift, and he said he would.
Review: Expository Preaching By David Strain - The Heidelblog
Upon first glance (and given the title), readers might assume this little book is yet another how-to manual on homiletics and expository preaching. But while this volume is a brief treatment on the subject of expository preaching, it is not written primarily for the benefit of the minister, but rather for the congregant.
How technology can transform the African quarrying industry
How technology can transform the African quarrying industry The quarrying industry plays a crucial role in the extraction of valuable minerals and materials for construction and infrastructure projects. By David Strain, Technical Director at Technidrive The handling of challenging materials in quarries has always posed risks and obstacles to workers’ safety.
David Strain: ‘I’m Thankful to Be Turning 50 with the PCA’
The Presbyterian Church in America (PCA) is one year older than I am. At 49, I have to confess the prospect of turning 50 doesn’t fill me with enthusiasm. Nevertheless, despite the declining capacities my older friends gleefully tell me to expect as I cross that dreaded threshold, the PCA at 50 shows every sign of continued vigor and spiritual vitality.
One drink, don't drive
Don’t Drink and Drive. A very simple message at first glance. But then caveats crept in. You can have one drink, maybe two. Various websites suggest anything up to four units of alcohol, that’s 2 pints, can safely be drunk and an individual can legally drive. This statement contains so many contradictions. The first is that alcohol ingested has an equivalent impact on everyone.
Driving home message on alcohol
Don’t Drink and Drive. A very simple message at first glance. But then caveats crept in. You can have one drink, maybe two. Various websites suggest anything up to four units of alcohol, that’s 2 pints, can safely be drunk and an individual can legally drive. This statement contains so many contradictions. The first is that alcohol ingested has an equivalent impact on everyone.
From blueprint to bottom line: Energy saving in pumping applications
When it comes to energy consumption, centrifugal pumps are among the guilty culprits. For sectors like oil, gas, water and wastewater treatment, pumps can consume more than 15 percent of a facility’s total energy use. A common cause is the use of traditional fixed-speed motors in pumping applications – essentially, motors that run consistently, regardless of the actual demand. Variable control For most industries, the demand for fluid flow varies over time.
Vaping as a cure for smoking has brought its own ills
The writer is associate professor in cardiometabolic health at the University of Exeter and chairs the BMA Board of Science Smoking kills.
Salt solution
As doctors, we are all too aware of the health impacts of salt. High salt intake is causally associated with strokes, heart attacks, heart failure, and kidney disease. There is also an association with stomach cancer, obesity, and diabetes, although the causative nature of these links is uncertain. It may be direct, but just as likely to be a result of sweetened soft drinks consumed to quench the thirst or other potential confounders.
Linking excess deaths in the NHS to junior doctor strike days
News & Views Linking excess deaths... Linking excess deaths in the NHS to junior doctor strike days Opinion BMJ 2023; 381 doi: https://doi.org/10.1136/bmj.p912 Cite this as: BMJ 2023;381:p912 David Strain, chair of the board of science The BMA Calculating excess deaths in the NHS is complex, and industrial action is not the root cause, writes David Strain Patient safety is at the heart of everything doctors do. But being able to provide safe care for our patients is no longer a given.
Lockdown, three years on: what have we learnt and what next?
The draft WHO pandemic accord that is currently being negotiated by member states provides a blueprint for effective pandemic prevention, preparedness, response and recovery – compelling governments and non-state actors such as pharmaceutical companies to work in collaboration rather than competition, and supporting equitable access to medical counter-measures.
Why we are supporting JRF and Big Future
I am a doctor, not an economist, but like many of my colleagues I know what price patients pay for a cost-of-living crisis. Research has clearly demonstrated the link between poverty and ill-health. In England, the life-expectancy gap between the most- and least-deprived areas was eight years for women and 10 years for men between 2018-20.
Removing special covid leave will only undervalue staff and threaten patient safety
News & Views Removing special covid... Removing special covid leave will only undervalue staff and threaten patient safety Opinion BMJ 2022; 378 doi: https://doi.org/10.1136/bmj.o1684 Cite this as: BMJ 2022;378:o1684 David Strain, board of science chair at the BMA The Office for National Statistics (ONS) estimates that two million people (3% of the population) in the UK currently have long covid.
When the gloves come off
Since childhood, we’ve been told to prize quality over quantity. We can all understand the fundamental truth that, often, more isn’t more. This is a fact worth remembering in the context of glove awareness week, an annual event asking us to be more conscious in our glove usage.
Social Media Fosters Distrust in Institutions. But We Can’t Live Without Them.
Social media introduced a new frontier of decentralized social, cultural, and psychological power we’ve barely begun to understand. Countless governmental and corporate institutions have been held accountable by movements catalyzed by social media. But social media enables the same voices that (rightly) celebrate the downfall of corrupt institutions to wield significantly more power with even less accountability than their institutional predecessors.
5 Ways to Love Missionaries When They Come Home
Six months ago, our family of five landed on American soil after several years serving as missionaries. As I stepped off the plane, my feet still stained by the orange dirt of Africa, I carried with me more than just our 10 pieces of oversize luggage. I showed up with a fresh passion to see missionaries protected, cared for, and loved. Advertise on TGC And now, after months of transitioning, my eyes are more open than ever to the importance of caring for returned missionaries.
What G. K. Chesterton Teaches Us About Bridging Differences
G. K. Chesterton’s novel The Ball and the Cross (1909) chronicles the story of an atheist and a Christian who form a relationship around a shared desire to kill each other. They spend most of the book searching for a quiet place for a deadly duel. But by the end they’re the best of friends, though both are locked in an insane asylum. Chesterton’s point seems to be that they were the only two sane people on the planet. He often used the notion of lunacy in this kind of way.
Why Is It So Hard to Talk About Race?
The following is an uncorrected transcript generated by a transcription service. Before quoting in print, please check the corresponding audio for accuracy. Isaac Adams: Thank you. Good morning. Good morning. I want to welcome the folks joining on the live stream and then the folks here in the room as well. My name is Isaac Adams. I’m a pastor at Capitol Hill Baptist church up in Washington DC. I’m also the founder of a ministry called United we pray just real quick for the room key.
Teach Them Everything
One of the most important universals in the Great Commission, particularly for our superficial age, is the command to teach those we have discipled. We’re to teach them everything Christ commanded. Today we see what seems to be the opposite. Instead of striving to teach all Christ commanded, many try to eliminate as much of his teaching as possible, concentrating on an easily comprehended, unobjectionable “core” of teaching.
The Call to Love Our Afghan Neighbors
Ever since the poorly executed withdrawal of American troops from Afghanistan ended on August 30, 2021, the situation for those remaining in the troubled country has continued to worsen. Evidence of tyranny abounds. Last fall, a student from Afghanistan at Calvin University described how her family faced violence because they had helped Americans and because they belong to an ethnic minority.
Parents, You Don’t Need to Be Cool
“Mom isn’t cool.” One of my kids made this comment while we were gathered around the dinner table one evening. I immediately felt compelled to prove otherwise and proceeded to share “cool” stories from my life. I’d say, “Did I tell you about the time I . . .” and he would look at me unimpressed and shrug his shoulders. The rest of the family laughed at my efforts to lift myself up in the eyes of my son.
4 Traits of an Emotionally Healthy Ministry Worker
“I need to step away from serving.” These are words you expect to hear from time to time. People serve for seasons, and some seasons are longer than others. But this was coming from a capable and energetic ministry worker, a spiritually solid servant of Christ. Yet what followed was an explanation of emotional decline, frustrating interactions, and strained interpersonal relationships—an explanation that affirmed the decision, though hard, was wise.
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