891 research outputs found
Estimating human resource requirements for scaling up priority health interventions in low-income countries of Sub-Saharan Africa: A methodology based on service quantity, tasks and productivity (The QTP methodology).
The scaling up of low-technology health interventions has been recognised in theory. Practical measures remain few and far between, however
Universal and Non-Universal First-Passage Properties of Planar Multipole Flows
The dynamics of passive Brownian tracer particles in steady two-dimensional
potential flows between sources and sinks is investigated. The first-passage
probability, , exhibits power-law decay with a velocity-dependent
exponent in radial flow and an order-dependent exponent in multipolar flows.
For the latter, there also occur diffusive ``echo'' shoulders and exponential
decays associated with stagnation points in the flow. For spatially extended
dipole sinks, the spatial distribution of the collected tracer is independent
of the overall magnitude of the flow field.Comment: 7 pages, LaTe
Superpatterns and Universal Point Sets
An old open problem in graph drawing asks for the size of a universal point
set, a set of points that can be used as vertices for straight-line drawings of
all n-vertex planar graphs. We connect this problem to the theory of
permutation patterns, where another open problem concerns the size of
superpatterns, permutations that contain all patterns of a given size. We
generalize superpatterns to classes of permutations determined by forbidden
patterns, and we construct superpatterns of size n^2/4 + Theta(n) for the
213-avoiding permutations, half the size of known superpatterns for
unconstrained permutations. We use our superpatterns to construct universal
point sets of size n^2/4 - Theta(n), smaller than the previous bound by a 9/16
factor. We prove that every proper subclass of the 213-avoiding permutations
has superpatterns of size O(n log^O(1) n), which we use to prove that the
planar graphs of bounded pathwidth have near-linear universal point sets.Comment: GD 2013 special issue of JGA
The language of dissent – how school leaders adjust to policy change
Education has changed recently in the England and leadership of schools has changed with it. This paper
examines the language of dissent, the political opposition of school leaders who meet the challenges of
the educational system resulting from the government policies. They question whether these policies
really serve the pupils and the community effectively. It is based on a wider piece of research involving
interviews with head teachers and senior managers in a range of schools; it illustrates their frustrations
at delivering a prescriptive curriculum. The research takes a grounded theory approach; throughout the
interview process, themes emerged and were developed through layers of analysis. This led to the
construction of a framework based on the ideas of power, ethics, resistance, and mistrust. This explains
the views of school leader in conceptual terms, and it was found that they use of any form of control at
their disposal, bring their own values to education, subvert where they see necessary, and at best
tolerate policy
Addressing Inequity to Achieve the Maternal and Child Health Millennium Development Goals: Looking Beyond Averages.
Inequity in access to and use of child and maternal health interventions is impeding progress towards the maternal and child health Millennium Development Goals. This study explores the potential health gains and equity impact if a set of priority interventions for mothers and under fives were scaled up to reach national universal coverage targets for MDGs in Tanzania. We used the Lives Saved Tool (LiST) to estimate potential reductions in maternal and child mortality and the number of lives saved across wealth quintiles and between rural and urban settings. High impact maternal and child health interventions were modelled for a five-year scale up, by linking intervention coverage, effectiveness and cause of mortality using data from Tanzania. Concentration curves were drawn and the concentration index estimated to measure the equity impact of the scale up. In the poorest population quintiles in Tanzania, the lives of more than twice as many mothers and under-fives were likely to be saved, compared to the richest quintile. Scaling up coverage to equal levels across quintiles would reduce inequality in maternal and child mortality from a pro rich concentration index of -0.11 (maternal) and -0.12 (children) to a more equitable concentration index of -0,03 and -0.03 respectively. In rural areas, there would likely be an eight times greater reduction in maternal deaths than in urban areas and a five times greater reduction in child deaths than in urban areas. Scaling up priority maternal and child health interventions to equal levels would potentially save far more lives in the poorest populations, and would accelerate equitable progress towards maternal and child health MDGs
Pattern formation in directional solidification under shear flow. I: Linear stability analysis and basic patterns
An asymptotic interface equation for directional solidification near the
absolute stabiliy limit is extended by a nonlocal term describing a shear flow
parallel to the interface. In the long-wave limit considered, the flow acts
destabilizing on a planar interface. Moreover, linear stability analysis
suggests that the morphology diagram is modified by the flow near the onset of
the Mullins-Sekerka instability. Via numerical analysis, the bifurcation
structure of the system is shown to change. Besides the known hexagonal cells,
structures consisting of stripes arise. Due to its symmetry-breaking
properties, the flow term induces a lateral drift of the whole pattern, once
the instability has become active. The drift velocity is measured numerically
and described analytically in the framework of a linear analysis. At large flow
strength, the linear description breaks down, which is accompanied by a
transition to flow-dominated morphologies, described in a companion paper.
Small and intermediate flows lead to increased order in the lattice structure
of the pattern, facilitating the elimination of defects. Locally oscillating
structures appear closer to the instability threshold with flow than without.Comment: 20 pages, Latex, accepted for Physical Review
Polarization and spectral energy distribution in OJ 287 during the 2016/17 outbursts
We report optical photometric and polarimetric observations of the blazar OJ 287 gathered during 2016/17. The high level of activity, noticed after the General Relativity Centenary flare, is argued to be part of the follow-up flares that exhibited high levels of polarization and originated in the primary black hole jet. We propose that the follow-up flares were induced as a result of accretion disk perturbations, travelling from the site of impact towards the primary SMBH. The timings inferred from our observations allowed us to estimate the propagation speed of these perturbations. Additionally, we make predictions for the future brightness of OJ 287. © 2017 by the authors
COVID, home schooling and inequalities
Introduction: One major effect of the COVID-19 lockdown has been the closure of schools and the switch to home learning for most children through online or hybrid models of teaching and learning. However, questions would be asked about the quality of this model, especially in the light of recent policy moves to reduce educational differences across the country. Research Aim: The aims of this article are to draw together recent research into home schooling during the COVID-19 pandemic and provide a theoretical explanation against a policy background with a stated aim of reducing inequalities in education.
Method: A literature review was carried out of articles that relate to the experiences of home schooling for children and families as well as more general effects of lockdown. Results: Results show clear differences in home schooling experiences in terms of resources and attitudes, and school provision. Concepts of cultural capital and cultural deprivation have been used to show how inequalities continue to persist despite recent policy aimed at reducing inequalities.
Conclusions: Home schooling has brought inequalities into sharp focus over how schools deliver home schooling and how children and families are able to take advantage of what has been provided. It indicates that a cultural shift is needed. Education has been devolved to the level of the individual and for real change to take place, a more collective approach is needed. Education has been devolved to the level of the individual and for real change to take place, a more collective approach is needed.
Keywords: levelling up, home schooling, cultural capital, cultural deprivation, material deprivation
Health System Support for Childbirth care in Southern Tanzania: Results from a Health Facility Census.
Progress towards reaching Millennium Development Goals four (child health) and five (maternal health) is lagging behind, particularly in sub-Saharan Africa, despite increasing efforts to scale up high impact interventions. Increasing the proportion of birth attended by a skilled attendant is a main indicator of progress, but not much is known about the quality of childbirth care delivered by these skilled attendants. With a view to reducing maternal mortality through health systems improvement we describe the care routinely offered in childbirth offered at dispensaries, health centres and hospitals in five districts in rural Southern Tanzania. We use data from a health facility census assessing 159 facilities in five districts in early 2009. A structural and operational assessment was undertaken based on staff reports using a modular questionnaire assessing staffing, work load, equipment and supplies as well as interventions routinely implemented during childbirth. Health centres and dispensaries attended a median of eight and four deliveries every month respectively. Dispensaries had a median of 2.5 (IQR 2--3) health workers including auxiliary staff instead of the recommended four clinical officer and certified nurses. Only 28% of first-line facilities (dispensaries and health centres) reported offering active management in the third stage of labour (AMTSL). Essential childbirth care comprising eight interventions including AMTSL, infection prevention, partograph use including foetal monitoring and newborn care including early breastfeeding, thermal care at birth and prevention of ophthalmia neonatorum was offered by 5% of dispensaries, 38% of health centres and 50% of hospitals consistently. No first-line facility had provided all signal functions for emergency obstetric complications in the previous six months. Essential interventions for childbirth care are not routinely implemented in first-line facilities or hospitals. Dispensaries have both low staffing and low caseload which constraints the ability to provide high-quality childbirth care. Improvements in quality of care are essential so that women delivering in facility receive "skilled attendance" and adequate care for common obstetric complications such as post-partum haemorrhage
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