State Hospital Rate-Setting Revisited

Reviews the impact of seven states' past regulation of hospital payments on state hospital cost increases. Considers how methods and enforcement capacities influence the effectiveness of rate-setting as well as implications for national healthcare reform

Žrtvama palim za Hrvatsku

Remote sensing, geographical information systems (GIS) and spatial analysis provide important tools that are as yet under-exploited in the fight against disease. As the use of such tools becomes more accepted and prevalent in epidemiological studies, so our understanding of the mechanisms of disease systems has the potential to increase. This paper introduces a range of techniques used in remote sensing, GIS and spatial analysis that are relevant to epidemiology. Possible future directions for the application of remote sensing, GIS and spatial analysis are also suggested. <br/

Extending the M_(bh)-sigma diagram with dense nuclear star clusters

Abridged: Four new nuclear star cluster masses, M_nc, plus seven upper limits, are provided for galaxies with previously determined black hole masses, M_bh. Together with a sample of 64 galaxies with direct M_bh measurements, 13 of which additionally now have M_nc measurements rather than only upper limits, plus an additional 29 dwarf galaxies with available M_nc measurements and velocity dispersions sigma, an (M_bh + M_nc)-sigma diagram is constructed. Given that major dry galaxy merger events preserve the M_bh/L ratio, and given that L ~ sigma^5 for luminous galaxies, it is first noted that the observation M_bh ~ sigma^5 is consistent with expectations. For the fainter elliptical galaxies it is known that L ~ sigma^2, and assuming a constant M_nc/L ratio (Ferrarese et al.), the expectation that M_nc ~ sigma^2 is in broad agreement with our new observational result that M_nc ~ sigma^{1.57\pm0.24}. This exponent is however in contrast to the value of ~4 which has been reported previously and interpreted in terms of a regulating feedback mechanism from stellar winds.Comment: 6 pages, 2 figures. Submitted 08/08/2011 to MNRAS, first referee report received 19/01/2012, accepted 10/02/201

Community experiences of organised crime in Scotland

The research explored community experiences of serious organised crime in Scotland (SOC). The report provides information on the nature and extent of the impact of SOC on everyday life in the community, as well as offering suggestions for policy development. The study sought to answer the following questions: 1)What are the relationships that exist between SOC and communities in Scotland? 2)What are the experiences and perceptions of residents, stakeholders and organisations of the scope and nature of SOC within their local area? and 3)How does SOC impact on community wellbeing, and to what extent can the harms associated with SOC be mitigated

Iron oxidation at low temperature (260–500 C) in air and the effect of water vapor

The oxidation of iron has been studied at low temperatures (between 260 and 500 C) in dry air or air with 2 vol% H2O, in the framework of research on dry corrosion of nuclear waste containers during long-term interim storage. Pure iron is regarded as a model material for low-alloyed steel. Oxidation tests were performed in a thermobalance (up to 250 h) or in a laboratory furnace (up to 1000 h). The oxide scales formed were characterized using SEM-EDX, TEM, XRD, SIMS and EBSD techniques. The parabolic rate constants deduced from microbalance experiments were found to be in good agreement with the few existing values of the literature. The presence of water vapor in air was found to strongly influence the transitory stages of the kinetics. The entire structure of the oxide scale was composed of an internal duplex magnetite scale made of columnar grains and an external hematite scale made of equiaxed grains. 18O tracer experiments performed at 400 C allowed to propose a growth mechanism of the scale

Impacts of the Primary School Free Breakfast Initiative on socio-economic inequalities in breakfast consumption among 9–11-year-old schoolchildren in Wales

Objectives - Universal interventions may widen or narrow inequalities if disproportionately effective among higher or lower socio-economic groups. The present paper examines impacts of the Primary School Free Breakfast Initiative in Wales on inequalities in children's dietary behaviours and cognitive functioning.&lt;p&gt;&lt;/p&gt; Design Cluster - randomised controlled trial. Responses were linked to free school meal (FSM) entitlement via the Secure Anonymised Information Linkage databank. Impacts on inequalities were evaluated using weighted school-level regression models with interaction terms for intervention × whole-school percentage FSM entitlement and intervention × aggregated individual FSM entitlement. Individual-level regression models included interaction terms for intervention × individual FSM entitlement.&lt;p&gt;&lt;/p&gt; Setting - Fifty-five intervention and fifty-six wait-list control primary schools.&lt;p&gt;&lt;/p&gt; Subjects - Approximately 4500 children completed measures of dietary behaviours and cognitive tests at baseline and 12-month follow-up.&lt;p&gt;&lt;/p&gt; Results School-level models indicated that children in intervention schools ate a greater number of healthy items for breakfast than children in control schools (b = 0·25; 95 % CI 0·07, 0·44), with larger increases observed in more deprived schools (interaction term b = 1·76; 95 % CI 0·36, 3·16). An interaction between intervention and household-level deprivation was not significant. Despite no main effects on breakfast skipping, a significant interaction was observed, indicating declines in breakfast skipping in more deprived schools (interaction term b = −0·07; 95 % CI −0·15, −0·00) and households (OR = 0·67; 95 % CI 0·46, 0·98). No significant influence on inequality was observed for the remaining outcomes.&lt;p&gt;&lt;/p&gt; Conclusions - Universal breakfast provision may reduce socio-economic inequalities in consumption of healthy breakfast items and breakfast skipping. There was no evidence of intervention-generated inequalities in any outcomes

Nutritional adequacy of a cows’ milk exclusion diet in infancy

BACKGROUND: Infants with suspected cows’ milk allergy are required to follow a strict milk exclusion diet which may lead to nutritional deficiencies, especially if not supervised by a healthcare professional. The aim of this study was to assess the nutritional adequacy of a cows’ milk exclusion diet in a group of UK infants over a period of 6 months. METHODS: Participants in this study are a subgroup of the Prevalence of Infant Food Allergy study, a prospective food allergy birth cohort study from the South of England. Each infant consuming a milk free diet, following advice from a specialist allergy dietitian, was matched to two control infants who were consuming an unrestricted diet, forming a nested matched case–control study. Detailed food diaries completed prospectively for 1 week per month over a 5 month period, were coded and analysed according to a standard protocol. RESULTS: The diets of 39 infants (13 milk-free and 26 controls) were assessed. Mean age at diet commencement was 14 weeks. Two of the eleven infants started on an extensively hydrolysed formula did not tolerate it and required an amino acid formula for symptom resolution. All infants had mean intakes in excess of the estimated average requirement for energy and the recommended nutrient intake (RNI) for protein, calcium, iron, selenium, zinc, vitamins A, C and E. Vitamin D intake was in excess of the RNI at all time-points, except at 44 weeks of age. Across the study period, selenium intake was higher for infants consuming a milk free diet whilst vitamin C intake was higher for infants consuming an unrestricted diet. Differences were found between the two groups for protein, calcium, iron and vitamin E intakes at differing time points. CONCLUSION: This study demonstrated that although infants consuming a milk-free diet have a nutritional intake that is significantly different to matched controls who are eating an unrestricted diet, this difference is not constant and it is not seen for all nutrients. Further research in infants without dietetic input is needed to explore the nutritional implications of unsupervised cows’ milk exclusion diets

Fast computation of Bernoulli, Tangent and Secant numbers

We consider the computation of Bernoulli, Tangent (zag), and Secant (zig or Euler) numbers. In particular, we give asymptotically fast algorithms for computing the first n such numbers in O(n^2.(log n)^(2+o(1))) bit-operations. We also give very short in-place algorithms for computing the first n Tangent or Secant numbers in O(n^2) integer operations. These algorithms are extremely simple, and fast for moderate values of n. They are faster and use less space than the algorithms of Atkinson (for Tangent and Secant numbers) and Akiyama and Tanigawa (for Bernoulli numbers).Comment: 16 pages. To appear in Computational and Analytical Mathematics (associated with the May 2011 workshop in honour of Jonathan Borwein's 60th birthday). For further information, see http://maths.anu.edu.au/~brent/pub/pub242.htm

Assessing the relationship between human well-being and ecosystem services: a review of frameworks

Focusing on the most impoverished populations, we critically review and synthesise key themes from dominant frameworks for assessing the relationship between well-being and ecosystem services in developing countries. This requires a differentiated approach to conceptualising well-being that appropriately reflects the perspectives of the poorest-those most directly dependent on ecosystem services, and their vulnerability to external and policy-driven environmental change. The frameworks analysed draw upon environmental sciences, economics, psychology, sociology, and anthropology, and were selected on the basis of their demonstrated or potential ability to illustrate the relationship between environmental change and human well-being, as well as their prevalence in real world applications. Thus, the synthesis offered here is informed by the various theoretical, methodological, and hermeneutical contributions from each field to the notion of well-being. The review highlights several key dimensions that should be considered by those interested in understanding and assessing the impact of environmental change on the well-being of the world's poorest people: the importance of interdisciplinary consideration of well-being, the need for frameworks that integrate subjective and objective aspects of well-being, and the central importance of context and relational aspects of well-being. The review is of particular interest to those engaged in the post-2015 development agenda

Gentrification and displacement in Greater London: an empirical and theoretical analysis

The thesis involves an inquiry into the little explored nature of the relationship between the processes of gentrification and displacement in the context of the Greater London area. Scant work has been previously undertaken in this country on these processes compared to be the wealth of work conducted already on gentrification. Displacement has barely been acknowledged as a component of the British gentrification experience except through anecdotal evidence and acknowledgement of basic causal association. Three separate but related methodologies were used to piece together evidence to test whether gentrification was a displacing force. First, the 1981 and 1991 censuses were used to examine broad social changes in London at a ward level, second, the Longitudinal Study (LS) was used to examine the linkages between identifiably gentrified areas and the migratory trajectories of gentrifiers and displacees. Finally the use of grounded research was undertaken to look at examples of these processes in situ through interviews with tenant's representatives and local authority officers. The cumulative weight stemming from the use of the three research methods and the view that displacement is a necessary corollary to gentrification is evaluated along with the implications of findings on the need for the retention of affordable housing and the potential costs of urban social restructuring. The evidence suggests a need for a wider set of social and economic costs to be considered in view of the damage that may be done by gentrification. Accurate quantification in the future will not result without the identification and monitoring of gentrification and displacement activity by local authorities via the monitoring of the housing histories of the vulnerable. The work concludes that the study of gentrification and displacement is theoretically and empirically problematic but that the results of the work also form a positive introduction and lever into wider work on such processes in the future and that such research should be continued in the future