Optimal provision of infrastructure using public-private partnership contracts

This paper deals with the optimal provision of infrastructure by means of public-private partnership contracts.In the economic literature infrastructure is characterized as a large, indivisible and non-rival capital good that produces services for its users.Users can be both consumers and producers. Consumers may derive utility from infrastructure, either indirectly, because it facilitates the use of some particular private good, or directly, because it is available for this facility.Examples are roads that facilitate the use of private cars, or computer systems facilitating the use of personal computers. Producers may use infrastructure as one of their production factors.The non-rivalness or nonexcludability of the infrastructure and the large costs to produce and maintain the infrastructure causes it to be a public good.On the other hand, infrastructure also possesses characteristics of a private commodity because it facilitates of the use of a complementary private commodity.Modern information-technological developments open new possibilities to eveal the need of individual users for a specific public infrastructure, by monitoring the private use they make of it.Consequently, a large part of the public financing of infrastructure can be privatised.That forms the base for public private partnerships to establish and maintain infrastructure.In this paper we discuss the design of an operational system to finance the costs of infrastructure.It will be shown that the system basically can result in an economically efficient level of infrastructure.The basic idea is that use of infrastructure is constrained by the availability of the infrastructure being provided.Therefore users who are hampered by too small a provision of the infrastructure are willing to pay for the use of infrastructure.

Stability in a network economy: The role of institutions

We consider an economy in which agents are embedded in a network of potential value-generating relationships. Agents are assumed to be able to participate in three types of economic interactions: Autarkic self-provision; bilateral interaction; and multilateral collaboration through endogenously provided platforms. We introduce two stability concepts and provide sufficient and necessary conditions on the network structure that guarantee existence, in cases of the absence of externalities, link-based externalities and crowding externalities. We show that institutional arrangements based on socioeconomic roles and leadership guarantee stability. In particular, the stability of more complex economic outcomes requires more strict and complex institutional rules to govern economic interactions. We investigate strict social hierarchies, tiered leadership structures and global market places

The frequency of bowel and bladder problems in multiple sclerosis and its relation to fatigue: A single centre experience

Background Bowel and bladder problems affect more than 50% of people with Multiple Sclerosis (MS). These problems have a large impact on quality of life and place a significant burden on health systems. Objectives This study aimed to ascertain the frequency of bladder and bowel problems in a select Australian MS cohort and to investigate the relationships between level of disability, bladder and bowel problems, and fatigue. Methods Questionnaires on the nature and severity of MS symptoms were distributed to clients attending an Australian MS centre. Log-binomial regression and multiple linear regression models were used to investigate relationships between disability, fatigue, and bladder and bowel problems. Results and conclusions Of 167 questionnaires distributed, 136 were completed. Bladder problems were reported by 87 (74.4%) respondents, whilst 66 (48.9%) experienced functional constipation and 43 (31.9%) faecal incontinence. This frequency in our select Australian MS population is similar to that reported globally. There was a significant correlation between level of disability and: bladder problems (p = 0.015), faecal incontinence (p = 0.001), fatigue (p<0.001) and constipation (p = 0.016, relative risk: 1.16). Further investigation into the causal relationships between various MS symptoms may be beneficial in the development of novel therapeutic strategies for people with MS

The bounded retransmission protocol must be on time!

This paper concerns the transfer of files via a lossy communication channel. It formally specifies this file transfer service in a property-oriented way and investigates -using two different techniques -whether a given bounded retransmission protocol conforms to this service. This protocol is based on the well-known alternating bit protocol but allows for a bounded number of retransmissions of a chunk, i.e., part of a file, only. So, eventual delivery is not guaranteed and the protocol may abort the file transfer. We investigate to what extent real-time aspects are important to guarantee the protocol's correctness and use Spin and Uppaal model checking for our purpose

Influence of socioeconomic factors on pregnancy outcome in women with structural heart disease

OBJECTIVE: Cardiac disease is the leading cause of indirect maternal mortality. The aim of this study was to analyse to what extent socioeconomic factors influence the outcome of pregnancy in women with heart disease.  METHODS: The Registry of Pregnancy and Cardiac disease is a global prospective registry. For this analysis, countries that enrolled ≥10 patients were included. A combined cardiac endpoint included maternal cardiac death, arrhythmia requiring treatment, heart failure, thromboembolic event, aortic dissection, endocarditis, acute coronary syndrome, hospitalisation for cardiac reason or intervention. Associations between patient characteristics, country characteristics (income inequality expressed as Gini coefficient, health expenditure, schooling, gross domestic product, birth rate and hospital beds) and cardiac endpoints were checked in a three-level model (patient-centre-country).  RESULTS: A total of 30 countries enrolled 2924 patients from 89 centres. At least one endpoint occurred in 645 women (22.1%). Maternal age, New York Heart Association classification and modified WHO risk classification were associated with the combined endpoint and explained 37% of variance in outcome. Gini coefficient and country-specific birth rate explained an additional 4%. There were large differences between the individual countries, but the need for multilevel modelling to account for these differences disappeared after adjustment for patient characteristics, Gini and country-specific birth rate.  CONCLUSION: While there are definite interregional differences in pregnancy outcome in women with cardiac disease, these differences seem to be mainly driven by individual patient characteristics. Adjustment for country characteristics refined the results to a limited extent, but maternal condition seems to be the main determinant of outcome

The effect of social context on the use of visual information

Social context modulates action kinematics. Less is known about whether social context also affects the use of task relevant visual information. We tested this hypothesis by examining whether the instruction to play table tennis competitively or cooperatively affected the kind of visual cues necessary for successful table tennis performance. In two experiments, participants played table tennis in a dark room with only the ball, net, and table visible. Visual information about both players’ actions was manipulated by means of self-glowing markers. We recorded the number of successful passes for each player individually. The results showed that participants’ performance increased when their own body was rendered visible in both the cooperative and the competitive condition. However, social context modulated the importance of different sources of visual information about the other player. In the cooperative condition, seeing the other player’s racket had the largest effects on performance increase, whereas in the competitive condition, seeing the other player’s body resulted in the largest performance increase. These results suggest that social context selectively modulates the use of visual information about others’ actions in social interactions

Teaching about Teaching- Teacher Educators' and Student Teachers' Perceptions from Norway

In this chapter we address the question of how to prepare student teachers for professionalism in teaching. We especially focus on higher education-based teacher educators and their role in promoting integration between theory and practice, which is frequently perceived as a challenge in teacher education (Korthagen F, J Educ Teach 36(4):407–423, 2010; Kvernbekk T, Informal Logic 32(3):288–305, 2012). The chapter draws on a study, in a Norwegian context, that investigated teacher educators’ competence as seen from their own and student teachers’ perspectives (Ulvik M, Smith K, Uniped 39(1):61–77, 2016). Competence is here understood as the knowledge and skills that teacher educators need to do their job.acceptedVersionThis is a post-peer-review, pre-copyedit version of an article published in [International Research, Policy and Practice in Teacher Education]. The final authenticated version is available online at: https://doi.org/10.1007/978-3-030-01612-8_