A constant travel time budget? In search for explanations for an increase in average travel time

Recent research suggests that during the past decades the average travel time of the Dutch population has probably increased. However, different datasources show different levels of increase. Possible causes of the increase in average travel time are presented here. Increased incomes have probablyresulted in an increase in both costs and benefits of travel. The increase in travel time may also be due to benefits having increased more rapidly than costs. Costs may even have decreased due to the increased comfort level of cars and increased opportunities offered to make double use of one's time(e.g. working in a train)

Heat Conduction in two-dimensional harmonic crystal with disorder

We study the problem of heat conduction in a mass-disordered two-dimensional harmonic crystal. Using two different stochastic heat baths, we perform simulations to determine the system size (L) dependence of the heat current (J). For white noise heat baths we find that J ~ 1/L^a with $a \approx 0.59$ while correlated noise heat baths gives $a \approx 0.51$. A special case with correlated disorder is studied analytically and gives a=3/2 which agrees also with results from exact numerics.Comment: Revised version. 4 pages, 3 figure

A comparison of intramuscular diamorphine and intramuscular pethidine for labour analgesia: a two-centre randomised blinded controlled trial.

Intramuscular (i.m.) pethidine is used worldwide for labour analgesia and i.m. diamorphine usage has increased in the UK in the last 15 years. This trial aims to ascertain the relative efficacy and adverse effects of diamorphine and pethidine for labour pain

Magnetic properties of exchange biased and of unbiased oxide/permalloy thin layers: a ferromagnetic resonance and Brillouin scattering study

Microstrip ferromagnetic resonance and Brillouin scattering are used to provide a comparative determination of the magnetic parameters of thin permalloy layers interfaced with a non-magnetic (Al2O3) or with an antiferromagnetic oxide (NiO). It is shown that the perpendicular anisotropy is monitored by an interfacial surface energy term which is practically independent of the nature of the interface. In the investigated interval of thicknesses (5-25 nm) the saturation magnetisation does not significantly differ from the reported one in bulk permalloy. In-plane uniaxial anisotropy and exchange-bias anisotropy are also derived from this study of the dynamic magnetic excitations and compared to our independent evaluations using conventional magnetometryComment: 7 pages, 6 figures, submited to Journal of Physics: Condensed Matte

On the relationship between travel time and travel distance of commuters. Reported versus network travel data in the Netherlands

This paper gives a detailed empirical analysis of the relationships between different indicators of costs of commuting trips by car: difference as the crow flies, shortest travel time according to route planner, corresponding travel distance, and reported travel time. Reported travel times are usually rounded in multiples of five minutes. This calls for special statistical techniques. Ignoring the phenomenon of rounding leads to biased estimation results for shorter distances. Rather surprisingly, the distance as the crow flies and the network distance appear to be slightly better proxies of the reported travel time compared with the shortest network travel time as indicated by the route planner. We conclude that where actual driving times are missing in commuting research the other three indicators mentioned may be used as proxies, but that the following problems may emerge: actual travel times may be considerably higher than network times generated by route planners, and the average speed of trips increases considerably with distance, implying an overestimate of travel time for long distance commuters. The only personal feature that contributes significantly to variations in reported travel times is gender: women appear to drive at lower average speeds according to our data. As indicated in the paper this may be explained by the differences in the car types of male and female drivers (females drive older and smaller cars) as well as higher numbers of stops/trip chaining among women. A concise analysis is carried out for carpoolers. Car-pooling leads to an increase in travel time of some 17% compared with solo drivers covering the same distance. In the case of car poolers, the above mentioned measures appear to be very poor proxies for the actual commuting times

Electronic, vibrational and transport properties of pnictogen substituted ternary skutterudites

First principles calculations are used to investigate electronic band structure and vibrational spectra of pnictogen substituted ternary skutterudites. We compare the results with the prototypical binary composition CoSb$_3$ to identify the effects of substitutions on the Sb site, and evaluate the potential of ternary skutterudites for thermoelectric applications. Electronic transport coefficients are computed within the Boltzmann transport formalism assuming a constant relaxation time, using a new methodology based on maximally localized Wannier function interpolation. Our results point to a large sensitivity of the electronic transport coefficients to carrier concentration and to scattering mechanisms associated with the enhanced polarity. The ionic character of the bonds is used to explain the detrimental effect on the thermoelectric properties

An optical study of interdiffusion in ZnSe/ZnCdSe

Copyright 1996 American Institute of Physics. This article may be downloaded for personal use only. Any other use requires prior permission of the author and the American Institute of Physics. This article appeared in Applied Physics Letters 69, 1579 (1996) and may be found at

Endoscopic orbital decompression for Graves' ophthalmopathy

Graves’ disease may occasionally result in significant proptosis that is either cosmetically unacceptable or causes visual loss. This has traditionally been managed surgically by external decompression of the orbital bony skeleton. Trans-nasal endoscopic orbital decompression is emerging as a new minimally-invasive technique, that avoids the need for cutaneous or gingival incisions. Decompression of the medial orbital wall can be performed up to the anterior wall of the sphenoid sinus. This can be combined with resection of the medial and posterior portion of the orbital floor (preserving the infra-orbital nerve). This technique produces decompression which is comparable to external techniques. We present a series of 10 endoscopic orbital decompressions with an average improvement of 4.4 mm in orbital proptosis. There was an improvement in visual acuity in all patients with visual impairment. Endoscopic orbital decompression is recommended as an alternative to traditional decompression techniques.Desmond T. H. Wee, A. Simon Carney, Mark Thorpe and Peter J. Wormal

Palliative and supportive care in head and neck cancer: United Kingdom National Multidisciplinary Guidelines

This is the official guideline endorsed by the specialty associations involved in the care of head and neck cancer patients in the UK. It provides recommendations on the assessments and interventions for this group of patients receiving palliative and supportive care. Recommendations • Palliative and supportive care must be multidisciplinary. (G) • All core team members should have training in advanced communication skills. (G) • Palliative surgery should be considered in selected cases. (R) • Hypofractionated or short course radiotherapy should be considered for local pain control and for painful bony metastases. (R) • All palliative patients should have a functional endoscopic evaluation of swallowing (FEES) assessment of swallow to assess for risk of aspiration. (G) • Pain relief should be based on the World Health Organization pain ladder. (R) • Specialist pain management service involvement should be considered early for those with refractory pain. (G) • Constipation should be avoided by the judicious use of prophylactic laxatives and the correction of systemic causes such as dehydration, hypercalcaemia and hypothyroidism. (G) • Organic causes of confusion should be identified and corrected where appropriate, failing this, treatment with benzodiazepines or antipsychotics should be considered. (G) • Patients with symptoms suggestive of spinal metastases or metastatic cord compression must be managed in accordance with the National Institute for Health and Care Excellence guidance. (R) • Cardiopulmonary resuscitation is inappropriate in the palliative dying patient. (R) • 'Do not attempt cardiopulmonary resuscitation' orders should be completed and discussed with the patient and/or the family unless good reasons exist not to do so where appropriate. This is absolutely necessary when a patient's care is to be managed at home. (G)