Physician-owned specialized facilities: focused factories or destructive competition?: a systematic review.

Multiple studies have investigated the business case of physician-owned specialized facilities (specialized hospitals and ambulatory surgery centers). However literature lacks integration. Building on the theoretical insights of disruptive innovation, a systematic review was conducted to assess the evidence base of these innovative delivery models. The Institute of Medicine’s quality framework (safe, effective, equitable, efficient, patient-centered and accessible care) was applied in order to evaluate the performance of such facilities. In addition the corresponding impact on full-service general hospitals was assessed. Database searches yielded 6,108 candidate articles of which 47 studies fulfilled the inclusion criteria. Overall the quality of the included studies was satisfactory. Our results show that little evidence exists in support of competitive advantages in favor of specialized facilities. Moreover even if competitive advantages exist, it is equally important to reflect on the corresponding impact on full service-general hospitals. The development of specialized facilities should therefore be monitored carefully

A new method for continuous measurements of oceanic and atmospheric N2O, CO and CO2: performance of off-axis integrated cavity output spectroscopy (OA-ICOS) coupled to non-dispersive infrared detection (NDIR)

A new system for continuous, highly-resolved oceanic and atmospheric measurements of N2O, CO and CO2 is described. The system is based upon off-axis integrated cavity output spectroscopy (OA-ICOS) and a non-dispersive infrared analyzer (NDIR) both coupled to a Weiss-type equilibrator. Performance of the combined setup was evaluated by testing its precision, accuracy, long-term stability, linearity and response time. Furthermore, the setup was tested during two oceanographic campaigns in the equatorial Atlantic Ocean in order to explore its potential for autonomous deployment onboard voluntary observing ships (VOS). Improved equilibrator response times for N2O (2.5 min) and CO (45 min) were achieved in comparison to response times from similar chamber designs used by previous studies. High stability of the OA-ICOS analyzer was demonstrated by low optimal integration times of 2 and 4 min for N2O and CO respectively, as well as detection limits of < 40 ppt and precision better than 0.3 ppb Hz−1/2. Results from a direct comparison of the method presented here and well-established discrete methods for oceanic N2O and CO2 measurements showed very good consistency. The favorable agreement between underway atmospheric N2O, CO and CO2 measurements and monthly means at Ascension Island (7.96°S 14.4°W) further suggests a reliable operation of the underway setup in the field. The potential of the system as an improved platform for measurements of trace gases was explored by using continuous N2O and CO2 data to characterize the development of the seasonal equatorial upwelling in the Atlantic Ocean during two RV/ Maria S. Merian cruises. A similar record of high-resolution CO measurements was simultaneously obtained offering for the first time the possibility of a comprehensive view on the distribution and emissions of these climate relevant gases on the area. The relatively simple underway N2O/CO/CO2 setup is suitable for long-term deployment on board of research and commercial vessels although potential sources of drift such as cavity temperature and further technical improvements towards automation still need to be addressed

Welden L. Daines v. Richard B. Vincent : Addendum

ADDENDUM (to appellant\u27s opening brief

Reconsidering the calculation and role of environmental footprints

Following the recent Copenhagen Climate Change conference, there has been discussion of the methods and underlying principles that inform climate change targets. Climate change targets following the Kyoto Protocol are broadly based on a production accounting principle (PAP). This approach focuses on emissions produced within given geographical boundaries. An alternative approach is a consumption accounting principle (CAP), where the focus is on emissions produced globally to meet consumption demand within the national (or regional) economy1. Increasingly popular environmental footprint measures, including ecological and carbon footprints, attempt to measure environmental impacts based on CAP methods. The perception that human consumption decisions lie at the heart of the climate change problem is the impetus driving pressure on policymakers for a more widespread use of CAP measures. At a global level of course, emissions accounted for under the production and consumption accounting principles would be equal. It is international trade that leads to differences in emissions under the two principles. This paper, the second in this special issue of the Fraser Commentary, examines how input-output accounting techniques may be applied to examine pollution generation under both of these accounting principles, focussing on waste and carbon generation in the Welsh economy as a case study. However, we take a different focus, arguing that the ‘domestic technology assumption’, taken as something of a mid-point in moving between production and consumption accounting in the first paper, may actually constitute a more useful focus for regional policymakers than full footprint analyses

The electricity generation mix in Scotland : the long and windy road?

This article reports on research funded by the Engineering and Physical Sciences Research Council (EPSRC) at the University of Strathclyde

GlimmerGlass Volume 52 Number 03 (1992)

Official Student Newspaper Issue is 8 pages long

False Start: Quantitative representation of sportswomen in The Sydney Morning Herald in 2005, 2007 and 2011

Despite the increasing participation and success of women in sport in Australia, sportswomen continue to receive a significantly lower quantity of media coverage than sportsmen. This thesis will examine the impact of the 2006 Senate inquiry ‘About time! Women in sport and recreation in Australia’ and the 2010 Australian Sports Commission (ASC) report ‘Towards a Level Playing Field: sport and gender in Australian media’, which were designed to address the underrepresentation of sportswomen in the media. Content analysis of The Sydney Morning Herald 1 sports section was conducted to quantify the representation of sportswomen in 2005, prior to the inquiry, and in 2007 and 2011, following the publication of the inquiry and report. This thesis highlights that, despite the issue being deemed important enough to warrant a parliamentary inquiry and large-scale government-backed research, the quantitative coverage of sportswomen in SMH has not improved. Interviews with SMH sports journalists and an editor, combined with academic scholarship, offer insights into why underrepresentation of sportswomen in SMH still exists