974 research outputs found

    Comparison of energy consumption and costs of different HEVs and PHEVs in European and American context

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    This paper will analyse on the one hand the potential of Plug in Hybrid electric Vehicles to significantly reduce fuel consumption and displace it torward various primary energies thanks to the electricity sector. On the other hand the total cost of ownership of two different PHEV architectures will be compared to a conventional cehicle and a HEV without external charging

    Assessing the effectiveness of business support services in England: evidence from a theory based evaluation

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    In England, publicly supported advisory services for small firms are organised primarily through the Business Link (BL) network. Based on the programme theory underlying this business support services we develop four propositions and test these empirically using data from a new survey of over 3,000 English small firms. Our empirical results provide a broad validation of the programme theory underlying BL assistance for small firms in England during 2003, and more limited support for its effectiveness. More specifically, we find strong support for the value of BL operators maintaining a high profile as a way of boosting take-up. We also find some support for the approach to market segmentation adopted by BL allowing more intensive assistance to be targeted on younger firms and those with limited liability status. In terms of the outcomes of BL support, and allowing for issues of sample selection, we find no significant effects on growth from ‘other’ assistance but do find positive and significant employment growth effects from intensive assistance. This provides partial support for the programme theory assertion that BL support will lead to improvements in business growth performance and stronger support for the proposition that there would be differential outcomes from intensive and other assistance. The positive employment growth outcomes identified here from intensive assistance, even allowing for sample selection, suggest something of an improvement in the effectiveness of the BL network since the late 1990s

    The state of workplace union reps organisation in Britain today

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    This article provides a brief evaluation of the state of workplace union reps’ organization in Britain as we approach the second decade of the 2000s. It documents the severe weakening of workplace union organization over the last 25 years, which is reflected in the declining number of reps, reduced bargaining power and the problem of bureaucratization. But it also provides evidence of the continuing resilience, and even combativity in certain areas of employment, of workplace union reps organization, and considers the future potential for a revival of fortunes

    Revisiting the 'Missing Middle' in English Sub-National Governance

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    In the light of the new Coalition Government’s proposed ‘rescaling’ of sub-national governance away from the regional level, it is an opportune time to re-consider the strength and weaknesses of the city or sub-regional approach to economic development and to search, once more, for the ‘missing middle’ in English Governance. In this context, the article initially assesses the case for city or sub regions as tiers of economic governance, before examining the lessons to be learnt from the experiences of the existing city regions in the North East of England. It argues that while contemporary plans to develop Local Enterprise Partnerships (LEPs) can be usefully considered within the context of the emerging city regional developments under the previous Labour Governments, a number of important challenges remain, particularly in relation to ensuring accountable structures of governance, a range of appropriate functions, adequate funding, and comprehensive coverage across a variety of sub-regional contexts. While the proposals of the new Government create the necessary ‘space’ to develop sub-regional bodies and offer genuine opportunities for both city and county LEPs, the scale of the sub-regional challenge should not be underestimated, particularly given the context of economic recession and major reductions in the public sector

    THE IMPACT ON DENTAL STUDENTS’ KNOWLEDGE IN THREE EUROPEAN COUNTRIES THROUGH AN ONLINE MODULE ON ANTIBIOTIC PRESCRIBING: A PRELIMINARY STUDY

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    In this preliminary study, the knowledge and impact on dental student understanding of antibiotic prescribing practice in the three EU countries was evaluated through the intervention of an online module. 39 respondents completed the pre and post questionnaires. Austria: n= 10; UK: n= 19, Italy: n= 10. Overall there was a 10% improvement between the pre and post questionnaire tests. In Italy there was a 50% increase in knowledge (Figure 2). On a mixed linear regression model fitted to the total score, the difference between the post and pre-intervention means was highly significant; the total mean score increased on average by 0.9 (95% c.i. 0.28 to 1.52; P=0.004) after the intervention in question. Understanding antibiotic prescribing across Europe has been supported by the intervention of an online module that was perceived as a helpful and effective learning tool. Although there are still differing recommendations for antibiotic prescribing across Europe, students and staff must be alerted so they can practice safely across borders

    Feasibility of joystick guided colonoscopy

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    The flexible endoscope is increasingly used to perform minimal invasive interventions. A novel add-on platform allows single-person control of both endoscope and instrument at the site of intervention. The setup changes the current routine of handling the endoscope. This study aims to determine if the platform allows effective and efficient manipulation to position the endoscope at potential intervention sites throughout the bowel. Five experts in flexible endoscopy first performed three colonoscopies on a computer simulator using the conventional angulation wheels. Next they trained with the joystick interface to achieve their personal level of intubation time with low pain score. 14 PhD students (novices) without hands-on experience performed the same colonoscopy case using either the conventional angulation wheels or joystick interface. Both novice groups trained to gain the average expert level. The cecal intubation time, pain score and visualization performance (% of bowel wall) were recorded. All experts reached their personal intubation time in 6 ± 6 sessions. Three experts completed their learning curve with low pain score in 8 ± 6 sessions. The novices required 11 ± 6 sessions using conventional angulation wheels, and 12 ± 6 sessions using the joystick interface. There was no difference in the visualization performance between the novice and between the expert groups. This study shows that the add-on platform enables endoscope manipulation required to perform colonoscopy. Experts need only a relatively short training period. Novices are as effective and as efficient in endoscope manipulation when comparing the add-on platform with conventional endoscope contro

    Incidence and prevalence of dementia in linked administrative health data in Saskatchewan, Canada: a retrospective cohort study.

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    Determining the epidemiology of dementia among the population as a whole in specific jurisdictions - including the long-term care population-is essential to providing appropriate care. The objectives of this study were to use linked administrative databases in the province of Saskatchewan to determine the 12-month incidence and prevalence of dementia for the 2012/13 period (1) among individuals aged 45 and older in the province of Saskatchewan, (2) according to age group and sex, and (3) according to diagnosis code and other case definition criteria
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