Machines and machinations: The integrated care record service in the UK national health service

This paper examines the use of Actor Network Theory (ANT) as a lens to get a better understanding of the implementation of the Integrated Care Record Service (ICRS) in the UK National Health Service (NHS). Actor Network Theory has been deployed in various environments to achieve a better understanding of the roles of not only the humans but also the artifacts that constitute, in this case, healthcare networks of services and organisations. The theory is used as a means of supporting real world interventions, providing a richer understanding of complexities involved and thereby helps management to make better decisions. This study also explores Latour’s concept of machines as machinations, whose role is to translate other actors into the network. We propose ICRS as a fruitful empirical context for the use of ANT to support decision making for actors in health care provision. Actor Network Theory (ANT) is well-suited for use in the socio-technical evaluation of IS into the ICRS project because this approach treats human and non-human actors symmetrically. This approach facilitates a more thorough examination of the ways in which information technology is enabled or restricted in social processes

Physical mechanism for a kinetic energy driven zero-bias anomaly in the Anderson-Hubbard model

The combined effects of strong disorder, strong correlations and hopping in the Anderson-Hubbard model have been shown to produce a zero bias anomaly which has an energy scale proportional to the hopping and minimal dependence on interaction strength, disorder strength and doping. Disorder-induced suppression of the density of states for a purely local interaction is inconsistent with both the Efros-Shklovskii Coulomb gap and the Altshuler-Aronov anomaly, and moreover the energy scale of this anomaly is inconsistent with the standard energy scales of both weak and strong coupling pictures. We demonstrate that a density of states anomaly with similar features arises in an ensemble of two-site systems, and we argue that the energy scale t emerges in strongly correlated systems with disorder due to the mixing of lower and upper Hubbard orbitals on neighboring sites.Comment: 4 pages, 3 figures; new version includes minor changes to figures and text to increase clarit

Giving urban policy its 'medical': assessing the place of health in area-based regeneration

How does regeneration affect health and how have successive urban policy evaluations sought to measure such impacts? This article draws on a systematic review of national-level evaluation documentation relating to government-funded, area-based regeneration initiatives in the UK since 1980. The review examined whether health impacts had been intended and, if so, how they had been measured. The process and difficulties of conducting the review raise significant questions about policy formulation and evaluation. Is evidence-based policy possible where evaluations are not stored centrally? In short, a model policy development as 'enlightened' or incremental is hard to sustain where a lack of systematic storage of data means that researchers, policy makers and practitioners may struggle to produce clear answers to important policy questions

Do urban regeneration programmes improve public health and reduce health inequalities? A synthesis of the evidence from UK policy and practice (1980–2004)

Objectives: To synthesise data on the impact on health and key socioeconomic determinants of health and health inequalities reported in evaluations of national UK regeneration programmes. Data Sources: Eight electronic databases were searched from 1980 to 2004 (IBSS, COPAC, HMIC, IDOX, INSIDE, Medline, Urbadisc/Accompline, Web of Knowledge). Bibliographies of located documents and relevant web sites were searched. Experts and government departmental libraries were also contacted. Review methods: Evaluations that reported achievements drawing on data from at least two target areas of a national urban regeneration programme in the UK were included. Process evaluations and evaluations reporting only business outcomes were excluded. All methods of evaluation were included. Impact data on direct health outcomes and direct measures of socioeconomic determinants of health were narratively synthesised. Results: 19 evaluations reported impacts on health or socioeconomic determinants of health; data from 10 evaluations were synthesised. Three evaluations reported health impacts; in one evaluation three of four measures of self reported health deteriorated, typically by around 4%. Two other evaluations reported overall reductions in mortality rates. Most socioeconomic outcomes assessed showed an overall improvement after regeneration investment; however, the effect size was often similar to national trends. In addition, some evaluations reported adverse impacts. Conclusion: There is little evidence of the impact of national urban regeneration investment on socioeconomic or health outcomes. Where impacts have been assessed, these are often small and positive but adverse impacts have also occurred. Impact data from future evaluations are required to inform healthy public policy; in the meantime work to exploit and synthesise "best available" data is required

Turbine blade and vane heat flux sensor development, phase 2

The development of heat flux sensors for gas turbine blades and vanes and the demonstration of heat transfer measurement methods are reported. The performance of the heat flux sensors was evaluated in a cylinder in cross flow experiment and compared with two other heat flux measurement methods, the slug calorimeter and a dynamic method based on fluctuating gas and surface temperature. Two cylinders, each instrumented with an embedded thermocouple sensor, a Gardon gauge, and a slug calorimeter, were fabricated. Each sensor type was calibrated using a quartz lamp bank facility. The instrumented cylinders were then tested in an atmospheric pressure combustor rig at conditions up to gas stream temperatures of 1700K and velocities to Mach 0.74. The test data are compared to other measurements and analytical prediction

Temperature dependence of the zero-bias anomaly in the Anderson-Hubbard model: Insights from an ensemble of two-site systems

Motivated by experiments on doped transition metal oxides, this paper considers the interplay of interactions, disorder, kinetic energy and temperature in a simple system. An ensemble of two-site Anderson-Hubbard model systems has already been shown to display a zero-bias anomaly which shares features with that found in the two-dimensional Anderson-Hubbard model. Here the temperature dependence of the density of states of this ensemble is examined. In the atomic limit, there is no zero-bias anomaly at zero temperature, but one develops at small nonzero temperatures. With hopping, small temperatures augment the zero-temperature kinetic-energy-driven zero-bias anomaly, while at larger temperatures the anomaly is filled in.Comment: 8 pages, 3 figures; submitted to SCES 2010 conference proceeding

Development of advanced high-temperature heat flux sensors. Phase 2: Verification testing

A two-phase program is conducted to develop heat flux sensors capable of making heat flux measurements throughout the hot section of gas turbine engines. In Phase 1, three types of heat flux sensors are selected; embedded thermocouple, laminated, and Gardon gauge sensors. A demonstration of the ability of these sensors to operate in an actual engine environment is reported. A segmented liner of each of two combustors being used in the Broad Specification Fuels Combustor program is instrumented with the three types of heat flux sensors then tested in a high pressure combustor rig. Radiometer probes are also used to measure the radiant heat loads to more fully characterize the combustor environment. Test results show the heat flux sensors to be in good agreement with radiometer probes and the predicted data trends. In general, heat flux sensors have strong potential for use in combustor development programs