Ageism is Getting Old!

Ageism is defined as a systemic bias towards older adults because of their are. It is found across the spectrum of health care from a macro policy level down to the individual interactions of healthcare providers towards their patients

Contested resources: unions, employers, and the adoption of new work practices in US and UK telecommunications

The pattern of adoption of high-performance work practices has been explained in terms of strategic contingency and in terms of union presence. We compare the post-deregulation/privatization changes in work practice at AT&T, Bell Atlantic and British Telecom. On the basis of these cases, we argue that the choice of new work practices should be understood as a consequence not only of the company's resources or changes in its environment, nor of a simple union presence, but also as a consequence of the practices' effects on union power, the nature of the union's engagement, and the union's strategic choices

Thin-film flow in helically wound shallow channels of arbitrary cross-sectional shape

We consider the steady, gravity-driven flow of a thin film of viscous fluid down a helically wound shallow channel of arbitrary cross-sectional shape with arbitrary torsion and curvature. This extends our previous work [D. J. Arnold et al., “Thin-film flow in helically-wound rectangular channels of arbitrary torsion and curvature,” J. Fluid Mech. 764, 76–94 (2015)] on channels of rectangular cross section. The Navier-Stokes equations are expressed in a novel, non-orthogonal coordinate system fitted to the channel bottom. By assuming that the channel depth is small compared to its width and that the fluid depth in the vertical direction is also small compared to its typical horizontal extent, we are able to solve for the velocity components and pressure analytically. Using these results, a differential equation for the free surface shape is obtained, which must in general be solved numerically. Motivated by the aim of understanding flows in static spiral particle separators used in mineral processing, we investigate the effect of cross-sectional shape on the secondary flow in the channel cross section. We show that the competition between gravity and inertia in non-rectangular channels is qualitatively similar to that in rectangular channels, but that the cross-sectional shape has a strong influence on the breakup of the secondary flow into multiple clockwise-rotating cells. This may be triggered by small changes to the channel geometry, such as one or more bumps in the channel bottom that are small relative to the fluid depth. In contrast to the secondary flow which is quite sensitive to small bumps in the channel bottom, the free-surface profile is relatively insensitive to these. The sensitivity of the flow to the channel geometry may have important implications for the design of efficient spiral particle separators.D. J. Arnold, Y. M. Stokes, and J. E. F. Gree

Implementation of an ST-Segment Elevation Myocardial Infraction Bypass Protocol in the Northern United Arab Emirates

Objective: The aim was to evaluate the translation of an ST-segment elevation myocardial infraction (STEMI) bypass protocol to the outcomes of patients with acute coronary syndrome in the Emirate of Ras al-Khaimah in the United Arab Emirates (UAE). Methods: A prospective cohort study was conducted, which included all patients who had a prehospital 12-lead electrocardiogram (ECG) performed by ambulance crews. Analysis of those who were identified as having STEMI and who subsequently underwent percutaneous coronary intervention (PCI) was performed. Results: A total of 152 patients had a 12-lead ECG performed during the pilot study period (February 24, 2016-August 31, 2016) with 118 included for analysis. Mean patient age was 52 years. There were 87 male (74%) and 31 female (26%) patients. Twenty-nine patients suffered a STEMI, and data were available for 11 who underwent PCI. There was no mortality, and no major adverse cardiac events were reported. The median door-to-balloon (D2B) time was 73 min (range 48-124), and 81% of patients had a D2B time \u3c90 min. Discharge data were available for six patients: All were discharged home with no impediments to rehabilitation. Conclusion: This pilot study has demonstrated agreement with the existing literature surrounding prehospital ECG and PCI activation in an unstudied STEMI population and in a novel clinical setting. It has demonstrated a D2B time of \u3c90 min in over 80% of STEMI patients, and a faster mean D2B time than self-presentations (mean 77 min vs. 113 min), with no associated mortality or major adverse cardiac events

Regularity results for the spherically symmetric Einstein-Vlasov system

The spherically symmetric Einstein-Vlasov system is considered in Schwarzschild coordinates and in maximal-isotropic coordinates. An open problem is the issue of global existence for initial data without size restrictions. The main purpose of the present work is to propose a method of approach for general initial data, which improves the regularity of the terms that need to be estimated compared to previous methods. We prove that global existence holds outside the centre in both these coordinate systems. In the Schwarzschild case we improve the bound on the momentum support obtained in \cite{RRS} for compact initial data. The improvement implies that we can admit non-compact data with both ingoing and outgoing matter. This extends one of the results in \cite{AR1}. In particular our method avoids the difficult task of treating the pointwise matter terms. Furthermore, we show that singularities never form in Schwarzschild time for ingoing matter as long as $3m\leq r.$ This removes an additional assumption made in \cite{A1}. Our result in maximal-isotropic coordinates is analogous to the result in \cite{R1}, but our method is different and it improves the regularity of the terms that need to be estimated for proving global existence in general.Comment: 25 pages. To appear in Ann. Henri Poincar\'

Approximate probabilistic verification of hybrid systems

Hybrid systems whose mode dynamics are governed by non-linear ordinary differential equations (ODEs) are often a natural model for biological processes. However such models are difficult to analyze. To address this, we develop a probabilistic analysis method by approximating the mode transitions as stochastic events. We assume that the probability of making a mode transition is proportional to the measure of the set of pairs of time points and value states at which the mode transition is enabled. To ensure a sound mathematical basis, we impose a natural continuity property on the non-linear ODEs. We also assume that the states of the system are observed at discrete time points but that the mode transitions may take place at any time between two successive discrete time points. This leads to a discrete time Markov chain as a probabilistic approximation of the hybrid system. We then show that for BLTL (bounded linear time temporal logic) specifications the hybrid system meets a specification iff its Markov chain approximation meets the same specification with probability $1$. Based on this, we formulate a sequential hypothesis testing procedure for verifying -approximately- that the Markov chain meets a BLTL specification with high probability. Our case studies on cardiac cell dynamics and the circadian rhythm indicate that our scheme can be applied in a number of realistic settings

Central contracts in Test cricket: a model of best practice?

Across the last two decades, management of international cricket players has changed substantially, with the main Test playing nations using central contracts to guide their team selection. Increased management control over player workload has been a key focus of this. This paper aims to analyse selection in relation to performance for eight Test playing nations in 1,135 matches over thirty years (1985-2015), particularly in relation to the introduction of central contracts. The results demonstrated a relationship between selection stability (i.e. changes made) and performance (overall results and win ratio). The improvement was more pronounced immediately following the introduction of a contract system, as the competitive advantage appears to be at its highest in the two years following their introduction. The data presented argues that the implementation of central contracts as a best practice model has been a beneficial addition to nations' performance in Test matches. Despite this, team managers, coaches and selectors should focus their work on developing an organisational culture where the elite environment has long term stability as its focus. This is particularly pertinent as selection uncertainty can be a de-stabilising factor, as suggested in this paper and in previous research

Reachability in Biochemical Dynamical Systems by Quantitative Discrete Approximation (extended abstract)

In this paper, a novel computational technique for finite discrete approximation of continuous dynamical systems suitable for a significant class of biochemical dynamical systems is introduced. The method is parameterized in order to affect the imposed level of approximation provided that with increasing parameter value the approximation converges to the original continuous system. By employing this approximation technique, we present algorithms solving the reachability problem for biochemical dynamical systems. The presented method and algorithms are evaluated on several exemplary biological models and on a real case study.Comment: In Proceedings CompMod 2011, arXiv:1109.104