End-of-life care for non-cancer patients

[Extract]: The origins and early development of palliative care focussed on patients with cancer, apart from sporadic developments in a few non-malignant diseases such as MND and HIV. In the UK, this has been compounded by the setting of palliative care outside the National Health Service, principally funded by cancer-related charities who, at the time were instituted to relieve the suffering associated with cancer. When the modern hospice movement began, the course of malignant disease was seen as more predictable, with a defined palliative phase when anti-cancer treatments were no longer indicated. In the UK and many areas of the world where it was first adopted such as the Canada, USA, mainland Europe and Australia, this led to the traditional model of palliative care services, involved only in people with a prognosis of a few weeks or months. As a result, services have focused primarily on cancer leading to service and symptom management inequalities for equally needy patients with non-malignant diseases

Model-reference attitude control and reaction control jet engine placement for space shuttle

Analytical studies on the theoretical aspects of thrust vector control of large space vehicles were conducted. A system for attitude control of the space shuttle vehicle was developed. Major accomplishments of the project are: (1) investigation of a model-reference adaptive control scheme for controlling the space shuttle attitude and (2) determination of optimum placement of reaction control jet engines on space shuttles

The effect of thermal vibrations on extended x-ray absorption fine structure. I

The form of the Debye–Waller factor in EXAFS is discussed in detail, and an expression is obtained for this factor in a general three‐atom system of C_s symmetry. The normal modes which contribute to the Debye–Waller factors for each scattering path are dependent on the symmetry of the system. A series of model three‐atom systems with C_(2v) symmetry are studied and the Debye–Waller factors as a function of the bridging angle are discussed for each of these systems. The temperature dependence of the Debye‐Waller factor for each scattering path is also studied. In a system of C_(2v) symmetry, approximating the double and triple scattering Debye–Waller factors by the second shell single scattering factor is shown to be strictly valid only for a system close to linearity. The error due to this approximation is dependent upon the amplitude of the individual scattering paths and is shown to increase with temperature. When the single scattering contribution is unimportant, there is shown to exist a temperature where the above approximation is exact

Effects of Australian Economic Activities on Waste Generation and Treatment

Understanding the relationships between the Australian economic system and waste generation from intermediate sectors and households is a prerequisite for planning and implementing waste management strategies at a national scale. Data of waste generation accounts link to those of national economic accounts. However, in Australia, some years’ data are absent and so these links cannot be made. To rectify this data gap, this paper interpolates and extrapolates the Australian input-output table (IOT) of 2010–2011. Waste input-output (WIO) analysis is then used to assess the effects of the Australian economy on waste generation and treatment between 2009–2010 and 2010–2011. Analysis indicated that the result of interpolation was more reasonable than that of extrapolation, and the interpolation of the Australian IOT of 2010–2011 can be applicable. This comparative analysis of the time series data in WIO model has identified that: (1) per million $AUD of output of the Construction sector generated the most amount of direct and total waste during the period; (2) the relationships between the development of Australian economy and waste generation illustrate that the Australian economy is currently a traditional linear economy; (3) the effectiveness of waste-related policies are shown by the growth of the sums of direct and total effects of intermediate sectors on the Recovery sector; and (4) the amount of waste generated by households increased sharply over the two years. The physical flows of waste footprint show details of waste generation and treatment in the Australian economic system. The information provided in this paper is beneficial to formulate tailor-made policies for waste management in Australia

The Political Economy of Increasing Block Tariffs for Water in Developing Countries

Increasing block tariffs (IBTs) have become the tariff structure of choice in developing countries. Multilateral donors, international financial and engineering consultants, and water sector professionals working in developing countries all commonly presume that IBT structures are the most appropriate way to determine water users' monthly bills. Most, if not all recent water tariff studies performed for developing countries propose IBT structures. The objective of this paper is to critically examine the current fashion of using IBTs in cities in developing countries. In the second section of the paper, we review the common arguments made to justify the adoption of IBTs, and present some actual IBTs currently in use in selected cities. In the third section of the paper we discuss the objectives and considerations involved in water tariff design so as to provide a basis for judging the appropriateness of IBTs.Tariff

The effect of water-soluble carbohydrate concentration and type on in vitro rumen methane output of perennial ryegrass determined using a 24-hour batch-culture gas production technique

peer-reviewedThe objective of this study was to examine the effects of water-soluble carbohydrate (WSC) concentration and type on the in vitro rumen methane (CH4) output of perennial ryegrass (PR) using a 24-hour batch-culture gas production technique. Dried and milled PR was incubated either alone (PR-O) or with added sucrose (PR-S), inulin (PR-I), or sucrose plus inulin (PR-S+I; sucrose:inulin ratio of 1:4) in sealed glass bottles [0.5 g total substrate dry matter (DM) per bottle] at 39 °C for 24 hours with buffered rumen fluid. The WSC types were added (except for PR-O) so that the WSC concentration in each fermentation bottle at the start of the incubation was either 180 (i.e., PR-O), 225, 270, 315, or 360 g/kg of total substrate DM incubated. There were linear decreases in CH4 output per gram of DM disappeared (CH4/ivDMD) and per mmol of total volatile fatty acid output (CH4/tVFA) with increasing WSC concentration in the incubated substrate. The WSC type had no effect on in vitro rumen CH4 output. It is concluded that since CH4/ivDMD and CH4/tVFA were reduced by increasing the concentration of WSC incubated with PR, it would be worthwhile to undertake in vivo experiments to examine these effects on in vivo CH4 emissions per unit of animal product.Funding for this study was provided under the National Development Plan through the Research Stimulus Fund administered by the Department of Agriculture, Food & the Marine (RSF no. 07 517)

North American Bison Cooperative and North Dakota Natural Beef LLC: Governance of a Contractual Alliance

In 2005, North American Bison Cooperative formed a contractual alliance with North Dakota Natural Beef, LLC. The alliance was formed in order to enable the cooperative to enhance returns from its physical and managerial assets by entering the natural beef market. This case describes the resources shared by the cooperative and LLC, how the alliance was governed, the risk of opportunism by the CEO and associated trust building and control mechanisms, and the benefits cooperative members received. Although the two companies operate under different business principles, cooperative members exercise indirect control over the resources they contribute to the venture.Agribusiness, Livestock Production/Industries,

Overgeneral past and future thinking in dysphoria: the role of emotional cues and cueing methodology

Overgeneral memory, where individuals exhibit difficulties in retrieving specific episodes from autobiographical memory, has been consistently linked with emotional disorders. However, the majority of this literature has relied upon a single methodology, in which participants respond to emotional cue words with explicit instructions to retrieve/simulate specific events. Through use of sentence completion tasks the current studies explored whether overgenerality represents a habitual pattern of thinking that extends to how individuals naturally consider their personal past and future life story. In both studies, when compared with controls, dysphoric individuals evidenced overgeneral thinking style with respect to their personal past. However, overgeneral future thinking was only evident when the sentence stems included emotional words. These findings highlight the importance of investigating the overgenerality phenomenon using a variety of cueing techniques and results are discussed with reference to the previous literature exploring overgenerality and cognitive models of depression

Cass-Clay Creamery: A New Direction for an Old Brand

Consolidation and industrialization are increasingly important factors affecting the level of membership in cooperative businesses. This article presents information about the development of the dairy industry in North Dakota and its effect on Cass- Clay Creamery, a farmer-owned dairy cooperative. Students are asked to analyze decisions about branding and being acquired by another larger cooperative.Dairy, cooperative, acquisition, North Dakota, Cass-Clay, AMPI, Agribusiness,

Trophic classification of selected Colorado lakes

Multispectral scanner data, acquired over several Colorado lakes using LANDSAT-1 and aircraft, were used in conjunction with contact-sensed water quality data to determine the feasibility of assessing lacustrine trophic levels. A trophic state index was developed using contact-sensed data for several trophic indicators. Relationships between the digitally processed multispectral scanner data, several trophic indicators, and the trophic index were examined using a supervised multispectral classification technique and regression techniques. Statistically significant correlations exist between spectral bands, several of the trophic indicators and the trophic state index. Color-coded photomaps were generated which depict the spectral aspects of trophic state