Achieving change in the NHS: a feasibility study to introduce a home-based cancer chemotherapy service

A major focus of current health policyin the United Kingdom is the development of services that meet the public’s expectations. To achieve this there is a need to evaluate current provision to ensure that the best use is made of finite resources. The studyreported here adopted an interview approach to examine an existing outpatient chemotherapy service, and to consider the feasibilityof introducing a home based model. Following a review of literature on this topic data were obtained from in-depth interviews with patients and professionals regarding the present service. These were then combined with an analysis of service contracts and financial estimates. The poor quality of much of the costrelated information limited the conclusions which could be drawn, and emphasised the need for access to more accessible and robust financial information upon which to base change. The studyalso illustrated the benefits of feasibility studies; especially when cost-effectiveness and patient satisfaction are the driving forces behind proposed changes to clinical services

XMM-Newton confirmation of a new intermediate polar: XMMU J185330.7-012815

We report the results from a detailed spectro-imaging and temporal analysis of an archival XMM-Newton observation of a new intermediate polar XMMU J185330.7-012815. Its X-ray spectrum can be well-described by a multi-temperature thermal plasma model with the K-lines of heavy elements clearly detected. Possible counterparts of XMMU J185330.7-012815 have been identified in optical and UV bands. The low value of the inferred X-ray-to-UV and X-ray-to-optical flux ratios help to safely rule out the possibility as an isolated neutron star. We confirm the X-ray periodicity of ~238 s, but different from the previous preliminary result, we do not find any convincing evidence of phase-shift in this observation. We further investigate its properties through an energy-resolved temporal analysis and find the pulsed fraction monotonically increases with energy.Comment: 9 pages, 4 figures, 1 table, accepted for publication in MNRA

Harnessing Marine Renewable Energy from Poole Harbour: Case Study

Global warming and its impact on our environment, society, economies and security is one of the fundamental concerns of our time. In response, the United Kingdom government has put in place a legally binding target of an 80% reduction in greenhouse gas emissions on 1990 levels by 2050. The United Kingdom will need to achieve a tenfold expansion of energy supply from renewable sources by 2020 to meet its share of the European Union renewable energy target. The marine and coastal environment’s renewable energy potential in Britain is high. It is estimated that it has 50% of the tidal energy, 35% of wave and 40% of wind resources in the European Union. Use of geothermal resources using heat pump technology is the least evolved sector, but in 2010 contributed to 0.7 TWh of energy and it is believed that non domestic heat pumps could contribute up to 22 TWh by 2020. In the Southwest of England, Poole Harbour has been recognised as a potential, highly predictable source of tidal and heat energy. Local groups are embarking on a feasibility study for harnessing this energy for the benefit of the community. The purpose of this article is to examine the potential conflict of interest between the laudable aims of promoting the use of renewable energy and of safeguarding ecosystems and their biodiversity. Using Poole Harbour as a case study, it will consider the environmental and economic costs and benefits of a Community Renewable Energy project (the Poole Tidal Energy Partnership) in the context of an area subject to a number of statutory and non-statutory designations to protect nationally and internationally important habitats and species. The paper identifies key environmental legislation, including spatial planning law and policy, which will facilitate exploring whether there is potential for reconciling what may be perceived as competing objectives for sustainable development

Achieving change in the NHS: a feasibility study to introduce a home-based cancer chemotherapy service

A major focus of current health policyin the United Kingdom is the development of services that meet the public’s expectations. To achieve this there is a need to evaluate current provision to ensure that the best use is made of finite resources. The studyreported here adopted an interview approach to examine an existing outpatient chemotherapy service, and to consider the feasibilityof introducing a home based model. Following a review of literature on this topic data were obtained from in-depth interviews with patients and professionals regarding the present service. These were then combined with an analysis of service contracts and financial estimates. The poor quality of much of the costrelated information limited the conclusions which could be drawn, and emphasised the need for access to more accessible and robust financial information upon which to base change. The studyalso illustrated the benefits of feasibility studies; especially when cost-effectiveness and patient satisfaction are the driving forces behind proposed changes to clinical services

Discovery of polarised emission from the long period intermediate polar RX J2133.7+5107

Aims. We intended to investigate the magnetic field properties of the recently identified intermediate polar RX J2133.7+5107. Methods. We carried out UBVRI photopolarimetric observations of the target using TURPOL on the Nordic Optical Telescope over 2 nights in July/August 2006. Results. We found that RX J2133.7+5107 emits circularly polarized light in all UBVRI bands (up to 3%). This is the first detection of circular polarization in this object. The circular polarization modulations and flux variations give hints of cyclotron beaming effects and suggest that the field strength in RX J2133.7+5107 is possibly one of the highest found amongst the IPs. Conclusions. The highly asynchronous rotation of RX J2133.7+5107 (the spin to orbital period ratio is ~0.022), suggests that it has only recently come into contact and although it is likely to evolve into a polar, it is currently a long way from doing so. We suggest a possible link between the detection of a soft X-ray blackbody component and polarized optical emission in intermediate polars

Exploring the potential of knowledge brokering to enhance natural resource management : findings from the Catchment Knowledge Exchange project in Victoria

Despite significant efforts in natural resource management (NRM), the environmental condition of Victoria’s catchments is mostly ‘poor to moderate’, and continuing to decline in many places. NRM is a complex undertaking involving social, economic, and environmental objectives, across policy, research, and practice dimensions. It is therefore not easy to ensure that the knowledge required to underpin effective NRM is readily available to practitioners. Knowledge brokering is an emerging approach with the potential to improve knowledge sharing and exchange. While it has attracted attention in other areas of public interest (such as health and information technology), its potential in NRM has received relatively limited attention. This article reports on a Victorian knowledge brokering case study which was a major element in the Catchment Knowledge Exchange project. A key finding is that knowledge brokering is a role that is being undertaken informally, without proper acknowledgement or definition. This raises challenges for knowledge management in the context of NRM. We conclude that the ‘people’ component of knowledge brokering is the driving element, although organisational processes and information technologies are critical in enhancing the effectiveness of knowledge brokers. Demonstrating the benefits of knowledge brokering in terms of the ultimate measure of its contribution towards improving the condition of catchments remains a challenge

Potential pesticide transport in Colorado agriculture: a model comparison

.30 September 1989.Includes bibliographical references (pages [50]-52)Grant no. 14-08-0001-1551, Project no. 09; financed in part by the U.S. Department of the Interior, Geological Survey, through the Colorado Water Resources Research Institute

Forum on Housing and the Mobile Workforce in Newfoundland and Labrador: Final Report

The Housing Forum, which took place on April 26, 2016, emerged as an idea with the acknowledgement that the topic of housing was a gap in research being undertaken by the On the Move Partnership and, more generally, in the literature related to Employment-related Geographical Mobility (E-RGM). Preliminary On the Move findings suggested that housing availability and affordability in Newfoundland and Labrador (NL) was being impacted by ERGM; however, the extent of these impacts was not clear. The Housing Forum was planned with industry and community partners to provide an opportunity for housing industry representatives, policy makers, community representatives, and researchers to meet and discuss the current and potential impacts of E-RGM on housing in NL

White dwarf masses in intermediate polars observed with the Suzaku satellite

Context. White dwarfs (WDs) in cataclysmic variables (CVs) are important experimental laboratories where the electron degeneracy is taking place on a macroscopic scale. Magnetic CVs increase in number especially in the hard X-ray band (>10 keV) thanks to sensitive hard X-ray missions. Aims. From X-ray spectroscopy, we estimate the masses of nearby WDs in moderately-magnetized CVs, or Intermediate Polars (IPs). Methods. Using the Suzaku satellite, we aquired wide-band spectra of 17 IPs, covering 3-50 keV. An accretion column model of Suleimanov et al. (2005) and an optically-thin thermal emission code were used to construct a spectral emission model of IPs with resolved Fe emission lines. By simultaneously fitting the Fe line complex and the hard X-ray continuum of individual spectra, the shock temperature and the WD mass were determined with a better accuracy than in previous studies. Results. We determined the WD masses of the 17 IPs with statistical fitting errors of ~0.1-0.2 Msun in many cases. The WD mass of a recently-found IP, IGR J17195-4100, was also estimated for the first time (1.03+0.24-0.22 Msun). The average WD mass of the sample is 0.88 \pm 0.25 Msun. When our results were compared with previous X-ray mass determinations, we found significant deviation in a few systems although the reason of this is unclear. The iron abundance of the accreting gas was also estimated, and confirmed the previously reported sub-solar tendency in all sources with better accuracy.Comment: 17 pages, 12 figures, accepted for publication in A&A (publication information added in version 2