Water as an economic good: a solution, or a problem ?

Water resource management / Economic aspects / Economic analysis / Irrigated farming / Water rights / Pricing / Privatization / Marginal analysis / Water market / Water policy

New insights into the biomechanics of Legg-Calvé-Perthes’ disease: The role of epiphyseal skeletal immaturity in vascular obstruction

ObjectivesLegg–Calvé–Perthes’ disease (LCP) is an idiopathic osteonecrosis of the femoral head that is most common in children between four and eight years old. The factors that lead to the onset of LCP are still unclear; however, it is believed that interruption of the blood supply to the developing epiphysis is an important factor in the development of the condition.MethodsFinite element analysis modelling of the blood supply to the juvenile epiphysis was investigated to understand under which circumstances the blood vessels supplying the femoral epiphysis could become obstructed. The identification of these conditions is likely to be important in understanding the biomechanics of LCP.ResultsThe results support the hypothesis that vascular obstruction to the epiphysis may arise when there is delayed ossification and when articular cartilage has reduced stiffness under compression.ConclusionThe findings support the theory of vascular occlusion as being important in the pathophysiology of Perthes disease

Optical and Infrared Spectroscopy

Contains report on one research project.Joint Services Electronics Programs (U. S. Army, U. S. Navy, and U. S. Air Force) under Contract DA 28-043-AMC-02536(E)U. S. Air Force (ESD Contract AF 19(628)-6066)M. I. T. Sloan Fund for Basic Researc

Indicators for comparing performance of irrigated agricultural systems

Irrigated farming / Irrigation systems / Indicators / Performance indexes / Financing / Crop production / Water demand / Water requirements / Prices

Will I? won't I? Why do men who have sex with men present for post-exposure prophylaxis for sexual exposures?

Background: Failures of post-exposure prophylaxis following sexual exposure (PEPSE) to prevent seroconversion have been reported and are often associated with ongoing risk exposure. Understanding why men who have sex with men (MSM) access PEPSE on some occasions and not others may lead to more effective health promotion and disease prevention strategies Methods: A qualitative study design using semi-structured interviews of 15 MSM within 6 months of them initiating PEPSE treatment at an HIV outpatient service in Brighton, UK. Results: PEPSE seeking was motivated by a number of factors: an episode that related to a particular sexual partner and their behaviour; the characteristics of the venue where the risk occurred; the respondent’s state of mind and influences of alcohol and recreational drug use; and their perceived beliefs on the effectiveness of PEPSE. Help was sought in the light of a “one-off” or “unusual” event. Many respondents felt they were less likely to behave in a risky manner following PEPSE. Conclusion: If PEPSE is to be effective as a public health measure, at risk individuals need to be empowered to make improved risk calculations from an increased perception that they could be exposed to HIV if they continue their current behaviour patterns. The concern is that PEPSE was sought by a low number of MSM implying that a greater number are not using the service based on failure to make accurate risk calculations or recognise high-risk scenario

Context Dependence, MOPs,WHIMs and procedures Recanati and Kaplan on Cognitive Aspects in Semantics

After presenting Kripke’s criticism to Frege’s ideas on context dependence of thoughts, I present two recent attempts of considering cognitive aspects of context dependent expressions inside a truth conditional pragmatics or semantics: Recanati’s non-descriptive modes of presentation (MOPs) and Kaplan’s ways of having in mind (WHIMs). After analysing the two attempts and verifying which answers they should give to the problem discussed by Kripke, I suggest a possible interpretation of these attempts: to insert a procedural or algorithmic level in semantic representations of indexicals. That a function may be computed by different procedures might suggest new possibilities of integrating contextual cognitive aspects in model theoretic semanti

Direct numerical simulation of the near-field dynamics of annular gas-liquid two-phase jets

Copyright © 2009 American Institute of Physics.Direct numerical simulation has been used to examine the near-field dynamics of annular gas-liquid two-phase jets. Based on an Eulerian approach with mixed fluid treatment, combined with an adapted volume of fluid method and a continuum surface force model, a mathematical formulation for the flow system is presented. The swirl introduced at the jet nozzle exit is based on analytical inflow conditions. Highly accurate numerical methods have been utilized for the solution of the compressible, unsteady, Navier–Stokes equations. Two computational cases of gas-liquid two-phase jets including swirling and nonswirling cases have been performed to investigate the effects of swirl on the flow field. In both cases the flow is more vortical at the downstream locations. The swirling motion enhances both the flow instability resulting in a larger liquid spatial dispersion and the mixing resulting in a more homogeneous flow field with more evenly distributed vorticity at the downstream locations. In the annular nonswirling case, a geometrical recirculation zone adjacent to the jet nozzle exit was observed. It was identified that the swirling motion is responsible for the development of a central recirculation zone, and the geometrical recirculation zone can be overwhelmed by the central recirculation zone leading to the presence of the central recirculation region only in the swirling gas-liquid case. Results from a swirling gas jet simulation were also included to examine the effect of the liquid sheet on the flow physics. The swirling gas jet developed a central recirculation region, but it did not develop a precessing vortex core as the swirling gas-liquid two-phase jet. The results indicate that a precessing vortex core can exist at relatively low swirl numbers in the gas-liquid two-phase flow. It was established that the liquid greatly affects the precession and the swirl number alone is an insufficient criterion for the development of a precessing vortex core.EPSR

A pragmatic cluster randomized controlled trial of an educational intervention for GPs in the assessment and management of depression

Background. General practitioners (GPs) can be provided with effective training in the skills to manage depression. However, it remains uncertain whether such training achieves health gain for their patients. Method. The study aimed to measure the health gain from training GPs in skills for the assessment and management of depression. The study design was a cluster randomized controlled trial. GP participants were assessed for recognition of psychological disorders, attitudes to depression, prescribing patterns and experience of psychiatry and communication skills training. They were then randomized to receive training at baseline or the end of the study. Patients selected by GPs were assessed at baseline, 3 and 12 months. The primary outcome was depression status, measured by HAM-D. Secondary outcomes were psychiatric symptoms (GHQ-12) quality of life (SF-36), satisfaction with consultations, and health service use and costs. Results. Thirty-eight GPs were recruited and 36 (95%) completed the study. They selected 318 patients, of whom 189 (59%) were successfully recruited. At 3 months there were no significant differences between intervention and control patients on HAM-D, GHQ-12 or SF-36. At 12 months there was a positive training effect in two domains of the SF-36, but no differences in HAM-D, GHQ-12 or health care costs. Patients reported trained GPs as somewhat better at listening and understanding but not in the other aspects of satisfaction. Conclusions. Although training programmes may improve GPs' skills in managing depression, this does not appear to translate into health gain for depressed patients or the health service