Ring-fencing a budget for cancer drugs: is it fair?

Ring-fencing is defined as protecting funds for use in a specific area. In the NationalHealth Service in the UK, various methods to ring-fence cancer have beenemployed over the years; more recently the Cancer Drugs Fund in England hasenabled cancer drugs that would not normally be considered cost-effective to beprovided to patients. This has created variation in provision between England andthe devolved countries. While some would argue that ring-fencing allows majoradvances to be made in the treatment of a particular condition, others wouldargue that it is intrinsically unfair. In this debate, Graham and Cassidy have writtenan article arguing the affirmative position and Hughes and Duerden were invitedto respond directly to their arguments. As with all the RCPE's 'Currentcontroversies', the authors have been asked to take a deliberately polarisedposition and so the views they express may be somewhat overstated

Plagioclase‐Saturated Melt Hygrothermobarometry and Plagioclase‐Melt Equilibria Using Machine Learning

Compositions of plagioclase‐melt pairs are commonly used to constrain temperatures (T), dissolved water contents (H2O) and pressures (P) of pre‐eruptive magma storage and transport. However, previous plagioclase‐based thermometers, hygrometers, and barometers can have significant errors, leading to imprecise reconstructions of conditions during plagioclase growth. Here, we explore whether we can refine existing plagioclase‐based hygrothermobarometers with either plagioclase‐melt or melt‐only chemistry (±T/H2O), calibrated using random forest machine learning on experimental petrology data (n = 1,152). We find that both the plagioclase‐melt and melt‐only models return similar cross‐validation root‐mean‐square errors (RMSEs), as the melt holds most of the P‐T‐H2O information rather than the plagioclase. T/H2O‐dependent melt models have test set RMSEs of 25°C, 0.70 wt.% and 76 MPa for temperature, H2O content and pressure, respectively, while T/H2O‐independent models have RMSEs of 38°C, 0.97 wt.% and 91 MPa. The melt thermometer and hygrometer are applicable to a wide range of plagioclase‐bearing melts at temperatures between 664 and 1355°C, and with H2O concentrations up to 11.2 wt.%, while the melt barometer is suitable for pressures of ≤500 MPa. An updated plagioclase‐melt equilibrium model has also been calibrated, allowing the equilibrium anorthite content to be predicted with an error of 5.8 mol%. The new P‐T‐H2O‐An models were applied to matrix glasses and melt inclusions from the 1980 Mount St Helens (USA) and 2014–2015 Holuhraun (Iceland) eruptions, corroborating previous independent estimates and observations. Models are available at https://github.com/kyra‐cutler/Plag‐saturated‐melt‐P‐T‐H2O‐An, enabling assessment of plagioclase‐melt equilibrium and characterization of last‐equilibrated P‐T‐H2O conditions of plagioclase‐saturated magmas

Analysis of the charging of the SCATHA (P78-2) satellite

The charging of a large object in polar Earth orbit was investigated in order to obtain a preliminary indication of the response of the shuttle orbiter to such an environment. Two NASCAP (NASA Charging Analyzer Program) models of SCATHA (Satellite Charging at High Altitudes) were used in simulations of charging events. The properties of the satellite's constituent materials were compiled and representations of the experimentally observed plasma spectra were constructed. Actual charging events, as well as those using test environments, were simulated. Numerical models for the simulation of particle emitters and detectors were used to analyze the operation of these devices onboard SCATHA. The effect of highly charged surface regions on the charging conductivity within a photosheath was used to interpret results from the onboard electric field experiment. Shadowing calculations were carried out for the satellite and a table of effective illuminated areas was compiled

Additional application of the NASCAP code. Volume 1: NASCAP extension

The NASCAP computer program comprehensively analyzes problems of spacecraft charging. Using a fully three dimensional approach, it can accurately predict spacecraft potentials under a variety of conditions. Several changes were made to NASCAP, and a new code, NASCAP/LEO, was developed. In addition, detailed studies of several spacecraft-environmental interactions and of the SCATHA spacecraft were performed. The NASCAP/LEO program handles situations of relatively short Debye length encountered by large space structures or by any satellite in low earth orbit (LEO)

Models for Chronology Selection

In this paper, we derive an expression for the grand canonical partition function for a fluid of hot, rotating massless scalar field particles in the Einstein universe. We consider the number of states with a given energy as one increases the angular momentum so that the fluid rotates with an increasing angular velocity. We find that at the critical value when the velocity of the particles furthest from the origin reaches the speed of light, the number of states tends to zero. We illustrate how one can also interpret this partition function as the effective action for a boosted scalar field configuration in the product of three dimensional de Sitter space and $S^1$. In this case, we consider the number of states with a fixed linear momentum around the $S^1$ as the particles are given more and more boost momentum. At the critical point when the spacetime is about to develop closed timelike curves, the number of states again tends to zero. Thus it seems that quantum mechanics naturally enforces the chronology protection conjecture by superselecting the causality violating field configurations from the quantum mechanical phase space.Comment: 20 pages, Late

Additional application of the NASCAP code. Volume 2: SEPS, ion thruster neutralization and electrostatic antenna model

The interactions of spacecraft systems with the surrounding plasma environment were studied analytically for three cases of current interest: calculating the impact of spacecraft generated plasmas on the main power system of a baseline solar electric propulsion stage (SEPS), modeling the physics of the neutralization of an ion thruster beam by a plasma bridge, and examining the physical and electrical effects of orbital ambient plasmas on the operation of an electrostatically controlled membrane mirror. In order to perform these studies, the NASA charging analyzer program (NASCAP) was used as well as several other computer models and analytical estimates. The main result of the SEPS study was to show how charge exchange ion expansion can create a conducting channel between the thrusters and the solar arrays. A fluid-like model was able to predict plasma potentials and temperatures measured near the main beam of an ion thruster and in the vicinity of a hollow cathode neutralizer. Power losses due to plasma currents were shown to be substantial for several proposed electrostatic antenna designs

Mapping An Internal-External (I-E) Matrix Using Traditional And Extended Matrix Concepts

Internal Factor Evaluation (IFE) and External Factor Evaluation (EFE) matrices allow an organization to visualize their strengths, weaknesses, opportunities and threats while a Competitive Profile Matrix (CPM) utilizes critical success factors to allow an organization to compare itself to competitors.  Capps and Glissmeyer (2012) proposed an extension of the EFE and IFE concepts to an External Competitive Profile Matrix (ECPM) and an Internal Competitive Profile Matrix (ICPM) which provides greater insight in understanding the external and internal categories to which an organization must attend.  The authors of this paper extend the observations of Capps and Glissmeyer (2012) by suggesting that visual mapping of the ECPM and ICPM, in a manner similar on the Internal-External (I-E) matrix, would enable greater comparative understanding of the relative strengths, weaknesses, opportunities, and threats of the respective companies

Configuration development study of the X-24C hypersonic research airplane

Bottom line results were made of a three-phase study to determine the feasibility of designing, building, and operating, and maintaining an air-launched high performance aircraft capable of cruising at speeds up to Mach 8 for short durations. The results show that Lockalloy heat-sink structure affords the capability for a 'work-horse' vehicle which can serve as an excellent platform for this research. It was further concluded that the performance of a blended wing body configuration surpassed that of a lifting body design for typical X-24C missions. The cost of a two vehicle program, less engines, B-52 modification and contractor support after delivery, can be kept within $70M (in Jan. 1976 dollars)

Making mentoring work: The need for rewiring epistemology

To help produce expert coaches at both participation and performance levels, a number of governing bodies have established coach mentoring systems. In light of the limited literature on coach mentoring, as well as the risks of superficial treatment by coach education systems, this paper therefore critically discusses the role of the mentor in coach development, the nature of the mentor-mentee relationship and, most specifically, how expertise in the mentee may best be developed. If mentors are to be effective in developing expert coaches then we consequently argue that a focus on personal epistemology is required. On this basis, we present a framework that conceptualizes mentee development on this level through a step by step progression, rather than unrealistic and unachievable leap toward expertise. Finally, we consider the resulting implications for practice and research with respect to one-on-one mentoring, communities of practice, and formal coach education

Splitting fields and general differential Galois theory

An algebraic technique is presented that does not use results of model theory and makes it possible to construct a general Galois theory of arbitrary nonlinear systems of partial differential equations. The algebraic technique is based on the search for prime differential ideals of special form in tensor products of differential rings. The main results demonstrating the work of the technique obtained are the theorem on the constructedness of the differential closure and the general theorem on the Galois correspondence for normal extensions..Comment: 33 pages, this version coincides with the published on