Standards in public life

Most liberal democracies, especially countries in the commonwealth with British traditions, are proud of their high standards in public life. Their systems of government have been developed with considerable care. Citizens in general have high expectations of their politicians and officials, and their expectations have usually been met. The occasional cause celebre has had a salutory educational affect in terms of drawing attention to dangers to be avoided, often in leading to the introduction of new procedures or safeguards, and also a contributory factor in the education of citizens about their systems of government, through focusing attention on what standards to expect and what to condemn.peer-reviewe

Leadership in the British civil service: an interpretation

This article is essentially a polemic. The argument is that when politicians and officials now talk of ‘leadership’ in the British civil service they do not use that word in the way in which it was previously used. In the past leading civil servants, acting in partnership with ministers and within constitutional constraints, exercised leadership in the sense of setting example, inspiring confidence and encouraging loyalty. The loosening of traditional constitutional patterns, the marginalization of senior officials in the policy process and the emergence of business methods as the preferred model for public ­administration have led to a political and administrative environment in which leadership in the British civil service is now about encouraging patterns of behaviour which fit in with these changes. Leadership skills are now about ‘delivery’; they are not about motivation. It is time for politicians, officials and scholars to be open about this

Visualizing aerosol-particle injection for diffractive-imaging experiments

Delivering sub-micrometer particles to an intense x-ray focus is a crucial aspect of single-particle diffractive-imaging experiments at x-ray free-electron lasers. Enabling direct visualization of sub-micrometer aerosol particle streams without interfering with the operation of the particle injector can greatly improve the overall efficiency of single-particle imaging experiments by reducing the amount of time and sample consumed during measurements. We have developed in-situ non-destructive imaging diagnostics to aid real-time particle injector optimization and x-ray/particle-beam alignment, based on laser illumination schemes and fast imaging detectors. Our diagnostics are constructed to provide a non-invasive rapid feedback on injector performance during measurements, and have been demonstrated during diffraction measurements at the FLASH free-electron laser.Comment: 15 page

Epidemiology of bloodstream infections in a multicenter retrospective cohort of liver transplant recipients

Although some studies have examined the epidemiology of bloodstream infections after liver transplantation, they were based in single centers and did not identify bloodstream infections treated in other hospitals. METHODS: We retrospectively examined a cohort of 7912 adult liver transplant recipients from 24 transplant centers using 2004 to 2012 International Classification of Diseases, Ninth Revision, Clinical Modification billing data from 3 State Inpatient Databases, and identified bloodstream infections, inpatient death, and cumulative 1-year hospital costs. Multilevel Cox regression analyses were used to determine factors associated with bloodstream infections and death. RESULTS: Bloodstream infections were identified in 29% (n = 2326) of liver transplant recipients, with a range of 19% to 40% across transplant centers. Only 63% of bloodstream infections occurring more than 100 days posttransplant were identified at the original transplant center. Bloodstream infections were associated with posttransplant laparotomy (adjusted hazard ratio [aHR], 1.52), prior liver transplant (aHR, 1.42), increasing age (aHR, 1.07/decade), and some comorbidities. Death was associated with bloodstream infections with and without septic shock (aHR, 10.96 and 3.71, respectively), transplant failure or rejection (aHR, 1.41), posttransplant laparotomy (aHR, 1.40), prior solid-organ transplant (aHR, 1.48), increasing age (aHR, 1.15/decade), and hepatitis C cirrhosis (aHR, 1.20). The risk of bloodstream infections and death varied across transplant centers. Median 1-year cumulative hospital costs were higher for patients who developed bloodstream infections within 1 year of transplant compared with patients who were bloodstream infection-free (US $229 806 vs US$111 313; P < 0.001). CONCLUSIONS: Bloodstream infections are common and costly complications after liver transplantation that are associated with a markedly increased risk of death. The incidence and risk of developing bloodstream infections may vary across transplant centers

Inter-Annual Variability in Pasture Herbage Accumulation in Temperate Dairy Regions: Causes, Consequences, and Management Tools

Inter-annual variation in pasture herbage accumulation rate (HAR) is common in temperate dairy regions, posing challenges for farmers in the management of dairy cow feeding and of pasture state. This paper reviews the biophysical factors that cause inter-annual variation, considers some of its consequences for the efficient harvest of pasture, and discusses the basis for decision rules and support tools that are available to assist New Zealand and Australian farmers to help manage the consequences of an imbalance between feed supply and demand. These tools are well-grounded in scientific research and farmer experience, but are not widely used in the Australasian dairy industries. Some of the reasons for this are discussed. Inter-annual variability in HAR cannot be removed, even with inputs such as irrigation, but reliable forecasts of pasture HAR for a month or more could greatly improve the effectiveness of operational and tactical decision-making. Various approaches to pasture forecasting, based on pasture growth simulation models, are presented and discussed. Some of these appear to have reasonable predictive ability. However, considerably more development work is needed to: (1) prove their effectiveness; and (2) build the systems required to capture real-time, on farm data for critical systems variables such as pasture herbage mass and soil water content to combine with daily weather data. This technology presents an opportunity for farmers to gain greater control over variability in pasture-based dairy systems and improve the efficiency of resource use for profit and environmental outcomes

Exploring Parent/Caregiver Perspectives of Self-Determination and Its Impact on Mental Health in Adolescents with and without Disabilities

Introduction. Parents and caregivers play key roles in supporting the development of self-determination and mental health needs in adolescents with and without disabilities. This study explored parent/caregiver perceptions of the relationships among mental health and self-determination constructs for youth with disabilities, across gender and disability status. Method. Parents/caregivers of adolescents with and without disabilities completed rating scales regarding adolescents’ self-determination status (Self Determination Inventory) and mental health symptoms (Behavior Assessment System for Children, 3rd Edition). Bayesian analyses examined the relationships among self-determination and mental health status. Results. Results are mixed, indicating moderate to robust relationships for self-determination as a moderator for the relationship between disability status and adaptive skills and behavioral symptoms, but mixed results for self-determination as a moderator of those demographic variables on internalizing and externalizing symptoms. Conclusion. While sample size is limited, results suggest that there are potential relationships among these variables that warrant further exploration

Nitrogen Balances in High Rainfall, Temperate Dairy Pastures of South Eastern Australia

Nitrogen (N) fertilizer use on dairy pastures in south eastern Australia has increased exponentially over the past 15 years, causing increasing environmental concerns. Volatilisation, denitrification and leaching of N were measured for one year (1998-1999) in pastures receiving no N fertilizer (grass/clover), or 200 kg N/ha applied as urea (46%N) or ammonium nitrate (34.5%N). Nitrogen balances were calculated for each treatment. Significantly more N was lost through volatilisation and denitrification when N was applied as urea compared to ammonium nitrate. Nitrate leaching losses were significantly greater with the application of N fertilizer, although the maximum loss was only 4.1 kg N/ha due to low rainfall between May and September. Nitrogen balances were -15, +87 and +82 kg N/ha per year for the grass/clover, 200 kg N/ha urea and 200 kg N/ha ammonium nitrate treatments, respectively. Given the large range in N losses and balances, there is opportunity for improving the N efficiency in dairy pastures, through lower stocking rates and more tactical use of grain and N fertilizer