4,530 research outputs found

    Monitoring of compliance in Australian conservation contracts

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    Government and non-government conservation agencies have long-term goals and objectives to provide environmental services, such as conserving the biodiversity of Australian native vegetation. In addition to national parks and reserves, private lands are often included in conservation programs to achieve these objectives. Formal contracts are entered into between the private landholder and the conservation agency to provide environmental services, or more commonly to provide inputs that are likely to lead to environmental services. The paper examines the costs and benefits of monitoring these conservation contracts when biodiversity change is stochastic.conservation, compliance, monitoring, enforcement, environmental regulation, Environmental Economics and Policy,

    Innovative practices for special warfare

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    Special Warfare forces are tasked with conducting operations in uncertain environments defined by rapidly changing environmental elements (instability) and the interaction of many diverse external factors (complexity). In order to succeed, organizations operating in uncertain environments should decentralize decision-making to the appropriate level and emphasize an organic approach that focuses on the importance of people, adaptation, and innovation. The current USASOC bureaucracy, mirroring the conventional Army, is built to maximize internal efficiency and specialize in previously predicted scenarios. Due to persistently high operational tempo, personnel downsizing, and fiscal constraints, redesigning USASOC is not feasible at this time. However, the improvement of processes and incremental enhancement to align better with the operational environment within the existing design is possible. This study explores best practices from innovative and adaptive organizations that ARSOF can draw upon to increase its capability to conduct special warfare. Through the examination of these best practices, the study identified four key factors that lead to innovation: collaboration, organizational structure, incentives, and acceptance. This study recommends that Special Warfare forces apply these factors by increasing career flexibility, internal and external linkages through broadening opportunities and liaisons, and the collective intelligence of the organization through the use of cross-functional teams and increased communication measures. Adopting these enhancements may promote innovation and adaptation and increase Special Warfare forces’ contributions to national defense.http://archive.org/details/innovativepracti1094547858Major, United States ArmyApproved for public release; distribution is unlimited

    Grey Literature and Professional Knowledge Making

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    International audienceWhat does grey literature mean? What role does it play in the production and dissemination of practitioner knowledge? How do reports, presentations and communications, working papers and other un-published material contribute to professional, extra-academic knowledge making? The following paper tries to provide some elements for a better understanding of grey literature, with examples from different collections and disciplines. Moreover, it puts the focus on critical issues like standards, identifiers and quality, and it discusses the impact of open science, i.e. the movement to make scientific research, data and dissemination accessible to all levels of an inquiring society, amateur or professional

    Reduction of low- and high-grade cervical abnormalities associated with high uptake of the HPV bivalent vaccine in Scotland

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    In Scotland, a national HPV immunisation programme began in 2008 for 12-13 year olds, with a catch-up campaign from 2008-2011 for those under the age of 18. To monitor the impact of HPV immunisation on cervical disease at the population level, a programme of national surveillance was established.  We analysed colposcopy data from a cohort of women born between 1988-1992 who entered the Scottish Cervical Screening Programme (SCSP) and were aged 20-21 in 2008-2012.  By linking datasets from the SCSP and colposcopy services, we observed a significant reduction in diagnoses of cervical intraepithelial neoplasia 1 (CIN 1) (RR 0.71, 95% CI 0.58 to 0.87, p=0.0008), CIN 2 (RR 0.5, 95% CI 0.4, 0.63, p<0.0001) and CIN 3 (RR 0.45, 95% CI 0.35 to 0.58, p< 0.0001) for women who received 3 doses of vaccine compared with unvaccinated women.  To our knowledge, this is one of the first studies to show a reduction of low and high grade cervical intraepithelial neoplasia associated with high uptake of the HPV bivalent vaccine at the population level. These data are very encouraging for countries that have achieved high HPV vaccine uptake

    Combining qualitative and quantitative operational research methods to inform quality improvement in pathways that span multiple settings

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    BACKGROUND: Improving integration and continuity of care across sectors within resource constraints is a priority in many health systems. Qualitative operational research methods of problem structuring have been used to address quality improvement in services involving multiple sectors but not in combination with quantitative operational research methods that enable targeting of interventions according to patient risk. We aimed to combine these methods to augment and inform an improvement initiative concerning infants with congenital heart disease (CHD) whose complex care pathway spans multiple sectors. METHODS: Soft systems methodology was used to consider systematically changes to services from the perspectives of community, primary, secondary and tertiary care professionals and a patient group, incorporating relevant evidence. Classification and regression tree (CART) analysis of national audit datasets was conducted along with data visualisation designed to inform service improvement within the context of limited resources. RESULTS: A 'Rich Picture' was developed capturing the main features of services for infants with CHD pertinent to service improvement. This was used, along with a graphical summary of the CART analysis, to guide discussions about targeting interventions at specific patient risk groups. Agreement was reached across representatives of relevant health professions and patients on a coherent set of targeted recommendations for quality improvement. These fed into national decisions about service provision and commissioning. CONCLUSIONS: When tackling complex problems in service provision across multiple settings, it is important to acknowledge and work with multiple perspectives systematically and to consider targeting service improvements in response to confined resources. Our research demonstrates that applying a combination of qualitative and quantitative operational research methods is one approach to doing so that warrants further consideration

    Isolated IgG2 deficiency is an independent risk factor for exacerbations in bronchiectasis

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    BACKGROUND: Immunoglobulin G (IgG) subclass 2 deficiency is the most frequent IgG subclass deficiency identified in patients with bronchiectasis, but its clinical significance is not known. AIM: To analyse if bronchiectasis patients with isolated IgG2 deficiency at risk of recurrent exacerbations and/or hospitalization? Do patients with IgG2 deficiency have worse disease progression? DESIGN AND METHODS: This is a retrospective study (2015–20) exploring independent risk factors for recurrent exacerbations (3 or more per year) and/or hospitalization with bronchiectasis exacerbations using multivariable models using binary logistic regression. There was no patient with IgG deficiency, IgG 1, 3 or 4 deficiency, or IgA or IgM deficiency included. In this model, the authors included: serum IgG2 level; lung function; body mass index; MRC breathlessness scale; age; sex; number of bronchiectatic lobes; bacterial colonization; comorbidities; and the use of long-term immunosuppressant drugs or antibiotics for more than 28 days. Analysing 2-year longitudinal data, one-way ANOVA and Mann–Whitney U-test were used to compare bronchiectasis severity between patients with different IgG2 levels. RESULTS: Serum IgG2 levels (4.45 g/l) (P = 0.003, 0.013). CONCLUSION: Reduced IgG2 levels were an independent predictor for bronchiectasis exacerbations and have increased disease progression

    Transition phenomena in unstably stratified turbulent flows

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    We study experimentally and theoretically transition phenomena caused by the external forcing from Rayleigh-Benard convection with the large-scale circulation (LSC) to the limiting regime of unstably stratified turbulent flow without LSC whereby the temperature field behaves like a passive scalar. In the experiments we use the Rayleigh-B\'enard apparatus with an additional source of turbulence produced by two oscillating grids located nearby the side walls of the chamber. When the frequency of the grid oscillations is larger than 2 Hz, the large-scale circulation (LSC) in turbulent convection is destroyed, and the destruction of the LSC is accompanied by a strong change of the mean temperature distribution. However, in all regimes of the unstably stratified turbulent flow the ratio [(ℓx∇xT)2+(ℓy∇yT)2+(ℓz∇zT)2]/\big[(\ell_x \nabla_x T)^2 + (\ell_y \nabla_y T)^2 + (\ell_z \nabla_z T)^2\big] / varies slightly (even in the range of parameters whereby the behaviour of the temperature field is different from that of the passive scalar). Here ℓi\ell_i are the integral scales of turbulence along x, y, z directions, T and \theta are the mean and fluctuating parts of the fluid temperature. At all frequencies of the grid oscillations we have detected the long-term nonlinear oscillations of the mean temperature. The theoretical predictions based on the budget equations for turbulent kinetic energy, turbulent temperature fluctuations and turbulent heat flux, are in agreement with the experimental results.Comment: 14 pages, 14 figures, REVTEX4-1, revised versio
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