Forth Road Bridge Closure Survey: Analysis of Commuter Behaviour: Final Findings Report May 2016

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The Governance of Smart Mobility

There is an active contemporary debate about how emerging technologies such as automated vehicles, peer-to-peer sharing applications and the ‘internet of things’ will revolutionise individual and collective mobility. Indeed, it is argued that the so-called ‘Smart Mobility’ transition, in which these technologies combine to transform how the mobility system is organised and operates, has already begun. As with any socio-technical transition there are critical questions to be posed in terms of how the transition is managed, and how both the benefits and any negative externalities of change will be governed. This paper deploys the notion of ensuring and enhancing public value as a key governance aim for the transition. It sets out modes and methods of governance that could be deployed to steer the transition and, through four thematic cases explores how current mobility governance challenges will change. In particular, changing networks of actors, resources and power, new logics of consumption, and shifts in how mobility is regulated, priced and taxed – will require to be successfully negotiated if public value is to be captured from the transition. This is a critical time for such questions to be raised because technological change is clearly outpacing the capacity of systems and structures of governance to respond to the challenges already apparent. A failure to address both the short and longer-term governance issues risks locking the mobility system into transition paths which exacerbate rather than ameliorate the wider social and environmental problems that have challenged planners throughout the automobility transition

Identifying and managing functional cardiac symptoms

Recurring chest pain and other cardiac symptoms that cannot be adequately explained by organic pathology are common and can be associated with substantial disability, distress and high healthcare costs. Common mental disorders such as depression and anxiety frequently co-occur with these symptoms and, in some cases, account for their presentation, although they are not universally present. Due to the frequency of functional cardiac presentations and risks of iatrogenic harm, physicians should be familiar with strategies to identify, assess and communicate with patients about these symptoms. A systematic and multidisciplinary approach to diagnosis and management is often needed. Health beliefs, concerns and any associated behaviours should be elicited and addressed throughout. Psychiatric comorbidities should be concurrently identified and treated. For those with persistent symptoms, psychosocial outcomes can be poor, highlighting the need for further research and investment in diagnostic and therapeutic approaches and multidisciplinary service models

A colorectal cancer missed by colon capsule endoscopy : a case report

Acknowledgement: We would like to thank the patient described in this case report for agreeing to publication of their case.Peer reviewe

An exploration of the rhythm of Malay

In recent years there has been a surge of interest in speech rhythm. However we still lack a clear understanding of the nature of rhythm and rhythmic differences across languages. Various metrics have been proposed as means for measuring rhythm on the phonetic level and making typological comparisons between languages (Ramus et al, 1999; Grabe & Low, 2002; Dellwo, 2006) but the debate is ongoing on the extent to which these metrics capture the rhythmic basis of speech (Arvaniti, 2009; Fletcher, in press). Furthermore, cross linguistic studies of rhythm have covered a relatively small number of languages and research on previously unclassified languages is necessary to fully develop the typology of rhythm. This study examines the rhythmic features of Malay, for which, to date, relatively little work has been carried out on aspects rhythm and timing. The material for the analysis comprised 10 sentences produced by 20 speakers of standard Malay (10 males and 10 females). The recordings were first analysed using rhythm metrics proposed by Ramus et. al (1999) and Grabe & Low (2002). These metrics (∆C, %V, rPVI, nPVI) are based on durational measurements of vocalic and consonantal intervals. The results indicated that Malay clustered with other so-called syllable-timed languages like French and Spanish on the basis of all metrics. However, underlying the overall findings for these metrics there was a large degree of variability in values across speakers and sentences, with some speakers having values in the range typical of stressed-timed languages like English. Further analysis has been carried out in light of Fletcher’s (in press) argument that measurements based on duration do not wholly reflect speech rhythm as there are many other factors that can influence values of consonantal and vocalic intervals, and Arvaniti’s (2009) suggestion that other features of speech should also be considered in description of rhythm to discover what contributes to listeners’ perception of regularity. Spectrographic analysis of the Malay recordings brought to light two parameters that displayed consistency and regularity for all speakers and sentences: the duration of individual vowels and the duration of intervals between intensity minima. This poster presents the results of these investigations and points to connections between the features which seem to be consistently regulated in the timing of Malay connected speech and aspects of Malay phonology. The results are discussed in light of current debate on the descriptions of rhythm

An Information Theoretic perspective on perceptual structure: cross-accent vowel perception

Analytical tools from Information Theory were used to quantify behaviour in cross-accent vowel perception by Australian, London, New Zealand, Yorkshire and Newcastle UK listeners. Results show that Australian listeners impose expected patterns of perceptual similarity from their own accent experience on unfamiliar accents, regardless of the actual phonetic distance between accents

A preliminary study on whether HbA1c levels can predict visual dependence for spatial orientation in asymptomatic Type 2 diabetic patients

Introduction: Diabetes-induced vestibular dysfunction has been commonly reported, and asymptomatic patients with type 2 diabetes display higher degrees of perceptual visual dependence for spatial orientation than healthy controls. This study aims to assess whether HbA1c can predict such visual dependence in the diabetic patients. Methods and Materials: Diabetic patients were divided into 2 groups: 22 subjects with “good” (HbA1c < 7%) and 25 with “poor” (HbA1c ≥ 7%) glycemic control. Otolithic vestibular function was tested using the computerized rod-and-frame test (CRFT) and results for the two diabetic groups were compared to 29 healthy controls. Results: When the frame was tilted, the diabetic group with “good” glycemic control had largest positioning errors, with a significant difference only in comparison to the control group. The “good” glycemic group exhibited larger degree of asymmetry under titled frame condition. Although HbA1c was not associated with vestibular asymmetry in any diabetic group, it was significantly associated with visual dependence in the “good” glycemic group. During frame tilts, 10 diabetic patients had positioning errors above the reference range of 3.3°, 8 of which belonged to the “good” glycemic diabetic group. Conclusions: Diabetes disease processes may affect vestibular symmetry during visuo-vestibular conflicts, even in asymptomatic diabetics within the recommended glycemic range. The weak correlations between HbA1c and CRFT parameters may indicate that HbA1c cannot fully predict visual dependence or asymmetry on the CRFT in patients with diabetes, and different glycemic disorders may affect vestibular dependent spatial orientation in diabetic patients

Telecare motivational interviewing for diabetes patient education and support : a randomised controlled trial based in primary care comparing nurse and peer supporter delivery

Background: There is increasing interest in developing peer-led and 'expert patient'-type interventions, particularly to meet the support and informational needs of those with long term conditions, leading to improved clinical outcomes, and pressure relief on mainstream health services. There is also increasing interest in telephone support, due to its greater accessibility and potential availability than face to face provided support. The evidence base for peer telephone interventions is relatively weak, although such services are widely available as support lines provided by user groups and other charitable services. Methods/Design: In a 3-arm RCT, participants are allocated to either an intervention group with Telecare service provided by a Diabetes Specialist Nurse (DSN), an intervention group with service provided by a peer supporter (also living with diabetes), or a control group receiving routine care only. All supporters underwent a 2-day training in motivational interviewing, empowerment and active listening skills to provide telephone support over a period of up to 6 months to adults with poorly controlled type 2 diabetes who had been recommended a change in diabetes management (i.e. medication and/or lifestyle changes) by their general practitioner (GP). The primary outcome is self-efficacy; secondary outcomes include HbA1c, total and HDL cholesterol, blood pressure, body mass index, and adherence to treatment. 375 participants (125 in each arm) were sought from GP practices across West Midlands, to detect a difference in self-efficacy scores with an effect size of 0.35, 80% power, and 5% significance level. Adults living with type 2 diabetes, with an HbA1c > 8% and not taking insulin were initially eligible. A protocol change 10 months into the recruitment resulted in a change of eligibility by reducing HbA1c to > 7.4%. Several qualitative studies are being conducted alongside the main RCT to describe patient, telecare supporter and practice nurse experience of the trial. Discussion and implications of the research: With its focus on self-management and telephone peer support, the intervention being trialled has the potential to support improved self-efficacy and patient experience, improved clinical outcomes and a reduction in diabetes-related complications

Origins and composition of fine atmospheric carbonaceous aerosol in the Sierra Nevada Mountains, California

In this paper we report chemically resolved measurements of organic aerosol (OA) and related tracers during the Biosphere Effects on Aerosols and Photochemistry Experiment (BEARPEX) at the Blodgett Forest Research Station, California from 15 August–10 October 2007. OA contributed the majority of the mass to the fine atmospheric particles and was predominately oxygenated (OOA). The highest concentrations of OA were during sporadic wildfire influence when aged plumes were impacting the site. In situ measurements of particle phase molecular markers were dominated by secondary compounds and along with gas phase compounds could be categorized into six factors or sources: (1) aged biomass burning emissions and oxidized urban emissions, (2) oxidized urban emissions (3) oxidation products of monoterpene emissions, (4) monoterpene emissions, (5) anthropogenic emissions and (6) local methyl chavicol emissions and oxidation products. There were multiple biogenic components that contributed to OA at this site whose contributions varied diurnally, seasonally and in response to changing meteorological conditions, e.g. temperature and precipitation events. Concentrations of isoprene oxidation products were larger when temperatures were higher during the first half of the campaign (15 August–12 September) due to more substantial emissions of isoprene and enhanced photochemistry. The oxidation of methyl chavicol, an oxygenated terpene emitted by ponderosa pine trees, contributed similarly to OA throughout the campaign. In contrast, the abundances of monoterpene oxidation products in the particle phase were greater during the cooler conditions in the latter half of the campaign (13 September–10 October), even though emissions of the precursors were lower, although the mechanism is not known. OA was correlated with the anthropogenic tracers 2-propyl nitrate and carbon monoxide (CO), consistent with previous observations, while being comprised of mostly non-fossil carbon (>75%). The correlation between OA and an anthropogenic tracer does not necessarily identify the source of the carbon as being anthropogenic but instead suggests a coupling between the anthropogenic and biogenic components in the air mass that might be related to the source of the oxidant and/or the aerosol sulfate. Observations of organosulfates of isoprene and α-pinene provided evidence for the likely importance of aerosol sulfate in spite of neutralized aerosol although acidic plumes might have played a role upwind of the site. This is in contrast to laboratory studies where strongly acidic seed aerosols were needed in order to form these compounds. These compounds together represented only a minor fraction (<1%) of the total OA mass, which may be the result of the neutralized aerosol at the site or because only a small number of organosulfates were quantified. The low contribution of organosulfates to total OA suggests that other mechanisms, e.g. NO_x enhancement of oxidant levels, are likely responsible for the majority of the anthropogenic enhancement of biogenic secondary organic aerosol observed at this site

Increasing walking rates during the Covid-19 pandemic in the UK and the window of opportunity for modal shift

The COVID-19 pandemic, and the associated lockdowns and travel restrictions significantly impacted transport systems worldwide. Cities saw reductions in car use, reductions in public transport patronage and increases in active travel (walking and cycling). This prompted many to speculate about what travel might look like after the pandemic, and whether increases in active travel would lead to more permanent modal shifts away from car use, and towards a more sustainable transport system. However, as restrictions have been lifted, many countries have reported car use rates returning to, or close to, pre-pandemic levels, with public transport patronage being lower than pre-pandemic levels, and active travel rates reducing since initial lockdowns. This poses the question, has the window of opportunity for sustainable travel post-pandemic gone? This paper examines this question further by focusing on walking rates during the pandemic. Using data from a longitudinal panel survey this paper addresses the following questions: how have walking levels changed during the pandemic in the UK? What are people walking for? and what impact could these changes have on greenhouse gas (GHG) emissions? Findings show walking is the only transport mode to increase during the pandemic and have more people walking regularly than pre-pandemic. This increase has been for mixed purposes, not solely for leisure purposes, and in June-21 17.4 % of the sample who eligible to drive, increased the frequency they walked and also decreased their car use. This paper argues there is still opportunity for policy makers to encourage a continuation of walking, and for some modal shifts from car use to continue post-pandemic