Making Collaborative Relative Effectiveness Assessments Relevant: Experience of 4 Eunethta Pilots Across Pharmaceuticals and Medical Devices

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Assessment of White Spruce and Jack Pine Stem Curvature from a Nelder Spacing Experiment

This study presents a method for calculating stem curvature for trees with multiple deviations. Generally, tree curvature is assessed using the maximum deflection method. It consists of measuring the farthest point from a straight line drawn between the large and small ends of a stem. It works fairly well for a single deviation but gives poorer results for stems with several deviations. The stems used for developing this method were harvested from a 32-yr-old Nelder spacing experiment established near Woodstock, New Brunswick, Canada. A total of 96 trees were selected for this study from the white spruce (Picea glauca [Moench] Voss) and jack pine (Pinus banksiana Lamb.) that were planted on the same Nelder circle. This particular plantation design offered a gradient of initial spacings ranging from 640 to 12,000 stems/ha. Results of analysis revealed that initial spacing had an impact on tree curvature. Stem curvature increased with wider initial spacing. However, this influence varied between species and differed according to the method used to calculate curvature. The vector length calculation method showed that stem curvature in jack pine was more pronounced and more often encountered at lower densities than in white spruce. It was also observed that tree shape was influenced by the cardinal points with white spruce growing more in westerly and southerly directions

A clinician’s guide to management of intra-abdominal hypertension and abdominal compartment syndrome in critically ill patients

This article is one of ten reviews selected from the Annual Update in Intensive Care and Emergency Medicine 2020. Other selected articles can be found online at . Further information about the Annual Update in Intensive Care and Emergency Medicine is available from http://www.springer.com/series/8901

Has education lost sight of children?

The reflections presented in this chapter are informed by clinical and personal experiences of school education in the UK. There are many challenges for children and young people in the modern education system and for the professionals who support them. In the UK, there are significant gaps between the highly selective education provided to those who pay privately for it and to the majority of those educated in the state-funded system. Though literacy rates have improved around the world, many children, particularly boys, do not finish their education for reasons such as boredom, behavioural difficulties or because education does not ‘pay’. Violence, bullying, and sexual harassment are issues faced by many children in schools and there are disturbing trends of excluding children who present with behavioural problems at school whose origins are not explored. Excluded children are then educated with other children who may also have multiple problems which often just make the situation worse. The experience of clinicians suggests that school-related mental health problems are increasing in severity. Are mental health services dealing with the consequences of an education system that is not meeting children’s needs? An education system that is testing- and performance-based may not be serving many children well if it is driving important decisions about them at increasingly younger ages. Labelling of children and setting them on educational career paths can occur well before they reach secondary schools, limiting potential very early on in their developmental trajectory. Furthermore, the emphasis at school on testing may come at the expense of creativity and other forms of intelligence, which are also valuable and important. Meanwhile the employment marketplace requires people with widely different skills, with an emphasis on innovation, creativity, and problem solving. Is education losing sight of the children it is educating

Applied smouldering for co-waste management: Benefits and trade-offs

Smouldering combustion is emerging as a valuable application for many environmentally beneficial purposes, including waste-to-energy. While many applied smouldering systems rely on small fractions of fuel mixed within inert porous media (IPM) like coarse grain silica sand, there is also an opportunity to pursue co-waste management with much higher fuel loadings. This study explores these co-waste systems by blending non-smoulderable wastes (e.g., sewage sludge) with smoulderable wastes (e.g., construction waste woodchips) to form porous solid fuels (PSFs). Key differences between these IPM and PSF systems were identified by contrasting the temperature profiles in space and time, specific mass loss rates, and emissions profiles across experiments in multiple reactors (with 0.054, 0.080, and 0.300 m radii). For example, the PSF systems exhibited higher throughputs, a more straightforward path towards continuous operation, improved scalability, and higher production of potentially useful by-products (e.g., CH4, H2) than the IPM systems. However, the PSF systems were more sensitive to extinction and exhibited lower fuel moisture content limitations than the IPM systems. Altogether, this study illuminates the benefits and trade-offs of co-waste smouldering

Europe - a default or a dream? European identity formation among Bulgarian and English children

This is the authors' accepted version of an article published in Ethnicities, 2014. http://online.sagepub.com/10.1177/1468796812465722This article examines the formation of European identity among children in two very different countries: the traditionally Eurosceptic United Kingdom and the enthusiastic EU newcomer, Bulgaria. The paper revisits existing debates about the relationships between European identity, knowledge and the political and historical context, paying particular attention to the meanings attached to Europe. It demonstrates that children who identify as European are more likely to see Europe in geographic terms, which facilitates the perception of the European identity as ‘default’. In contrast, children who refuse to describe themselves as European see Europe as an exclusive political entity, associated with high standards and distant elites. These perceptions are significantly more common among Bulgarian children, who often depict Europe as a dream, and perceive the European identity as an ideal they aspire to reach. The article also shows how ethnicity and the images of Europe influence the relationship between national and European identities

Compendio de la historia de España

h. de grab. calc. representando un mapa general de Españ