Understanding sport clubs as sport policy implementers

The original publication is available at: http://dx.doi.org/10.1080/17430430802196553This article aims at developing a theoretical framework for analysing the implementation of sport policy, as it is conducted by voluntary sport clubs at grass root level. First, three options are presented and discussed: (i) a classical top-down implementation model, (ii) the governance theory of policy tools, and (iii) the Advocacy Coalition Framework. Second, the theoretical perspectives are discussed, and criticized for failing to take sufficiently into account the implementing body of sport policy, namely the voluntary sport clubs. In that respect, an alternative theoretical framework is suggested as a possible solution for analysing the implementation of sport policy; which is the translation perspective of neo-institutionalism. It stresses that, if elements of central policy influence the implementation process at the local level, it does so by the active import, interpretation and implementation of it in the local context. The autonomy of the local sport club in relation to central policy is reinforced by the fact that the activity in sport clubs is mainly done on a voluntary basi

Risk profiles and one-year outcomes of patients with newly diagnosed atrial fibrillation in India: Insights from the GARFIELD-AF Registry.

BACKGROUND: The Global Anticoagulant Registry in the FIELD-Atrial Fibrillation (GARFIELD-AF) is an ongoing prospective noninterventional registry, which is providing important information on the baseline characteristics, treatment patterns, and 1-year outcomes in patients with newly diagnosed non-valvular atrial fibrillation (NVAF). This report describes data from Indian patients recruited in this registry. METHODS AND RESULTS: A total of 52,014 patients with newly diagnosed AF were enrolled globally; of these, 1388 patients were recruited from 26 sites within India (2012-2016). In India, the mean age was 65.8 years at diagnosis of NVAF. Hypertension was the most prevalent risk factor for AF, present in 68.5% of patients from India and in 76.3% of patients globally (P < 0.001). Diabetes and coronary artery disease (CAD) were prevalent in 36.2% and 28.1% of patients as compared with global prevalence of 22.2% and 21.6%, respectively (P < 0.001 for both). Antiplatelet therapy was the most common antithrombotic treatment in India. With increasing stroke risk, however, patients were more likely to receive oral anticoagulant therapy [mainly vitamin K antagonist (VKA)], but average international normalized ratio (INR) was lower among Indian patients [median INR value 1.6 (interquartile range {IQR}: 1.3-2.3) versus 2.3 (IQR 1.8-2.8) (P < 0.001)]. Compared with other countries, patients from India had markedly higher rates of all-cause mortality [7.68 per 100 person-years (95% confidence interval 6.32-9.35) vs 4.34 (4.16-4.53), P < 0.0001], while rates of stroke/systemic embolism and major bleeding were lower after 1 year of follow-up. CONCLUSION: Compared to previously published registries from India, the GARFIELD-AF registry describes clinical profiles and outcomes in Indian patients with AF of a different etiology. The registry data show that compared to the rest of the world, Indian AF patients are younger in age and have more diabetes and CAD. Patients with a higher stroke risk are more likely to receive anticoagulation therapy with VKA but are underdosed compared with the global average in the GARFIELD-AF. CLINICAL TRIAL REGISTRATION-URL: http://www.clinicaltrials.gov. Unique identifier: NCT01090362

The influence of multiple tubes on the tube-to-bed heat transfer in a fluidised bed

There have been few studies modelling both flow and heat transfer in fluidised beds. The kinetic theory of granular flow (KTGF) has been used for flow prediction in the past without heat transfer modelling. In the present study, a two-fluid Eulerian-Eulerian formulation incorporating the KTGF was applied first to a tube-to-bed reactor with one immersed tube and compared with the results in the literature. The bed was then modified to introduce two and three heated tubes. The effects on the flow and temperature distribution, local heat transfer coefficients and averaged heat transfer coefficients over a 3.0s time period were carried out. Results showed that increasing the number of tubes promotes heat transfer from tubes to the particles and flow. The heat transfer coefficients extracted from the single-tube to three-tube cases were analyzed in detail, confirming the importance of linking flow/particle and heat transfer calculation

Effects of limestone calcination on the gasification processes in a BFB coal gasifier

An Eulerian-Eulerian computational fluid dynamics (CFD) model of the gasification processes in a coal bubbling fluidised bed (BFB) is presented incorporating the devolatilisation, heterogeneous, homogeneous reactions and limestone calcination. The model considers separate phases for the coal, limestone and char and is carried out for different experimental conditions taken from the literature.The results of the exiting gas compositions have been averaged over time and validated with experimental data. The hydrodynamic behaviour as well as temperature and reaction distributions within the bed are presented. The impact of limestone calcination on the gaseous composition is observe