Levels of Analysis in Comprehensive River Basin Planning

Since nearly every water resource managment choice has two or more sides, differences must be resolved in decision making. Equitable resolution requires an understanding of the reasons for the differences. These reasons originate in the implemented plans have physical-environmental, economic, social, cultural, and political impacts at levels ranging from local to national or international in scope. Decisions are made by individuals and groups impacted in all of these dimensions and at all of these levels; the decisions generate additional impacts; and the entire interactive process changes water management practice in ways outside the control of any one decision point or even dicision dimension. The objective of this study is to conceptualize this process in a way that will help in establishing institutional mechanisms for reconciling differences among levels of analysis. The conceptualization used viewed differences in choices being made at the various levels of analysis as associated with perspective differences having value, jurisdiction, action, and temporal elements. The possible combinations of differences within and between these elements were used to identify ten categories of institutional obstacles to efficient water planning (differences in values, conflicts between value and jurisdiction, etc.). The history of water resources planning on the Colorado River basin was then examined to identify 17 specific institutional obstacles, and a computerized policy simulation was applied to levels of analysis in the Uintah basin of Utah to identify three more. These 20 obstacles were shown to be broadly distributed over the ten categories, and the nature of the obstacles defined provides valuable insight into the common characteristics of the major institutional obstacles to water management. The priciples of logic as applicable to rationality in decision making were then used to identify two root causes of levels\u27 conflicts. If alternatives are evaluated from a single perspective, the ostensible causal relationships commonly used lead to estimates of the sum of the consequences from the parts of a water management program being far more than the total consequences of the entire program. Looked at another way, since available water resources planning tools do not properly allocate consequences from interactive processes to individual causal sources, decisions made to acheive a desired impact are not based on reliable information. In fact, different decisions made over time from a single perspective have conflicting impacts. When multiple perspectices are considered, one finds that individual values do not aggregate linearly in forming social values, many actions are not efficient in achieving preferred values, and decision makers are not able to implement their plans as desired. Real world situations combine interacting perspectives and partial contributions. Nine recommendations are made on what to do next in improving water resources planning in an interactive, nonlinear world

Boltzmann Equations for Spin and Charge Relaxations in Superconductors

In a superconductor coupled with a ferromagnetic metal, spin and charge imbalances can be induced by injecting spin-polarized electron current from the ferromagnetic metal. We theoretically study a nonequilibrium distribution of quasiparticles in the presence of spin and charge imbalances. We show that four distribution functions are needed to characterize such a nonequilibrium situation, and derive a set of linearized Boltzmann equations for them by extending the argument by Schmid and Sch\"{o}n based on the quasiclassical Green's function method. Using the Boltzmann equations, we analyze the spin imbalance in a thin superconducting wire weakly coupled with a ferromagnetic electrode. The spin imbalance induces a shift $\delta\mu$ ($- \delta \mu$) of the chemical potential for up-spin (down-spin) quasiparticles. We discuss how $\delta \mu$ is relaxed by spin-orbit impurity scattering.Comment: 16 pages, 2 figure

‘Teachers’ to ‘academics’: the implementation of a modernisation project at one UK post-92 university

Among the many external forces that have impacted upon institutions, league tables have been the dynamic to which universities across the world are now responding. Following the appointment of a new vice-chancellor at one post-92 UK university, a modernisation project was introduced aimed at maximising the institutions’ research standing. For the institutional actors, the university’s lecturers, this modernisation project demanded a change in their working practices from one which had focused on teaching related activities to a situation where an emphasis was to be placed upon research. This study examines how university teachers at this institution understood and responded to the modernisation project to acquire research skills and provides an insight into a path-breaking strategic plan that was enacted within an historically dependent setting. It muses on the dialectics of institutional path dependency and the path breaking effect of a modernisation project that was stimulated by new managerialism

Transoral laser or robotic surgery outcomes for oropharyngeal carcinoma

BackgroundTransoral robotic surgery (TORS) or transoral laser microsurgery (TLM) offer excellent oncological outcomes for oropharyngeal squamous cell carcinoma caused by human papillomavirus (HPV) infection. TORS may offer greater margin clearance around tumors than TLM.ObjectiveTo determine whether the differing energy sources used and surgical technique of TORS or TLM is associated with postoperative early swallowing function, feeding tube use, and specific factors related to quality of life.Design, Setting, and ParticipantsThis prespecified cohort study was performed within the Postoperative Adjuvant Treatment for HPV-Positive Tumours (PATHOS) randomized clinical trial at 40 centers in the UK, Germany, France, the US, and Australia between November 1, 2015, and August 31, 2023. PATHOS trial participants with HPV-positive oropharyngeal carcinoma of stages T1 to T3 and N0 to N2b M0 (TNM7) who underwent TLM or TORS were eligible. Of 989 consecutively recruited patients on the PATHOS trial, 508 were eligible for this substudy.ExposuresThe exposure of interest was TORS or TLM.Main Outcomes and MeasuresPreplanned outcome measures included nasogastric tube insertion rates within 4 weeks after surgery, length of in-hospital stay following surgery, specific scales from the MD Anderson Dysphagia Inventory (MDADI), 35-item European Organization for Research and Treatment of Cancer Head and Neck Questionnaire (H&N35), and 30-item Quality of Life Questionnaire (QLQ C30), water swallow test results, and videofluoroscopy scores.ResultsOf the 508 patients included in the analysis (390 [76.8%] male; median age, 58.3 [IQR, 52.8-63.6] years), 195 had TLM and 313 had TORS. Nasogastric tube insertion rates were higher after TORS than TLM (85 of 189 [45.0%] vs 10 of 126 [7.9%]; adjusted odds ratio [OR], 4.41 [95% CI, 1.01-19.32]). Mean scores favored TLM with small effect sizes in all MDADI domains and the H&N35 swallowing item at 4 weeks after surgery; between-group difference for the MDADI composite score was −4.89 (95% CI, −8.27 to −1.50); for the MDADI physical functioning score, −6.37 (95% CI, −10.15 to −2.59); for the MDADI global score, −10.02 (95% CI, −16.50 to −3.54); and for H&N35 swallowing score, 7.24 (95% CI, 2.17-12.30). No other measures showed evidence of clinically meaningful differences.Conclusions and RelevanceIn this cohort study, functional outcomes were moderately less impaired 4 weeks following TLM compared with TORS. Once the longer-term outcomes for these patients are known, these findings could aid the design and use of future head and neck–specific surgical robots.Trial RegistrationClinicalTrials.gov Identifier: NCT0221526

Checklist of the sucking lice of Panama (Anoplura)

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